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Non-specific low back pain

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TLDR
Two treatment strategies are currently used, a stepped approach beginning with more simple care that is progressed if the patient does not respond, and the use of simple risk prediction methods to individualise the amount and type of care provided.
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This article is published in The Lancet.The article was published on 2017-02-18. It has received 1687 citations till now. The article focuses on the topics: Low back pain & Disease burden.

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Citations
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Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview

TL;DR: Some differences are identified compared to the previous overview regarding the recommendations for assessment of psychosocial factors, the use of some medications as well as an increasing amount of information regarding the types of exercise, mode of delivery, acupuncture, herbal medicines, and invasive treatments.
Journal ArticleDOI

Nociplastic pain: towards an understanding of prevalent pain conditions

TL;DR: Nociplastic pain this paper is a third category of pain that is mechanistically distinct from nociceptive pain, which is caused by ongoing inflammation and damage of tissues, and neuropathic pain, caused by nerve damage.
References
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Journal ArticleDOI

Intensive, dynamic back-muscle exercises, conventional physiotherapy, or placebo-control treatment of low-back pain. A randomized, observer-blind trial.

TL;DR: Subgroups of patients could be identified according to their treatment responses: physiotherapy was the superior treatment for the male participants, whereas the intensive back exercises appeared to be most efficient for the female participants.
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Efficiency and costs of medical exercise therapy, conventional physiotherapy, and self-exercise in patients with chronic low back pain. A pragmatic, randomized, single-blinded, controlled trial with 1-year follow-up.

TL;DR: No difference was observed between the medical exercise therapy and conventional physiotherapy groups, but both were significantly better than self‐exercise group, and patient satisfaction was highest formedical exercise therapy.
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Systematic reviews of low back pain prognosis had variable methods and results: guidance for future prognosis reviews.

TL;DR: There is an immediate need for methodological work in the area of prognosis systematic reviews because of methodological shortcomings in the primary and review literature, and there remains uncertainty about reliability of conclusions regarding prognostic factors for low back pain.
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The Comparative Safety of Opioids for Nonmalignant Pain in Older Adults

TL;DR: The rates of safety events among older adults using opioids for nonmalignant pain vary significantly by agent, and Causal inference requires experimental designs, but these results should prompt caution and further study.
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A Systematic Review and Meta-Analysis of Efficacy, Cost-Effectiveness, and Safety of Selected Complementary and Alternative Medicine for Neck and Low-Back Pain

TL;DR: CAM treatments were significantly more efficacious than no treatment, placebo, physical therapy, or usual care in reducing pain immediately or at short-term after treatment, and none of the CAM treatments was shown systematically as superior to one another.
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