{"id":24243,"date":"2025-03-18T21:30:07","date_gmt":"2025-03-18T22:30:07","guid":{"rendered":"http:\/\/medexperts.pro\/?p=24243"},"modified":"2025-03-18T23:27:30","modified_gmt":"2025-03-18T23:27:30","slug":"most-treatments-for-lower-back-pain-dont-really-work-study-finds","status":"publish","type":"post","link":"https:\/\/medexperts.pro\/?p=24243","title":{"rendered":"Most Treatments for Lower Back Pain Don\u2019t Really Work, Study Finds"},"content":{"rendered":"<div><\/div>\n<p id=\"article-summary\" class=\"css-79rysd e1wiw3jv0\">Researchers looked at 56 treatments for acute and chronic pain. Few of them were effective.<\/p>\n<section class=\"meteredContent css-1r7ky0e\">\n<div class=\"css-s99gbd StoryBodyCompanionColumn\" data-testid=\"companionColumn-0\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Acetaminophen. Acupuncture. Massage. Muscle relaxants. Cannabinoids. Opioids. The list of available treatments for low back pain goes on and on. But there\u2019s not good evidence that these treatments actually reduce the pain, according to a new study that summarized the results of hundreds of randomized trials.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Low back pain affects an estimated one in four American adults and is the <a class=\"css-yywogo\" href=\"https:\/\/www.thelancet.com\/journals\/lanrhe\/article\/PIIS2665-9913(23)00098-X\/fulltext\" title rel=\"noopener noreferrer\" target=\"_blank\">leading contributor<\/a> to disability globally. In most diagnosed cases, the pain is considered \u201cnonspecific,\u201d meaning it doesn\u2019t have a clear cause. That\u2019s also partly what makes it so hard to treat.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">In the study, <a class=\"css-yywogo\" href=\"https:\/\/ebm.bmj.com\/lookuu\/doi\/10.1136\/bmjebm-2024-112974\" title rel=\"noopener noreferrer\" target=\"_blank\">published on Tuesday<\/a> in the journal BMJ Evidence-Based Medicine, researchers reviewed 301 randomized trials that compared 56 noninvasive treatments for low back pain, like medications and exercise, with placebos. They used a statistical method to combine the results of those studies and draw conclusions, a process known as a meta-analysis.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The researchers found that only one treatment \u2014 the use of nonsteroidal anti-inflammatory drugs, or NSAIDs, like ibuprofen and aspirin \u2014 was effective at reducing short-term, or acute, low back pain. Five other treatments had good enough evidence to be considered effective at reducing chronic low back pain. These were exercise; spinal manipulation, like you might receive from a chiropractor; <a class=\"css-yywogo\" href=\"https:\/\/archive.nytimes.com\/well.blogs.nytimes.com\/2015\/03\/27\/ask-well-does-kinesiology-tape-really-work\/\" title>taping the lower back<\/a>; antidepressants; and the application of a cream that creates a warming sensation. Even so, the benefit was small.<\/p>\n<\/div>\n<\/div>\n<div data-testid=\"Dropzone-1\"><\/div>\n<div class=\"css-s99gbd StoryBodyCompanionColumn\" data-testid=\"companionColumn-1\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">\u201cThe big takeaways from this paper are that low back pain is exceptionally difficult to treat,\u201d said Steve Davidson, the associate director of the N.Y.U. Pain Research Center, who was not involved in the study. \u201cThere are a few treatments that they found that were effective, but those that were effective are marginally clinically effective.\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">There was good evidence, for example, that exercise can reduce chronic back pain. But it only reduced the intensity of pain by an average of 7.9 points on a 0-to-100 pain scale \u2014 less than what most doctors consider to be a clinically meaningful difference.<\/p>\n<div class=\"css-1336jj\">\n<div class=\"css-121kum4\">\n<div class=\"css-171quhb\"><\/div>\n<div class=\"css-asuuk5\">\n<div class=\"css-7axq9l\" data-testid=\"optimistic-truncator-noscript\">\n<div data-testid=\"optimistic-truncator-noscript-message\" class=\"css-6yo1no\">\n<p class=\"css-3kpklk\">We are having trouble retrieving the article content.<\/p>\n<p class=\"css-3kpklk\">Please enable JavaScript in your browser settings.