Self-Management May Reduce Chronic Low Back Pain - Takeaways - MDSpire
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Self-Management May Reduce Chronic Low Back Pain
In a randomized clinical trial of patients at increased risk for persistent symptoms, clinician-supported biopsychosocial self-management was associated with lower pain impact and fewer chronic pain outcomes than guideline-based medical care.
Clinician-supported biopsychosocial self-management may lower pain impact scores at 1 year compared to guideline-based medical care.
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Participants receiving self-management were more likely to achieve at least a 50% reduction in low back pain impact compared to those receiving medical care.
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Spinal manipulation therapy did not improve outcomes compared to medical care and provided no additional benefit when combined with self-management.
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At 12 months, 34% of self-management participants met the definition of chronic low back pain, compared to 54% of those receiving medical care.
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Improvements in pain self-efficacy, kinesiophobia, and pain catastrophizing accounted for much of the benefit associated with self-management.
