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Acupuncture for the Management of Low Back Pain
Current Pain and Headache Reports ( IF 3.7 ) Pub Date : 2021-01-14 , DOI: 10.1007/s11916-020-00919-y
Ivan Urits 1, 2 , Jeffrey Kway Wang 3 , Kristina Yancey 3 , Mohammad Mousa 3 , Jai Won Jung 4 , Amnon A Berger 1 , Islam Mohammad Shehata 5 , Amir Elhassan 6 , Alan D Kaye 2 , Omar Viswanath 2, 3, 7, 8
Affiliation  

Purpose of Review

This evidence-based systematic review will focus on the use of acupuncture and its role in the treatment of low back pain to help better guide physicians in their practice. It will cover the background and the burden of low back pain and present the current options for treatment and weigh the evidence that is available to support acupuncture as a treatment modality for low back pain.

Recent Findings

Low back pain (LBP), defined as a disorder of the lumbosacral spine and categorized as acute, subacute, or chronic, can be a debilitating condition for many patients. Chronic LBP is more typically defined by its chronicity with pain persisting > 12 weeks in duration. Conventional treatment for chronic LBP includes both pharmacologic and non-pharmacologic options. First-line pharmacologic therapy involves the use of NSAIDs, then SNRI/TCA/skeletal muscle relaxants, and antiepileptics. Surgery is usually not recommended for chronic non-specific LBP patients. According to the 2016 CDC Guidelines for Prescribing Opioids for Chronic Pain and the 2017 American College of Physicians (ACP) clinical practice guidelines for chronic pain, non-pharmacologic interventions, acupuncture can be a first-line treatment for patients suffering from chronic low back pain.

Summary

Many studies have been done, and most show promising results for acupuncture as an alternative treatment for low back pain. Due to non-standardized methods for acupuncture with many variations, standardization remains a challenge.



中文翻译:

针灸治疗腰痛

审查目的

这篇循证系统评价将重点关注针灸的使用及其在治疗腰痛中的作用,以帮助更好地指导医生的实践。它将涵盖腰痛的背景和负担,并介绍当前的治疗选择,并权衡支持针灸作为腰痛治疗方式的证据。

最近的发现

下背痛 (LBP) 定义为腰骶椎疾病,分为急性、亚急性或慢性,对许多患者来说可能是一种使人虚弱的疾病。慢性 LBP 更典型地定义为疼痛持续时间 > 12 周的慢性。慢性 LBP 的常规治疗包括药物和非药物选择。一线药物治疗包括使用 NSAID,然后使用 SNRI/TCA/骨骼肌松弛剂和抗癫痫药。通常不建议对慢性非特异性 LBP 患者进行手术。根据 2016 年 CDC 慢性疼痛阿片类药物处方指南和 2017 年美国内科医师学会 (ACP) 慢性疼痛、非药物干预临床实践指南,

概括

已经进行了许多研究,并且大多数研究表明针灸作为腰痛的替代疗法取得了可喜的成果。由于针灸的非标准化方法有很多变化,标准化仍然是一个挑战

更新日期:2021-01-14
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