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.
31 Oct 2023
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.
1 Nov 2022
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.
28 Feb 2023
Three high-yield strategies apply to health care when creating a thriving work environment.
1 Jun 2023
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.
28 Mar 2023
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?
17 May 2022
Pain guidelines issued by medical societies call for nondrug therapies and exercise as primary recommendations for chronic pain.
1 Jul 2023
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.
5 Apr 2022
According to a new systematic review, the effects of nonbenzodiazepine antispasmodics on low back pain are likely not great enough to be clinically important, and the drugs could increase the risk of an adverse event.
13 Jul 2021
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?.
1 Jan 2013