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.

Mar 15, 2019 Issue
Gabapentin and Pregabalin Not Effective for Low Back Pain with or Without Radiculopathy [POEMs]

The use of anticonvulsants like gabapentin (Neurontin) for painful conditions has increased greatly in recent years. This review finds good evidence that these drugs are not an effective treatment for low back pain with or without radiculopathy, and are associated with an increased risk of adverse events.

Feb 15, 2019 Issue
Osteopathic Manipulative Treatment: A Primary Care Approach [Editorials]

Osteopathic manipulative treatment is a valuable modality that has the potential to decrease cost and improve pain/function in patients.

Feb 15, 2019 Issue
Manipulative Therapies: What Works [Article]

Evidence supports the use of spinal manipulation for short-term improvements in acute and chronic low back pain; cervical manipulation or mobilization for neck pain; and noninvasive physical therapies for migraine headache. There is a lack of evidence for using manipulative therapies in infants and children.

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