Acute Low Back Pain

The Effectiveness and Harms of Spinal Manipulative Therapy for the Treatment of Acute Neck and Lower Back Pain: A Systematic Review

Back pain and neck pain are among the most common symptoms prompting patients to seek care. Many treatments are used for back pain. Spinal manipulative therapy (SMT) is a treatment option available in VA. In order to better understand the potential role of SMT in treating acute back or neck pain, VA requested an up-to-date […]

Clinical practice guidelines for the noninvasive management of low back pain [Full Text]

A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration J.J. Wong Eur J Pain 21 (2017) 201–216 Abstract We conducted a systematic review of guidelines on the management of low back pain (LBP) to assess their methodological quality and guide care. We synthesized guidelines on the management of LBP published from […]

Effects of opioid analgesics for low back pain

JAMA Internal Medicine, 05/27/2016 Shaheed CA, et al. In this research, the researchers aimed tp assess efficacy and tolerability of opioids in the management of back pain; and investigate the effect of opioid dose and use of an enrichment study design on treatment effect. For people with chronic low back pain who tolerate the medicine, […]

Exploring the Definition of Acute Low Back Pain – Early Chiropractic Care Better Than Later

J Manipulative Physiol Ther. 2016 Mar 28. pii: S0161-4754(16)00052-X. doi: 10.1016/j.jmpt.2016.02.005. [Epub ahead of print] Exploring the Definition of Acute Low Back Pain: A Prospective Observational Cohort Study Comparing Outcomes of Chiropractic Patients With 0-2, 2-4, and 4-12 Weeks of Symptoms. Mantel KE, Peterson CK, Humphreys BK. Abstract OBJECTIVE: The purpose of this study was […]

Estimating the Risk of Chronic Pain: Development and Validation of a Prognostic Model (PICKUP) for Patients with Acute Low Back Pain

Adrian C. Traeger Abstract Background Low back pain (LBP) is a major health problem. Globally it is responsible for the most years lived with disability. The most problematic type of LBP is chronic LBP (pain lasting longer than 3 mo); it has a poor prognosis and is costly, and interventions are only moderately effective. Targeting […]

Association Between the Plasma Levels of Mediators of Inflammation With Pain and Disability in the Elderly With Acute Low Back Pain: Data From the Back Complaints in the Elders (BACE)-Brazil Study

Spine: February 2016 – Volume 41 – Issue 3 – p 197–203 doi: 10.1097/BRS.0000000000001214 de Queiroz, Bárbara Zille PhD Abstract Study Design. Cross-sectional study with subsample of elderly women with acute low back pain (LBP), from Back Complaints in the Elders-Brazil (BACE-Brazil) Objective. To investigate the association between plasma levels of mediators of inflammation (interleukin-1 […]

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 […]

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, […]

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 […]

The effect of the stay active advice on physical activity and on the course of acute severe low back pain

BMC Sports Sci Med Rehabil. 2015 Aug 27;7:19. doi: 10.1186/s13102-015-0013-x. eCollection 2015. Olaya-Contreras P, Styf J, Arvidsson D, Frennered K, Hansson T. Abstract BACKGROUND: Disability due to acute low back pain (ALBP) runs parallel with distress and physical inactivity. If low back pain persists, this may lead to long-term sick leave and chronic back pain. […]

Efficacy and safety of acupuncture for acute low back pain in emergency department

Efficacy and safety of acupuncture for acute low back pain in emergency department: a pilot cohort study Evidence-based Complementary and Alternative Medicine , 08/07/2015 Liu YT, et al. Low back pain (LBP) is one of the most common complaints in the emergency department (ED). There are several research articles providing evidence for acupuncture for treating […]

What is the best time point to identify patients at risk of developing persistent low back pain?

J Back Musculoskelet Rehabil. 2015;28(2):267-76. doi: 10.3233/BMR-140514. Melloh M Abstract BACKGROUND: Early identification of patients at risk of developing persistent low back pain (LBP) is crucial. OBJECTIVE: Aim of this study was to identify in patients with a new episode of LBP the time point at which those at risk of developing persistent LBP can […]

Diagnostic Imaging in Seniors With New Back Pain Is Unnecessary, Costly

Clinical Pain Medicine ISSUE: JULY 2015 | VOLUME: 13(7) Early diagnostic imaging for new-onset back pain in older adults is costly and not associated with better outcomes, according to a new study. While early imaging (prior to six weeks after an index visit) in younger adults is discouraged by evidence-based guidelines, the timing of imaging […]

Clinical decision rule for primary care patient with acute low back pain at risk of developing chronic pain

The Spine Journal Volume 15, Issue 7, 1 July 2015, Pages 1577–1586 Clinical Study Wolf E. Mehling, MD Abstract Background context Primary care clinicians need to identify candidates for early interventions to prevent patients with acute pain from developing chronic pain. Purpose We conducted a 2-year prospective cohort study of risk factors for the progression […]

What triggers an episode of acute low back pain? A case-crossover study

Arthritis Care Res (Hoboken). 2015 Mar;67(3):403-10. doi: 10.1002/acr.22533. Daniel Steffens 1, Manuela L Ferreira, Jane Latimer, Paulo H Ferreira, Bart W Koes, Fiona Blyth, Qiang Li, Christopher G Maher Affiliations expand PMID: 25665074 DOI: 10.1002/acr.22533 Abstract Objective: To investigate a range of transient risk factors for an episode of sudden-onset, acute low back pain (LBP). […]

Comparison of Spinal Manipulation Methods and Usual Medical Care for Acute and Subacute Low Back Pain

Comparison of Spinal Manipulation Methods and Usual Medical Care for Acute and Subacute Low Back Pain: A Randomized Clinical Trial Schneider, Michael DC, PhD; Haas, Mitchell DC, MA; Glick, Ronald MD; Stevans, Joel DC; Landsittel, Doug PhD Spine: 15 February 2015 Vol. 40 – Issue 4: p 209–217 Abstract Study Design. Randomized controlled trial with […]

Comparison of spinal manipulation methods and usual medical care for acute and subacute low back pain: a randomized clinical trial

Spine (Phila Pa 1976). 2015 Feb 15;40(4):209-17. doi: 10.1097/BRS.0000000000000724. Michael Schneider PMID: 25423308 PMCID: PMC4326596 DOI: 10.1097/BRS.0000000000000724 Abstract Study design: Randomized controlled trial with follow-up to 6 months. Objective: This was a comparative effectiveness trial of manual-thrust manipulation (MTM) versus mechanical-assisted manipulation (MAM); and manipulation versus usual medical care (UMC). Summary of background data: Low […]

Researchers identify modifiable triggers of acute low back pain

Back pain is a leading cause of disability worldwide, and the World Health Organization reports that low back pain affects more people than major diseases like diabetes and malaria yet we have not made much progress in preventing it. Now, in a new study, researchers have identified physical and psychosocial triggers that can be modified […]

World Federation of Chiropractic – The suggested reading list for chiropractic

The suggested reading list for chiropractic WFC Publishes New Online Reading List Monday January 26, 2015 The World Federation of Chiropractic (WFC) is pleased to announce the debut of an important, online, free service for the chiropractic profession and the public it serves – a Suggested Reading List of key research papers. When you want […]

Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protrusion

Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protrusion: a randomized double-blind clinical trial of active and simulated spinal manipulations Valter Santilli, MD The Spine Journal March–April, 2006 Volume 6, Issue 2, Pages 131–137 Abstract Background context Acute back pain and sciatica are major sources of disability. Many medical interventions […]