Today’s issue of WorkCompRecap features the American College of Physicians’ recent announcement that it has released new evidence-based clinical practice guidelines in the Annals of Internal Medicine that says physicians and patients should treat acute or subacute low back pain with non-drug therapies.
Therapy suggestions included superficial heat, massage, acupuncture, or spinal manipulation, and if drug therapy is desired, physicians and patients should select nonsteroidal anti-inflammatory drugs (NSAIDs) or skeletal muscle relaxants. The guidelines were also notable in that they actively steered away from opioids as first or even second line drug therapy, and emphasized trying all of the other approaches prior to considering opioids, even for chronic pain patients as well. The ACP also said that physicians should “consider opioids as a last option for treatment and only in patients who have failed other therapies, as they are associated with substantial harms.”
Find out more (including a link to the free write-up!) by clicking here!