Comparison of Patient-Reported Outcomes Measurement Information System and Legacy Instruments in Multiple Domains Among Older Veterans With Chronic Back Pain

Chronic low back pain (cLBP) results in significant physical, psycho-social and socioeconomic burden. Identifying efficient and reliable patient reported outcome measures is critical for research and clinical purposes. T...
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Peripheral Nerve Stimulation for Back

To assess changes in pain, physical function, health-related quality of life, and cost-effectiveness in patients with low back pain, without symptoms of radiculopathy, that have not responded to conservative or tradition...
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UC San Diego Health Offers New Treatment for Chronic Low Back Pain

AAPM Treasurer Farshad M. Ahadian, MD discusses a new minimally invasive approach to provide relief for patients suffering from chronic low back pain (CLBP). The new treatment is called "Intracept"— an outpatient procedu...
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Nonpharmacologic and Pharmacologic Management of Acute Pain From Non–Low Back, Musculoskeletal Injuries in Adults: A Clinical Guideline From the American College of Physicians and American Academy of Family Physicians.

The American College of Physicians (ACP) and American Academy of Family Physicians (AAFP) developed this guideline to provide clinical recommendations on nonpharmacologic and pharmacologic management of acute pain from n...
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Patients Taking Opioids Produce Antibodies That May Hinder Anti-Opioid Vaccine

University of Wisconsin–Madison scientists have discovered that a majority of people they tested who were taking opioid painkillers for chronic back pain produced antibodies against the drugs that may contribute to some ...
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Acupuncture for Acute Non-Specific Low Back Pain: A Randomised, Controlled, Multicentre Intervention Study in General Practice—The Acuback Study

The aim of this study was to evaluate whether a single treatment session of acupuncture, when applied in addition to standard treatment for acute low back pain (ALBP), reduces the time to recovery compared with standard ...
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Artificial Intelligence to Improve Back Pain Outcomes and Lessons Learned from Clinical Classification Approaches: Three Systematic Reviews

Artificial intelligence and machine learning (AI/ML) could enhance the ability to detect patterns of clinical characteristics in low-back pain (LBP) and guide treatment. Full story . 

Summit-07: A Randomized Trial of Nktr-181, a New Molecular Entity, Full Mu-Opioid Receptor Agonist for Chronic Low-Back Pain

NKTR-181, a new molecular entity, mu-opioid receptor agonist with an inherently slow rate of central nervous system (CNS) entry, was designed to provide analgesia while reducing abuse potential. Full story . 

Catastrophization, fear of movement, anxiety, and depression are associated with persistent, severe low back pain and disability

Psychological characteristics are important in the development and progression of low back pain (LBP); however, their role in persistent, severe LBP is unclear. Full story . 

Loss of Nucleus Accumbens Low-Frequency Fluctuations Is a Signature of Chronic Pain

Chronic pain is a highly prevalent disease with poorly understood pathophysiology. In particular, the brain mechanisms mediating the transition from acute to chronic pain remain largely unknown. The authors identify a su...
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Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care: Diagnosis and Treatment of Low Back Pain

AAPM members Ravi Prasad, PhD and Randall Brewer, MD represented the Academy as one of 11 stakeholder societies who contributed to NASS-led clinical guidelines for the diagnosis and treatment of nonspecific low-back pain...
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Key Chronic Low Back Pain Outcomes Remain Stable Over Time

A Journal of General Internal Medicine article, provided some insight into why chronic low back pain may be difficult to treat. Data published from the PRECISION Pain Research Registry, which looked at 289 chronic low ba...
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Depression and Functional Outcomes in Patients Presenting to the Emergency Department With Low Back Pain

Low back pain (LBP) is a common reason for patients to present to Emergency Departments (EDs). Our objective was to describe the associations between depressive symptoms, pain severity, and functional impairment up to 3 ...
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Artificial Intelligence Can Scan Doctors' Notes to Distinguish Between Types of Back Pain

Researchers have designed an artificial intelligence model that can determine whether lower back pain is acute or chronic by scouring doctors' notes within electronic medical records, an approach that can help to treat p...
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T'ai Chi for Chronic Low Back Pain in Older Adults: A Feasibility Trial

T'ai chi (TC) has been found effective for improving chronic low back pain. However, such studies did not include adults over 65 years of age. This study was designed to evaluate the feasibility and acceptability of TC in this population compared with Health Education and with Usual Care.

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Does Vitamin D Status Influence Lumbar Disc Degeneration and Low Back Pain in Postmenopausal Women? A Retrospective Single-Center Study

The objective of this study was to investigate the relationship between serum vitamin D concentration and lumbar disc degeneration (LDD) in postmenopausal women and the epidemiologic factors affecting low back pain (LBP). 

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Virtual Reality for the Treatment of Chronic Low Back Pain

Chronic low back pain is highly prevalent in US adults and is a major cause of missed work days and disability. While several treatment options exist, chronic opioids are commonly used for these conditions even though there are limited data supporting efficacy, and clear evidence of harm associated with chronic opioid administration. 

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CMS Finalizes Decision to Cover Acupuncture for Chronic Low Back Pain for Medicare Beneficiaries

Before this final National Coverage Determination (NCD) reconsideration, acupuncture was nationally non-covered by Medicare. CMS conducted evidence reviews and examined the coverage policies of private payers to inform i...
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Lower Back Biomechanics in Veterans with Non-Specific Low Back Pain

Low back pain (LBP) is strongly associated with opioid consumption among Veterans, and improved clinical management of LBP is likely to reduce reliance on opioid among Veterans. Up to 60% of patients with an acute episod...
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Does Experimentally Induced Pain-Related Fear Influence Central and Peripheral Movement Preparation in Healthy People and Low Back Pain Patients?

