Complementary therapies in addition to medication for patients with nonchronic, nonradicular low back pain: a systematic review☆

@article{Rothberg2017ComplementaryTI,
  title={Complementary therapies in addition to medication for patients with nonchronic, nonradicular low back pain: a systematic review☆},
  author={S. Rothberg and B. Friedman},
  journal={American Journal of Emergency Medicine},
  year={2017},
  volume={35},
  pages={55–61}
}
Background: A total of 2.7 million patients present to US emergency departments annually for management of low back pain (LBP). Despite optimal medical therapy, more than 50% remain functionally impaired 3 months later. We performed a systematic review to address the following question: Among patients with nonchronic LBP, does spinal manipulation, massage, exercise, or yoga, when combined with standard medical therapy, improve pain and functional outcomes more than standard medical therapy… Expand
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Behandlung nicht-spezifischer Kreuzschmerzen: Evidence Map über systematische Reviews von 2015 bis 2019
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Emergency practice, acute low back pain, and chiropractic manipulation.
  • B. Friedman
  • Medicine
  • The American journal of emergency medicine
  • 2017
Spinal manipulation is beneficial for nonchronic low back pain.

References

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TLDR
SMT is unlikely to result in relevant early pain reduction in patients with acute low back pain and stratified analyses provided no evidence for potential benefits of SMT in specific patient groups. Expand
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Patients with acute low back pain receiving recommended first-line care do not recover more quickly with the addition of diclofenac or spinal manipulative therapy. Expand
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TLDR
For the outcomes of pain and functional status, there is low- to very low-quality evidence suggesting no difference in effect for SMT when compared with inert interventions, sham SMT or as adjunct therapy. Expand
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Massage might be beneficial for patients with subacute and chronic nonspecific low back pain, especially when combined with exercises and education, and cost-effectiveness of massage as an intervention forLow back pain is determined. Expand
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TLDR
The evidence from the 65 trials included in this review suggests that NSAIDs are effective for short-term symptomatic relief in patients with acute and chronic low-back pain without sciatica and there does not seem to be a specific type of NSAID which is clearly more effective than others. Expand
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TLDR
This meta-analysis summarizes data from 61 randomized, controlled trials that compared exercise therapy with placebo, no treatment, conservative management, or another exercise group to conclude that the evidence did not support effectiveness of exercises for acute low back pain but that exercises may be helpful for chronicLow back pain. Expand
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