Nonpharmacologic and Pharmacologic Management of Acute Pain From Non–Low Back, Musculoskeletal Injuries in Adults
Authors: Stephanie Mathieson, Matthew K. Bagg, Mark Schoene, Christopher G. Maher
Journal: Annals of Internal Medicine (2021)

LettersMay 2021Nonpharmacologic and Pharmacologic Management of Acute Pain From Non–Low Back, Musculoskeletal Injuries in AdultsStephanie Mathieson, PhD, Matthew K. Bagg, BPhysio(Hons), BExSpSci, Mark Schoene, BS, Christopher G. Maher, PhD, DMedScStephanie Mathieson, PhDInstitute for Musculoskeletal Health, University of Sydney, Camperdown, New South Wales, AustraliaSearch for more papers by this author, Matthew K. Bagg, BPhysio(Hons), BExSpSciNeuroscience Research Australia, University of New South Wales, Sydney, New South Wales, AustraliaSearch for more papers by this author, Mark Schoene, BS The BackLetter, Lippincott Williams & Wilkins, Philadelphia, PennsylvaniaSearch for more papers by this author, Christopher G. Maher, PhD, DMedScInstitute for Musculoskeletal Health, University of Sydney, Camperdown, New South Wales, AustraliaSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L21-0060 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR: We noted that the American College of Physicians' guideline on nonpharmacologic and pharmacologic management of acute pain from non–low back, musculoskeletal injuries (1) was informed by a network meta-analysis (NMA) (2). This NMA questioned what the best treatment was for patients with this condition and concluded that nonopioid drugs showed the “most convincing and attractive benefit–harm ratio for patients with acute pain from non–low back, musculoskeletal injuries.”The NMA review systematically identified 207 trials. It combined a range of musculoskeletal conditions and interventions that would never feature in the same clinical decision. The choice to combine all ...References1. Qaseem A, McLean RM, O’Gurek D, et al. Nonpharmacologic and pharmacologic management of acute pain from non-low back, musculoskeletal injuries in adults: a clinical guideline from the American College of Physicians and American Academy of Family Physicians. Ann Intern Med. 2020;173:739-48. [PMID: 32805126]. doi:10.7326/M19-3602 LinkGoogle Scholar2. Busse JW, Sadeghirad B, Oparin Y, et al. Management of acute pain from non-low back, musculoskeletal injuries: a systematic review and network meta-analysis of randomized trials. Ann Intern Med. 2020;173:730-8. [PMID: 32805127]. doi:10.7326/M19-3601 LinkGoogle Scholar3. Qaseem A, Wilt TJ, McLean RM, et al; 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 Scholar Author, Article, and Disclosure InformationAffiliations: Institute for Musculoskeletal Health, University of Sydney, Camperdown, New South Wales, AustraliaNeuroscience Research Australia, University of New South Wales, Sydney, New South Wales, Australia The BackLetter, Lippincott Williams & Wilkins, Philadelphia, PennsylvaniaDisclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L21-0060. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoNonpharmacologic and Pharmacologic Management of Acute Pain From Non–Low Back, Musculoskeletal Injuries in Adults: A Clinical Guideline From the American College of Physicians and American Academy of Family Physicians Amir Qaseem , Robert M. McLean , David O'Gurek , Pelin Batur , Kenneth Lin , Devan L. Kansagara , and Nonpharmacologic and Pharmacologic Management of Acute Pain From Non–Low Back, Musculoskeletal Injuries in Adults Jason W. Busse , Devan L. Kansagara , Kenneth Lin , David O’Gurek , and Amir Qaseem Metrics May 2021Volume 174, Issue 5Page: 732-733 ePublished: 18 May 2021 Issue Published: May 2021 Copyright & PermissionsCopyright © 2021 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...