Latest & greatest articles for low back pain

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Top results for low back pain

1. A commonly used treatment does not improve chronic low back pain

A commonly used treatment does not improve chronic low back pain Signal - A commonly used treatment does not improve chronic low back pain Dissemination Centre Discover Portal NIHR DC Discover A commonly used treatment does not improve chronic low back pain Published on 7 November 2017 This trial found that destroying nerves that take pain signals to the brain using heat (radiofrequency denervation) did not improve pain, function or a sense of “recovery”. The treatment was used alongside (...) exercise and was a variation of the technique commonly used in the UK. In this large study, it was compared to exercise alone. Low back pain is usually short-lived, but some people develop long-term back pain which can negatively impact their lives. NICE recommends exercise, pain relief and self-management to cope with pain. If these treatments are not effective and pain is severe, then more intensive options, such as radiofrequency denervation can be considered. These findings suggest

NIHR Dissemination Centre2019

2. Two nerve drugs are not suitable for treating long-term low back pain

Two nerve drugs are not suitable for treating long-term low back pain Signal - Two nerve drugs are not suitable for treating long-term low back pain Dissemination Centre Discover Portal NIHR DC Discover Two nerve drugs are not suitable for treating long-term low back pain Published on 5 December 2017 The drugs gabapentin and pregabalin (gabapentinoids) were found not to help lower back pain that had lasted more than three months. Gabapentin gave no benefit compared with placebo, while (...) pregabalin was less effective than other painkillers. Both were associated with several side effects, such as dizziness. Long-term low back pain without clear cause is very common. It causes considerable loss of productivity and places a high demand on the healthcare service. It is difficult to treat, and people often get limited relief from simple painkillers, causing practitioners to consider alternative options. This review gathered eight trials looking at gabapentinoids for adults with long-term

NIHR Dissemination Centre2019

3. Discogenic low back pain

Discogenic low back pain Discogenic low back pain - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Discogenic low back pain Last reviewed: December 2018 Last updated: January 2019 Summary Magnetic resonance imaging is the imaging study of choice for degenerative disc disease due to its unique detail on the representation of the disc status. Other tests may include plain radiographs, computed tomography scanning (...) , or provocative discography. Non-surgical treatments include lifestyle measures, followed by the judicious use of medications, physiotherapy, and therapeutic needling procedures. Surgical treatment includes decompression of neural structures and, in selected patients, a fusion of the motion segment. Definition A complex, multi-factorial, clinical condition characterised by low back pain with or without the concurrence of radicular lower limb symptoms in the presence of radiologically-confirmed degenerative

BMJ Best Practice2019

4. Low back pain: Providing reassurance, encouraging activity and reducing reliance on imaging

Low back pain: Providing reassurance, encouraging activity and reducing reliance on imaging Low back pain | NPS MedicineWise 20 Years Of Helping Australians Make Better Decisions About Medicines, Medical Tests And Other Health Technologies. Log in Facebook Twitter LinkedIn Google Signing you in Use another account OR Login Form Email Password Log in to NPS MedicineWise Forgot password Forgot password Email Send reset instructions Set new password Reset Password Password Set password Account (...) for articles that match your past search terms. We’ll send you email alerts for articles that match these search terms: History Clear all to view your search history. Menu Breadcrumbs Low back pain Low back pain Providing reassurance, encouraging activity and reducing reliance on imaging Share Share to: Larger text Smaller text Low back pain podcast Low back pain is a complex and challenging condition. It affects people of all ages and is the leading cause of disability in the world. Unfortunately, many

National Prescribing Service Limited (Australia)2019

5. Do Regenerative Medicine Therapies Provide Long-Term Relief in Chronic Low Back Pain: A Systematic Review and Metaanalysis

