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↑ K Vibe Fersum, P O’Sullivan,2 JS Skouen, A Smith, and A Kvåle1. Efficacy of classification-based cognitive functional therapy in patients with non-specific chronic low back pain: A randomized controlled trial. Eur J Pain. 2013 Jul; 17(6): 916–928. (Level of evidence: 1B)
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References Throws & Blankets ^ Jump up to: a b c d e f g Hughes SP, Freemont AJ, Hukins DW, McGregor AH, Roberts S (October 2012). “The pathogenesis of degeneration of the intervertebral disc and emerging therapies in the management of back pain” (PDF). J Bone Joint Surg Br. 94 (10): 1298–304. doi:10.1302/0301-620X.94B10.28986. PMID 23015552. Archived (PDF) from the original on 4 October 2013.
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Waddell and colleagues have also described a number of findings on the physical examination that point to nonorganic causes for low back pain, predicting delayed recovery and suggesting the need for a multidisciplinary approach to treatment (Box 3).6
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Occupational risk factors: Having a job that requires heavy lifting, pushing, or pulling, particularly when it involves twisting or vibrating the spine, can lead to injury and back pain. An inactive job or a desk job may also lead to or contribute to pain, especially if you have poor posture or sit all day in a chair with inadequate back support.
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It is unclear if among those with non-chronic back pain alternative treatments are useful. For chiropractic care or spinal manipulation therapy (SMT) it is unclear if it improves outcomes more or less than other treatments. Some reviews find that SMT results in equal or better improvements in pain and function when compared with other commonly used interventions for short, intermediate, and long-term follow-up; other reviews find it to be no more effective in reducing pain than either inert interventions, sham manipulation, or other treatments, and conclude that adding SMT to other treatments does improve outcomes. National guidelines reach different conclusions, with some not recommending spinal manipulation, some describing manipulation as optional, and others recommending a short course for those who do not improve with other treatments. A 2017 review recommended spinal manipulation based on low quality evidence. Manipulation under anaesthesia, or medically assisted manipulation, has not enough evidence to make any confident recommendation.
FREE WHITE GLOVE FURNITURE DELIVERY WHEN YOU SPEND $1,000 OR MORE USE CODE FREEHD DETAILS Everyday Wellness Weinstein JN, Lurie JD, Tosteson TD, et al: Surgical vs nonoperative treatment for lumbar disk herniation. The Spine Patient Outcomes Research Trial (SPORT) observational cohort. JAMA 2006;296:2451-2459.
Bone Graft I am a science writer, former massage therapist, and I was the assistant editor at ScienceBasedMedicine.org for several years. I have had my share of injuries and pain challenges as a runner and ultimate player. My wife and I live in downtown Vancouver, Canada. See my full bio and qualifications, or my blog, Writerly. You might run into me on Facebook or Twitter.
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Verhagen, AP. Eur Spine J, September 2016. Damage to the lower back often times leads to discomfort, poor posture, and risk of developing chronic pain. To avoid damage, we recommend the lower back brace by Vive for
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Jump up ^ Marlowe, D (September 2012). “Complementary and alternative medicine treatments for low back pain”. Primary care. 39 (3): 533–46. doi:10.1016/j.pop.2012.06.008. PMID 22958563.
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