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Suggest to add the following after the sentence re: exercise therapy being beneficial for CLBP: >A recent network-meta analysis identified that exercise therapy including Pilates, stabilisation/motor control and resistance exercises were most effective at reducing pain intensity. Additionally, those including resistance or stablisation/motor control exercises were best for reducing disability, whereas the prescription of resistance or aerobic exercises were most effective for improving mental health. //REF: Owen PJ, Miller CT, Mundell NL, et al. Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysisBritish Journal of Sports Medicine Published Online First: 30 October 2019. doi: 10.1136/bjsports-2019-100886 >It may even be beneficial to add the following reference [Tagliaferri SD, Miller CT, Owen PJ, Mitchell UH, Brisby H, Fitzgibbon B, Masse-Alarie H, Van Oosterwijck J & Belavy DL. Domains of chronic low back pain and assessing treatment effectiveness: A clinical perspective. Pain Practice. Accepted: 9 Oct 2019. DOI: 10.1111/papr.12846] given the nice overview it provides regarding the measurement of outcomes beyond just 'pain intensity', which is not always the only concern in this clinical condition that often suffers from multiple comorbid conditions - e.g. CLBP is the leading cause of disability worldwide [REF: Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, Shibuya K, Salomon JA, Abdalla S, et al. Years lived with disability (ylds) for 1160 sequelae of 289 diseases and injuries 1990–2010: A systematic analysis for the global burden of disease study 2010. The Lancet. 2012;380(9859):2163-96] — Preceding unsigned comment added by 122.110.91.107 (talk) 00:29, 31 December 2019 (UTC)
Ref says "For patients with chronic low back pain, clinicians and patients should initially select nonpharmacologic treatment with exercise, multidisciplinary rehabilitation, acupuncture, mindfulness-based stress reduction (moderate-quality evidence), tai chi, yoga, motor control exercise, progressive relaxation, electromyography biofeedback, low-level laser therapy, operant therapy, cognitive behavioral therapy, or spinal manipulation (low-quality evidence). (Grade: strong recommendation)"
The evidence is low quality. The strong recommendation is for non pharmacological tx rather than spinal manipulation itself. Doc James (talk · contribs · email) 18:57, 15 May 2017 (UTC)
RECOMMENDATION 1:
Given that most patients with acute or subacute low back pain improve over time regardless of treatment, clinicians and patients should select nonpharmacologic treatment with superficial heat (moderate-quality evidence), massage, acupuncture, or spinal manipulation (low-quality evidence). If pharmacologic treatment is desired, clinicians and patients should select nonsteroidal anti-inflammatory drugs or skeletal muscle relaxants (moderate-quality evidence). (Grade: strong recommendation). . Taps2386 (talk) 21:03, 15 May 2017 (UTC)'
Nonpharmacological treatment = strong recommendation to include superficial heat (moderate-quality evidence), massage, acupuncture, or spinal manipulation (low-quality evidence). maybe the sentence should read thus. Taps2386 (talk) 21:07, 15 May 2017 (UTC)
You are correct. Great insight.Taps2386 (talk) 21:33, 15 May 2017 (UTC)
doi:10.7326/M16-2367 JFW | T@lk 14:54, 11 January 2018 (UTC)
There has been an update to reference #3; however, I cannot access full text to see if any of the recommendations have changed. Reference #3 is used a few times in the article, so it may be valuable to assess if anything has changed. https://www.ncbi.nlm.nih.gov/pubmed/29971708 2001:56A:75CE:1700:E09A:1211:964E:4AFF (talk) 05:06, 5 August 2018 (UTC)
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T.Shafee(Evo&Evo)talk 11:59, 6 July 2019 (UTC)
Grammar is wrong Hwfr (talk) 19:09, 27 March 2020 (UTC)
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Change “completely better” to recovered in first paragraph Jademala (talk) 04:33, 2 April 2021 (UTC)
