Latest & greatest articles for low back pain

The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on low back pain or other clinical topics then use Trip today.

This page lists the very latest high quality evidence on low back pain and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.

What is Trip?

Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence to support their practice and/or care.

Trip has been online since 1997 and in that time has developed into the internet’s premier source of evidence-based content. Our motto is ‘Find evidence fast’ and this is something we aim to deliver for every single search.

As well as research evidence we also allow clinicians to search across other content types including images, videos, patient information leaflets, educational courses and news.

For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com

Top results for low back pain

141. Daily exercises and education for preventing low back pain in children: cluster randomized controlled trial Full Text available with Trip Pro

Daily exercises and education for preventing low back pain in children: cluster randomized controlled trial Children report low back pain (LBP) as young as 8 years. Preventing LBP in children may prevent or delay adult incidence.The purpose of this study was to determine whether education and daily exercise affect LBP episodes in children compared with education alone.This was a prospective, multicenter cluster randomized controlled trial.The study was conducted at 7 New Zealand primary (...) schools.Children (n=708), aged 8 to 11 years, from 7 schools stratified by sample size (36, 114, 151, 168, 113, 45, 83) were randomized and allocated to 2 masked groups: intervention (4 schools, n=469) or control (3 schools, n=239).Participants in the intervention group were taught 4 spinal movements for daily practice. Both groups participated in education that emphasized "back awareness."Low back pain history at baseline was assessed. Children reported episodes of LBP during the previous week on trial days 7

2015 EvidenceUpdates Controlled trial quality: predicted high

142. Comparison of spinal manipulation methods and usual medical care for acute and subacute low back pain: a randomized clinical trial Full Text available with Trip Pro

Comparison of spinal manipulation methods and usual medical care for acute and subacute low back pain: a randomized clinical trial Randomized controlled trial with follow-up to 6 months.This was a comparative effectiveness trial of manual-thrust manipulation (MTM) versus mechanical-assisted manipulation (MAM); and manipulation versus usual medical care (UMC).Low back pain (LBP) is one of the most common conditions seen in primary care and physical medicine practice. MTM is a common treatment (...) for LBP. Claims that MAM is an effective alternative to MTM have yet to be substantiated. There is also question about the effectiveness of manipulation in acute and subacute LBP compared with UMC.A total of 107 adults with onset of LBP within the past 12 weeks were randomized to 1 of 3 treatment groups: MTM, MAM, or UMC. Outcome measures included the Oswestry LBP Disability Index (0-100 scale) and numeric pain rating (0-10 scale). Participants in the manipulation groups were treated twice weekly

2015 EvidenceUpdates Controlled trial quality: uncertain

143. Effectiveness of transcranial direct current stimulation preceding cognitive behavioural management for chronic low back pain: sham controlled double blinded randomised controlled trial. Full Text available with Trip Pro

Effectiveness of transcranial direct current stimulation preceding cognitive behavioural management for chronic low back pain: sham controlled double blinded randomised controlled trial. To evaluate the effectiveness of transcranial direct current stimulation alone and in combination with cognitive behavioural management in patients with non-specific chronic low back pain.Double blind parallel group randomised controlled trial with six months' follow-up conducted May 2011-March 2013 (...) . Participants, physiotherapists, assessors, and analyses were blinded to group allocation.Interdisciplinary chronic pain centre.135 participants with non-specific chronic low back pain >12 weeks were recruited from 225 patients assessed for eligibility.Participants were randomised to receive anodal (20 minutes to motor cortex at 2 mA) or sham transcranial direct current stimulation (identical electrode position, stimulator switched off after 30 seconds) for five consecutive days immediately before cognitive

2015 BMJ Controlled trial quality: predicted high

144. Ultrasound ineffective for chronic low-back pain

Ultrasound ineffective for chronic low-back pain Ultrasound ineffective for chronic low-back pain | Cochrane Primary Care Trusted evidence. Informed decisions. Better health. Enter terms Ultrasound ineffective for chronic low-back pain Cochrane Trusted evidence. Informed decisions. Better health. Copyright © 2019 The Cochrane Collaboration | | We use cookies to improve your experience on our site.

