Search results for "Back pain"
ACP, AAFP issue joint guideline on non-low back pain from musculoskeletal injuries in adults
The College and the American Academy of Family Physicians (AAFP) recommend topical NSAIDs as first-line therapy for this type of pain and advise against the use of opioids.
https://immattersacp.org/weekly/archives/2020/08/18/3.htm
18 Aug 2020
Coping skills, counseling best for low back pain
Despite all the best evidence and guidelines, patients with low back pain are still spending time, effort and money on things that aren't helping them in the long run.
https://immattersacp.org/archives/2013/11/back-pain.htm
1 Nov 2013
For back pain, early MRI didn't help, early physical therapy did, studies find
A retrospective study found worse outcomes in patients who received an MRI within six weeks of a visit for back pain, while a randomized trial found that early physical therapy for sciatica resulted in better outcomes than a wait-and-see approach.
https://immattersacp.org/weekly/archives/2020/10/06/5.htm
6 Oct 2020
MKSAP Quiz: 3-year history of low back pain
A 67-year-old man is evaluated for a 3-year history of low back pain, which is of moderate intensity and worsens during activities, and a 10-year history of neck pain accompanied by 20 minutes of morning stiffness. Following a physical and neurological exam, and a radiograph of the spine, what is the most likely diagnosis?.
https://immattersacp.org/archives/2013/01/mksap.htm
1 Jan 2013
MKSAP Quiz: Follow-up for back pain 1 week ago
A 26-year-old man is evaluated during a follow-up visit after presenting to an urgent care clinic for back pain 1 week ago. Laboratory studies at that time were significant for a serum creatinine level of 1.4 mg/dL (123.8 µmol/L); other laboratory studies, including urinalysis, were normal. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/03/03/3.htm
3 Mar 2020
Low back pain prevalent among U.S. workers, may be underreported, survey finds
More than 10% of workers with frequent and severe low back pain had stopped working, changed jobs, or made a major change in work activities in the past three months because of low back pain.
https://immattersacp.org/weekly/archives/2019/05/14/1.htm
14 May 2019
Balancing benefits and harms of pain meds in older adults
Pain guidelines issued by medical societies call for nondrug therapies and exercise as primary recommendations for chronic pain.
https://immattersacp.org/archives/2023/07/balancing-benefits-and-harms-of-pain-meds-in-older-adults.htm
1 Jul 2023
Little evidence that gabapentinoids work for low back pain
Gabapentin showed minimal improvement of pain compared with placebo, while pregabalin was not as effective compared to other types of analgesic medication, the study showed.
https://immattersacp.org/weekly/archives/2017/08/22/2.htm
22 Aug 2017
3 ways to improve workplace culture
Three high-yield strategies apply to health care when creating a thriving work environment.
https://immattersacp.org/archives/2023/06/3-ways-to-improve-workplace-culture.htm
1 Jun 2023
No additional benefit for low back pain when naproxen is combined with adjunct treatment, study finds
Adding a muscle relaxant or an opioid plus acetaminophen to naproxen did not appear to improve pain or functional outcomes at 1 week in patients who presented to an ED with low back pain.
https://immattersacp.org/weekly/archives/2015/10/27/5.htm
27 Oct 2015