NSAIDs

Researchers: Spinal Manipulation for Low Back Pain Comparable to NSAIDs

APRIL 27, 2017 Spinal manipulation therapy was shown to have modest improvements on pain and function at up to six weeks in patients with acute low back pain (LBP), according to a study published in JAMA (2017;317:1451-1460). Moreover, the therapy was associated with only “temporary minor musculoskeletal harms,” according to the researchers. Paul G. Shekelle, […]

Non-steroidal anti-inflammatory drug use is associated with increased risk of out-of-hospital cardiac arrest: a nationwide case-time-control study

Eur Heart J Cardiovasc Pharmacother. 2017 Apr 1;3(2):100-107. doi: 10.1093/ehjcvp/pvw041. Sondergaard KB Abstract AIMS: Non-steroidal anti-inflammatory drugs (NSAIDs) are widely used and have been associated with increased cardiovascular risk. Nonetheless, it remains unknown whether use of NSAIDs is associated with out-of-hospital cardiac arrest (OHCA). METHODS AND RESULTS: From the nationwide Danish Cardiac Arrest Registry, all […]

The drugs don’t work, say back pain researchers

Date: February 2, 2017 Source: George Institute for Global Health Summary: Commonly used non-steroidal anti-inflammatory drugs, such as aspirin and ibuprofen, used to treat back pain provide little benefit, but cause side effects, according to new research. The findings of the systematic review reveal only one in six patients treated with the pills, also known […]

Pain Relievers Tied to Hearing Loss

By NICHOLAS BAKALAR DECEMBER 14, 2016 Long-term use of pain relievers may increase the risk for hearing loss, according to new findings. Researchers prospectively tracked the use of pain relievers and self-reported hearing loss in 55,850 women over six years. They found that compared with women who used nonsteroidal anti-inflammatory drugs (such as ibuprofen or naproxen) two […]

Non-steroidal anti-inflammatory drugs for sciatica

Cochrane Database Syst Rev. 2016 Oct 15;10:CD012382. Rasmussen-Barr E1, Held U, Grooten WJ, Roelofs PD, Koes BW, van Tulder MW, Wertli MM. Abstract BACKGROUND: Nonsteroidal anti-inflammatory drugs (NSAIDs) are one of the most frequently prescribed drugs for the treatment of sciatica. A previous Cochrane review on the efficacy of NSAIDs summarised findings for acute and chronic low back pain (LBP) and sciatica. […]

11 things you should know about common pain relievers

The Family Health Guide Understanding the differences between acetaminophen and NSAIDs Once upon a time, easing pain was relatively simple: take two aspirin and call the doctor in the morning. Now there are many pain relievers to choose from (see “Pain relievers at a glance”). Willow bark was one of the earliest painkillers. Extracts or […]

PPI Use Ups NSAID-Induced Small Bowel Injury

May 30, 2016 Increased risk of small bowel injury for healthy participants treated with celecoxib + PPI HealthDay FRIDAY, May 27, 2016 (HealthDay News) — Proton pump inhibitors (PPIs) increase the risk of nonsteroidal anti-inflammatory drug-induced small bowel injury, according to a study published in the June issue of Clinical Gastroenterology and Hepatology. Ema Washio, […]

Effectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis: A network meta-analysis

The Lancet, 03/25/2016 da Costa BR, et al. Researchers sought to investigate the effectiveness of different preparations and doses of non–steroidal anti–inflammatory drugs (NSAIDs) on osteoarthritis pain in a network meta–analysis. It was determined that diclofenac 150 mg/day is the most effective NSAID for the treatment of pain and function in patients with osteoarthritis. Methods […]

Topical NSAIDs for Acute Musculoskeletal Pain

March 08, 2016 JAMA : The Journal of the American Medical Association TAKE-HOME MESSAGE The authors of this clinical evidence synopsis reviewed the efficacy of topical nonsteroidal anti-inflammatory drugs (NSAIDs) for acute musculoskeletal pain caused by sprains, strains, and overuse. Good pain relief was reported, particularly with gel formations and some patches without an increase […]

Non-steroidal anti-inflammatory drugs for chronic low back pain – Cochrane Review

Published: 10 February 2016 Authors: Enthoven WTM, Roelofs PDDM, Deyo RA, van Tulder MW, Koes BW Primary Review Group: Back and Neck Group Review question We assessed the evidence regarding the effect of non-steroidal anti-inflammatory drugs (NSAIDs) among people with chronic low back pain. NSAIDs were compared to placebo, other NSAIDs, other drugs or other kinds of treatment. […]