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most (around 75%) do not have a specific cause identified, but are thought to be due to muscle strain or injury to ligaments. 'Non-specific lower back pain' is the term given for this condition. (<-ADD THIS LAST SENTENCE AFTER THE PREVIOUS STATEMENT THAT IS ALREADY INCLUDED IN THE WIKI PAGE. Article does not mention the term 'Non-Specific lower back pain', even though it is used heavily in the literature) Luhrsjk (talk) 04:36, 9 April 2021 (UTC)
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5769319/ — Preceding unsigned comment added by Luhrsjk (talk • contribs) 02:51, 12 April 2021 (UTC)
Hi team, Mentioned a few weeks ago about acknowledging the term 'Non-specific low back pain'. Was asked to provide reliable resources. I linked below a journal article from The Lancet, a peer reviewed journal. As well as a link to Physiopedia for ease of access. https://www.sciencedirect.com/science/article/pii/S0140673616309709?casa_token=JUNku8t-QG4AAAAA:If2yJckNRYI_vqZ7n5tQaki_YYHF0Qms0bEKfSX9oY0bzG97bQsDdl1C42njKng6Ht1TZYpRT18 https://www.physio-pedia.com/Non_Specific_Low_Back_Pain Thanks
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The hyperlink for list of possible causes is incorrect. Clicking on the link takes you to a differential diagnosis definition wikipedia page and not possible causes for low back pain. Consider removing the hyperlink all together. "A full list of possible causes includes many less common conditions.[5] " Pennyloumac (talk) 22:42, 11 April 2021 (UTC)
Existing text: The evidence for chiropractic care [18] and spinal manipulation is mixed.[17][19][20][21]
Suggested text: The evidence for spinal manipulation is mixed, [17][19][20][21] while the evidence for chiropractic care, which usually combines spinal manipulation with other interventions, such as exercise programs, orthotics and and advice lifestyle modifications, suggests that the pain relief experienced from low back pain is not different than achieved by other treatments such as myofascial therapy, massage, and ultrasound.[1]Youhanna1111 (talk) 17:48, 4 January 2022 (UTC)youhanna1111
Existing text: Initial management with non-medication based treatments is recommended[2][2]. NSAIDs are recommended if these are not sufficiently effective. Normal activity should be continued as much as the pain allows. A number of other options are available for those who do not improve with usual treatment. Opioids may be useful if simple pain medications are not enough, but they are not generally recommended due to side effects.
Suggested text: Initial management with non-medication based treatments is recommended[2]. Non-medication based treatments include acupuncture, spinal manipulation, superficial heat and massage for short-term pain (less than 6 weeks), or acupuncture, spinal manipulation, exercise, tai chi, yoga, CBT or mindfulness-basedstress-reduction for long-term pain (more than 12 weeks)[2]. NSAIDs are recommended if these are not sufficiently effective, as are muscle relaxants for short-term pain[2]. Normal activity should be continued as much as the pain allows. Opioids may be useful if other non-medication and medication-based treatments have failed[2], but they are not generally recommended due to side effects.Youhanna1111 (talk) 19:08, 12 January 2022 (UTC)Youhanna1111
(talk) 02:42, 14 January 2022 (UTC)
References
"Prevention" section states "Medium-firm mattresses are more beneficial for chronic pain than firm mattresses." (with source). Then goes on to state a few sentences later: "There is no quality data that supports medium firm mattresses over firm mattresses." This seems contradictory. Not qualified to fix it myself. Nsbrown93 (talk) 08:00, 28 November 2022 (UTC)
Could we add a section on how the character "uncle" in the video game "red dead redemption 2" uses lumbago as an excuse to not do labour? It is a meme in the RDR2 community and is somewhat significant enough i think Cheers JcwDenno (talk) 20:21, 16 May 2023 (UTC)
I heard that there are contradictory evidence about whether weather does or does not impact lumbago (and Arthralgia), and how this worked if it did. In any case, true or not, this is a common conception, so pro and cons should be listed, shouldn't they? https://pubmed.ncbi.nlm.nih.gov/27492467/ https://rdcu.be/drCjL
2A01:E0A:3A2:F360:BC74:B936:417B:1DF (talk) 06:21, 21 November 2023 (UTC)