Search results for "Low back pain"
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
Motor control exercise is safe and as effective as other exercises for reducing lower back pain, Cochrane review finds
Moderate- to high-quality evidence showed similar outcomes between motor control exercise and manual therapy for all outcomes and follow-up periods.
https://immattersacp.org/weekly/archives/2016/01/12/2.htm
12 Jan 2016
Integrative therapies may complement care
A growing base of evidence suggests that certain treatments may have a place in physicians' repertoires as part of a holistic approach to health.
https://immattersacp.org/archives/2016/03/CAM.htm
1 Mar 2016
MKSAP Quiz: low back pain of 3 months' duration
A 52-year-old man is evaluated for low back pain of 3 months' duration that is nonradiating, progressive, and worse with ambulation. He reports no preceding injury. Medical history is notable for smoldering multiple myeloma diagnosed 1 year ago; he has been stable since that time. His only medication is as-needed acetaminophen. Following a physical exam and lab results, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2016/05/24/3.htm
24 May 2016
4 steps to managing osteoarthritis pain in the elderly
Weight loss and nutritional counseling should be the first step, while opioids are always and only a last resort.
https://immattersacp.org/archives/2016/07/osteoarthritis.htm
1 Jul 2016
Nonpharmacologic treatment first for low-back pain, ACP guideline recommends
Given that most patients with low back pain improve over time regardless of treatment, clinicians and patients should select nonpharmacologic options such as superficial heat, massage, acupuncture, or spinal manipulation, the guideline states.
https://immattersacp.org/weekly/archives/2017/02/14/1.htm
14 Feb 2017
Glucocorticoid injection provides only short-term relief from chronic low back pain
Patients who received a single intradiscal glucocorticoid injection reported positive effects on pain at one month compared with the control group, but the groups did not differ in low back pain intensity at 12 months and in most secondary outcomes at one and 12 months.
https://immattersacp.org/weekly/archives/2017/03/21/1.htm
21 Mar 2017
Yoga noninferior to physical therapy for treating chronic low back pain, study finds
At 12 weeks, the mean change on a disability questionnaire in the yoga group was noninferior to a physical therapy group, and both groups were less likely than participants in an education-only group to use pain medication after 12 weeks.
https://immattersacp.org/weekly/archives/2017/06/20/1.htm
20 Jun 2017
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
Integrative medicine makes gains in back pain
An ACP clinical practice guideline officially recommended noninvasive and nonpharmacologic treatments for patients with acute low back pain who are not at risk for serious underlying conditions.
https://immattersacp.org/archives/2017/10/integrative-medicine-makes-gains-in-back-pain.htm
1 Oct 2017