Acute Low Back Pain

Topical Diclofenac vs Oral Ibuprofen for Acute Low Back Pain

March 21, 2024 Annals of Emergency Medicine TAKE-HOME MESSAGE This randomized placebo-controlled trial evaluated the use of diclofenac gel versus oral ibuprofen for acute low back pain in the emergency department and found that topical diclofenac gel was significantly less effective in relieving pain and improving function 2 days after prescription compared with oral ibuprofen 400 […]

Nonopioid pharmacological management of acute low back pain: A level I of evidence systematic review

Alice Baroncini, Nicola Maffulli, Hazim Al-Zyoud, Andreas Bell, Aleksandar Sevic, Filippo Migliorini First published: 22 February 2023 https://doi.org/10.1002/jor.25508 Abstract Acute low back pain (LBP) imposes a significant socioeconomical burden as it is the condition that, worldwide, cause the most disability. Nonetheless, the literature regarding the best pharmacological management of acute LBP is limited, and the […]

Nonopioid pharmacological management of acute low back pain: A level I of evidence systematic review

Journal of Orthopedic Research Alice Baroncini, Nicola Maffulli, Hazim Al-Zyoud, Andreas Bell, Aleksandar Sevic, Filippo Migliorini First published: 22 February 2023 https://doi.org/10.1002/jor.25508 Abstract Acute low back pain (LBP) imposes a significant socioeconomical burden as it is the condition that, worldwide, cause the most disability. Nonetheless, the literature regarding the best pharmacological management of acute LBP […]

AMA Patient Page – Low Back Pain

AMA Patient Page July 20, 2021 Low Back Pain Adrian C. Traeger, PhD JAMA. 2021;326(3):286. doi:10.1001/jama.2020.19715 Journal Reference

Effectiveness of treatments for acute and subacute mechanical non-specific low back pain: a systematic review with network meta-analysis

Gianola S, Bargeri S, Del Castillo G, et al British Journal of Sports Medicine Published Online First: 13 April 2021. doi: 10.1136/bjsports-2020-103596 Abstract Objective To assess the effectiveness of interventions for acute and subacute non-specific low back pain (NS-LBP) based on pain and disability outcomes. Design A systematic review of the literature with network meta-analysis. Data sources Medline, […]

Rapid Acupuncture for Musculoskeletal Pain in the Emergency Room of the Hospital Servidor Publico Estadual, Brazil: A Quasi-Experimental Study

J Integr Med. 2020 May 28;S2095-4964(20)30054-6. doi: 10.1016/j.joim.2020.05.002. Online ahead of print. Luciana Aikawa 1, Alexandre Massao Yoshizumi 2, Mirian Matsura Shirassu 1, Marcia Kiyomi Koike 3 PMID: 32553560 DOI: 10.1016/j.joim.2020.05.002 Abstract Objective: To compare differences in self-reported musculoskeletal pain before and after receiving rapid acupuncture for pain at an outpatient emergency department. Methods: Exactly […]

Evidence of efficacy of acupuncture in the management of low back pain: a systematic review and meta-analysis of randomised placebo-or sham-controlled trials

Acupunct Med. 2019 Sep 16:acupmed2017011445. doi: 10.1136/acupmed-2017-011445. [Epub ahead of print] Xiang Y1, He JY2, Tian HH1, Cao BY3, Li R1. Abstract OBJECTIVES: To assess the evidence for the efficacy of acupuncture for non-specific low back pain (NSLBP), compared with sham or placebo therapies. METHODS: We searched Cochrane CENTRAL to December 2016, and conducted searches […]

The effect of mechanical traction on low back pain in patients with herniated intervertebral disks: a systemic review and meta-analysis

Clinical Rehabilitation First Published August 28, 2019 Yu-Hsuan Cheng Abstract Objective: To evaluate the effectiveness of traction in improving low back pain, functional outcome, and disk morphology in patients with herniated intervertebral disks. Data Source: PubMed, Scopus, Embase, and the Cochrane Library were searched from the earliest record to July 2019. Review methods: We included […]

The efficacy of muscle energy techniques in symptomatic and asymptomatic subjects: a systematic review – Full Text

Ewan Thomas, Antonio Rosario Cavallaro, Diba Mani, Antonino Bianco & Antonio Palma Chiropractic & Manual Therapies volume 27, Article number: 35 (2019) Background Muscle energy techniques are applied to reduce pain and increase range of motion. These are applied to a variety of pathological conditions and on asymptomatic subjects. There is however limited knowledge on […]

Paracetamol is ineffective for acute low back pain even for patients who comply with treatment

