Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.
In this week’s news: We’ll Be Looking At –
- Exercise and Chronic Pain
- And Finally, a Story about the Biopsychosocial approaches to the treatment of chronic pain
For HealthBeat, This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #483 recorded November 7, 2014.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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And Now for some news ….
Exercise and Chronic Pain
The purpose of a 2001 review published in The Clinical Journal of Pain, was to determine how effective exercise is in the treatment of chronic pain.
The literature search identified three systematic reviews and three randomized controlled trials addressing the effectiveness of exercise for the management of chronic low back pain, one systematic review and one randomized controlled trial addressing chronic neck pain, two systematic reviews and three randomized controlled trials addressing upper extremity pain, and three randomized controlled trials addressing fibromyalgia.
The study concluded that exercise is effective for the management of chronic low back pain for up to 1 year after treatment and for fibromyalgia syndrome for up to 6 months (level 2).
There is conflicting evidence (level 4b) about which exercise program is effective for chronic low back pain. For chronic neck pain and for chronic soft tissue shoulder disorders and chronic lateral epicondylitis, evidence of effectiveness of exercise is limited (level 3).
As always, discuss all Exercise Recommendations with your Qualified Health Care Provider.
Surf to our Show Notes for Links – http://journals.lww.com/clinicalpain/pages/articleviewer.aspx?year=2001&issue=12001&article=00016&type=abstract
Biopsychosocial approaches to the treatment of chronic pain.
Biopsychosocial treatments address the range of physical, psychological, and social components of chronic pain.
A review published in The Clinical Journal of Pain, sought to determine how effective unimodal and multimodal biopsychosocial approaches are in the treatment of chronic pain.
The literature search identified three systematic reviews of the literature and 21 randomized controlled trials to provide the evidence for this review.
The study concluded that multimodal biopsychosocial treatments that include cognitive-behavioral and/or behavioral components are effective for chronic low back pain and other musculoskeletal pain for up to 12 months (level 2).
There is limited evidence (level 3) that electromyogram feedback is effective for chronic low back pain for up to 3 months. The remaining evidence of longer-term effectiveness and of effectiveness of other interventions was inadequate (level 4a) or contradictory (level 4b).
Future studies of cognitive-behavioral treatments should be condition specific, rather than include patients with different pain conditions.
Surf to our Show Notes for Links – http://www.ncbi.nlm.nih.gov/pubmed/11783824
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For Chiropractic OnLine Today’s HealthBeat, This has been Dr. Todd Eglow.