Nonpharmacologic Therapies for Low Back Pain: A Systematic Review for an American College of Physicians Clinical Practice Guideline (original) (raw)

“…Further, guidelines from the American College of Physicians recommend nonpharmacological therapies over medications for chronic back pain. 16 Our findings support the feasibility of implementing these guideline recommendations by showing that there are some nonpharmacological treatments for chronic pain that have evidence of sustained effectiveness after the completion of therapy. Importantly, some interventions, such as exercise, CBT, multidisciplinary rehabilitation, mindbody interventions, and some complementary and integrative medicine therapies, such as acupuncture and spinal manipulation, also were associated with some sustained effects on function, although evidence beyond 12 months is sparse.…”