<\/p>\n<\/div>\n<\/div>\n<div class=\"css-1dv1kvn\" id=\"optimistic-truncator-a11y\">\n<hr \/>\n<p>Thank you for your patience while we verify access. If you are in Reader mode please exit and\u00a0<a href=\"https:\/\/myaccount.nytimes.com\/auth\/login?response_type=cookie&amp;client_id=vi&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2025%2F03%2F18%2Fwell%2Flower-back-pain-treatments-nsaids.html&amp;asset=opttrunc\">log into<\/a>\u00a0your Times account, or\u00a0<a href=\"https:\/\/www.nytimes.com\/subscription?campaignId=89WYR&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2025%2F03%2F18%2Fwell%2Flower-back-pain-treatments-nsaids.html\">subscribe<\/a>\u00a0for all of The Times.<\/p>\n<hr \/>\n<\/div>\n<div class=\"css-1g71tqy\">\n<div data-testid=\"optimistic-truncator-message\" class=\"css-6yo1no\">\n<p class=\"css-3kpklk\">Thank you for your patience while we verify access.<\/p>\n<p class=\"css-3kpklk\">Already a subscriber?\u00a0<a data-testid=\"log-in-link\" class=\"css-z5ryv4\" href=\"https:\/\/myaccount.nytimes.com\/auth\/login?response_type=cookie&amp;client_id=vi&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2025%2F03%2F18%2Fwell%2Flower-back-pain-treatments-nsaids.html&amp;asset=opttrunc\">Log in<\/a>.<\/p>\n<p class=\"css-3kpklk\">Want all of The Times?\u00a0<a data-testid=\"subscribe-link\" class=\"css-z5ryv4\" href=\"https:\/\/www.nytimes.com\/subscription?campaignId=89WYR&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2025%2F03%2F18%2Fwell%2Flower-back-pain-treatments-nsaids.html\">Subscribe<\/a>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Researchers looked at 56 treatments for acute and chronic pain. Few of them were effective.Acetaminophen. Acupuncture. Massage. Muscle relaxants. Cannabinoids. Opioids. The list of available treatments for low back pain goes on and on. But there\u2019s not good evidence that these treatments actually reduce the pain, according to a new study that summarized the results of hundreds of randomized trials.Low back pain affects an estimated one in four American adults and is the leading contributor to disability globally. In most diagnosed cases, the pain is considered \u201cnonspecific,\u201d meaning it doesn\u2019t have a clear cause. That\u2019s also partly what makes it so hard to treat.In the study, published on Tuesday in the journal BMJ Evidence-Based Medicine, researchers reviewed 301 randomized trials that compared 56 noninvasive treatments for low back pain, like medications and exercise, with placebos. They used a statistical method to combine the results of those studies and draw conclusions, a process known as a meta-analysis.The researchers found that only one treatment \u2014 the use of nonsteroidal anti-inflammatory drugs, or NSAIDs, like ibuprofen and aspirin \u2014 was effective at reducing short-term, or acute, low back pain. Five other treatments had good enough evidence to be considered effective at reducing chronic low back pain. These were exercise; spinal manipulation, like you might receive from a chiropractor; taping the lower back; antidepressants; and the application of a cream that creates a warming sensation. Even so, the benefit was small.\u201cThe big takeaways from this paper are that low back pain is exceptionally difficult to treat,\u201d said Steve Davidson, the associate director of the N.Y.U. Pain Research Center, who was not involved in the study. \u201cThere are a few treatments that they found that were effective, but those that were effective are marginally clinically effective.\u201dThere was good evidence, for example, that exercise can reduce chronic back pain. But it only reduced the intensity of pain by an average of 7.9 points on a 0-to-100 pain scale \u2014 less than what most doctors consider to be a clinically meaningful difference.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and\u00a0log into\u00a0your Times account, or\u00a0subscribe\u00a0for all of The Times.Thank you for your patience while we verify access.Already a subscriber?\u00a0Log in.Want all of The Times?\u00a0Subscribe.<\/p>\n","protected":false},"author":1,"featured_media":24245,"comment_status":"close","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-24243","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lifestyle"],"_links":{"self":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/24243","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=24243"}],"version-history":[{"count":2,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/24243\/revisions"}],"predecessor-version":[{"id":24246,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/24243\/revisions\/24246"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/media\/24245"}],"wp:attachment":[{"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=24243"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=24243"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=24243"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}