2015 Cochrane PEARLS

145. Imaging in Patients with Low Back Pain

Imaging in Patients with Low Back Pain Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should be considered along with other types (...) , posted on a web site, redistributed by email or stored on an electronic system without the prior written permission of CADTH or applicable copyright owner. Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. TITLE: Imaging in Patients with Low Back Pain: Clinical Effectiveness and Guidelines DATE: 10

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

146. [Usefulness of magnetic resonance imaging for the diagnosis of non-specific low back pain]

[Usefulness of magnetic resonance imaging for the diagnosis of non-specific low back pain] Utilidad de la resonancia magnética en pacientes con dolor lumbar inespecífico [Usefulness of magnetic resonance imaging for the diagnosis of non-specific low back pain] Utilidad de la resonancia magnética en pacientes con dolor lumbar inespecífico [Usefulness of magnetic resonance imaging for the diagnosis of non-specific low back pain] Rodríguez-Rieiro C Citation Rodríguez-Rieiro C. Utilidad de la (...) resonancia magnética en pacientes con dolor lumbar inespecífico. [Usefulness of magnetic resonance imaging for the diagnosis of non-specific low back pain] Unidad de Evaluacion de Tecnologias Sanitarias (UETS). Informes de Evaluación de Tecnologías Sanitarias. 2014 Authors' objectives To summarize the appropriateness uses of magnetic resonance for the diagnosis of non-specific low back pain. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Humans; Low Back Pain; Magnetic

2015 Health Technology Assessment (HTA) Database.

147. Answer to the letter to the editor of Svend Lings entitled "antibiotics for low back pain?" concerning "antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled trial Full Text available with Trip Pro

Answer to the letter to the editor of Svend Lings entitled "antibiotics for low back pain?" concerning "antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled trial 24057198 2015 01 27 2018 12 03 1432-0932 23 2 2014 Feb European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Eur (...) Spine J Answer to the letter to the editor of Svend Lings entitled "antibiotics for low back pain?" concerning "antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled trial of efficacy" by Albert HB et al., Eur Spine J (2013) 22:697-707. 473-6 10.1007/s00586-013-2985-0 Albert Hanne B HB Institute of Regional Health Services Research, University of Southern Denmark, Odense, Denmark, hanne.albert@galnet.dk

2015 European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Controlled trial quality: uncertain

148. Opioids for low back pain. Full Text available with Trip Pro

Opioids for low back pain. Back pain affects most adults, causes disability for some, and is a common reason for seeking healthcare. In the United States, opioid prescription for low back pain has increased, and opioids are now the most commonly prescribed drug class. More than half of regular opioid users report back pain. Rates of opioid prescribing in the US and Canada are two to three times higher than in most European countries. The analgesic efficacy of opioids for acute back pain (...) is inferred from evidence in other acute pain conditions. Opioids do not seem to expedite return to work in injured workers or improve functional outcomes of acute back pain in primary care. For chronic back pain, systematic reviews find scant evidence of efficacy. Randomized controlled trials have high dropout rates, brief duration (four months or less), and highly selected patients. Opioids seem to have short term analgesic efficacy for chronic back pain, but benefits for function are less clear

2015 BMJ

149. Cohort study: Low back pain has a poor prognosis for recovery among seniors Full Text available with Trip Pro

Cohort study: Low back pain has a poor prognosis for recovery among seniors Low back pain has a poor prognosis for recovery among seniors | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password (...) * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Low back pain has a poor prognosis for recovery among seniors Article Text Prognosis Cohort study Low back pain has a poor prognosis for recovery among seniors Wolf E Mehling Statistics from Altmetric.com Commentary on : Rundell SD , Sherman KJ

2015 Evidence-Based Medicine

150. iFuse implant system (SI-BONE Inc.) for sacroiliac joint fusion for treatment of low back pain

iFuse implant system (SI-BONE Inc.) for sacroiliac joint fusion for treatment of low back pain iFuse implant system (SI-BONE Inc.) for sacroiliac joint fusion for treatment of low back pain iFuse implant system (SI-BONE Inc.) for sacroiliac joint fusion for treatment of low back pain HAYES, Inc. Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation HAYES, Inc.. iFuse (...) implant system (SI-BONE Inc.) for sacroiliac joint fusion for treatment of low back pain. Lansdale: HAYES, Inc.. Healthcare Technology Brief Publication. 2015 Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Ankylosis; Arthrodesis; Back; Humans; Low Back Pain; Sacroiliac Joint; Spinal Diseases Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence

2015 Health Technology Assessment (HTA) Database.

151. Comparative efficacy of three active treatment modules on psychosocial variables in patients with long-term mechanical low-back pain: a randomized-controlled trial. Full Text available with Trip Pro

