ITEMS IN AFP WITH KEYWORD:

Back Pain

Oct 1, 2015 Issue
Acetaminophen (Paracetamol) Minimally Effective for Back Pain and Osteoarthritis [POEMs]

Although acetaminophen was hoped to be a safer alternative to nonsteroidal anti-inflammatory drugs and opioids for the treatment of common musculoskeletal problems, on average it provides only minimal pain relief and improvement in function for patients with low back pain or osteoarthritis. Some per...


Aug 15, 2015 Issue
Early Imaging for Low Back Pain in Older Adults Raises Costs Without Improving Quality [POEMs]

Among adults 65 years or older who present to primary care clinicians for a new episode of back pain, early imaging (before six weeks) resulted in no improved outcomes at one year, but increased overall health care costs by almost 30%.


Aug 1, 2015 Issue
Walking Program Effective for Chronic Low Back Pain [POEMs]

Giving patients a pedometer, a walking diary, and instructions to walk at least four days per week, then gradually increase the walk's duration and intensity (see synopsis) results in improvement in pain and disability similar to usual physical therapy or a group exercise program.


May 15, 2015 Issue
Common Questions About Chronic Low Back Pain [Article]

What are the red flags of cauda equina syndrome? Which patients require imaging? Which treatments are most effective? When should surgery be considered? Get the answers to these questions, and more, on chronic low back pain.


May 1, 2015 Issue
Treatments for Sciatica [FPIN's Clinical Inquiries]

Surgical diskectomy can be offered to patients with refractory sciatica, but there is only modest, short-term improvement in leg pain and disability scores. Epidural steroid injections may be offered to patients with sciatica of more than six months' duration.


Aug 15, 2014 Issue
Opioids for Chronic Back Pain: Short-Term Effectiveness, Long-Term Uncertain [POEMs]

Overall, in patients with chronic low-back pain, opioids are moderately more effective than placebo in the short term for pain relief and slightly more effective in the short term for improving function. However, data for long-term use are virtually nonexistent. The long-term use of opioids for pati...


Apr 15, 2012 Issue
Is Spinal Manipulation an Effective Treatment for Low Back Pain? Yes: Evidence Shows Benefit in Most Patients [Editorials: Controversies in Family Medicine]

Yes: Evidence Shows Benefit in Most Patients. The goal of manipulation is to restore maximal, pain-free movement of the musculoskeletal system in postural balance. In the past decade, there has been a significant growth in evidence supporting the benefits of manipulation.


Apr 15, 2012 Issue
Is Spinal Manipulation an Effective Treatment for Low Back Pain? Yes: Spinal Manipulation Is a Useful Adjunct Therapy [Editorials: Controversies in Family Medicine]

Yes: Spinal Manipulation Is a Useful Adjunct Therapy. Spinal manipulation is one of many potential treatment options that have been used by many different types of clinicians for more than a century. Only in the past 50 years have research studies evaluated the benefits of spinal manipulation.


Apr 15, 2012 Issue
Is Spinal Manipulation an Effective Treatment for Low Back Pain? No: Evidence Shows No Clinically Significant Benefit Over Watchful Waiting [Editorials: Controversies in Family Medicine]

No: Evidence Shows No Clinically Significant Benefit Over Watchful Waiting. The pain often improves greatly within one month, with more than 90 percent of patients no longer needing medical care within three months.


Feb 15, 2012 Issue
Diagnosis and Treatment of Acute Low Back Pain [Article]

Acute low back pain is one of the most common reasons for adults to see a family physician. Although most patients recover quickly with minimal treatment, proper evaluation is imperative to identify rare cases of serious underlying pathology. Certain red flags should prompt aggressive treatment or r...


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