Non-specific chronic low back pain (CLBP) is a multifactorial disorder. Pain-related fear and altered movement preparation are considered to be key factors in the chronification process. Interactions between both have be...
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Evaluation and Treatment Patterns of New Low Back Pain Episodes for Elderly Adults in the United States, 2011–2014

New low back pain (LBP) is a common outpatient complaint. Little is known about how care is delivered over the course of a year to patients who develop new LBP and whether such care patterns are guideline-concordant.

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Poor Sleep Worsens Recovery from Chronic Low Back Pain

Sleep problems may decrease the likelihood of recovery from chronic low back pain over the long term and those who have musculoskeletal pain on top of insomnia have an even lower possibility of recovery, according to the...
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Comparative Effectiveness of an Interdisciplinary Pain Program for Chronic Low Back Pain, Compared to Physical Therapy Alone

The aim of this study was to compare the effectiveness of PT to an interdisciplinary treatment approach in patients with chronic low back pain (CLBP).

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Yoga and Physical Therapy as Treatment for Chronic Lower Back Pain also Improves Sleep

Yoga and physical therapy (PT) are effective approaches to treating co-occurring sleep disturbance and back pain while reducing the need for medication, according to a new study. The research showed significant improveme...
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Sequential and Comparative Evaluation of Pain Treatment Effectiveness Response

Brief Summary:Chronic low back pain (cLBP) is common. Most Americans will have at least one episode of low back pain in their lifetimes. Approximately 50% of all US Veterans have chronic pain, and CLBP is the most common...
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Cognitive Functional Therapy Compared With a Group-Based Exercise and Education Intervention for Chronic Low Back Pain: A Multicentre Randomised Controlled Trial

  Abstract: BACKGROUND:  One-size-fits-all interventions reduce chronic low back pain (CLBP) a small amount. An individualised intervention called cognitive functional therapy (CFT) was superior for CLBP c...
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AI-Powered Motion Tracking Technology for Back Pain and COPD: Interview with Rutger Flohil, US CEO of Kaia Health

Kaia Health, a health technology company based in New York City, has developed a smartphone app that can guide users through exercises to help with back pain and COPD. The technology uses AI powered motion tracking techn...
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Persistent Headache or Back Pain ‘Twice as Likely’ in the Presence of the Other

Researchers suggest the possibility of an underpinning biological relationship between people with persistent headache and back pain, which could be a target for treatment.  Full story.

Best Treatment for Herniated Disc

Researchers from the Mechanical System Engineering Lab at Empa and the Department of Orthopaedic Surgery at the University of Pittsburgh were now able to show that the vertebrae do not move linearly during movement. This...
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The Fear Reduction Exercised Early (FREE) Approach to Management of Low Back Pain in General Practice: A Pragmatic Cluster-Randomized Controlled Trial

Effective and cost-effective primary care treatments for low back pain (LBP) are required to reduce the burden of the world's most disabling condition. This study aimed to compare the clinical effectiveness and cost-effectiveness of the Fear Reduction Exercised Early (FREE) approach to LBP (intervention) with usual general practitioner (GP) care (control).

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Lower Back Pain? Self-Administered Acupressure Could Help

A recent study in Pain Medicine finds that acupressure, a traditional Chinese medicine technique, can improve chronic pain symptoms in the lower back. 

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FDA Market Clears Erchonia’s FX 635 Laser for Chronic Low Back Pain

Erchonia Corporation announces another successful clinical trial that has resulted in the granting of an FDA 510(k) market clearance for chronic low back pain of musculoskeletal origin. This grants another first for Erchonia, which started the low-level laser category in January 2002. That year, the FDA issued its first 510(k) market clearance for any low-level laser based on Erchonia's clinical trial for chronic neck and shoulder pain.

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First Utahns Treated in Nationwide FDA-Allowed Clinical Study of Locally Developed Cell Therapy for Chronic Low Back Pain

A clinical stage biotechnology company focused on developing regenerative cell-based therapies that alleviate pain and restore function in patients with degenerative diseases of the spine, today announced the first Utahns have been treated in its nationwide clinical study of IDCT, a locally developed injectable disc cell therapy for degenerative disc disease (DDD).

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Does Disordered Sleep Moderate the Relationship Between Pain, Disability, and Downstream Healthcare Utilization in Patients with Low Back Pain? A Longitudinal Cohort from the US Military Health System

The purpose was to evaluate the influence of disordered sleep on the relationship between pain and healthcare utilization (HCU) and pain-related disability and HCU in individuals with low back pain (LBP).

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Mindfulness-based Dance/Movement Therapy for Chronic Low Back Pain

 Study Description: Brief Summary: The purpose of this study is to evaluate the feasibility, acceptability and credibility of a mindfulness-based dance/movement therapy(M-DMT)protocol; to assess and improve methodol...
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Improvements in Chronic Low Back Pain after Basivertebral Nerve Ablation

Patients who decreased opioid use after undergoing basivertebral nerve (BVN) ablation were found to experience greater relief of chronic low back pain than those who increased opioid use, according to a study published i...
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