Chronic low back pain

2007-05-03T15:28:00.000+01:00

This review is a pragmatic attempt to highlight recent research and some background reading in chronic low back pain. It should not be considered exhaustive, simply a way of reviewing some of the major developments and current thinking in the area.

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Evidence-Based Reports

Medium firm mattresses reduced pain related disability more than firm mattresses in chronic, non-specific low back pain. Evidence-Based Medicine (Requires free registration), 2005
Lumbar fusion did not differ from cognitive therapy plus exercise for reducing disability and pain in chronic low back pain. Evidence-Based Medicine (Requires free registration), 2005
Does acupuncture reduce pain in adults with acute or chronic low back pain? Evidence-based Complementary and Alternative Medicine, 2006
Physiotherapy, aerobics, and training devices reduced pain intensity and frequency in chronic low back pain. Evidence-Based Medicine (Requires free registration), 2002
Review: intensive multidisciplinary biopsychosocial rehabilitation reduces pain and improves function in chronic low back pain. Evidence-Based Nursing (Requires free registration), 2002
Spinal manipulation for chronic (long-term) low back pain. Evidence-based Complementary and Alternative Medicine, 2004

Clinical Guidelines

Low back pain. PRODIGY, 2005
Adult low back pain. Institute for Clinical Systems Improvement, 2006
Management of chronic low back pain. eMJA, 2004

Systematic Reviews

Percutaneous disc decompression using coblation for lower back pain. NICE, 2006
Percutaneous intradiscal electrothermal therapy for lower back pain. NICE, 2004
Percutaneous intradiscal radiofrequency thermocoagulation for lower back pain. NICE, 2004
Transcutaneous electrical nerve stimulation (TENS) for chronic low-back pain. Cochrane Database of Systematic Reviews. 2005 View review OR Can you answer this related question for extra CPD?
COX-2 inhibitors (etoricoxib) for the treatment of non-malignant chronic low back pain. Health Technology Assessment, 2005
Longer term clinical and economic benefits of offering acupuncture care to patients with chronic low back pain. Health Technology Assessment, 2005
Behavioural treatment for chronic low-back pain. Cochrane Database of Systematic Reviews, 2004
Prolotherapy injections for chronic low-back pain. Cochrane Database of Systematic Reviews, 2004
Exercise and chronic low back pain: what works? DARE, 2004 View review OR Can you answer this related question for extra CPD?
Cost-effectiveness of medical and chiropractic care for acute and chronic low back pain. NHS EED, 2005

Recent articles in core journals

Meta-analysis of psychological interventions for chronic low back pain. Health Psychology, 2007 View review OR Can you answer this related question for extra CPD?
Comparing yoga, exercise, and a self-care book for chronic low back pain: a randomized, controlled trial. Annals of Internal Medicine, 2005
Systematic review: strategies for using exercise therapy to improve outcomes in chronic low back pain. Annals of Internal Medicine, 2005
Multidisciplinary group rehabilitation versus individual physiotherapy for chronic nonspecific low back pain: a randomized trial. Spine, 2006
Randomised controlled trial to compare surgical stabilisation of the lumbar spine with an intensive rehabilitation programme for patients with chronic low back pain: the MRC spine stabilisation trial. BMJ, 2005
Surgical stabilisation of the spine compared with a programme of intensive rehabilitation for the management of patients with chronic low back pain: cost utility analysis based on a randomised controlled trial. BMJ, 2005

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TRIP Evidence Reviews: Chronic Low Back Pain

Chronic low back pain