{"id":1737,"date":"2017-03-06T15:29:23","date_gmt":"2017-03-06T23:29:23","guid":{"rendered":"https:\/\/my.castlighthealth.com\/blog\/?p=1737"},"modified":"2019-11-07T23:36:46","modified_gmt":"2019-11-08T07:36:46","slug":"guidelines-for-low-back-pain","status":"publish","type":"post","link":"https:\/\/my.castlighthealth.com\/blog\/guidelines-for-low-back-pain\/","title":{"rendered":"The latest guidelines for treating low back pain may surprise you"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">If you\u2019re one of the millions of Americans who suffer from some type of low back pain, you may have noticed recent news stories about how guidelines for treating this common condition are changing pretty dramatically. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medical experts are now recommending a much more conservative approach to caring for low back pain. They explain that for most people the pain goes away on its own and doesn\u2019t require drugs or other more invasive treatments.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In a <\/span><a href=\"https:\/\/www.nytimes.com\/2017\/02\/13\/health\/lower-back-pain-surgery-guidelines.html\" target=\"_blank\" rel=\"noopener noreferrer\">recent New York Times story<\/a><span style=\"font-weight: 400;\">, Dr. Rick Deyo, a spine researcher and professor at the Oregon Health and Science University, compares low back pain to the common cold. \u201cIt is very common and very annoying when it happens. But most of the time it will not result in anything major or serious.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This and other research confirms that walking around the block, rather than driving to the doctor\u2019s office, might be the best approach for some types of pain.<\/span><\/p>\n<h2>Based on the research, here are three tips for back pain:<\/h2>\n<p><strong>1. When your back hurts, don\u2019t immediately reach for a pill<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"http:\/\/annals.org\/aim\/article\/2603228\/noninvasive-treatments-acute-subacute-chronic-low-back-pain-clinical-practice\" target=\"_blank\" rel=\"noopener noreferrer\">American College of Physicians just published updated guidelines<\/a><span style=\"font-weight: 400;\"> for treating low back pain that has lasted four weeks or less. While, in the past, your doctor may have written a prescription for a pain medication like Vicodin, Percocet, or Tylenol with codeine, doctors are now urged to avoid prescribing potentially addictive drugs and to recommend other types of treatment first. This may include heat, exercise, and physical therapy. <\/span><\/p>\n<p><strong>2. Healthy activity is the best medicine<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">While you may feel like crawling into bed when your back hurts, it can actually slow the healing process and even make things worse. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Our body needs movement and activity to stay healthy. So, for our bones and muscles, activity is typically better than sitting still when it comes to healing. In fact, clinical studies of people with back pain show that those who stayed active had a better ability to function and recover faster.<\/span><span style=\"font-size: 75%; vertical-align: super;\">1<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Try to maintain your everyday routine as much as possible. Include stretching, walking, and other low-impact exercises to keep the healing process on track. Consider seeing a physical therapist who can recommend exercises that are designed to relieve your specific type of pain and keep it from coming back.<\/span><\/p>\n<p><strong>3. An MRI isn\u2019t always a solution for pain<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">MRIs (and other types of imaging) are useful tools when the source of back pain is due to an underlying health cause, like a tumor or infection, or when there is an injury to the spine itself, such as a fracture. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">But often, imaging doesn\u2019t pinpoint underlying causes, and the findings may not be the actual cause of back pain. In fact, most adults have some type of harmless back abnormality that, when exposed during imaging, can lead to unnecessary procedures.<\/span><span style=\"font-size: 75%; vertical-align: super;\">2<\/span><\/p>\n<h2><b>A summary of the new guidelines<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">For pain that has lasted <strong>less than 12 weeks:<\/strong><\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Stay active<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Avoid prescription painkillers<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Avoid back imaging<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Try alternatives like heat, massage, acupuncture, and chiropractic care<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">If you need pain relief, use over-the-counter medications like NSAIDs<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">For pain that lasts <strong>more than 12 weeks:<\/strong><\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">All of the above, plus:<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Physical therapy, consult with a rehabilitation specialist, or other non-invasive treatments<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">If you're not responding to therapy, your doctor may consider prescription pain medicine (only if benefits outweigh the risks)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you have back pain accompanied by any of these \u201cred flags\u201d in your health history or symptoms, it\u2019s important to get medical attention.