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Non-drug therapies should be first line treatment for low back pain, US guidance says

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New guidelines from the American College of Physicians recommend that physicians avoid prescribing drugs, particularly opioids, to treat acute and subacute low back pain and should instead emphasize non-pharmacologic therapies,… Click to show full abstract

New guidelines from the American College of Physicians recommend that physicians avoid prescribing drugs, particularly opioids, to treat acute and subacute low back pain and should instead emphasize non-pharmacologic therapies, such as superficial heat, massage, and physical therapy. “Clinicians should reassure patients that acute or subacute low back pain usually improves over time, regardless of treatment. Thus, clinicians should avoid prescribing costly and potentially harmful treatments for these patients, especially narcotics,” the guidelines said. If clinicians decide to use a pharmacologic agent, non-steroidal anti-inflammatory drugs or skeletal muscle relaxants should be used, …

Keywords: non drug; back pain; treatment; low back; drug therapies

Journal Title: British Medical Journal
Year Published: 2017

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