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Impact of Antidepressants Examined in Back Pain, Osteoarthritis

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SNRIs have small, not clinically important effect on back pain; may have clinically important effect on osteoarthritis pain

For patients with acute back pain with sciatica

Early Physical Therapy Beneficial for Acute Back Pain With Sciatica

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Oswestry Disability Index score and secondary outcomes favor early PT versus usual care at four weeks
Symptomatic low back pain resolves in 82 percent of patients with hip and back pain who undergo total hip arthroplasty

Low Back Pain Also May Resolve in Some After Hip Replacement

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Authors say careful evaluation of hip, back pain can help surgeons decide order of hip, spine intervention
For patients with chronic low back pain

Tanezumab Improves Pain, Function in Chronic Low Back Pain

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Low back pain intensity at week 16 was improved with tanezumab 10 mg versus placebo
Most surgeons report being in physical pain after performing surgery

Ergonomic Risk Factors Identified for Surgeons

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Procedure type, case duration, and adjunctive equipment impact pain during, after operations
Vitamin D deficiency is associated with lumbar disc degeneration and low back pain in postmenopausal women

Vitamin D Tied to Back Problems in Postmenopausal Women

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Serum vitamin D concentration <10 ng/mL may be marker of back pain, lumbar disc degeneration
Movement-based mind-body interventions

Nonpharmaceutical Interventions Aid Low Back Pain

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Movement-based mind-body interventions could be effective alternatives to drugs, surgery, injections
Many patients who develop new low back pain receive advanced imaging and opioids without having been prescribed nonsteroidal anti-inflammatory drugs or physical therapy

Many Patients Receive Guideline-Nonconcordant Care for Low Back Pain

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One-third of patients received opioids, more than half of whom had not received prescription NSAIDs, PT
Imaging is obtained for about one in three patients with emergency department visits for low back pain

About One in Three in ED for Low Back Pain Receive Imaging

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Imaging use decreased from 34.4 percent in 2011 to 31.9 percent in 2016
Patients who initially see a physical therapist or chiropractor for low back pain rather than a primary care physician are much less likely to be prescribed opioids

Early Access to Chiropractors, PTs Tied to Decreased Long-Term Opioid Use

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Odds of short- or long-term opioid use higher for initial visits with physicians for low back pain