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High-frequency spinal cord stimulation is superior to conventional lower-frequency treatment for relief of chronic back and leg pain

10-kHz Spinal Stimulation Aids Back, Leg Pain

Benefit of higher versus lower frequency stimulation sustained over 12 months
Vertebral osteomyelitis should be considered in cases of back or neck pain unresponsive to conservative measures and elevated inflammatory markers with or without fever

Recalcitrant Back Pain Could Be Vertebral Osteomyelitis

New guidelines from ISDA alert doctors to this possibility
For older adults presenting to their primary care providers with a new visit for back pain

Earlier Physical Therapy May Help Older Patients With Back Pain

Extent of improvement in symptoms may be greater among those referred for early PT
Paraspinal fat infiltration correlates with high-intensity pain/disability and with structural abnormalities in the lumbar spine

Paraspinal Fat Infiltration Tied to Low Back Pain, Disability

No correlation for muscle cross-sectional area with low back pain/disability or structure
A clinical decision rule with eight items can classify patients with acute low back pain by their risk for chronic pain

Clinical Decision Rule Can Classify Risk of Chronic Back Pain

Eight-item rule deemed most parsimonious for classifying risk in patients with acute low back pain
Disease-modifying antirheumatic drugs may be underutilized for treatment of low back pain

DMARDs May Be Underused for Low Back Pain

Drug selection, routes of administration should model other treatment protocols
Early imaging is not associated with improved outcomes at one year among older adults with a new primary care visit for back pain

Early Imaging Doesn’t Improve Back Pain Outcomes in Seniors

For older adults with new primary care visit for back pain, no improvement with early imaging
For patients with low back pain

Manual-Thrust Manipulation Boosts Short-Term Benefit in LBP

Greater reduction in disability and pain versus mechanical-assisted manipulation, usual care
Significant risk factors for low back pain include fatigue

Fatigue, Distraction Play Role in Risk of Low Back Pain

Another big culprit: manual labor that involves awkward positions
Medication combined with a multidisciplinary rehabilitation program can decrease disability and improve mental health in low back pain patients over several years

Multidisciplinary Approach Successful in Chronic Back Pain

Continuation of multidisciplinary program improves disability, mental health over 30 months