Do Regenerative Medicine Therapies Provide Long-Term Relief in Chronic Low Back Pain: A Systematic Review and Metaanalysis 30508983 2018 12 04 2150-1149 21 6 2018 Nov Pain physician Pain Physician Do Regenerative Medicine Therapies Provide Long-Term Relief in Chronic Low Back Pain: A Systematic Review and Metaanalysis. 515-540 Several cell-based therapies have been proposed in recent years the management of low back pain, including the injection of medicinal signaling cells or mesenchymal stem (...) cells (MSCs) and platelet-rich plasma (PRP). However, there is only emerging clinical evidence to support their use at this time. To assess the effectiveness of MSCs or PRP injections in the treatment of low back and lower extremity pain. A systematic review and metaanalysis of the effectiveness of PRP and MSCs injections in managing low back and lower extremity pain. PubMed, Cochrane Library, US National Guideline Clearinghouse, prior systematic reviews, and reference lists. The literature search

EvidenceUpdates2019

6. Identifying and Engaging Neuronal Oscillations by Transcranial Alternating Current Stimulation in Patients With Chronic Low Back Pain: A Randomized, Crossover, Double-Blind, Sham-Controlled Pilot Study

Identifying and Engaging Neuronal Oscillations by Transcranial Alternating Current Stimulation in Patients With Chronic Low Back Pain: A Randomized, Crossover, Double-Blind, Sham-Controlled Pilot Study 30268803 2018 11 25 1528-8447 2018 Sep 27 The journal of pain : official journal of the American Pain Society J Pain Identifying and Engaging Neuronal Oscillations by Transcranial Alternating Current Stimulation in Patients With Chronic Low Back Pain: A Randomized, Crossover, Double-Blind, Sham (...) stimulation as a nonpharmacological treatment option. We hypothesized that alpha oscillations, a prominent thalamocortical activity pattern in the human brain, are impaired in chronic pain and can be modulated with transcranial alternating current stimulation (tACS). We performed a randomized, crossover, double-blind, sham-controlled study in patients with chronic low back pain (CLBP) to investigate how alpha oscillations relate to pain symptoms for target identification and whether tACS can engage

EvidenceUpdates2018

7. The Effect of Combination Pharmacotherapy on Low Back Pain: A Meta-analysis

The Effect of Combination Pharmacotherapy on Low Back Pain: A Meta-analysis 29727303 2018 10 04 1536-5409 34 11 2018 Nov The Clinical journal of pain Clin J Pain The Effect of Combination Pharmacotherapy on Low Back Pain: A Meta-analysis. 1039-1046 10.1097/AJP.0000000000000622 To evaluate the difference between combination pharmacotherapy and monotherapy on low back pain (LBP). We searched PubMed, Embase, and Cochrane Central Register of Controlled Trials databases up to March 14, 2017. Two (...) authors independently extracted the data and assessed the validity of included trials. Twelve randomized controlled trials comparing the effect of LBP combination pharmacotherapy to monotherapy or placebo were included. In chronic LBP, combination pharmacotherapy was more effective than placebo in pain relief (P<0.001; standardized mean difference [SMD], -0.50; 95% confidence interval [CI], -0.70 to -0.29; I²=0%) and function improvement (P<0.001; SMD, -0.27; 95% CI, -0.41 to -0.13; I²=0%) and showed

EvidenceUpdates2018

8. Efficacy of Low-Dose Amitriptyline for Chronic Low Back Pain: A Randomized Clinical Trial

Efficacy of Low-Dose Amitriptyline for Chronic Low Back Pain: A Randomized Clinical Trial 30285054 2018 11 05 2168-6114 178 11 2018 Nov 01 JAMA internal medicine JAMA Intern Med Efficacy of Low-Dose Amitriptyline for Chronic Low Back Pain: A Randomized Clinical Trial. 1474-1481 10.1001/jamainternmed.2018.4222 Antidepressants at low dose are commonly prescribed for the management of chronic low back pain and their use is recommended in international clinical guidelines. However (...) , there is no evidence for their efficacy. To examine the efficacy of a low-dose antidepressant compared with an active comparator in reducing pain, disability, and work absence and hindrance in individuals with chronic low back pain. A double-blind, randomized clinical trial with a 6-month follow-up of adults with chronic, nonspecific, low back pain who were recruited through hospital/medical clinics and advertising was carried out. Low-dose amitriptyline (25 mg/d) or an active comparator (benztropine mesylate, 1

