Back pain medical therapy

Revision as of 19:06, 1 May 2017 by Badgettrg (talk | contribs) (→‎Medical Therapy: added amitriptyline)
Jump to navigation Jump to search

Back pain Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Back Pain from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

Echocardiography and Ultrasound

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Non-Medical Therapy

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Lecture

Back Pain

Case Studies

Case #1

Back pain medical therapy On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Back pain medical therapy

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Back pain medical therapy

CDC on Back pain medical therapy

Back pain medical therapy in the news

Blogs on Back pain medical therapy

Directions to Hospitals Treating Back pain

Risk calculators and risk factors for Back pain medical therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Medical Therapy

  • If non-steroidal medications are inadequate, amitriptyline may be better than pregabalin for a second medication.[4]
  • Tramadol does show benefit among registered randomized, controlled trials.[5]
  • At least one study of intramuscular corticosteroids found no benefit.[7] Herbal analgesics may also be effective. It may very well be the case that steriods in and of themselves are not the answer as clinical improvement has been both reported and published numerous times with other injections (anesthetics, etc).

References

  1. van Tulder M, Touray T, Furlan A, Solway S, Bouter L. "Muscle relaxants for non-specific low back pain". Cochrane Database Syst Rev: CD004252. PMID 12804507.
  2. van Tulder M, Scholten R, Koes B, Deyo R. "Non-steroidal anti-inflammatory drugs for low back pain". Cochrane Database Syst Rev: CD000396. PMID 10796356.
  3. Williams, Christopher M (2014-07). "Efficacy of paracetamol for acute low-back pain: a double-blind, randomised controlled trial". The Lancet. doi:10.1016/S0140-6736(14)60805-9. ISSN 0140-6736. Retrieved 2014-07-28. Unknown parameter |coauthors= ignored (help); Check date values in: |date= (help)
  4. Kalita J, Kohat AK, Misra UK, Bhoi SK (2014). "An open labeled randomized controlled trial of pregabalin versus amitriptyline in chronic low backache". J Neurol Sci. 342 (1–2): 127–32. doi:10.1016/j.jns.2014.05.002. PMID 24857356.
  5. GitHub Contributors. Back pain (chronic) treatment with tramadol: a living systematic review. GitHub. Available at https://github.com/openMetaAnalysis/back-pain-chronic-treatment-with-tramadol/. Accessed February 27, 2017.
  6. Nelemans P, de Bie R, de Vet H, Sturmans F. "Injection therapy for subacute and chronic benign low back pain". Cochrane Database Syst Rev: CD001824. PMID 10796449.
  7. Friedman B, Holden L, Esses D, Bijur P, Choi H, Solorzano C, Paternoster J, Gallagher E (2006). "Parenteral corticosteroids for Emergency Department patients with non-radicular low back pain". J Emerg Med. 31 (4): 365–70. PMID 17046475.


Template:WikiDoc Sources