Can’t Kick Your Lower Back Pain? There’s a Reason For That, Study Finds

Back pain affects millions of people all over the world – and many people do not find relief.

A new study published in BMJ evidence -based medicine Review hundreds of previous leaves that are looking at whether non -invasive treatment options such as spine manipulation and registration have helped relieve non -specific back pain, which is the most common type.

They found that only one out of every 10 treatments were effective, providing slightly higher benefits of imaginary medicine.

Among the Americans, back pain is one of the most common health complaints, with 39 % of its forms. For many who live with this type of pain, the results of the study may be frustrated.

But according to the author of the study Aidan Cashin, PhD, bexphysDeputy Director of the Pain effect center in neuroscience research in Australia, as it is not surprising. He told his team’s results that are widely consistent with previous studies. healthHighlighting the lack of reliable evidence of the effectiveness of many standard treatments.

However, the new research revealed a glimmer of hope that some treatments may work better than others to improve acute or chronic back pain.

Here is a closer look at the treatments that may bring or not bring comfort – and what you can do if you are suffering.

As for the study, Cashin and his team focused on unspecified back pain, which means that its origin has not been determined.

To build on current evidence, the team chose 301 research experiments that included people with unlimited back pain in 44 countries. These experiments provided data on 56 different non -invasive treatments or therapeutic groups, such as non -steroidal anti -inflammatory drugs (non -steroidal anti -inflammatory), exercise, acupuncture, laser treatment, spine manipulation, registration, and antidepressants.

“Once the relevant studies are identified, we collected them through treatment and the duration of the lower back pain that the participants suffer,” Cashin explained. “This allowed us to make sure of our section as is the case.”

Their conclusion: only one out of 10 treatments are brought in a greater comfort of the imaginary medicine.

However, there was one more effective treatment for acute back pain. It seems that NSAID medications, which include aspirin and ibuprofen, reduce this shorter disease better than other options.

For chronic pain, on the other hand, five treatments – exercise, spine manipulation, registration, antidepressants, and TRPV1 stimuli – were more effective.

Meanwhile, the research concluded that three treatments for acute back pain (exercise, glucocorticide, and asputation) and two chronic low back pain (antibiotics and anesthesia) were very ineffective and unlikely to be suitable for “pain management.

However, the study had some restrictions. When examining the experiments that compared “real” treatments to “cheek” or fake treatments, it was difficult to maintain consistency with what was calculated as shame. In some cases, the research also collected similar types of treatment together (such as two different types of pain medications), and possibly possible results.

According to Cashin, the reasons why many treatments do not result in largely unknown results.

He said: “Lower back pain is a common and complex problem that may be difficult to treat due to many potential shareholders who can cause and maintain the experience of back pain for the individual.”

It may be “unspecified” in “unspecified back pain” part of the problem. Erica Orkhart, PhD, PhDThe orthopedic surgeon, approved by the Board of Directors specializing in sports medicine, joint health, and the prevention of injuries, said, health Access to the radical cause of back pain is often necessary to direct effective treatment.

She said: “As a surgeon of orthopedics, it will be rare to let a patient suffering from an unlimited final diagnosis of lower back pain,” she said. She explained that photography and other tests can often determine a specific cause of people’s pain, such as the hernia of hernia, cotton narrowing, or arthritis in the facade. From there, the healthcare provider can recommend the most useful targeted treatments.

However, another theory gains traction in medical literature. according to David d. Clark, PhD in MedicineThe head of the Association for the Treatment of Neurological Symptoms, often fails back pain because the “real source” of pain is the brain.

He referred to a study of 2021 in Self -Medicine Mosque This has found that 66 % of patients with unspecified chronic back pain who received a treatment for pain treatment, a form of psychotherapy, was almost painful in a one -year follow -up.

More research may shed more light on whether the psychological approach, not physical, is the most effective for unlimited back pain.

If many treatments are not useful, what should you do if you are in a painful spasm labor or deal with the longest burden of chronic back pain?

The results of the study confirm what many practitioners already advise.

Clark said NSAID drugs are the first defense line, along with comfort and physical therapy. For the pain that lasts for two or three months and beyond, recommended an evaluation for a structural reason. Orkart agreed. She said: “In orthopedic surgery, we have to determine the clinical issue in order to present an effective treatment plan.”

In the absence of a physical cause, Clark can be the next place to search for the next place. “The pain of this reason is the same as the causes of structural causes and certainly is not imagined,” he said.