PainSci notes on Vlaeyen 2018:
This is a thorough chronic low back pain treatment primer for clinicians. The writing is dry but clear, and although a lot of expert opinion is interjected, there’s also an obvious effort to be rigorously evidence-based. There were very few red flags for me as a skeptic
The paper focusses on “the development of new diagnostic procedures, evidence-based screening methods and more targeted interventions,” and broadly conclude that there’s a need for “a multidisciplinary approach to the management of low back pain that integrates biological, psychological and social aspects.” Too broadly, I think: the paper doesn’t really deliver much in the way of better diagnosis or more “targeted” treatment, and in fact I found the treatment content to be the most anemic part of the paper.
The authors certainly do a good job of explaining why the “injury model” isn’t adequate anymore, but there’s nothing new about that (back pain experts have been debunking the injury model since the 90s). And their review of mechanisms of pain is quite good.
original abstract †Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.
Low back pain affects individuals of all ages and is a leading contributor to disease burden worldwide. Despite advancements in assessment and treatment methods, the management of low back pain remains a challenge for researchers and clinicians alike. One reason for the limited success in identifying effective treatments is the large variation in the manifestations, possible causes, precipitating and maintaining factors, course, prognosis and consequences in terms of activity interference and quality of life. However, despite these challenges, steady progress has been achieved in the understanding of back pain, and important steps in the understanding of the psychological and social risk factors, genetics and brain mechanisms of low back pain have been made. These new findings have given impetus to the development of new diagnostic procedures, evidence-based screening methods and more targeted interventions, which underscore the need for a multidisciplinary approach to the management of low back pain that integrates biological, psychological and social aspects.
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:
- Relationships Between Sleep Quality and Pain-Related Factors for People with Chronic Low Back Pain: Tests of Reciprocal and Time of Day Effects. Gerhart 2017 Ann Behav Med.
- Modulation in the elastic properties of gastrocnemius muscle heads in individuals with plantar fasciitis and its relationship with pain. Zhou 2020 Sci Rep.
- Association Between Plantar Fasciitis and Isolated Gastrocnemius Tightness. Nakale 2018 Foot Ankle Int.
- No Added Benefit of Combining Dry Needling With Guideline-Based Physical Therapy When Managing Chronic Neck Pain: A Randomized Controlled Trial. Stieven 2020 J Orthop Sports Phys Ther.
- Effectiveness of customised foot orthoses for Achilles tendinopathy: a randomised controlled trial. Munteanu 2015 Br J Sports Med.