Acute Low Back Pain

Opioids for low back pain

BMJ. 2015 Jan 5;350:g6380. doi: 10.1136/bmj.g6380. Opioids for low back pain. Deyo RA, Von Korff M, Duhrkoop D. Abstract Back pain affects most adults, causes disability for some, and is a common reason for seeking healthcare. In the United States, opioid prescription for low back pain has increased, and opioids are now the most commonly […]

AHCPR Acute Low Back Problems in Adults: Assessment and Treatment

Attention Clinicians The Clinical Practice Guideline on which this Quick Reference Guide for Clinicians is based was developed by a multidisciplinary, private-sector panel comprising health care professionals and a consumer representative sponsored by the Agency for Health Care Policy and Research (AHCPR). http://www.ncbi.nlm.nih.gov/books/NBK52120/

The best evidence in back and neck pain care – CBRG QuickDecks – Slide Shows

CBRG QuickDecks is a set of the summary slides describing findings from systematic reviews published by the Cochrane Back Review Group (CBRG). These summaries provide clinicians and researchers with a snapshot of evidence on various treatment and prevention measures for back and neck pain. Below you will find the summaries organized by intervention type (pharmacological/surgical/ […]

Integrative therapies for low back pain that include complementary and alternative medicine care

Glob Adv Health Med. 2014 Sep;3(5):49-64. doi: 10.7453/gahmj.2014.043. Integrative therapies for low back pain that include complementary and alternative medicine care: a systematic review. Kizhakkeveettil A, Rose K1, Kadar GE1. Abstractin English, Chinese, Spanish STUDY DESIGN: Systematic review of the literature. OBJECTIVE: To evaluate whether an integrated approach that includes different Complementary and Alternative Medicine […]

Do imaging studies have value in a patient with acute, nonspecific low back pain?

Cleveland Clinic Journal of Medicine. 2014 August;81(8):462-463 Author(s): Cynthia D. Smith, MD, FACP Patrick C. Alguire, MD, FACP A 38-year-old man is evaluated in an urgent care center for back pain. He is a high school mathematics teacher who reports the insidious onset of low back pain 3 weeks ago. Over the last week the pain has […]

Interventions focusing on psychosocial risk factors for patients with non-chronic low back pain in primary care

Fam Pract. 2014 Aug;31(4):379-88. doi: 10.1093/fampra/cmu008. Epub 2014 Mar 15. Interventions focusing on psychosocial risk factors for patients with non-chronic low back pain in primary care–a systematic review. Ramond-Roquin A1, Bouton C2, Gobin-Tempereau AS3, Airagnes G4, Richard I5, Roquelaure Y6, Huez JF2. Author information Abstract BACKGROUND: Low back pain (LBP) is a problem that is frequently encountered in primary care, and current […]

Effect of a pain diary use on recovery from acute low back (lumbar) sprain

Rheumatol Int. 2015 Jan;35(1):55-9. doi: 10.1007/s00296-014-3082-3. Epub 2014 Jul 2. Ferrari R Abstract The aim of the study was to examine the effect of a daily pain diary on recovery from acute low back sprain. SUMMARY OF BACKGROUND DATA: Pain diaries are often recommended to or used by patients suffering with acute lumbar (low back) […]

Tylenol (paracetamol/acetaminophen) does not affect recovery time compared with placebo in acute low-back pain

Dr Christopher M Williams PhD The Lancet, Early Online Publication, 24 July 2014 doi:10.1016/S0140-6736(14)60805-9 Efficacy of paracetamol for acute low-back pain: a double-blind, randomised controlled trial Summary Background Regular paracetamol is the recommended first-line analgesic for acute low-back pain; however, no high-quality evidence supports this recommendation. We aimed to assess the efficacy of paracetamol taken […]

Acetaminophen Fails in Back Pain Trial

by Nancy Walsh, Senior Staff Writer, MedPage Today July 23, 2014 The use of acetaminophen for acute low-back pain was no more effective than placebo, with similar times to recovery regardless of whether the drug was taken regularly or as needed, a large randomized trial found. Among patients who took acetaminophen on a regular schedule, median time […]

The efficacy of manual therapy and exercise for different stages of non-specific low back pain: an update of systematic reviews – Full Text Article

J Man Manip Ther. 2014 May; 22(2): 59–74. doi: 10.1179/2042618613Y.0000000041 PMCID: PMC4017797 PMID: 24976749 Benjamin Hidalgo Abstract Objective to review and update the evidence for different forms of manual therapy (MT) for patients with different stages of non-specific low back pain (LBP). Data sources MEDLINE, Cochrane-Register-of-Controlled-Trials, PEDro, EMBASE. Method A systematic review of MT with […]

The efficacy of manual therapy and exercise for different stages of non-specific low back pain: an update of systematic reviews