<\/span><\/p>\n<p><b>Health history red flags<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Recent trauma (e.g., a fall or car accident)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Use of medicines that weaken your immune system or make your bones thinner<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">History of cancer or osteoporosis<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Intravenous drug use<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">If you are 70 or older<\/span><\/li>\n<\/ul>\n<p><b>Symptom red flags<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Unexplained weight loss or fever<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Weakness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Numbness, or tingling in a specific area of the body<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Difficulty controlling your bladder or bowel function<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Nighttime pain<\/span><\/li>\n<\/ul>\n<ol>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Malmivaara A, Hakkinen V, Aro T, et al. Treatment of acute low back pain: bed rest, exercises, or ordinary activity? N Engl J Med 1995<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Jensen MC, et al, Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med 1994<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>If you\u2019re one of the millions of Americans who suffer from some type of low back pain, you may have noticed recent news stories about how guidelines for treating this common condition are changing pretty dramatically. Medical experts are now recommending a much more conservative approach to caring for low back pain. They explain that [&hellip;]<\/p>\n","protected":false},"author":49,"featured_media":1782,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,8],"tags":[68,66,290,408,446,537],"featured_image_src":"https:\/\/d3toagd7ypryjs.cloudfront.net\/blog\/wp-content\/uploads\/2017\/03\/BackPainRunner-feature.jpg","acf":{"post_type":"post","post_subtitle":"Painkillers are no longer recommended as the go-to treatment for back pain.","post_hero_image":{"ID":1781,"id":1781,"title":"guidelines-for-low-back-pain-hero","filename":"BackPainRunner-hero.jpg","filesize":55091,"url":"https:\/\/d3toagd7ypryjs.cloudfront.net\/blog\/wp-content\/uploads\/2017\/03\/BackPainRunner-hero.jpg","link":"https:\/\/my.castlighthealth.com\/blog\/guidelines-for-low-back-pain\/backpainrunner-hero\/","alt":"A female runner stops by the side of the road and stretches her lower back.","author":"49","description":"A female runner stops by the side of the road and stretches her lower back.","caption":"Here are our three tips for treating back pain, based on new guidelines from the American College of Physicians.","name":"backpainrunner-hero","status":"inherit","uploaded_to":1737,"date":"2017-03-03 17:35:25","modified":"2017-11-06 21:28:25","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/my.castlighthealth.com\/blog\/wp-includes\/images\/media\/default.png","width":950,"height":400,"sizes":{"thumbnail":"https:\/\/d3toagd7ypryjs.cloudfront.net\/blog\/wp-content\/uploads\/2017\/03\/BackPainRunner-hero.jpg","thumbnail-width":150,"thumbnail-height":63,"medium":"https:\/\/d3toagd7ypryjs.cloudfront.net\/blog\/wp-content\/uploads\/2017\/03\/BackPainRunner-hero.jpg","medium-width":300,"medium-height":126,"medium_large":"https:\/\/d3toagd7ypryjs.cloudfront.net\/blog\/wp-content\/uploads\/2017\/03\/BackPainRunner-hero.jpg","medium_large-width":640,"medium_large-height":269,"large":"https:\/\/d3toagd7ypryjs.cloudfront.net\/blog\/wp-content\/uploads\/2017\/03\/BackPainRunner-hero.jpg","large-width":640,"large-height":269,"1536x1536":"https:\/\/my.castlighthealth.com\/blog\/wp-content\/uploads\/2017\/03\/BackPainRunner-hero.jpg","1536x1536-width":950,"1536x1536-height":400,"2048x2048":"https:\/\/my.castlighthealth.com\/blog\/wp-content\/uploads\/2017\/03\/BackPainRunner-hero.jpg","2048x2048-width":950,"2048x2048-height":400}},"post_cta_status":"true","post_co_branding_status":"false","post_conclusion_status":"false","mobile_content":{"mobile_story_label":"Featured","mobile_post_title":"The latest guidelines for treating low back pain may surprise you","mobile_carousel_image":"https:\/\/d3toagd7ypryjs.cloudfront.net\/blog\/wp-content\/uploads\/2017\/03\/The-latest-guidlines-for-treating-low-back-pain-210x210.jpg","mobile_hero_image":"https:\/\/d3toagd7ypryjs.cloudfront.net\/blog\/wp-content\/uploads\/2017\/03\/The-latest-guidlines-for-treating-low-back-pain-300x300.jpg","mobile_content_body":"<p><span style=\"font-weight: 400;\">If you\u2019re one of the millions of Americans who suffer from some type of low back pain, you may have noticed recent news stories about how guidelines for treating this common condition are changing pretty dramatically. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medical experts are now recommending a much more conservative approach to caring for low back pain. They explain that for most people the pain goes away on its own and doesn\u2019t require drugs or other more invasive treatments.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In a <\/span><a href=\"https:\/\/www.nytimes.com\/2017\/02\/13\/health\/lower-back-pain-surgery-guidelines.html\" target=\"_blank\" rel=\"noopener noreferrer\">recent New York Times story<\/a><span style=\"font-weight: 400;\">, Dr. Rick Deyo, a spine researcher and professor at the Oregon Health and Science University, compares low back pain to the common cold. \u201cIt is very common and very annoying when it happens. But most of the time it will not result in anything major or serious.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This and other research confirms that walking around the block, rather than driving to the doctor\u2019s office, might be the best approach for some types of pain.