• Acute episodes of back pain are usually self-limited. (aafp.org)
  • Ultrasound should not generally be used for acute back pain, since it may increase or instigate inflammation which can make the symptomatic expression worse. (cure-back-pain.org)
  • All CPGs focused on the management of acute, chronic, or unspecified duration of LBP. (edzardernst.com)
  • NSAIDs were the most frequently recommended medication for the treatment of both acute and chronic LBP as a first line pharmacological therapy. (edzardernst.com)
  • There was significant heterogeneity of recommendations within many medication classes, although oral corticosteroids, benzodiazepines, anticonvulsants, and antibiotics were not recommended by any CPGs for acute or chronic LBP. (edzardernst.com)
  • Ultrasound for back pain is a time-tested method of delivering heat into deep tissues, thereby alleviating stiffness and increasing circulation, as well as improving cellular metabolic response. (cure-back-pain.org)
  • Ultrasound has been a popular and widely practiced medical treatment for a very long time now, with varying applications proving just how valuable this technology can be for both diagnosis and symptomatic therapy. (cure-back-pain.org)
  • Doctors often refer to ultrasound treatment as deep heat diathermy. (cure-back-pain.org)
  • This essay examines the uses of ultrasound technology in the back and neck pain treatment sectors of medicine. (cure-back-pain.org)
  • Ultrasound is a heat therapy which uses sound waves to penetrate deeply into the back muscles and spinal structures, increasing temperature in the treated area. (cure-back-pain.org)
  • When heat therapy is advised for a particular back pain condition, there may be no better method of delivery than deep tissue ultrasound. (cure-back-pain.org)
  • Although ultrasound can provide relief to many people with chronic back muscle pain, the treatment is incredibly short lived and purely symptomatic in nature. (cure-back-pain.org)
  • In virtually all of these cases, the patient should not overly rely on ultrasound and instead, should concentrate on finding the real underlying reason why the chronic symptoms exists. (cure-back-pain.org)
  • Efficacy of therapeutic ultrasound (US) and interferential therapy (IFT) is of particular interest as this is the physical agent most commonly used by physiotherapists for treatment of painful musculoskeletal conditions and, therefore, widely available[1]. (journalmedicalthesis.com)
  • Besides different sites of action, the combination of interferential therapy and ultrasound is more effective than each of them separately because it provides localized analgesia on previous detected painful areas. (journalmedicalthesis.com)
  • Despite the fact that US and IFT are an adjunctive therapy, the effectiveness of specific combinations of interventions for knee OA has yet to be established[1]. (journalmedicalthesis.com)
  • Acetaminophen and nonsteroidal anti-inflammatory drugs are first-line medications for chronic low back pain. (aafp.org)
  • Meanwhile, with less consensus among CPGs, acetaminophen and antidepressants were proposed as second-choice therapies for chronic LBP. (edzardernst.com)
  • Develop a clinical prediction rule for identifying patients with low back pain who improve with spinal manipulation. (researchgate.net)
  • Patients with nonradicular low back pain underwent a standardized examination and then underwent a standardized spinal manipulation treatment program. (researchgate.net)
  • A surgical evaluation may be considered for select patients with functional disabilities or refractory pain despite multiple nonsurgical treatments. (aafp.org)
  • See related handout on coping with chronic low back pain , written by the authors of this article. (aafp.org)
  • Chronic low back pain is a common problem in primary care. (aafp.org)
  • or (4) back pain associated with another specific spinal cause. (aafp.org)
  • For patients who have back pain associated with radiculopathy, spinal stenosis, or another specific spinal cause, magnetic resonance imaging or computed tomography may establish the diagnosis and guide management. (aafp.org)
  • Most patients with chronic low back pain will not benefit from surgery. (aafp.org)
  • Most primary care physicians can expect to see at least one patient with low back pain per week. (aafp.org)
  • Patients with persistent or fluctuating pain that lasts longer than three months are defined as having chronic low back pain. (aafp.org)
  • Patients with chronic low back pain are more likely to see a family physician (65.0 percent) for their pain compared with orthopedists (55.9 percent), physical therapists (50.5 percent), and chiropractors (46.7 percent). (aafp.org)
  • 1 The economic impact of chronic low back pain stems from prolonged loss of function, resulting in loss of work productivity, treatment costs, and disability payments. (aafp.org)
  • Imaging, such as lumbar spine radiography, should be delayed at least one to two months in patients with nonspecific low back pain without red flags for serious disease. (aafp.org)
  • Evaluation of psychosocial problems and "yellow flags" are useful in identifying patients with chronic low back pain who have a poor prognosis. (aafp.org)
  • A prospective, cohort study of patients with nonradicular low back pain referred to physical therapy. (researchgate.net)
  • Development of clinical prediction rules for classifying patients with low back pain who are likely to respond to a particular intervention, such as manipulation, would improve clinical decision-making and research. (researchgate.net)
  • It appears that patients with low back pain likely to respond to manipulation can be accurately identified before treatment. (researchgate.net)
  • For ongoing oxygen deprivation syndromes which are some of the most prevalent varieties of long-term and unresponsive back pain issues, the regional ischemia will be temporarily reversed with heat, potentially helping to diagnose the condition as being of mindbody origin. (cure-back-pain.org)
  • This website is provided completely free by The Cure Back Pain Network. (cure-back-pain.org)
  • So, what should we think about guidelines for the management of back pain? (edzardernst.com)
  • Back pain is a symptom for which currently no optimal treatment exists. (edzardernst.com)
  • So, the next time chiropractors osteopaths, acupuncturists, etc. tell you "BUT MY THERAPY IS RECOMMENDED IN THE GUIDELINES", please take it with a pinch of salt. (edzardernst.com)
  • Electrotherapeutical modalities of rehabilitation are important resources in the treatment of musculoskeletal pain[2]. (journalmedicalthesis.com)
  • Limited disease-modifying treatment exists and still under investigations, and knee OA may progress from a dynamic process of injury and repair to irreversible joint damage requiring joint replacement to treat the unrelenting pain and/or significant disability. (journalmedicalthesis.com)
  • Because evidence of improved outcomes is lacking, lumbar spine radiography should be delayed for at least one to two months in patients with nonspecific pain. (aafp.org)
  • In fact many patients find this to be a pleasing and relaxing therapy to have performed. (cure-back-pain.org)
  • It is not an ideal solution for patients with recent injuries or chronic pain conditions. (cure-back-pain.org)
  • The benefits of both modalities may be achieved at the same time, making the therapy time efficient for the therapist and patient[3]. (journalmedicalthesis.com)
  • The ability to relieve pain is very variable and unpredictable, depending on the source or location of pain and whether it is acute or chronic. (healthy.net)
  • Subjective perception of pain using a visual analogue scale (VAS) and pain drawings is 95% sensitive and 88% specific for current pain in the neck and shoulders and thoracic spine. (healthy.net)