Back Pain

Jan 01, 2022 Issue
Evidence of Benefit Is Lacking for Low Back Pain Relief With Muscle Relaxants [POEMs]

Nonsteroidal anti-inflammatory drugs are a better choice for the treatment of low back pain. Despite benzodiazepine and nonbenzodiazepine muscle relaxants being used for almost 50 years to treat low back pain, the supporting evidence is of low certainty. None of the treatments will produce a clinically important difference over placebo.

Sep 01, 2021 Issue
Epidural Corticosteroid Injections Provide Minimal, If Any, Benefit in Low Back Pain with Sciatica [POEMs]

Epidural corticosteroid injections provide a small and probably clinically insignificant reduction in leg and back pain in the immediate term (less than two weeks), and a small to moderate reduction in disability in the short and intermediate terms.

Jun 1, 2021 Issue
Exercise Is the Only Intervention to Provide Long-Term Improvement in Patients with Chronic Low Back Pain [POEMs]

What interventions are effective in managing patients with chronic low back pain?

Apr 1, 2021 Issue
Epidural Corticosteroid Injections for Lumbosacral Radicular Pain [Cochrane for Clinicians]

Epidural corticosteroid injections for the treatment of lumbosacral radicular pain may offer modest short-term (two weeks to three months) benefit compared with placebo injection for radicular leg pain.

Jan 15, 2021 Issue
Short-Term Low Back Pain Relief with Placebo [POEMs]

Over three weeks, patients with long-term low back pain who knowingly took placebo twice a day reported less pain and disability than those continuing with treatment as usual.

Jul 1, 2020 Issue
Back Pain in Children and Adolescents [Article]

Typical causes of back pain in younger patients include muscle strain or spasm, spinal deformities, spondylolysis, bulging or herniated intervertebral disks, apophysitis of the iliac crest, and functional pain syndromes. Treatment is generally conservative.

Jun 1, 2020 Issue
No Short-Term Extra Benefit when Muscle Relaxants Are Added to Ibuprofen for Acute Low Back Pain [POEMs]

Adding a muscle relaxant to treatment with ibuprofen does not improve functional outcomes or pain, or lessen the number of people reporting moderate to severe back pain one week after starting treatment.

Dec 1, 2019 Issue
Nonspecific Low Back Pain and Return To Work [Article]

Prescribing physical activity, including core strengthening, physical therapy, or yoga, is an important therapeutic intervention in patients with nonspecific low back pain. Early return to work should be encouraged when appropriate. Stress management counseling may also be beneficial.

Sep 1, 2019 Issue
Gabapentin for Treatment of Radicular Low Back Pain [FPIN's Clinical Inquiries]

Gabapentin is not effective for the treatment of radicular low back pain and is associated with adverse effects.

Aug 15, 2019 Issue
Asthma, Back and Neck Pain, Pain During Labor, TIA, CBT for Anxiety [AFP Clinical Answers]

Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

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