Non-steroidal anti-inflammatory drugs for chronic low back pain

Cochrane Database Syst Rev. 2016 Feb 10;2:CD012087. [Epub ahead of print] Enthoven WT, Roelofs PD, Deyo RA, van Tulder MW, Koes BW. Abstract BACKGROUND: Chronic back pain is an important health problem. Non-steroidal anti-inflammatory drugs (NSAIDs) are widely used to treat people with low back pain, especially people with acute back pain. Short term NSAID […]

Turmeric Treats Arthritis Knee Pain Better Than Ibuprofen

By DailyHealthPost January 12, 2016 The healing powers of turmeric are impressive. Many studies have already demonstrated how the spice can help fight fatty liver disease, weight loss and even cancer. In many cases, turmeric can help heal diseases better than pharmaceutical drugs, such as prozac. A report in the journal Health Services Research found that […]

Naproxen With Cyclobenzaprine or Oxycodone/Acetaminophen for Acute Low-Back Pain

October 28, 2015 JAMA : The Journal of the American Medical Association TAKE-HOME MESSAGE Patients with acute non-traumatic, non-radicular low-back pain for In patients presenting to the emergency department with acute low-back pain, the addition of cyclobenzaprine or oxycodone/acetaminophen to naproxen had no clinical benefit over naproxen alone. Primary Care Written by David Rakel MD, […]

Study: Short-Term NSAID Use Significantly Inhibits Ovulation

Clinical Pain Medicine ISSUE: OCTOBER 2015 | VOLUME: 13(10) Short-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) negatively affected fertility in normally cycling women, in a new study. Researchers observed a dramatic decrease in progesterone, a hormone essential for ovulation, after only 10 days of treatment. “This study confirms that the administration of diclofenac, naproxen and […]

Naproxen With Cyclobenzaprine, Oxycodone/Acetaminophen, or Placebo for Treating Acute Low Back Pain

A Randomized Clinical Trial October 20, 2015 Benjamin W. Friedman, MD, MS Importance Low back pain (LBP) is responsible for more than 2.5 million visits to US emergency departments (EDs) annually. These patients are usually treated with nonsteroidal anti-inflammatory drugs, acetaminophen, opioids, or skeletal muscle relaxants, often in combination. Objective To compare functional outcomes and […]

NSAIDs, Opioids Found Similar for Chronic Pain Risk After Vehicular Accidents

Clinical Pain Medicine ISSUE: AUGUST 2015 | VOLUME: 13(8) There are no significant differences between giving nonsteroidal anti-inflammatory drugs (NSAIDs) and opioids to patients in the emergency department (ED) with regard to their risk for developing chronic pain after motor vehicle accidents, a new study suggests. Individuals presenting to EDs after vehicular accidents have a […]

NSAIDs and Antithrombotics a Bad Combination

Clinical Pain Medicine ISSUE: JULY 2015 | VOLUME: 13(7) Taking a nonsteroidal anti-inflammatory drug (NSAID) with antithrombotic therapy after a myocardial infarction (MI) almost doubles the risk for bleeding compared with not using NSAIDs—even after short-term treatment, according to a study published in the Journal of the American Medical Association (2015;313:805-814). The cardiovascular event risk […]

Antidepressant/NSAID Combo Linked to Brain Bleed Risk

Nancy A. Melville July 14, 2015 The combination of antidepressants and nonsteroidal anti-inflammatory drugs (NSAIDS) is linked to an early increased risk for intracranial hemorrhage, regardless of the type of NSAID or antidepressant, new research shows. “The take-home message for clinicians is that special attention should be paid [to] antidepressant users when they start an […]

Effects of lumbar stabilization exercise on functional disability and lumbar lordosis angle in patients with chronic low back pain – Full Text

J Phys Ther Sci. 2015 Jun; 27(6): 1983–1985. Published online 2015 Jun 30. doi: 10.1589/jpts.27.1983 PMCID: PMC4500026 Igsoo Cho, MS, PT, Abstract [Purpose] This study examined the effects of lumbar stabilization exercises on the functional disability and lumbar lordosis angles in patients with chronic low back pain. [Subjects] The subjects were 30 patients with chronic […]

NSAIDS: Worth the Side Effects?

If you regularly take a nonsteroidal antinflammatory drug (NSAID) for arthritis pain, you may be wondering if it’s safe. Here’s our advice. We’ve known for some time that NSAIDs are linked to potentially serious gastrointestinal (GI) and heart troubles. A study published in The Lancet helps characterize and quantify the cardiovascular and GI risks of […]