Practice Management
Low back pain remains a leading cause of pain and disability worldwide, and 90% of patients presenting for care have nonspecific low back pain rather than a serious spinal disorder, according to a new clinical review published in JAMA. Nonspecific low back pain is defined as pain below the costal margin and above the inferior gluteal folds that does not have clinical features associated with an underlying condition or referred pain, according to the authors. …
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In a randomized clinical trial of 800 adults aged 65 years or older with chronic low back pain, both standard acupuncture and enhanced acupuncture with maintenance sessions significantly improved disability related to back pain compared with usual medical care, as published in JAMA Network Open. At 6 months, the adjusted mean disability score (Roland-Morris Disability Questionnaire) improved by −1.0 for standard acupuncture and −1.5 for enhanced acupuncture vs usual care with benefits sustained at 12 …
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