Comparative efficacy of three active treatment modules on psychosocial variables in patients with long-term mechanical low-back pain: a randomized-controlled trial. Psychosocial factors precipitate and perpetuate the risk of developing long-term Low-Back Pain (LBP) with resultant disability. However, management of psychosocial aspects of LBP still remains a major challenge. This study investigated the effect of static or dynamic back extensors endurance exercise on psychosocial variables (...) of Fear-Avoidance Behaviour (FAB), Pain Self-Efficacy Belief (PSEB) and Back Pain Consequences Belief (BPCB) in patients with LBP.A randomized-controlled trial of 67 patients assigned into McKenzie Protocol (MP) group (n = 25), MP and Static Endurance Exercise Group (MPSEEG; n = 22); and MP and Dynamic Endurance Exercise Group (MPDEEG; n = 20) was carried out. Treatment was applied thrice weekly for eight weeks.The groups were comparable in general and baseline psychosocial parameters (p > 0.05

2015 Archives of physiotherapy Controlled trial quality: uncertain

152. Low Back Pain

Low Back Pain Date of origin: 1996 Last review date: 2015 ACR Appropriateness Criteria ® 1 Low Back Pain American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Low Back Pain Variant 1: Acute, subacute, or chronic uncomplicated low back pain or radiculopathy. No red flags. No prior management. Radiologic Procedure Rating Comments RRL* MRI lumbar spine without IV contrast 2 O X-ray lumbar spine 2 ??? CT myelography lumbar spine 2 ???? Tc-99m bone scan with SPECT spine 2 (...) If there is concern for spondylolysis in a young patient, SPECT/CT remains the gold standard. ??? CT lumbar spine without IV contrast 2 ??? CT lumbar spine with IV contrast 2 ??? MRI lumbar spine without and with IV contrast 2 O CT lumbar spine without and with IV contrast 1 ???? Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 2 Low Back Pain Clinical Condition: Low Back Pain Variant 2: Acute, subacute

2015 American College of Radiology

153. Randomised controlled trial: Up to 4000?mg of paracetamol a day is ineffective for acute low back pain

Randomised controlled trial: Up to 4000?mg of paracetamol a day is ineffective for acute low back pain Up to 4000 mg of paracetamol a day is ineffective for acute low back pain | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers (...) of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Up to 4000 mg of paracetamol a day is ineffective for acute low back pain Article Text Therapeutics/Prevention Randomised controlled trial Up to 4000 mg of paracetamol a day is ineffective for acute low back pain

2015 Evidence-Based Medicine

154. Answer to the Letter to the Editor of K. Shubhakaran et al. entitled "Backache and infection" concerning "Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled tri Full Text available with Trip Pro

Answer to the Letter to the Editor of K. Shubhakaran et al. entitled "Backache and infection" concerning "Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled tri 24026169 2014 12 10 2018 12 02 1432-0932 22 10 2013 Oct European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Eur (...) Spine J Answer to the Letter to the Editor of K. Shubhakaran et al. entitled "Backache and infection" concerning "Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled trial of efficacy" by Albert H.B. et al., Eur Spine J (2013) 22:697-707. 2349 10.1007/s00586-013-2984-1 Albert Hanne B HB Institute of Regional Health Services Research, University of Southern Denmark, Odense, Denmark, hanne.albert@galnet.dk

2014 European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Controlled trial quality: uncertain

155. Answer to the Letter to the Editor of Zafar Ahmad et al. concerning "Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled trial of efficacy" by Albert HB et al., Full Text available with Trip Pro

Answer to the Letter to the Editor of Zafar Ahmad et al. concerning "Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled trial of efficacy" by Albert HB et al., 24026170 2014 12 10 2018 12 02 1432-0932 22 10 2013 Oct European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Eur (...) Spine J Answer to the Letter to the Editor of Zafar Ahmad et al. concerning "Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled trial of efficacy" by Albert HB et al., Eur Spine J (2013) 22:697-707. 2346-7 10.1007/s00586-013-2986-z Lambert Peter P The School of Life and Health Sciences at Aston University, Birmingham, UK. Albert Hanne B HB eng Journal Article Comment Germany Eur Spine J 9301980 0940-6719 0

2014 European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Controlled trial quality: uncertain

156. Letter to the editor concerning: "Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled trial of efficacy" by Albert HB et al. Eur Spine J (2013) 22:697-707. Full Text available with Trip Pro

