The third recommendation addresses patients with chronic low back pain
with an inadequate response to nonpharmacologic therapies--specifically, which pharmacologic options might be considered as the next step.
In our literature review, no study has investigated the combination of neck, shoulder and upper back exercises in patients with chronic low back pain
and the impact of this treatment on pain and disability to date.
A 2005 meta-analysis that evaluated 6 randomized controlled trials (RCTs) involving 549 patients with low back pain
found that 318 patients who received OMT had significantly less low back pain
compared with 231 controls (effect size= -0.
In conclusion, there seems to be good evidence to suggest Chiropractic as the first line of therapy for low back pain
and migraine headaches.
Functional capacity and its associated factors in the elderly with low back pain
5-9 Clinical guidelines for low back pain
recommends remaining active and early return to physical activity as a mean of faster recovery with less concomitant disability.
26) The scale was developed by Main as a clinical screening instrument to measure somatic and autonomic perception in patients with low back pain
and other chronic pain problems.
Acetaminophen is no longer recommended for low back pain
, having failed to shorten time to recovery, compared with placebo, in a large, multicenter, randomized trial (Lancet.
Opioids should only be considered for chronic low back pain
that fails both nondrug and nonopioid therapies, "and only if the potential benefits outweigh the risks for individual patients, and after a discussion of known risks and realistic benefits," the guideline authors emphasized.
Pelvic belts can be used to decrease low back pain
but can't be worn for a long period of time.
Updated data from the osteoarthritis pain Phase 2/3 study and the chronic low back pain
Phase 2b study will be presented at upcoming medical congresses.
The report provides a snapshot of the global therapeutic landscape of Low Back Pain