Medical Treatment for Back Pain not Keeping up with Evidence
It seems that medical treatment for back pain is not actually in line with the evidence of what is proven to be effective.
What? This is shocking!
The April 1st issue of “Spine” journal contains a study conducted by the University of North Carolina which is quite interesting. The study was a random phone survey of 732 adults with chronic low back pain. The survey asked about what treatments the patients used for their back pain.
The average patient made 21 visits to 3 different health providers per year. 61% of the patients used narcotic-based medication and 31% used muscle relaxants. More than 33% had been given an advanced imaging test like CT or MRI in the last year. There’s a post about the ineffectiveness of these tests under the back pain category on this blog.
Exercise has proven to be effective in the treatment of low back pain, but less than 50% of the patients had a prescription for exercise. In the past year, only 30% had seen a PT. Only 3% of the patients had been through an organized back rehabilitation program.
It is well known that many patients experience symptoms of depression as a result of back pain, but treatment for this aspect of back pain was minimal.
The researchers concluded that although our knowledge and research of how to treat low back pain has advanced, it appears that medical treatment continues to rely on addictive and dangerous narcotic-based drugs and other medications rather than exercise and treatments for symptoms of depression.
It seems that this is further proof that doctors and other health care providers are not paying attention to the evidence: that prescription drugs are NOT the answer to our aches and pains.
There’s plenty of evidence to prove that exercise and behavior modification techniques like stress reduction, good nutrition and smoking cessation are more effective than narcotics for the treatment of back pain, and yet we are still seeing studies like this one that indicate that the medical profession is not keeping up.
Why is this?
Until patients begin to speak to their doctors and health providers about what they do and don’t expect from them, doctors will continue to prescribe “the quick fix” in the form of a pill. But pills are not the answer, because they don’t begin to get to the root of the problem - they simply dull or mask the pain for a while (until the next episode).
Meanwhile, the drug companies are laughing all the way to the bank…
Please feel free to vent in the comment section if you have an opinion about this study. Also, stay tuned for an upcoming interview with Dr. Bobby Wilson about how to talk to your doctor.