EvidenceUpdates2018

9. Osteopathic Manipulative Treatment Including Specific Diaphragm Techniques Improves Pain and Disability in Chronic Nonspecific Low Back Pain: A Randomized Trial

Osteopathic Manipulative Treatment Including Specific Diaphragm Techniques Improves Pain and Disability in Chronic Nonspecific Low Back Pain: A Randomized Trial 29787734 2018 08 31 1532-821X 99 9 2018 Sep Archives of physical medicine and rehabilitation Arch Phys Med Rehabil Osteopathic Manipulative Treatment Including Specific Diaphragm Techniques Improves Pain and Disability in Chronic Nonspecific Low Back Pain: A Randomized Trial. 1720-1729 S0003-9993(18)30295-8 10.1016/j.apmr.2018.04.022 (...) To investigate the effects of an osteopathic manipulative treatment (OMT), which includes a diaphragm intervention compared to the same OMT with a sham diaphragm intervention in chronic nonspecific low back pain (NS-CLBP). Parallel group randomized controlled trial. Private and institutional health centers. Participants (N=66) (18-60y) with a diagnosis of NS-CLBP lasting at least 3 months. Participants were randomized to receive either an OMT protocol including specific diaphragm techniques (n=33

EvidenceUpdates2018

10. Effectiveness and Downstream Healthcare Utilization for Patients That Received Early Physical Therapy Versus Usual Care for Low Back Pain: A Randomized Clinical Trial

Effectiveness and Downstream Healthcare Utilization for Patients That Received Early Physical Therapy Versus Usual Care for Low Back Pain: A Randomized Clinical Trial 29489568 2018 09 17 1528-1159 43 19 2018 Oct 01 Spine Spine Effectiveness and Downstream Healthcare Utilization for Patients That Received Early Physical Therapy Versus Usual Care for Low Back Pain: A Randomized Clinical Trial. 1313-1321 10.1097/BRS.0000000000002619 Randomized controlled trial. The aim of this study was to compare (...) early physical therapy versus usual care in patients with low back pain. Early physical therapy (PT) has been associated with reduced downstream healthcare utilization in retrospective studies, but not investigated prospectively in the military health system. Military service members seeking care from a general practitioner were recruited. Patients attended a 20-minute self-management class with focus on psychosocial resilience and then randomized to usual care only (UC) versus immediately starting

EvidenceUpdates2018

11. Cognitive behavioural therapy may help people with persistent low back pain

Cognitive behavioural therapy may help people with persistent low back pain Signal - Cognitive behavioural therapy may help people with persistent low back pain Dissemination Centre Discover Portal NIHR DC Discover Cognitive behavioural therapy may help people with persistent low back pain Published on 14 October 2015 This NIHR-funded systematic review aimed to assess the effectiveness of talking therapies in improving outcomes for people with non-specific low back pain. It found that cognitive (...) the number of older people experiencing lower back pain and the risk of ongoing problems for those with recent symptoms. However, the review included many different interventions, many of which were not properly described, which limit the uptake and implementation of findings in practice. It is likely that a substantial increase in NHS capacity would be needed to deliver cognitive behavioural therapies for the many people with persistent low back pain. This may be important though, as the provision

NIHR Dissemination Centre2018

12. Low back pain: no corticosteroids

Low back pain: no corticosteroids Prescrire IN ENGLISH - Spotlight ''Low back pain: no corticosteroids '', 1 September 2018 {1} {1} {1} | | > > > Low back pain: no corticosteroids Spotlight Every month, the subjects in Prescrire’s Spotlight. 100 most recent :  |   |   |   |   |   |   |   |   |  Spotlight Low back pain: no corticosteroids There is no evidence that systemic corticosteroids have any efficacy on low back pain (...) , beyond a placebo effect. Furthermore, they expose patients to numerous adverse effects. Low back pain is common in adults. It is sometimes accompanied by pain spreading into the lower limbs (radiculalgia). In most cases, it improves spontaneously, within a few days or weeks. When low back pain persists for more than three months, it is termed chronic. In most cases, there is no identifiable cause. Several trials have compared systemic corticosteroid therapy with a placebo. Their results converge

