Tag: back pain

1. A three-month course of amoxicillin provides no clinically significant benefit over placebo for treatment of chronic back pain with previous disc herniation and type 1 or 2 Modic changes. Evidence Rating Level: 1 (Excellent) As current management strategies for chronic low back pain offer low to moderate improvement in pain...

1. A three-month course of amoxicillin provides no clinically significant benefit over placebo for treatment of chronic back pain with previous disc herniation and type 1 or 2 Modic changes. Evidence Rating Level: 1 (Excellent) As current management strategies for chronic low back pain offer low to moderate improvement in pain...

1. This series of multi-center, non-blinded randomized control trials found that there was either no improvement or no clinically important improvement in chronic low back pain for patients treated with radiofrequency denervation, compared with a standardized exercise program. 2. No adverse reactions to radiofrequency ablation were reported, with the exception...

1. Education serves as the most effective method of therapy for chronic lower back pain. 2. Yoga and physical therapy result in similar outcomes in treating chronic lower back pain.  Evidence rating level: 1 (Excellent) Study Rundown: Chronic low back pain is a major cause of disability worldwide. In the United...

1. Mindfulness-based stress reduction may have short-term impact on pain intensity and physical functioning for low back pain patients. 2. Improvements for low back pain were not sustained in the long-term following mindfulness therapy. Evidence Rating Level: 1 (Excellent) Study Rundown: Low back pain is a major cause of long-term disability. Lifetime...

1. In a systematic review and meta-analysis, spinal manipulative therapy was associated with statistically significant benefits in both pain and function for acute low back pain at up to 6 weeks. 2. Minor transient adverse effects included increased pain, muscle stiffness, and headache in over half of patients in large...

1. The cooperative pain education and self-management (COPES) study was a randomized, non-inferiority trial that demonstrated similar efficacy in improvement of chronic back pain with cognitive behavioral therapy (CBT) administered by interactive voice response (IVR) telephone software compared to in-person therapy. 2. The IVR-CBT group had significantly improved adherence to...

1. Single glucocorticoid injections provided symptomatic relief from chronic low back pain after one month. 2. No differences in low back pain were observed between patients and controls after 12 months. Evidence Rating Level: 1 (Excellent) Study Rundown: Chronic low back pain (LBP) is known to cause long-term disability. One subtype of...

1. In this systematic review, researchers found associations with short-term pain benefits on a small to moderate level for exercise, psychological therapies, multidisciplinary rehabilitation, acupuncture, massage, and spinal manipulation as treatment for chronic low back pain. 2. In comparison to pain, effects on function were usually smaller or not noted. Evidence...

1. In a meta-analysis of randomized controlled trials, opioid analgesics for chronic low back pain were associated with small, but clinically insignificant improvements in the short- and intermediate-term. This was true even at the highest doses used. 2. While there was marginal improvement in pain (per pain scores), there was...