University of Oklahoma Health Sciences Center

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Author/s:

Skelly, Andrea C., Chou, Roger, Dettori, Joseph R., Turner, Judith A., Friedly, Janna L., Rundell, Sean D., Fu, Rongwei, Brodt, Erika D., Wasson, Ngoc, Winter, Cassandra, Ferguson, Aaron J. R.

Date Added:

September 26, 2018

Journal/Publication:

Comparative Effectiveness Review

Publisher:

Agency for Healthcare Research and Quality

Publication Date:

June 1, 2018

Issue:

209

URL:

Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review

Type:

Meta-analyses, Reviews, and Guidelines, Meta-analyses, Reviews, and Guidelines

Format:

Article

DOI (1):

https://doi.org/10.23970/AHRQEPCCER209

PMID (1):

30179389

Keywords

chronic pain

MeSH

pain, chronic

RPR Commentary

This Evidence Summary lists the nonpharmacologic treatments shown to be effective for common pain conditions.

Abstract

Purpose of Review

To assess which noninvasive nonpharmacological treatments for common chronic pain conditions improve function and pain for at least 1 month after treatment.

Key Messages

• Interventions that improved function and/ or pain for at least 1 month when used for—

– Chronic low back pain: Exercise, psychological therapies (primarily cognitive behavioral therapy [CBT]), spinal manipulation, low-level laser therapy, massage, mindfulness-based stress reduction, yoga, acupuncture, multidisciplinary rehabilitation (MDR).

– Chronic neck pain: Exercise, lowlevel laser, Alexander Technique, acupuncture.

– Knee osteoarthritis: Exercise, ultrasound.

– Hip osteoarthritis: Exercise, manual therapies.

– Fibromyalgia: Exercise, CBT, myofascial release massage, tai chi, qigong, acupuncture, MDR.

– Chronic tension headache: Spinal manipulation.

• Most effects were small. Long-term evidence was sparse.

• There was no evidence suggesting serious harms from any of the interventions studied; data on harms were limited.

Text Availability

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Noninvasive Nonpharmacological Treatment for Chronic Pain: Evidence Summary

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RPR Commentary

Abstract

Text Availability