According to new guidelines published in the December, 2009 issue of Neurology transcutaneous electric nerve stimulation (TENS) which is used widely for pain management is probably ineffective for chronic low back pain and is,thus, not recommended for low back pain that has persisted for 3 months or longer(chronic). These guidelines are a result of research studies reviewed in which all but one excluded people with known caused of low back pain. The results of the research reviewed showed that TENS did not ease chronic low back pain resulting from causes such as multiple sclerosis, a pinched nerve, scoliosis (severe curvature of the spine), obesity, spondylolisthesis ( severe displacement of a backbone), or had no known cause. The author of the new guidelines, Dr Richard Dubinsky, a researcher at Kansas University Medical Center said there is no benefit for people using TENS for chronic back pain.
Posts Tagged ‘chronic back pain’
TENS Found Not Effective for Chronic Low Back Pain
Wednesday, April 14th, 2010Cognitive Behavioral Therapy Effective for Chronic Back Pain
Wednesday, March 10th, 2010In a study published in Lancet 26 February 2010 researchers reported that a type of psychotherapy known as cognitive behavioral therapy (CBT) significantly improves subacute and chronic back pain both short term and for up to 1 year compared to medical advice alone. Seven hundred patients with low back pain were in the study and 468 were treated with up to 6 sessions of group cognitive behavioral therapy and 233 received a 15 minute session of medical management advice that included information on staying active and the appropriate use of pain medications. After 12 months, 59% of those in the cognitive behavioral group reported recovery from their low back pain compared to 31% in the other group. In addition, 65% of those in the CBT group reported satisfaction with their treatment compared to 28% in the other group. The researchers concluded that CBT is a cost effective treatment for low back pin when compared to the cost of chiropractic care, and acupuncture.