<\/span><\/p>\n<h2>Three tips for back pain<\/h2>\n<p><strong>1. When your back hurts, don\u2019t immediately reach for a pill<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"http:\/\/annals.org\/aim\/article\/2603228\/noninvasive-treatments-acute-subacute-chronic-low-back-pain-clinical-practice\" target=\"_blank\" rel=\"noopener noreferrer\">American College of Physicians recently published updated guidelines<\/a><span style=\"font-weight: 400;\"> for treating low back pain that has lasted four weeks or less. Doctors are now urged to avoid prescribing potentially addictive drugs and to recommend other types of treatment first. This may include heat, exercise, and physical therapy. <\/span><\/p>\n<p><strong>2. Healthy activity is the best medicine<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Our body needs movement and activity to stay healthy. So, for our bones and muscles, activity is typically better than sitting still when it comes to healing. In fact, clinical studies of people with back pain show that those who stayed active had a better ability to function and recover faster.<\/span><span style=\"font-size: 75%; vertical-align: super;\">1<\/span><\/p>\n<p><strong>3. An MRI isn\u2019t always the solution\u00a0<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">MRIs (and other types of imaging) are useful tools when the source of back pain is due to an underlying health cause, like a tumor or infection, or when there is an injury to the spine itself. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">But often, imaging doesn\u2019t pinpoint underlying causes, and the findings may not be the actual cause of back pain. In fact, most adults have some type of harmless back abnormality that, when exposed during imaging, can lead to unnecessary procedures.<\/span><span style=\"font-size: 75%; vertical-align: super;\">2<\/span><\/p>\n<h2><b>A summary of the new guidelines<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">For pain that has lasted <strong>less than 12 weeks:<\/strong><\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Stay active<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Avoid prescription painkillers<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Avoid back imaging<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Try alternatives like heat, massage, acupuncture, and chiropractic care<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">If you need pain relief, use over-the-counter medications like NSAIDs<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">For pain that lasts <strong>more than 12 weeks:<\/strong><\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">All of the above, plus:<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Physical therapy, consult with a rehabilitation specialist, or other non-invasive treatments<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">If you're not responding to therapy, your doctor may consider prescription pain medicine (only if benefits outweigh the risks)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you have back pain accompanied by any of these \u201cred flags\u201d in your health history or symptoms, it\u2019s important to get medical attention.<\/span><\/p>\n<p><b>Health history red flags<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Recent trauma (e.g., a fall or car accident)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Use of medicines that weaken your immune system or make your bones thinner<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">History of cancer or osteoporosis<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Intravenous drug use<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">If you are 70 or older<\/span><\/li>\n<\/ul>\n<p><b>Symptom red flags<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Unexplained weight loss or fever<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Weakness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Numbness, or tingling in a specific area of the body<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Difficulty controlling your bladder or bowel function<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Nighttime pain<\/span><\/li>\n<\/ul>\n<ol>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Malmivaara A, Hakkinen V, Aro T, et al. Treatment of acute low back pain: bed rest, exercises, or ordinary activity? N Engl J Med 1995<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Jensen MC, et al, Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med 1994<\/span><\/li>\n<\/ol>\n"},"card_title":"Surprising tips for treating low back pain","header":"Worth the look","footer":"4 minute read"},"_links":{"self":[{"href":"https:\/\/my.castlighthealth.com\/blog\/wp-json\/wp\/v2\/posts\/1737"}],"collection":[{"href":"https:\/\/my.castlighthealth.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/my.castlighthealth.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/my.castlighthealth.com\/blog\/wp-json\/wp\/v2\/users\/49"}],"replies":[{"embeddable":true,"href":"https:\/\/my.castlighthealth.com\/blog\/wp-json\/wp\/v2\/comments?post=1737"}],"version-history":[{"count":0,"href":"https:\/\/my.castlighthealth.com\/blog\/wp-json\/wp\/v2\/posts\/1737\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/my.castlighthealth.com\/blog\/wp-json\/wp\/v2\/media\/1782"}],"wp:attachment":[{"href":"https:\/\/my.castlighthealth.com\/blog\/wp-json\/wp\/v2\/media?parent=1737"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/my.castlighthealth.com\/blog\/wp-json\/wp\/v2\/categories?post=1737"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/my.castlighthealth.com\/blog\/wp-json\/wp\/v2\/tags?post=1737"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}