Choosing the appropriate pharmacotherapy for nonspecific chronic low back pain.
Chronic
Low back pain
Pharmacological therapy
Spine
Journal
Journal of orthopaedic surgery and research
ISSN: 1749-799X
Titre abrégé: J Orthop Surg Res
Pays: England
ID NLM: 101265112
Informations de publication
Date de publication:
21 Dec 2022
21 Dec 2022
Historique:
received:
06
10
2022
accepted:
29
11
2022
entrez:
21
12
2022
pubmed:
22
12
2022
medline:
24
12
2022
Statut:
epublish
Résumé
The pharmacological management of nonspecific chronic low back pain (NCLBP) aims to restore daily activities and improve the quality of life. No magic bullet exists for NCLBP; interventions to reduce pain and disability are available, but long-term results are unpredictable. Education in this regard needs to improve. This is often hard to accept for clinicians and patients, and provides a fertile soil to quacks, faith healers, and gurus to promote miraculous non-evidence-based solutions. The management of NCLBP is not well codified and extremely heterogeneous, and residual symptoms are common. Depending on the individual severity of NCLPB, pharmacological management may range from nonopioid to opioid analgesics. It is important to identify patients with generalized sensory hypersensitivity, who may benefit from a dedicated therapy. In this editorial, we provide an evidenced-based overview of the principles of pharmacological management of NCLPB.
Identifiants
pubmed: 36544200
doi: 10.1186/s13018-022-03426-5
pii: 10.1186/s13018-022-03426-5
pmc: PMC9773490
doi:
Substances chimiques
Analgesics, Opioid
0
Types de publication
Letter
Langues
eng
Sous-ensembles de citation
IM
Pagination
556Informations de copyright
© 2022. The Author(s).
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