Chronic lower back pain is the most common type of pain, affecting approximately 16 million American adults. Now, new research reveals some discouraging findings about potential treatments.
Only about one person in 10 treatments was found to be effective in palliative treatments. lower back painaccording to a new study published in BMJ evidence-based medicine.
Many of them “barely better than a placebo” in terms of pain relief, as noted in a press release from the University of New South Wales (UNSW) in Sydney, Australia.
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“Our review found no reliable evidence of a significant impact on any of the treatments included,” said Dr. Aidan Cashin, deputy director of the Pain Impact Centre at Neuroscience Research Australia (Neura) at the School of Health Sciences in UNSW Sydney.
A new study found that only about one person in 10 treatments is effective in relieving back pain. (istock)
The researchers reviewed 301 randomized controlled trials containing data on 56 non-operative treatments for experienced adults Acute lower back painchronic low back pain or a combination of both types, compare them with the group receiving a placebo.
“The treatments included in the study were pharmacological, such as non-steroidal anti-inflammatory drugs, or NSAIDs, and not just muscle relaxants, but also non-pharmacological, such as exercise and massage,” Kasin said.
Effective and ineffective treatment
Ineffective treatments for acute lower back pain include exercise, steroid injections and paracetamol (acetaminophen), research found.
In the case of chronic low back pain, antibiotics and anesthetics are also “not likely to be the appropriate treatment options,” the study found.
Approximately 16 million adults experience persistent or chronic low back pain, data show. (istock)
Nonsteroidal in cases of acute lower back pain Anti-inflammatory drugs (NSAID) may be effective, research found.
In the case of chronic low back pain, treatments that include exercise, taping, spinal manipulation, antidepressants, and potential vaniloid 1 (TRPV1) agonists of temporary receptors may be effective – “However, their effects were small,” noted Kasin.
“Stress, quality of sleep, fatigue, fear, social situations, nutrition, illness, and past history of pain all play a role in the way pain is experienced.”
The findings are “inconclusive” for many other treatments, as they “have a limited number of randomised participants and poor study quality,” the researchers said.
“A higher quality, placebo-controlled trial is needed to understand the effectiveness of treatment and to eliminate uncertainty for both patients and clinical teams,” Cashin said.
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Dr. Stephen Clark, a physiotherapist and chief clinical officer at Confluent Health, Georgia, said the study is considering “isolated interventions.”
“They ruled out studies that could not segregate the efficacy of targeted interventions,” Clark, who was not involved in the study, told Fox News Digital.
“Complicated states”
According to Clark, pain is a complex condition that is affected by many different factors.
“As BMJ research has pointed out, it is difficult to determine the specific cause of back pain, especially when the pain is persistent,” he said.
Nonsteroidal anti-inflammatory drugs (NSAIDs) may be effective in acute lower back pain, studies have found. (istock)
“It’s like stress, Sleep qualitypast history of fatigue, fear, social situations, nutrition, illness, and pain all play a role in how you experience pain. ”
Clark recommends “multimodal” pain treatment, including multiple interventions tailored to each patient’s experience.
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“Physical therapy studies have shown manual therapy (joint recruitment/manipulation, soft tissue techniques), and aggressive interventions Like exerciseand education about why you hurt and what to do about it is the ticket,” he said.
“It’s also important to remember that what worked for someone else might not be the exact route that worked for you,” said one physiotherapist. (istock)
“It’s also important to remember that working for someone else may not be the exact route that works for you.”
meanwhile Surgical intervention It could be effective for some patients, Clark noted that it could present its own challenge and should be a “last resort” for non-urgent situations.
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“Surgery is sometimes shown, but that’s not an isolated answer,” he said. “Understanding the complexities of pain and the situation in a person needs to portray a vision.”
“In many cases, conservative care can prevent or delay the need for invasive procedures.”