The efficacy of manual therapy and exercise for different stages of non-specific low back pain: an update of systematic reviews. Hidalgo B1, Detrembleur C1, Hall T2, Mahaudens P3, Nielens H3. J Man Manip Ther. 2014 May;22(2):59-74. doi: 10.1179/2042618613Y.0000000041. PubMed Reference Abstract OBJECTIVE: to review and update the evidence for different forms of manual therapy (MT) […]

Spinal manipulation therapy for acute low back pain

NASS Contemporary Concepts in Spine Care: Spinal manipulation therapy for acute low back pain Simon Dagenais, DC, PhD The Spine Journal Volume 10, Issue 10 , Pages 918-940, October 2010 Journal Reference Abstract Background context Low back pain (LBP) continues to be a very prevalent, disabling, and costly spinal disorder. Numerous interventions are routinely used […]

Iatrogenic Consequences of Early Magnetic Resonance Imaging in Acute, Work-Related, Disabling Low Back Pain

Webster, Barbara S. BSPT, PA-C; Bauer, Ann Z. MPH; Choi, YoonSun MA; Cifuentes, Manuel MD, MPH, ScD; Pransky, Glenn S. MD, MOccH Spine . 38(22):1939–1946, 15 October 2013. doi: 10.1097/BRS.0b013e3182a42eb6 Abstract Study Design. Retrospective cohort study. Objective. To determine the effect of early (receipt ≤30 d postonset) magnetic resonance imaging (MRI) on disability and medical […]

Spinal High-Velocity Low Amplitude Manipulation in Acute Nonspecific Low Back Pain

A Double-Blinded Randomized Controlled Trial in Comparison With Diclofenac and Placebo von Heymann, Wolfgang J. Dr. Med Spine: 01 April 2013 – Volume 38 – Issue 7 – p 540–548 Abstract Study Design. A randomized, double-blinded, placebo-controlled, parallel trial with 3 arms. Objective. To investigate in acute nonspecific low back pain (LBP) the effectiveness of […]

Motion Style Acupuncture and Acute Low Back Pain – VIDEOS

Effects of motion style acupuncture treatment in acute low back pain patients with severe disability: A multicenter, randomized, controlled, comparative effectiveness trial Shin JS PAIN:  Volume 154, Issue 7 , Pages 1030-1037, July 2013 In a multicenter, randomized, comparative effectiveness trial involving 58 patients with acute low back pain and severe functional disability, in which […]

Adding Chiropractic Manipulative Therapy to Standard Medical Care for Patients With Acute Low Back Pain

Results of a Pragmatic Randomized Comparative Effectiveness Study Goertz, Christine M. DC, PhD Spine: 15 April 2013 – Volume 38 – Issue 8 – p 627–634 Journal Reference Abstract Study Design. Randomized controlled trial. Objective. To assess changes in pain levels and physical functioning in response to standard medical care (SMC) versus SMC plus chiropractic […]

Predictors of Improvement in Patients With Acute and Chronic Low Back Pain Undergoing Chiropractic Treatment

Cynthia K. Peterson, DC Journal of Manipulative and Physiological Therapeutics Volume 35, Issue 7 , Pages 525-533, September 2012 Objectives The purpose of this study was to investigate outcomes and prognostic factors in patients with acute or chronic low back pain (LBP) undergoing chiropractic treatment. Methods This was a prognostic cohort study with medium-term outcomes. […]

The Nervous System and Metabolic Dysregulation: Emerging Evidence Converges on Ketogenic Diet Therapy

David N. Ruskin Front Neurosci. 2012; 6: 33. Published online 2012 Mar 26. Prepublished online 2012 Jan 16. doi: 10.3389/fnins.2012.00033 Abstract A link between metabolism and brain function is clear. Since ancient times, epileptic seizures were noted as treatable with fasting, and historical observations of the therapeutic benefits of fasting on epilepsy were confirmed nearly […]

A Structured Protocol of Evidence-Based Conservative Care Compared With Usual Care for Acute Nonspecific Low Back Pain

A Randomized Clinical Trial Gregory F. Parkin-Smith, MTech(Chiro), MSc, DrHC Archives of Physical Medicine and Rehabilitation Volume 93, Issue 1 , Pages 11-20, January 2012 Abstract Parkin-Smith GF, Norman IJ, Briggs E, Angier E, Wood TG, Brantingham JW. A structured protocol of evidence-based conservative care compared with usual care for acute nonspecific low back pain: […]

How Effective and Save Are Systemic Steroids for Acute Low Back Pain

Mark Johnson, D.O. Evidence-Based Answers From The Family Physicians Inquires Network Clinical Inquires Short courses of systemic steroids are likely safe, but they are ineffective. A single dose of intramuscular (IM) or intravenous (FV) methylprednisolone doesn’t improve long-term pain scores in patients with low back pain and sciatica and produces conflicting effects on furiction. Oral prednisone (9-day taper) doesn’t improve pain or […]