Back pain Archives - Wiser Healthcare

Evaluating the STarTBack stratified treatment approach for low back pain: exploring study-level factors potentially explaining differences in results of studies – a literature review – Christopher S Han et al.

Lucia Marcello2024-07-31T11:32:31+10:00Back pain, Low back pain, Musculoskeletal, Pain, Physiotherapy, Primary Care, Publications, Randomised Control Trial (RCT), Research, Risk, Treatment|

Risk-based stratified care involves selecting treatments according to a participant's risk of persistent disabling pain, to maximise treatment benefit and reduce potential harm and wasted resources associated with unnecessary interventions. The STarTBack approach is a widely known and investigated example of a risk-based stratified care [...]

Perceptions of advice for acute low back pain: a content analysis of qualitative data collected in a randomised experiment – Lidiya Augustine et al.

Lucia Marcello2024-07-31T11:27:39+10:00Back pain, Clinical guidelines, Health professionals, Low back pain, Musculoskeletal, Pain, Publications|

Guidelines commonly recommend healthcare professionals to provide advice to people with acute LBP that explains the nature of LBP, its typically favourable prognosis, and also recommend that people are advised to stay active, avoid bed rest and remain at work. Two other approaches, advice based [...]

Paracetamol Combination Therapy for Back Pain and Osteoarthritis: A Systematic Review and Meta-Analyses – Zhiying Cao et al.

Lucia Marcello2024-07-31T11:22:35+10:00Back pain, Low back pain, Musculoskeletal, Osteoarthritis, Pain, Prescribing, Publications|

Although paracetamol (acetaminophen) combined with other analgesics can reduce pain intensity in some pain conditions, its effectiveness in managing low back pain and osteoarthritis is unclear. This systematic review investigated whether paracetamol combination therapy is more effective and safer than monotherapy or placebo in low [...]

Effectiveness and cost-effectiveness of an individualised, progressive walking and education intervention for the prevention of low back pain recurrence in Australia (WalkBack): a randomised controlled trial – Natasha C Pocovi et al.

Lucia Marcello2024-07-30T15:46:47+10:00Back pain, Low back pain, Musculoskeletal, Pain, Physiotherapy, Publications, Randomised Control Trial (RCT), Treatment|

Recurrence of low back pain is common and a substantial contributor to the disease and economic burden of low back pain. Exercise is recommended to prevent recurrence, but the effectiveness and cost-effectiveness of an accessible and low-cost intervention, such as walking, is yet to be [...]

Clinical indicators to monitor health care in low back pain: a scoping review – Vanessa L Dos Santos et al.

Lucia Marcello2024-07-30T15:39:34+10:00Back pain, Clinical quality, Imaging, Low back pain, Musculoskeletal, Publications, Treatment|

Clinical care indicators for low back pain can be used to monitor healthcare practices and consequently be used to evaluate success of strategies to improve care quality. The aim of this study was to identify the clinical care indicators that have been used to measure [...]

Patterns of physiotherapy attendance in compensated Australian workers with low back pain: a retrospective cohort study – Michael Di Donato et al.

Lucia Marcello2024-06-04T12:44:14+10:00Back pain, Insurance, Low back pain, Musculoskeletal, Pain, Physiotherapy, Publications|

Workers with low back pain (LBP) frequently seek care from physiotherapists. We sought to identify patterns of physiotherapy attendance and factors associated with these patterns in Australian workers with accepted compensation claims for LBP. We included workers with accepted workers' compensation claims for LBP from [...]

Behavioural ‘nudging’ interventions to reduce low-value care for low back pain in the emergency department (NUDG-ED): protocol for a 2×2 factorial, before-after, cluster randomised trial – Gemma Altinger et al.

Lucia Marcello2024-04-05T13:06:47+11:00Back pain, Imaging, Low back pain, Low-value care, Musculoskeletal, Opioids, Overuse, Pain, Publications|

Opioids and imaging are considered low-value care for most people with low back pain. Yet around one in three people presenting to the emergency department (ED) will receive imaging, and two in three will receive an opioid. NUDG-ED aims to determine the effectiveness of two [...]

General practitioners’ decision-making process to prescribe pain medicines for low back pain: a qualitative study – Giovanni E Ferreira et al.

Lucia Marcello2023-12-04T13:22:01+11:00Back pain, General Practice, Low back pain, Musculoskeletal, Opioids, Pain, Primary Care, Publications|

Pain medicines are widely prescribed by general practitioners (GPs) when managing people with low back pain (LBP), but little is known about what drives decisions to prescribe these medicines. The aim of this study was to investigate what influences GPs' decision to prescribe pain medicines [...]

Clinical Observation, Management and Function Of low back pain Relief Therapies (COMFORT): A cluster randomised controlled trial protocol – Christina Abdel Shaheed et al.

Lucia Marcello2023-12-04T13:11:20+11:00Back pain, Low back pain, Musculoskeletal, Opioids, Pain, Prescribing, Publications|

Low back pain (LBP) is commonly treated with opioid analgesics despite evidence that these medicines provide minimal or no benefit for LBP and have an established profile of harms. International guidelines discourage or urge caution with the use of opioids for back pain; however, doctors [...]

Red flags to screen for vertebral fracture in patients presenting with low-back pain – Christopher M. Williams et al.

Lucia Marcello2023-12-01T14:06:58+11:00Back pain, Imaging, Low back pain, Musculoskeletal, Overtreatment, Pain, Publications, Spinal|

Low‐back pain (LBP) is a common condition seen in primary care. A principal aim during a clinical examination is to identify patients with a higher likelihood of underlying serious pathology, such as vertebral fracture, who may require additional investigation and specific treatment. All 'evidence‐based' clinical [...]

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