Nonpharmacologic Therapies for Low Back Pain
Authors: Roger Chou
Journal: Annals of Internal Medicine (2017)

Letters17 October 2017Nonpharmacologic Therapies for Low Back PainRoger Chou, MDRoger Chou, MDFrom Oregon Health and Science University, Portland, Oregon.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L17-0395 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:The OSTEOPATHIC trial (1) was identified in searches and excluded because it evaluated a multicomponent osteopathic intervention that included manipulation as well as a massage-like component ("soft tissue stretching, kneading, and pressure"), myofascial stretching and release, positional treatment of myofascial tender points, and muscle energy techniques; the techniques were aimed at the back as well as the iliac and pubic regions. According to the Methods section of our review (2), we excluded comparisons involving multicomponent therapy that did not meet our definition for multidisciplinary rehabilitation (a coordinated program with both physical and biopsychosocial treatment components provided by professionals ...References1. Licciardone JC, Minotti DE, Gatchel RJ, Kearns CM, Singh KP. Osteopathic manual treatment and ultrasound therapy for chronic low back pain: a randomized controlled trial. Ann Fam Med. 2013;11:122-9. [PMID: 23508598] doi:10.1370/afm.1468 CrossrefMedlineGoogle Scholar2. Chou R, Deyo R, Friedly J, Skelly A, Hashimoto R, et al. Noninvasive treatments for low back pain. Comparative Effectiveness Review no. 169. (Prepared by the Pacific Northwest Evidence-based Practice Center under contract no. 290-2012-00014-I.) AHRQ publication no. 16-EHC004-EF. Rockville: Agency for Healthcare Research and Quality; February 2016. [PMID: 26985522] Google Scholar Author, Article, and Disclosure InformationAffiliations: From Oregon Health and Science University, Portland, Oregon.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-2459. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoNonpharmacologic Therapies for Low Back Pain: A Systematic Review for an American College of Physicians Clinical Practice Guideline Roger Chou , Richard Deyo , Janna Friedly , Andrea Skelly , Robin Hashimoto , Melissa Weimer , Rochelle Fu , Tracy Dana , Paul Kraegel , Jessica Griffin , Sara Grusing , and Erika D. Brodt Nonpharmacologic Therapies for Low Back Pain John C. Licciardone and Robert J. Gatchel Metrics Cited byLooking back at the lawsuit that transformed the chiropractic profession part 8: Judgment impactComparing the Impact of Multi-Session Left Dorsolateral Prefrontal and Primary Motor Cortex Neuronavigated Repetitive Transcranial Magnetic Stimulation (nrTMS) on Chronic Pain PatientsErfolge der Rehabilitation bei chronischen nichtspezifischen Rückenschmerzen in Deutschland – Metaanalysen der Verläufe von Schmerzintensität und FunktionskapazitätChiropractic Day: A Historical Review of a Day Worth CelebratingManagement of Acute Pain From Non–Low Back, Musculoskeletal Injuries A Systematic Review and Network Meta-analysis of Randomized TrialsJason W. Busse, DC, PhD, Behnam Sadeghirad, PharmD, MPH, PhD, Yvgeniy Oparin, MD, Eric Chen, HBSc, Anna Goshua, BHSc, Curtis May, BKin, Patrick J. Hong, MD, Arnav Agarwal, MD, Yaping Chang, PhD, Stephanie A. Ross, PhD, Peter Emary, DC, MSc, Ivan D. Florez, MD, MSc, Salmi T. Noor, MSc, William Yao, BHSc, Annie Lok, MHE, Syed Hussain Ali, MD, Samantha Craigie, MSc, Rachel Couban, MA, MISt, Rebecca L. Morgan, MPH, PhD, Kayli Culig, BHSc, Sonia Brar, MD, Khashayar Akbari-Kelachayeh, BHSc, Alex Pozdnyakov, MD, Yaad Shergill, DC, Laxsanaa Sivananthan, HBSc, Bahareh Zihayat, PharmD, Aninditee Das, MD, and Gordon H. Guyatt, MD, MScEffect of Psycho-Regulatory Massage Therapy on Pain and Depression in Women with Chronic and/or Somatoform Back Pain: A Randomized Controlled TrialCervical HVLA Used as Single Intervention Improves Motion and StrengthMyofascial Release Therapy Beneficial for Patients With Chronic Low Back Pain 17 October 2017Volume 167, Issue 8Page: 606-607KeywordsDisabilitiesDisclosureLower back painMusclesQuestionnairesSoft tissues ePublished: 17 October 2017 Issue Published: 17 October 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...