PAIN: August 23, 2019 – Volume Articles in Press – Issue – p doi: 10.1097/j.pain.0000000000001685 Abstract In 2014, the Paracetamol for Acute Low Back Pain (PACE) trial demonstrated that paracetamol had no effect compared with placebo in acute low back pain (LBP). However, noncompliance was a potential limitation of this trial. The aim of this study was to investigate the efficacy of paracetamol in acute […]

The Impact of Timing of Physical Therapy for Acute Low Back Pain on Health Services Utilization: A Systematic Review

Archives of Physical Medicine and Rehabilitation Elizabeth Arnold Highlights Early physical therapy is within 30 days of the index visit for acute low back pain Early physical therapy for acute low back pain reduces health services utilization Early versus delayed physical therapy is more cost-effective Results are mixed for early physical therapy versus usual care […]

Is spinal mobilization effective for low back pain?: A systematic review – Full Text Article

Complementary Therapies in Clinical Practice Volume 34, February 2019, Pages 51-63 Kosaku Aoyagi Highlights • Fourteen studies in spinal mobilization alone for low back pain were assessed. • The quality of the studies was moderate to high. • The outcomes of pain, function and range of motion have higher level of evidence. • Future studies […]

Acute sciatica secondary to lumbar disc herniation may benefit from chiropractic spinal manipulation

October 8, 2018 LOS ANGELES — Results presented at the North American Spine Society Annual Meeting showed a small subgroup of patients with acute sciatica secondary to lumbar disc herniation may significantly benefit from chiropractic spinal manipulation therapy. Paul B. Bishop , MD, PhD, DC, and colleagues randomly assigned 40 patients with acute sciatica secondary […]

3 New Genes Linked to Chronic Back Pain

By Mary Elizabeth Dallas HealthDay Reporter MONDAY, Oct. 1, 2018 (HealthDay News) — New research pinpoints three genes responsible for skeletal development that appear to be connected to chronic back pain. The study authors said their findings could shed new light on the biological factors involved in the development of the condition and lead to […]

Spinal Manipulative Therapy and Other Conservative Treatments for Low Back Pain: A Guideline From the Canadian Chiropractic Guideline Initiative – Full Text Article

JMPT. May 2018 Volume 41, Issue 4, Pages 265–293 Abstract Objective The objective of this study was to develop a clinical practice guideline on the management of acute and chronic low back pain (LBP) in adults. The aim was to develop a guideline to provide best practice recommendations on the initial assessment and monitoring of […]

Chiropractic Manipulation or Medication for Low Back Pain?

3/6/17 By Andrew Moeller Pain medication is a common and convenient treatment for lower back pain. But easier is not always better, as a recent study suggests that spinal manipulation may provide more relief than at least one popular pain medication. Published in the journal Spine, the recent study suggests that treating acute, non-specific lower […]

Effectiveness of the McKenzie Method (Mechanical Diagnosis and Therapy) for Treating Low Back Pain: Literature Review With Meta-analysis

J Orthop Sports Phys Ther, Epub 30 Mar 2018. doi:10.2519/jospt.2018.7562 Olivier T. Lam, PT Study Design Literature review with meta-analysis. Background Mechanical Diagnosis and Therapy (MDT), a classification-based system, aims to classify patients into homogenous subgroups to direct treatment. Objectives To examine MDT’s effectiveness for improving pain and disability in patients with either acute (<12 […]

Researchers: Spinal Manipulation for Low Back Pain Comparable to NSAIDs

JULY 18, 2017 Spinal manipulation therapy was shown to have modest improvements on pain and function at up to six weeks in patients with acute low back pain (LBP), according to a study published in JAMA (2017;317:1451-1460). Moreover, the therapy was associated with only “temporary minor musculoskeletal harms,” according to the researchers. Paul G. Shekelle, […]

FDA proposes that doctors learn about acupuncture and chiropractic for pain management

By MEGAN THIELKING @meggophone MAY 10, 2017 Chiropractors and acupuncturists who have lobbied for a bigger role in treating pain have won a preliminary endorsement from federal health officials. The Food and Drug Administration released proposed changes Wednesday to its blueprint on educating health care providers about treating pain. The guidelines now recommend that doctors get information about chiropractic care and […]

The Role of Spinal Manipulation in the Treatment of Low Back Pain – Full Text JAMA Article by R. Deyo

The Role of Spinal Manipulation in the Treatment of Low Back Pain R. Deyo JAMA. 2017;317(14):1418-1419. doi:10.1001/jama.2017.3085 Download Full Text Article