1800 Town Center Dr, Suite 315B
Reston, VA 20190‎
(571) 926-8918
Patient Testimonials

American College of Physicians recommends rehab, acupuncture, manipulation & massage therapy for acute & chronic back pain.

In the February 2017 edition of the Annals of Internal Medicine, the American College of Physicians (ACP) recommended an evidence-based, non-invasive, multidisciplinary approach for treatment of acute and chronic low back pain.  Such therapies included rehab, exercise, acupuncture, spinal manipulation and massage therapy.  This non-invasive first line approach is the exact approach that has been pioneered at the Virginia Pain & Wellness.  Below is an excerpt with the guidelines as per the ACP:

“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)
Recommendation 2:
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)
Recommendation 3:
In patients with chronic low back pain who have had an inadequate response to nonpharmacologic therapy, clinicians and patients should consider pharmacologic treatment with nonsteroidal anti-inflammatory drugs as first-line therapy, or tramadol or duloxetine as second-line therapy. Clinicians should only consider opioids as an option in patients who have failed the aforementioned treatments and only if the potential benefits outweigh the risks for individual patients and after a discussion of known risks and realistic benefits with patients. (Grade: weak recommendation, moderate-quality evidence)”
Read the full article here:
http://annals.org/aim/article/2603228/noninvasive-treatments-acute-subacute-chronic-low-back-pain-clinical-practice

 

Leave a Reply


Virginia Pain & Wellness

1800 Town Center Dr, Suite 315
Located in the Hospital Center Medical Plaza
Reston, VA 20190
Call us: 571-926-8918

Latest News

X
Mon 5/29/2017 Schedule Alert!  The office is closed Mon 5/29/2017 in observance of Memorial Day.  Please leave a voice message and/or email admin@vapwc.com.  Have a great holiday! 
¤