Back Pain

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...

Aug 15, 2011 Issue
Low Back Pain (Chronic) [Clinical Evidence Handbook]

What are the effects of oral drug treatments, injection therapy, and nondrug treatments for persons with chronic low back pain? What are the effects of nonsurgical and surgical treatments?

Jun 15, 2009 Issue
Chronic Low Back Pain: Evaluation and Management [Article]

Chronic low back pain is a common problem in primary care. A history and physical examination should place patients into one of several categories: (1) nonspecific low back pain; (2) back pain associated with radiculopathy or spinal stenosis; (3) back pain referred from a nonspinal source; or (4) ba...

Feb 15, 2009 Issue
Predicting Benefit of Spinal Manipulation for Low Back Pain [Point-of-Care Guides]

Two systematic reviews found that spinal manipulation is superior to sham therapy or placebo in patients with acute low back pain, and has effectiveness similar to analgesics, physical therapy, or usual care by a primary care physician.

Oct 1, 2008 Issue
Acute Lumbar Disk Pain: Navigating Evaluation and Treatment Choices [Article]

Acute lumbar disk herniations are the most common cause of sciatica. After excluding emergent causes, such as cauda equina syndrome, epidural abscess, fracture, or malignancy, a six-week trial of conservative management is indicated. Patients should be advised to stay active. If symptoms persist aft...

Jul 1, 2008 Issue
Antidepressants to Treat Nonspecific Low Back Pain [Cochrane for Clinicians]

Although antidepressants have been shown to be superior to placebo in some forms of chronic pain, they do not reduce pain or improve functional status or depression in patients with nonspecific low back pain.

Jun 1, 2008 Issue
ACP Guidelines for the Diagnosis and Treatment of Low Back Pain [Practice Guidelines]

To address the issue of the evaluation and management of low back pain, the American College of Physicians (ACP) created a guideline consisting of seven key recommendations for diagnosing and treating low back pain in the primary care setting.

Dec 1, 2007 Issue
Evaluation of Back Pain in Children and Adolescents [Article]

Back pain is fairly prevalent in healthy children and adolescents. When children or adolescents seek medical care for back pain, it is highly likely that underlying pathology will be identified. Common causes of back pain include nonspecific pain or muscle strain, herniated disk, spondylolysis, scol...

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