Search results for "Low back pain"
Use of chiropractors and occupational, physical therapy for low back pain uncommon, despite guidelines
While clinical practice guidelines encourage nonpharmacologic treatments as first-line therapy for low back pain, fewer than a third of patients used chiropractic care or occupational or physical therapy for this problem in 2002 to 2018.
https://immattersacp.org/weekly/archives/2023/10/31/4.htm
31 Oct 2023
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
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
‘Considerable uncertainty’ surrounds efficacy, safety of analgesics for low back pain
A systematic review and meta-analysis of 98 randomized controlled trials found little high-certainty evidence on the comparative effectiveness and safety of analgesics for acute nonspecific low back pain.
https://immattersacp.org/weekly/archives/2023/03/28/1.htm
28 Mar 2023
Nonopioids effective for acute low back pain, review finds
Myorelaxants and NSAIDs with or without acetaminophen were all effective at reducing pain and disability from acute, nonspecific low back pain lasting less than 12 weeks, according to an analysis of 18 randomized controlled trials, although the authors stressed that medications for this condition should always be a second-line strategy.
https://immattersacp.org/weekly/archives/2023/02/28/1.htm
28 Feb 2023
No easy ‘off switch’ for low back pain
There's no easy way to cure low back pain, but recommending a mix of therapies along with a dose of reassurance can often provide patients a measure of relief.
https://immattersacp.org/archives/2022/11/no-easy-off-switch-for-low-back-pain.htm
1 Nov 2022
Mixing and matching can work for back pain
This issue details management of back pain, a forum on monkeypox, and pearls about diagnosing delirium.
https://immattersacp.org/archives/2022/11/mixing-and-matching-can-work-for-back-pain.htm
1 Nov 2022
MKSAP Quiz: Hospitalization for shortness of breath
A 43-year-old man is hospitalized for shortness of breath, tingling in the extremities, and weakness. Three weeks ago, he had watery diarrhea that lasted 5 days. He reports no travel and no sexual contact in the past year. Following a physical and neurological exam, what is the most likely cause of this patient's neurologic syndrome?
https://immattersacp.org/weekly/archives/2022/06/07/3.htm
7 Jun 2022
MKSAP Quiz: Evaluation for low back pain
A 47-year-old man is evaluated for low back pain. The pain began 5 days ago while he was playing basketball. It is localized to the lumbar back and does not radiate. The patient is unable to sit or stand for long periods, but the pain improves when lying down. After a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/05/17/4.htm
17 May 2022
Adding psychological interventions to physical therapy for low back pain may boost effectiveness
The authors of a new systematic review urge clinicians to consider strategies that promote both structured exercise and psychological interventions, such as pain education, for patients with chronic, nonspecific low back pain.
https://immattersacp.org/weekly/archives/2022/04/05/4.htm
5 Apr 2022