Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain

Letters5 December 2017Noninvasive Treatments for Acute, Subacute, and Chronic Low Back PainDonald R. Murphy, DC, FCC, Michael J. Schneider, DC, PhD, Christopher G. Bise, PT, MS, DPT, and Brian Justice, DCDonald R. Murphy, DC, FCCCare New England Health System and Alpert Medical School of Brown University, Providence, Rhode Island (D.R.M.), Michael J. Schneider, DC, PhDUniversity of Pittsburgh, Pittsburgh, Pennsylvania (M.J.S., C.G.B.), Christopher G. Bise, PT, MS, DPTUniversity of Pittsburgh, Pittsburgh, Pennsylvania (M.J.S., C.G.B.), and Brian Justice, DCExcellus BlueCross BlueShield, Rochester, New York (B.J.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L17-0471 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Congratulations to Qaseem and colleagues (1) on a job well done in synthesizing the literature on noninvasive treatments for low back pain. They identified several approaches that the evidence suggests are effective. As the accompanying editorial points out, the next question becomes, "What does the clinician do with this information?" We would like to provide input from a clinical, operational, and translational viewpoint.How do primary care practitioners (PCPs) use the information from the guideline when seeing a patient with low back pain? Do they refer the patient for all recommended treatments? Refer the patient for each ...References1. Qaseem A, Wilt TJ, McLean RM, Forciea MA; Clinical Guidelines Committee of the American College of Physicians.. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2017;166:514-30. [PMID: 28192789]. doi:10.7326/M16-2367 LinkGoogle Scholar2. Murphy DR, Justice BD, Paskowski IC, Perle SM, Schneider MJ. The establishment of a primary spine care practitioner and its benefits to health care reform in the United States [Editorial]. Chiropr Man Therap. 2011;19:17. [PMID: 21777444] doi:10.1186/2045-709X-19-17 CrossrefMedlineGoogle Scholar3. Verbeek J, Sengers MJ, Riemens L, Haafkens J. Patient expectations of treatment for back pain: a systematic review of qualitative and quantitative studies. Spine (Phila Pa 1976). 2004;29:2309-18. [PMID: 15480147] CrossrefMedlineGoogle Scholar4. Goff I, Wise EM, Coady D, Walker D. Musculoskeletal training: are GP trainees exposed to the right case mix for independent practice? Clin Rheumatol. 2016;35:507-11. [PMID: 25190366] doi:10.1007/s10067-014-2767-z CrossrefMedlineGoogle Scholar5. Paskowski I, Schneider M, Stevans J, Ventura JM, Justice BD. A hospital-based standardized spine care pathway: report of a multidisciplinary, evidence-based process. J Manipulative Physiol Ther. 2011;34:98-106. [PMID: 21334541] doi:10.1016/j.jmpt.2010.12.004 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Care New England Health System and Alpert Medical School of Brown University, Providence, Rhode Island (D.R.M.)University of Pittsburgh, Pittsburgh, Pennsylvania (M.J.S., C.G.B.)Excellus BlueCross BlueShield, Rochester, New York (B.J.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L17-0471. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoNoninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians Amir Qaseem , Timothy J. Wilt , Robert M. McLean , Mary Ann Forciea , and Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain Ivan Vucina Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain Lisa H. Le and Robert G. Badgett Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain Jeremy D. Whyman and Rosanne M. Leipzig Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain Sandeep Vijan , Scott Manaker , and Amir Qaseem Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain Donald M. Marcus Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain Alain Braillon Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain Mark Collen Metrics Cited byElectroacupuncture alleviates multifidus muscle injury by modulating mitochondrial function and Ca 2+ uptakeNON-PHARMACOLOGICAL TREATMENT OF CHRONIC NECK−SHOULDER MYOFASCIAL PAIN IN PATIENTS WITH FORWARD HEAD POSTURE 5 December 2017Volume 167, Issue 11Page: 833-834KeywordsDisclosureHealth careLower back painPatientsReasoningSpine ePublished: 5 December 2017 Issue Published: 5 December 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...