About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

International Guidelines Recommend Painkiller Free Treatment for Low Back Pain

by Anjali Aryamvally on November 16, 2017 at 2:04 PM
Font : A-A+

International Guidelines Recommend Painkiller Free Treatment for Low Back Pain

Planning on visiting your family doctor with lower back pain (LBP)? You may be surprised at the suggested treatment options.

Recent changes to major international guidelines for the management of LBP mean that general practitioners (GP) are now unlikely to recommend pain medicines which were previously the go-to treatment.

Advertisement


Low back pain is the leading cause of disability worldwide. It is the second most common reason for seeking care from a family doctor. In Australia, low back pain is the number one cause of early retirement and income poverty.

The new guidelines - the UK National Institute for Health and Care Excellence clinical guideline for low-back pain and sciatica, and a clinical practice guideline from the American College of Physicians - encourage a shift in thinking about the primary care management of low-back pain.
Advertisement

In response to an escalating prescription opioid crisis, and an overwhelming amount of research showing most pain medicines have little to no effect compared to placebo for people with LBP, the guidelines have radically changed their stance on the medicines.

Instead of pain medicines, GPs might suggest non-medicinal approaches including yoga, mindfulness and various types of physiotherapy and psychological therapies.

The results of a University of Sydney review to investigate the current approach and changes to diagnosis and management of LBP were published in the Canadian Medical Association Journal.

"Until now, the recommended approach to help LBP in general practice was to prescribe simple pain medicines such as paracetamol or anti-inflammatories," said lead author Dr Adrian Traeger, researcher from the Musculoskeletal Health Group at the University's School of Public Health.

"These new guidelines suggest avoiding pain medicines initially and discouraging other invasive treatments such as injections and surgery. The recent changes to these guidelines are important and represent a substantial change in thinking on how best to manage LBP - the previous recommendations were in place for decades.

"If you have an uncomplicated case of recent-onset LBP, your doctor may now simply provide advice on how to remain active and non-drug methods for pain relief such as heat and massage, and arrange to see you in two weeks to make sure the pain has settled.

"If your pain started a long time ago, they might suggest treatments such as yoga, exercise or mindfulness as treatment. Other effective options could include spinal manipulation, acupuncture, or multi-disciplinary rehabilitation programs.

"These revisions to major international guidelines should see changes to practice worldwide.

However Dr Traeger is concerned that without support from Medicare the suggested reforms could place additional financial strain on those suffering from low back pain.

"There will be challenges to providing this type of care. It's currently much easier and cheaper to provide a prescription for an opioid pain medicine (which is not a long-term solution to chronic pain and carries a risk of substantial harm) than a course of treatment with a physiotherapist or psychologist.

"Health systems in most industrialised countries, including Australian Medicare, are simply not set up to fund the care that is considered the most appropriate for low back pain right now.

"Without policy changes, it will be difficult for GPs to follow current best practice. However, if Medicare were to make simple changes to improve affordability of alternatives to pain medicines, not only would it make a GPs job easier, it could result a major impact on the lives of many living with low back pain, including those who rely on opioids. This needs the attention of the Federal Government."



Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Advertisement
News Category
What's New on Medindia
International Day of Persons with Disabilities 2021 - Fighting for Rights in the Post-COVID Era
Effect of Blood Group Type on COVID-19 Risk and Severity
Woman with Rare Spinal Cord Defect from Birth Sues Doctor
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Back Pain Cervical Spondylosis Spondylolisthesis Back Pain at Workplace: Prevention and Exercises Traction For Lumbar Pain Back Injuries Can Heavy School Bag Cause Back Pain in Children? Thoracic Outlet Syndrome Whiplash and Conditions that Mimic Whiplash How to Reduce School Bag Weight - Simple Tips 

Recommended Reading
Back Pain during Pregnancy
Backache during pregnancy is common, but must not be ignored. Simple management techniques can help ...
Can Heavy School Bag Cause Back Pain in Children?
Causes of backache in adults can vary but majority of backaches in growing children is traced to ......
Top 10 Tips to Alleviate Back Pain When Driving
Back pain while driving can be avoided by simple tips. Correct posture, seat arrangement and ......
Yoga and Back Pain
The healing effects of yoga benefit those suffering from backpain, by alleviating their pain and ......
Back Injuries
Common back injuries include strains, sprains and fracture and they can occur due to pressure or ......
Back Pain
Back pain or Backache is common due to poor posture, postural deformities and life style. Back pain ...
Back Pain at Workplace: Prevention and Exercises
Understanding the basics about our back and our posture is very important in preventing back pain an...
Cervical Spondylosis
Cervical spondylosis is a disorder in which there is abnormal wear on cervical vertebrae....
How to Reduce School Bag Weight - Simple Tips
Increasing weight of school bags can cause back pain in kids. Types of backpacks for school, carryin...
Spondylolisthesis
Spondylolisthesis is a condition of the lower spine in which one of the bones of the vertebral colum...
Thoracic Outlet Syndrome
Thoracic outlet syndrome (TOS) is a rare condition that occurs when blood vessels or nerves become c...
Traction For Lumbar Pain
Traction is the maximum force imparted between two bony surfaces for distracting them without causin...
Whiplash and Conditions that Mimic Whiplash
Whiplash injury is an injury that common with road traffic accidents. Whiplash happens due to sudden...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use