Abstract
Background. Despite the availability of evidence-based guidelines to diagnose and treat acute low-back pain, practical application is nonuniform and physician uncertainty regarding best practices is widespread. Objective. The objective of this study was to further optimal treatment choices for screening, diagnosing, and treating acute low-back pain caused by paraspinous muscle spasm. Methods. Four experts in pain medicine (three family physicians and one physiatrist) participated in a roundtable conference call on October 18, 2010, to examine current common practices and guidelines for diagnosing and treating acute low-back pain and to offer commentary and examples from their clinical experience. Results. Participants discussed the preferred choices and timing of diagnostic and imaging tests, nonpharmacologic therapies, nonopioid and opioid medication use, biopsychosocial evaluation, complementary therapies, and other issues related to treatment of acute low-back pain. Principal clinical recommendations to emerge included thorough physical exam and medical history, early patient mobilization, conservative use of imaging tests, early administration of muscle relaxants combined with nonsteroidal anti-inflammatory medications to reduce pain and spasm, and a strong emphasis on patient education and physician-patient communication. Conclusions. Early, active management of acute low-back symptoms during the initial onset may lead to better patient outcomes, reducing related pain and disability and, possibly, preventing progression to chronicity. Wiley Periodicals, Inc.
| Original language | English |
|---|---|
| Journal | Pain Medicine |
| Volume | 12 |
| Issue number | SUPPL.4 |
| DOIs | |
| State | Published - Nov 1 2011 |
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Keywords
- Acute
- Low-back Pain
- Muscle Relaxants
- Muscle Spasm
- Opioids
- Paraspinous
ASJC Scopus subject areas
- Clinical Neurology
- Anesthesiology and Pain Medicine
Cite this
Diagnosis and Treatment of Low-Back Pain Because of Paraspinous Muscle Spasm : A Physician Roundtable. / Mccarberg, Bill H.; Ruoff, Gary E.; Tenzer, Penny; Weil, Arnold J.
In: Pain Medicine, Vol. 12, No. SUPPL.4, 01.11.2011.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Diagnosis and Treatment of Low-Back Pain Because of Paraspinous Muscle Spasm
T2 - A Physician Roundtable
AU - Mccarberg, Bill H.
AU - Ruoff, Gary E.
AU - Tenzer, Penny
AU - Weil, Arnold J.
PY - 2011/11/1
Y1 - 2011/11/1
N2 - Background. Despite the availability of evidence-based guidelines to diagnose and treat acute low-back pain, practical application is nonuniform and physician uncertainty regarding best practices is widespread. Objective. The objective of this study was to further optimal treatment choices for screening, diagnosing, and treating acute low-back pain caused by paraspinous muscle spasm. Methods. Four experts in pain medicine (three family physicians and one physiatrist) participated in a roundtable conference call on October 18, 2010, to examine current common practices and guidelines for diagnosing and treating acute low-back pain and to offer commentary and examples from their clinical experience. Results. Participants discussed the preferred choices and timing of diagnostic and imaging tests, nonpharmacologic therapies, nonopioid and opioid medication use, biopsychosocial evaluation, complementary therapies, and other issues related to treatment of acute low-back pain. Principal clinical recommendations to emerge included thorough physical exam and medical history, early patient mobilization, conservative use of imaging tests, early administration of muscle relaxants combined with nonsteroidal anti-inflammatory medications to reduce pain and spasm, and a strong emphasis on patient education and physician-patient communication. Conclusions. Early, active management of acute low-back symptoms during the initial onset may lead to better patient outcomes, reducing related pain and disability and, possibly, preventing progression to chronicity. Wiley Periodicals, Inc.
AB - Background. Despite the availability of evidence-based guidelines to diagnose and treat acute low-back pain, practical application is nonuniform and physician uncertainty regarding best practices is widespread. Objective. The objective of this study was to further optimal treatment choices for screening, diagnosing, and treating acute low-back pain caused by paraspinous muscle spasm. Methods. Four experts in pain medicine (three family physicians and one physiatrist) participated in a roundtable conference call on October 18, 2010, to examine current common practices and guidelines for diagnosing and treating acute low-back pain and to offer commentary and examples from their clinical experience. Results. Participants discussed the preferred choices and timing of diagnostic and imaging tests, nonpharmacologic therapies, nonopioid and opioid medication use, biopsychosocial evaluation, complementary therapies, and other issues related to treatment of acute low-back pain. Principal clinical recommendations to emerge included thorough physical exam and medical history, early patient mobilization, conservative use of imaging tests, early administration of muscle relaxants combined with nonsteroidal anti-inflammatory medications to reduce pain and spasm, and a strong emphasis on patient education and physician-patient communication. Conclusions. Early, active management of acute low-back symptoms during the initial onset may lead to better patient outcomes, reducing related pain and disability and, possibly, preventing progression to chronicity. Wiley Periodicals, Inc.
KW - Acute
KW - Low-back Pain
KW - Muscle Relaxants
KW - Muscle Spasm
KW - Opioids
KW - Paraspinous
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UR - http://www.scopus.com/inward/citedby.url?scp=81255138916&partnerID=8YFLogxK
U2 - 10.1111/j.1526-4637.2011.01253.x
DO - 10.1111/j.1526-4637.2011.01253.x
M3 - Article
C2 - 22085373
AN - SCOPUS:81255138916
VL - 12
JO - Pain Medicine
JF - Pain Medicine
SN - 1526-2375
IS - SUPPL.4
ER -