Back Pain

Graded In Vivo Exposure Elements May Benefit Chronic Lower Back Pain Management

Graded In Vivo Exposure Elements May Benefit Chronic Lower Back Pain Management

Integrating graded in vivo exposure into the management of chronic lower back pain may result in improved treatment efficacy and reduced pain-related fear.

Spinal Manipulation Plus Exercise Effective for Teen Low Back Pain

Spinal Manipulation Plus Exercise Effective for Teen Low Back Pain

Spinal manipulative therapy plus exercise more effective than exercise alone over 1-year period.

Chronic Low Back Pain Levels Vary Between Sex and Race

Chronic Low Back Pain Levels Vary Between Sex and Race

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Differences exist in race and gender in patients with chronic lower back pain, especially in pain sensitivity and severity due to aftersensations from mechanical punctuate pain and deep muscle hyperalgesia.

Combination Therapies for Low Back Pain, Sciatica May Not Have Added Benefit

Combination Therapies for Low Back Pain, Sciatica May Not Have Added Benefit

There is a lack of evidence supporting the benefits of combination drug therapy over monotherapy for the management of low back pain and sciatica.

Stat Consult: Chronic Low Back Pain

Stat Consult: Chronic Low Back Pain

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Chronic low back pain (LBP) defined as persistent or fluctuating musculoskeletal pain of lower back and lumbar spine lasting >3 months.

NKTR-181 for Chronic Lower Back Pain:  SUMMIT-07 Results

NKTR-181 for Chronic Lower Back Pain: SUMMIT-07 Results

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The phase 3 SUMMIT-07 trial assessed the safety, efficacy, and tolerability of a new mu-opioid receptor agonist analgesic in adults with moderate to severe chronic lower back pain.

Corticosteroid Plus Lidocaine Injections Do Not Alleviate Pain in Central Lumbar Spinal Stenosis

Corticosteroid Plus Lidocaine Injections Do Not Alleviate Pain in Central Lumbar Spinal Stenosis

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Adding corticosteroids to epidural lidocaine injections does not improve patient-reported pain or function at 12 months.

Adding Chiropractic to Usual Care Beneficial for Low Back Pain

Adding Chiropractic to Usual Care Beneficial for Low Back Pain

Improvements in low back pain intensity and disability among active-duty military personnel

Platelet-rich plasma SIJ injection cuts low back pain

Platelet-rich plasma SIJ injection cuts low back pain

The researchers found that patients who received the injection had significantly lower intensity of pain at six weeks and at three months compared with patients who didn't.

For chronic low back pain, opioids only moderately effective

For chronic low back pain, opioids only moderately effective

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For patients with chronic low back pain, opioids may provide some short-term relief but are unlikely to be effective within recommended doses.

Mindfulness, CBT can reduce chronic low back pain

Mindfulness, CBT can reduce chronic low back pain

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Mindfulness-based stress reduction and cognitive behavior therapy may be useful to improve chronic low back pain.

Standing at work may increase muscle fatigue

Standing at work may increase muscle fatigue

Standing for five or more hours at work leads to increased muscle fatigue.

Determine risk of chronic back pain with a clinical decision rule

Determine risk of chronic back pain with a clinical decision rule

Researchers have developed a way to determine back pain patients' risk for chronic pain.

Is it time to reconsider acetaminophen for back pain?

Is it time to reconsider acetaminophen for back pain?

Acetaminophen provided a small benefit in the reduction of pain and disability in patients with osteoarthritis of the hip or knee and provided no benefit in reducing pain in patients with lower back pain.

Low back pain risk increases with distraction, fatigue

Low back pain risk increases with distraction, fatigue

The risk of back pain was highest between 7 a.m. and noon.

Light therapy shows promise in treating nonspecific back pain

Light therapy shows promise in treating nonspecific back pain

Compared with the control group, the changes in pain intensity were higher in the bright light group.

Multiple measurements more accurately predicts pain

Multiple measurements more accurately predicts pain

Fluctuating nature of low back pain suggests measuring outcomes more frequently may aid prediction.

Unusual use of radiation therapy for pelvic pain

Unusual use of radiation therapy for pelvic pain

A woman suffers cyclic pain after multiple abdominal and pelvic surgeries.

No evidence for long-term opioids in low back pain

No evidence for long-term opioids in low back pain

Opioids may provide some short-term relief for low back pain, but evidence on long-term outcomes lacking.

Physicals lacking in low back pain care

Physicals lacking in low back pain care

One in five patient encounters do not include palpation.

Patient perception of pain predicts outcomes

Patient perception of pain predicts outcomes

Patients' perception that their pain will persist significantly predict worse short- and long-term outcomes for low back pain.

Sciatica relief from epidural steroids is brief

Sciatica relief from epidural steroids is brief

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Epidural corticosteroid injections only offers short-term relief of leg pain and disability for patients with sciatica.

Effect of self-managment on low back pain small

Effect of self-managment on low back pain small

Review shows use of self-management techniques has minimal effect on pain and disability.

Targeted exercise relieves sciatica pain

Targeted exercise relieves sciatica pain

Symptom-guided therapy relieves back pain and improves outcomes for patients with severe sciatica.

Massage effectively eases chronic low back pain

Relaxation massage and structural massage each surpassed usual care in improving pain and function in patients with chronic low back pain.

Fulranumab well tolerated but no clinical benefit for chronic low back pain

Fulranumab no more efficacious than placebo for treating patients with chronic low back pain.

GI side effects of pain medication

What are the side effects of fentanyl?

Benefits of duloxetine in chronic low-back pain unclear

Mixed evidence supporting duloxetine for treatment of chronic low-back pain.

Unexplained low-back pain in an adolescent with scoliosis

Unexplained low-back pain in an adolescent with scoliosis

Nothing offered more than temporary relief for the aching, constant pain, which was unaccompanied by other symptoms.

Patient seeks alternative therapy for melanoma

Cancer metastasis when patient ignores oncology referral.

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