What Works for Back Pain – Part 2

February 21, 2017  |  Back Pain / Chiropractic Adjustments  |  No Comments

Arthritis Park East Chiropractic Brooklyn Park MNChiropractic, acupuncture and massage were big winners last week in an important report from the American College of Physicians as they came out with guidelines for treating low back pain.  The recommendation was based on a review of all controlled trials of various forms of treatment for low back pain.

 

First they put they low back pain patients into three categories:

  1. Acute low back pain of less than 12 weeks.
  2. Chronic low back pain of more than 12 weeks.
  3. Low back pain with radicular leg pain.

 

Recommendations for acute low back pain:

  • Try to choose non-drug options first.
  • Ice, heat massage, acupuncture and chiropractic adjustments are recommended over other therapies.
  • Acetaminophen (Tylenol) is not helpful.
  • If non-drug therapies are not adequate doctors and patients should select Ibuprofen or skeletal muscle relaxants.
  • Opioid medication is not appropriate.

 

Recommendations for chronic low back pain:

  • Try to choose non-drug options first.
  • Acupuncture, chiropractic adjustments and low level laser are recommended.
  • Exercise therapy in the form of yoga, tai chi and motor control exercise are recommended.
  • Cognitive therapies in the form of mindfulness based stress reduction, cognitive behavior therapy, progressive relaxation and operant therapy are recommended.
  • Acetaminophen (Tylenol) is not helpful.
  • If non-drug therapies are not adequate doctors and patients should select Ibuprofen.
  • If Ibuprofen is not helpful, then consider tramadol or duloxetine next.
  • Opioid medication is only appropriate if a patient has failed all the above therapies.

 

Recommendations for low back pain with radicular leg pain.

  • Other than exercise there was inadequate evidence for a recommendation for any other type of therapy.

 

After reading the entire guidelines, it is my opinion that a chiropractor should be the first stop and the first choice when you have lower back pain of any kind.  They were clear that non-drug options should be looked at first and chiropractors provide most of the non-drug options that were recommended.



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