American College Of Physicians Changes Recommendations For Back Pain Treatment
Recommendation 1: For patients with acute or subacute low back pain, clinicians and patients should select nonpharmacological treatment with superficial heat, massage, acupuncture, or spinal manipulation. If pharmacologic treatment is desired, clinicians and patients should select nonsteroidal anti-inflammatory drugs or skeletal muscle relaxants. (Grade: strong recommendation)
Recommendation 2: For patients with chronic low back pain, clinicians and patients should initially select nonpharmacologic treatment with exercise, multidisciplinary rehabilitation, acupuncture, mindfulness-based stress reduction (moderate-quality evidence), tai chi, yoga, motor control exercise, progressive relaxation, electromyography biofeedback, low-level laser therapy, operant therapy, cognitive behavioral therapy, or spinal manipulation. (Grade: strong recommendation)
Recommendation 3: Clinicians should only consider opioids as an option in patients who have failed the aforementioned treatments and only if the potential benefits outweigh the risks for individual patients and after a discussion of known risks and realistic benefits with patients.
Sport and Spine Rehab Ensures Seamless Adoption Of Treatment Recommendations And Improved Patient Outcomes
At Sport and Spine Rehab, we provide evidence-based care that is in line with these recommendations. Each new patient will recieve an individualized treatment plan that may include any of the following treatment methods: