Only 10% of non -invasive treatments to relieve back pain are effective | Health and well -being

There are figures that leave no doubt and this is one of them: more than 600 million people in the world suffer from back pain. And he is not going to stay there. It is estimated that by 2030 the prevalence of lumbar problems will exceed 800 million affected, 10% of the global population. The treatments to try to deal with this pain – the first cause of disability in the world – are many. Usually, the drugs and the last, most drastic and invasive, surgery, being more to more, being the first step. However, a new review published Tuesday in the magazine BMJ Evidence Based Medicine, reports that just one in 10 non -invasive treatments are effective in treating back pain. “The relief they offer is marginal compared to a placebo,” says the analysis. “We were interested in identifying which of these treatments demonstrated specific effects,” he says. For that, the team of researchers reviewed placed controlled trials in which the effectiveness of treatments for people with nonspecific (chronic and acute) back pain was measured with the aim of grouping the results. More information information that were included in the grouping of the data were pharmacological, such as anti -inflammatory, analgesics and muscle relaxants; and also non -pharmacological, such as physical exercise, massages and spinal manipulation. The analysis showed that, compared to the placebo, only anti -inflammatories were effective for acute low back pain. While exercise, manipulation and spinal bandage were effective for chronic pain. However, the effects were small compared to placebo. Cashin acknowledges that the article has its limitations. Many of the 301 essays analyzed – which investigated 56 treatments or treatments combinations – included few participants and threw inconsistent results, so there is no certainty regarding their findings. Alfonso Vidal Marcos, director of the Pain Unit of the South Hospital of Alcorcón (Madrid), did not participate in the study, but observes that although the data provided is true, the methodology that was used to collect them is “questionable”. “Apples are mixed, with oranges and tomatoes,” he says. He also adds that “the pain usually has many causes and do studies with the subject, more if placebos are involved, it ends up generating certain biases.” Miguel Ángel Plasencia, a traumatologist, head of the column unit at the Cemro Clinic in Madrid, coincides with his colleague: “The revision methodology is a bit regular because it mixes acute low back pain with chronic lumbalgias, pathologies They have nothing to do with each other. ” And he adds: “In acute ailment, which sometimes arises from an excessive effort or a fall, the evidence shows that the best option is still the anti -inflammatories, analgesics and muscle relaxants. For chronic low back pain, physical exercise or rehabilitating treatments is much more effective.” A study published in 2019 supports it because it showed that physical exercise reduces lumbar pain by 20% without the effect with time. The risk, he explains, is that some patients are discounted and end up leaving few aggressive treatments, such as acupuncture or drugs, which in clinical consultations have proven to be useful. “If they did not work, at least a little, patients would stop doing or taking them and that does not happen,” says the best treatment is prevention between 80% and 90% of lumbalgia cases do not have a concrete explanation that determines their origin, and only 40% can be prevented. But that prevention, all the experts consulted for this article point out, is what can make a key difference in the quality of life of a patient. In this sense, the specialist points out that, since children, work and movements should be worked on. “Let’s think about the impossible backpacks that the little ones load every day to go to school. In addition to sleeping in any way and sitting in any way.” Torres adds to the list of prevention to avoid obesity and sedentary lifestyle with exercises such as swimming and pilates; and Plasencia adds the use of adequate mattresses – not so hard or so high – and ergonomic chairs in the offices to maintain a correct position for extensive working days in front of the computer. The review published on Tuesday leaves aside one of the new most promising treatments for back pain and is the regenerative medicine focused on cartilagos, tendons, joints, joints and muscles. “There are good perspectives in treatments with, for example, stem cells or platelet rich plasma. That could generate a paradigm shift in pain treatment,” says Torres.Cashin, the author of the analysis, insists that “the results of the review help clarify what treatments have a specific effect and are worth considering.” Also in which more research is needed to shed light on a ailment whose economic cost, beyond the social, ranges between 1.7% and 2.1% of the GDP of a European country. (Tagstotranslate) Health

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