Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain
Authors: Mark Collen
Journal: Annals of Internal Medicine (2017)

Letters5 December 2017Noninvasive Treatments for Acute, Subacute, and Chronic Low Back PainMark Collen, BSMark Collen, BSSacramento, California (M.C.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L17-0470 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Qaseem and colleagues' guideline (1) on noninvasive treatments for low back pain is logical and makes total sense, but I have a few comments. I believe that the authors should have mentioned the cardiovascular risk factors associated with nonsteroidal anti-inflammatory drugs (NSAIDs) (2, 3). In the same vein, the guideline says, “[cyclooxygenase]-2–selective NSAIDs … are associated with lower risk for adverse effects than nonselective NSAIDs.” This statement is not necessarily true, and adverse events depend on many elements, including the specific NSAID and risk factor (3). Rofecoxib is 1 example of a cyclooxygenase-2–selective NSAID with intolerable adverse ...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. Bello AE, Holt RJ. Cardiovascular risk with non-steroidal anti-inflammatory drugs: clinical implications. Drug Saf. 2014;37:897-902. [PMID: 25079141] doi:10.1007/s40264-014-0207-2 CrossrefMedlineGoogle Scholar3. Harirforoosh S, Asghar W, Jamali F. Adverse effects of nonsteroidal antiinflammatory drugs: an update of gastrointestinal, cardiovascular and renal complications. J Pharm Pharm Sci. 2013;16:821-47. [PMID: 24393558] CrossrefMedlineGoogle Scholar4. Berenson A, Gardiner H, Meier B, Pollack A. Despite warnings, drug giant took long path to Vioxx recall. The New York Times. 14 November 2004. Accessed at www.nytimes.com/2004/11/14/business/despite-warnings-drug-giant-took-long-path-to-vioxx-recall.html? on 21 February 2017. Google Scholar5. Collen M. Pain and treatment from a human primate perspective. J Pain Palliat Care Pharmacother. 2014;28:152-7. [PMID: 24801973] doi:10.3109/15360288.2014.911237 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Sacramento, California (M.C.)Disclosures: The author has disclosed no conflicts of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L17-0470. 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 Donald R. Murphy , Michael J. Schneider , Christopher G. Bise , and Brian Justice 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 Metrics 5 December 2017Volume 167, Issue 11Page: 832-833KeywordsAdverse eventsLower back painMedical risk factorsNSAIDsOpioid addictionOpioidsPatient advocacyTouchTreatment guidelinesVeins ePublished: 5 December 2017 Issue Published: 5 December 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...