The American Pain Society released the second part of a practice guideline for the management of low back pain.
The scientific review concluded that most invasive interventions, including spinal joint injections, radiofrequency denervation, and intradiscal electrothermal therapy demonstrated no evidence of effectiveness.
“The expert panel reaffirms its previous recommendation that all low-back pain patients stay active and talk honestly with their physicians about self care and other interventions. “In general, non-invasive therapies supported by evidence showing benefits should be tried before considering interventional therapies or surgery,” said Dr. Roger Chou.” Physical therapy, including spinal manipulation and exercise, was noted as a centerpiece component of effective low back pain care by the panel’s 2007 study.
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