Letter to the editor concerning: "Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled trial of efficacy" by Albert HB et al. Eur Spine J (2013) 22:697-707. 23989683 2014 12 10 2018 12 02 1432-0932 22 10 2013 Oct European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Eur Spine J (...) Letter to the editor concerning: "Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled trial of efficacy" by Albert HB et al. Eur Spine J (2013) 22:697-707. 2344-5 10.1007/s00586-013-2979-y Ahmad Zafar Z Department of Orthopaedics, Norfolk and Norwich University Hospital, Colney Lane, Norwich, NR4 7UR, UK, zafar.ahmad@doctors.org.uk. Rai Am A Donell Simon S Crawford Robert R eng Letter Comment 2013 08 29

2014 European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Controlled trial quality: uncertain

157. The effect of horse simulator riding on visual analogue scale, body composition and trunk strength in the patients with chronic low back pain (Abstract)

The effect of horse simulator riding on visual analogue scale, body composition and trunk strength in the patients with chronic low back pain Chronic low back pain (CLBP) is one of the most common musculoskeletal disorders, and thus effective treatments are required. Recently, real horseback riding has been reported to be beneficial for the patients. However, it has some limitations, such as limited approaches and safety issues.The purpose of this study was to investigate the effect of horse (...) simulator riding on back pain, body composition and trunk strength in the patients with CLBP.Forty-seven men with CLBP (mean age 20.55 ± 1.38 years) were randomly divided into a control group (n = 23) and a horse simulator riding group (n = 24), and visual analogue scale (VAS), body composition and isokinetic trunk strength were measured after 8 weeks for which subjects in a horse simulator riding group had performed the horse simulator exercise (HSE).Horse simulator exercise significantly reduced pain

2014 EvidenceUpdates Controlled trial quality: uncertain

158. Letter to the editor concerning: "Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled trial of efficacy" by Albert HB et al. Eur Spine J (2013) 22:697-707. Full Text available with Trip Pro

Letter to the editor concerning: "Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled trial of efficacy" by Albert HB et al. Eur Spine J (2013) 22:697-707. 23852437 2014 05 28 2018 12 02 1432-0932 22 8 2013 Aug European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Eur Spine J (...) Letter to the editor concerning: "Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled trial of efficacy" by Albert HB et al. Eur Spine J (2013) 22:697-707. 1704-5 10.1007/s00586-013-2898-y Sotto Albert A Dupeyron Arnaud A eng Letter Comment 2013 07 13 Germany Eur Spine J 9301980 0940-6719 0 Anti-Bacterial Agents 74469-00-4 Amoxicillin-Potassium Clavulanate Combination IM Eur Spine J. 2013 Apr;22(4):697-707

2014 European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Controlled trial quality: uncertain

159. Answer to the letter to the editor of A. Sotto et al. concerning "Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled trial of efficacy" by Albert HB et al., Eur Full Text available with Trip Pro

Answer to the letter to the editor of A. Sotto et al. concerning "Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled trial of efficacy" by Albert HB et al., Eur 23857464 2014 05 28 2018 12 02 1432-0932 22 8 2013 Aug European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Eur (...) Spine J Answer to the letter to the editor of A. Sotto et al. concerning "Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled trial of efficacy" by Albert HB et al., Eur Spine J (2013) 22:697-707. 1706 10.1007/s00586-013-2905-3 Albert Hanne B HB eng Letter Comment Germany Eur Spine J 9301980 0940-6719 0 Anti-Bacterial Agents 74469-00-4 Amoxicillin-Potassium Clavulanate Combination IM Eur Spine J. 2013 Apr

2014 European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Controlled trial quality: uncertain

160. Answer to the Letter to the Editor of Benjamin John Floyd Dean et al. entitled "No conflict of interest?" concerning "Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized co Full Text available with Trip Pro

Answer to the Letter to the Editor of Benjamin John Floyd Dean et al. entitled "No conflict of interest?" concerning "Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized co 23857465 2014 05 28 2018 12 02 1432-0932 22 8 2013 Aug European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Eur (...) Spine J Answer to the Letter to the Editor of Benjamin John Floyd Dean et al. entitled "No conflict of interest?" concerning "Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized controlled trial of efficacy" by Albert HB et al., Eur Spine J (2013) 22:697-707. 1701 10.1007/s00586-013-2906-2 Albert Hanne B HB eng Letter Comment Germany Eur Spine J 9301980 0940-6719 0 Anti-Bacterial Agents 74469-00-4 Amoxicillin

2014 European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Controlled trial quality: uncertain