Does early physical therapy intervention reduce opioid burden and improve functionality in the management of chronic lower back pain?
| Autor: | Jason van Dyke, Harminder Sikand, Victoria T Nguyen, Shedrick Martin, Kimberly Tallian |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
03 medical and health sciences 0302 clinical medicine Intervention (counseling) Medicine Chronic lower back pain Pharmacology (medical) In patient physical therapy pain 030212 general & internal medicine General Pharmacology Toxicology and Pharmaceutics Lost to follow-up Oswestry Disability Index Original Research business.industry Chronic pain opioids medicine.disease lower back pain chronic lower back pain Neuropsychology and Physiological Psychology Opioid Concomitant Physical therapy Neurology (clinical) business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | The Mental Health Clinician |
| ISSN: | 2168-9709 |
| Popis: | Introduction Chronic lower back pain is a leading cause of disability in US adults. Opioid use continues to be controversial despite the Centers for Disease Control and Prevention guidance on chronic pain management to use nonpharmacologic and nonopioid pharmacologic interventions. The objectives of the study were to assess the impact of early physical therapy (PT) intervention on improving functionality and reducing opioid burden in patients with chronic lower back pain. Methods A single-center, retrospective chart review of patients receiving ≥6 PT visits and treated with either opioids first (OF) or PT first (PTF) therapy for chronic lower back pain were evaluated. Concomitant use of nonopioid and nonpharmacologic therapy was permitted. The Oswestry Disability Index (ODI), a survey measuring functionality, was recorded for PTF group. Pain scores and medication use including opioids were collected at treatment initiation and completion. Results One hundred and eighty patients were included in three groups: OF group (n = 60), PTF group (n = 60), and PTF + ODI group (n = 60). The PTF + ODI group had mean ODI reduction of 11.9% (P Discussion Early PT resulted in improved functionality, decreased pain, and reduced medication use upon PT completion. These findings suggest PT, along with nonopioid modalities, are a viable first-line option for the management of chronic lower back pain. |
| Databáze: | OpenAIRE |
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