It's time for change with the management of non-specific chronic low back pain
One article on PainSci cites O'Sullivan 2012: The Complete Guide to Low Back Pain
PainSci notes on O'Sullivan 2012:
Dr. O’Sullivan in 2021, summarizing his 2012 editorial on Twitter:
I used to believe instability in the Lx spine was a thing — even published about it — but the evidence just didn’t stack up. Discussed here [full text PDF].
A nugget from the editorial:
“It is now clear that there is little evidence to support the view that ‘instability’ underpins the basis of disabling non-specific chronic low back pain. There are no studies that demonstrate a clear relationship between spinal or pelvic mobility, degenerative processes, pain and disability.”
This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights:
- No long-term effects after a three-week open-label placebo treatment for chronic low back pain: a three-year follow-up of a randomized controlled trial. Kleine-Borgmann 2022 Pain.
- Exercise and education versus saline injections for knee osteoarthritis: a randomised controlled equivalence trial. Bandak 2022 Ann Rheum Dis.
- Association of Lumbar MRI Findings with Current and Future Back Pain in a Population-based Cohort Study. Kasch 2022 Spine (Phila Pa 1976).
- A double-blinded randomised controlled study of the value of sequential intravenous and oral magnesium therapy in patients with chronic low back pain with a neuropathic component. Yousef 2013 Anaesthesia.
- Is Neck Posture Subgroup in Late Adolescence a Risk Factor for Persistent Neck Pain in Young Adults? A Prospective Study. Richards 2021 Phys Ther.