Prescrire2018

13. Is oral orphenadrine beneficial for acute low back pain?

Is oral orphenadrine beneficial for acute low back pain? Is oral orphenadrine beneficial for acute low back pain? – Morsels of Evidence \t\t\t\r\n\t\t\t \t\t\t\r\n\t\t\t Like this: Like Loading... ","author":{"@type":"Person","name":"Michael Tam"},"image":["https:\/\/evidencebasedmedicine.com.au\/wp-content\/uploads\/2018\/08\/mo_2018-08_p46-7_cover.png"]} Toggle search form Toggle navigation Evidence-based medicine for general practitioners Aug 21 2018 Is oral orphenadrine beneficial for acute (...) low back pain? By in , Journal reference: Friedman BW, Cisewski D, Irizarry E, et al. A Randomized, Double-Blind, Placebo-Controlled Trial of Naproxen With or Without Orphenadrine or Methocarbamol for Acute Low Back Pain. Ann Emerg Med 2018 Mar;71(3):348-56 e5 Link: Published: March 2018 Evidence cookie says… Orphenadrine provides no benefit when used in addition to naproxen for acute low back pain the point estimate is close to zero, with the imprecision of the estimate well within the minimal

Morsels of Evidence2018

14. Anticonvulsants in the treatment of low back pain and lumbar radicular pain: a systematic review and meta-analysis

Anticonvulsants in the treatment of low back pain and lumbar radicular pain: a systematic review and meta-analysis 29970367 2018 07 08 1488-2329 190 26 2018 Jul 03 CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne CMAJ Anticonvulsants in the treatment of low back pain and lumbar radicular pain: a systematic review and meta-analysis. E786-E793 10.1503/cmaj.171333 The use of anticonvulsants (e.g., gabapentin, pregabalin) to treat low back pain has (...) increased substantially in recent years despite limited supporting evidence. We aimed to determine the efficacy and tolerability of anticonvulsants in the treatment of low back pain and lumbar radicular pain compared with placebo. A search was conducted in 5 databases for studies comparing an anticonvulsant to placebo in patients with nonspecific low back pain, sciatica or neurogenic claudication of any duration. The outcomes were self-reported pain, disability and adverse events. Risk of bias

EvidenceUpdates2018 Full Text: Link to full Text with Trip Pro

15. The effects of transcranial direct current stimulation (tDCS) combined with group exercise treatment in subjects with chronic low back pain: a pilot randomized control trial

The effects of transcranial direct current stimulation (tDCS) combined with group exercise treatment in subjects with chronic low back pain: a pilot randomized control trial 29783893 2018 05 22 1477-0873 2018 May 01 Clinical rehabilitation Clin Rehabil The effects of transcranial direct current stimulation (tDCS) combined with group exercise treatment in subjects with chronic low back pain: a pilot randomized control trial. 269215518777881 10.1177/0269215518777881 To test the efficacy (...) of transcranial direct current stimulation (tDCS) in addition to group exercise on non-specific chronic low back pain. Double-blinded randomized control trial. Patients with non-specific chronic low back pain. A total of 35 subjects were recruited and allocated to real- or sham-tDCS followed by a group exercise protocol. Each patient underwent five sessions of brain stimulation followed by 10 sessions of group exercise. Subjects were evaluated before and after tDCS, after group exercise and one month after

EvidenceUpdates2018

16. Low back pain

Low back pain Top results for low back pain - Trip Database or use your Google+ account Find evidence fast My query is: English Français Deutsch Čeština Español Magyar Svenska ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing (...) the search button. An example search might look like (#1 or #2) and (#3 or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Latest & greatest articles for low back pain The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines

Trip Latest and Greatest2018

17. Neurophysiological Pain Education for Patients With Chronic Low Back Pain: A Systematic Review and Meta-Analysis

Neurophysiological Pain Education for Patients With Chronic Low Back Pain: A Systematic Review and Meta-Analysis 29443723 2018 07 05 1536-5409 34 8 2018 Aug The Clinical journal of pain Clin J Pain Neurophysiological Pain Education for Patients With Chronic Low Back Pain: A Systematic Review and Meta-Analysis. 778-786 10.1097/AJP.0000000000000594 To evaluate the effect of neurophysiological pain education (NPE) for patients with chronic low back pain (CLBP). A systematic search was performed (...) scale or as standardized mean difference (SMD). The overall quality of evidence was evaluated according to GRADE guidelines. Seven randomized-controlled trial studies (6 low and 1 high quality) were included. Statistically significant differences in pain, in favor of NPE, were found after treatment, WMD=-1.03 (95% confidence interval [CI], -0.55 to -1.52), and after 3 months, WMD=-1.09 (95% CI, -2.17 to 0.00). Furthermore statistically significant lower disability was found in the NPE group after

EvidenceUpdates2018

18. Transaxial interbody lumbosacral fusion for severe chronic low back pain

Transaxial interbody lumbosacral fusion for severe chronic low back pain T T r ransaxial interbody lumbosacr ansaxial interbody lumbosacral fusion for al fusion for se sev vere chronic low back pain ere chronic low back pain Interventional procedures guidance Published: 25 July 2018 nice.org.uk/guidance/ipg620 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement (...) (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 1 of 41 1 Recommendations Recommendations 1.1 Evidence on the safety of transaxial interbody lumbosacral fusion for severe chronic low back pain shows that there are serious but well-recognised complications. Evidence on efficacy is adequate in quality and quantity. Therefore, this procedure may be used provided that standard arrangements are in place for clinical governance, consent and audit. 1.2 This procedure should only

National Institute for Health and Clinical Excellence - Interventional Procedures2018

19. Spinal manipulation and exercise for low back pain in adolescents: a randomized trial

Spinal manipulation and exercise for low back pain in adolescents: a randomized trial 29596158 2018 06 19 1872-6623 159 7 2018 Jul Pain Pain Spinal manipulation and exercise for low back pain in adolescents: a randomized trial. 1297-1307 10.1097/j.pain.0000000000001211 Low back pain (LBP) is common in adolescence, but there is a paucity of high-quality research to inform care. We conducted a multicenter randomized trial comparing 12 weeks of spinal manipulative therapy (SMT) combined (...) with exercise therapy (ET) to ET alone. Participants were 185 adolescents aged 12 to 18 years with chronic LBP. The primary outcome was LBP severity at 12, 26, and 52 weeks. Secondary outcomes included disability, quality of life, medication use, patient- and caregiver-rated improvement, and satisfaction. Outcomes were analyzed using longitudinal linear mixed effect models. An omnibus test assessing differences in individual outcomes over the entire year controlled for multiplicity. Of the 185 enrolled

EvidenceUpdates2018

20. The effectiveness of 12 weeks of Pilates intervention on disability, pain and kinesiophobia in patients with chronic low back pain: a randomized controlled trial

The effectiveness of 12 weeks of Pilates intervention on disability, pain and kinesiophobia in patients with chronic low back pain: a randomized controlled trial 29651872 2018 04 13 1477-0873 2018 Apr 01 Clinical rehabilitation Clin Rehabil The effectiveness of 12 weeks of Pilates intervention on disability, pain and kinesiophobia in patients with chronic low back pain: a randomized controlled trial. 269215518768393 10.1177/0269215518768393 To assess the effectiveness of 12 weeks of Pilates (...) practice on disability, pain and kinesiophobia in patients with chronic non-specific low back pain. This is a randomized controlled trial. This study was conducted in the university laboratory. A total of 64 participants with chronic non-specific low back pain were included. Participants were randomly allocated to intervention group consisted in Pilates intervention during 12 weeks ( n = 32) or control group who received no treatment ( n = 32). Disability, pain and kinesiophobia were assessed by Roland

EvidenceUpdates2018