A systematic review on the effectiveness of pharmacological interventions for chronic non-specific low-back pain

A systematic review on the effectiveness of pharmacological interventions for chronic non-specific low-back pain
The objective of this review was to determine the effectiveness of pharmacological interventions [i.e., non-steroid anti-inflammatory drugs (NSAIDs), muscle relaxants, antidepressants, and opioids] for non-specific chronic low-back pain (LBP). Existing Cochrane reviews for the four interventions were screened for studies fulfilling the inclusion criteria. Then, the literature searches were updated. Only randomized controlled trials on adults (≥18 years) with chronic (≥12 weeks) non-specific LBP and evaluation of at least one of the main clinically relevant outcome measures (pain, functional status, perceived recovery, or return to work) were included. The GRADE approach was used to determine the quality of evidence. A total of 17 randomized controlled trials was include…

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Are You Afraid to Exercise Because of Low Back Pain?

Are You Afraid to Exercise Because of Low Back Pain?
Is the pain in your lower back or legs preventing you from keeping up with your exercise routine? Do you want relief from the pain so that you can stretch those muscles and try to get yourself back to good health? Here’s a relaxation technique that is truly the best when it comes to lower back pain relief.

Yoga for the Back and Mind (Richard Usatine MD)

Yoga for the Back and Mind (Richard Usatine MD)
Yoga routine to help people with back pain. It is the narration used during morning Yoga sessions at STFM meetings. This can be used for your own back or to help patients with back pain. As a series of Yoga asanas it is relaxing and provides a good stretch to the back and legs. It is best used with music lying down in a quiet comfortable setting. Namaste. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

First Non-Contingent Respiratory Biofeedback Placebo versus Contingent Biofeedback in Patients with Chronic Low Back Pain: A Randomized, Controlled, Double-Blind Trial.

First Non-Contingent Respiratory Biofeedback Placebo versus Contingent Biofeedback in Patients with Chronic Low Back Pain: A Randomized, Controlled, Double-Blind Trial.
Authors: Kapitza KP, Passie T, Bernateck M, Karst M Previous studies reported that respiratory feedback (RFB) aids in alleviating chronic pain. However, to date, this adjunct treatment has not been rigorously tested against non-contingent (placebo) feedback. Forty-two patients with chronic low back pain were randomized to either RFB or non-contingent RFB. Both groups performed a daily 30-min home training for 15 consecutive days. A respiratory associated relaxation index (RI) was measured. Pain levels and a somatosensory profile were assessed before and after intervention. Additionally, pain levels were assessed 3 months after the end of intervention. Secondary outcome parameters included daily functioning, psychopathology, and suggestibility. T-tests showed higher and significant pain…

Acupuncture in Primary Care

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3309689cid=c_1_35_ffid=38633url=http://www.primarycare.theclinics.com/article/PIIS009545430900089X/abstract?rss=yes Acupuncture in Primary Care /abrAcupuncture, an ancient traditional Chinese medical therapy, is used widely around the world. When practiced by a certified provider, it is safe and patients often find it calming and relaxing. Animal and human studies have found a physiologic basis for acupuncture needling in that it affects the complex central and peripheral neurohormonal network. Although it is unclear whether acupuncture is beneficial over sham/placebo acupuncture, acupuncture care yields clinically relevant short- and long-term benefits for low back pain, knee osteoarthritis, chronic neck pain, and headache. The integration of acupuncture into a primary care setting also appears to be cost-effective. The practice of acupuncture in primary care requires rigorous training, financial discipline, and good communication sk… br

All You Need to Know About Inversion Tables

All You Need to Know About Inversion Tables
The inversion table lets you lie on your back in a relaxed inverted position which takes the pressure off your back and allows you to invert partially or completely depending upon your level of comfort. Reduce back pain with the use of an inversion table.

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Baby’s Giving Mom a Pain in the Back

Baby’s Giving Mom a Pain in the Back
t is normal for expecting moms to experience back pain. When you are pregnant, you gain lots of weight fast, your way of walking changes, and your hormones relax the ligaments and joints in your body.

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Spinal decompression devices watch your back

Spinal decompression devices watch your back
Fitness stores sell a variety of spinal decompression/traction devices — inversion tables and ankle boots that hang you upside down and stretch out your back — on the promise that they help relieve back pain, enhance general back fitness, provide deep relaxation and maybe even slow age-related height shrinkage. The last, after all, is partially caused by the flattening and dehydration of the soft disks that separate your vertebrae. (Source: L.A. Times - Health)

Back Pain - Can Massage Therapy Cure My Back Pain?

Back Pain - Can Massage Therapy Cure My Back Pain?
The idea of having a soothing massage sounds great! Someone gently massaging your back while you are comfortable lying in a warm dimly light room with maybe some soft music can be a wonderful relaxing experience. But can massage therapy really cure my back pain? The answer is maybe.

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Struck From Behind: Maintaining Quality of Life With Chronic Low Back Pain

Struck From Behind: Maintaining Quality of Life With Chronic Low Back Pain
A 38-year-old woman was the driver of a stopped car that was struck from behind by another vehicle. She developed sudden flexion and extension of her back, but without head trauma or change in level of consciousness. On the evening of the accident, she presented to the emergency room with severe mid and low back pain, and right knee pain, but was discharged with pain medications. One week following the accident, the pain became increasingly severe. For the past 6 months, she has been unable to work and is on disability. Chiropractic treatment, trigger-point injections, epidural injections and physical therapy, nonsteroidal anti–inflammatory drugs, muscle relaxers, and hydrocodone provided no or minimal relief. An MRI of the thoracic spine revealed a subacute appearing left paracentral di…

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