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Am Fam Physician. 2023;107(3):online

Author disclosure: No relevant financial relationships.

Details for This Review

Study Population: Adults 18 years or older with acute or chronic low back pain in one of three diagnostic groups: radicular low back pain, nonradicular low back pain, or spinal stenosis

Efficacy End Points: Improvement in pain and function, need for surgery, and quality of life

Harm End Points: Adverse events, serious adverse events, transient hyperglycemia, and withdrawal from the trial

1 in 6 with radicular low back pain was helped: short-term function (two weeks to less than three months of follow-up)No reported adverse events or serious adverse events, including transient hyperglycemia
1 in 6 with radicular low back pain was helped: long-term function (12 months or greater follow-up)
No other benefits in pain, function, need for surgery, or improvement in quality of life were reported for nonradicular low back pain or spinal stenosis
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This series is coordinated by Christopher W. Bunt, MD, AFP assistant medical editor, and the NNT Group.

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