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Complementary and alternative medicine in back pain utilization report.

P Lina Santaguida, Anita Gross, Jason Busse

    Evidence Report/Technology Assessment
    |July 16, 2010
    PubMed
    Summary
    This summary is machine-generated.

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    Chiropractic and massage are the most common complementary and alternative medicine (CAM) therapies for back pain in the US. However, research lacks detail on therapy specifics, patient conditions, and combined treatment use.

    Area of Science:

    • Integrative Medicine
    • Pain Management
    • Public Health

    Background:

    • Back pain is a prevalent condition in the United States.
    • Complementary and alternative medicine (CAM) therapies are increasingly explored for managing back pain.
    • Understanding the utilization patterns of CAM for back pain is crucial for healthcare providers and patients.

    Purpose of the Study:

    • To systematically review and evaluate the usage of various complementary and alternative medicine (CAM) therapies among individuals experiencing back pain in the United States.
    • To identify which CAM therapies are most frequently utilized for different types of back pain.

    Main Methods:

    • A systematic review of literature was conducted using databases like MEDLINE, CINHAHL, EMBASE, and Cochrane Central from 1990 to 2007.

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  • Searches included a grey literature review for clinical practice guidelines (CPGs) related to CAM.
  • Eligibility criteria focused on English studies of adults with back pain and a predefined list of CAM therapies.

    • Main Results:

    • Out of 103 publications, 65 were utilization studies, with 43 from the US.
    • Chiropractic/manipulation, massage, and acupuncture were the most frequently used CAM therapies.
    • CAM utilization was lowest for thoracic spine pain and highest for low back pain; massage use was similar for neck and low back pain.

    Conclusions:

    • Limited studies exist on the relative utilization of various CAM therapies for back pain.
    • Existing research often lacks detailed information on therapy characteristics, provider qualifications, patient presentation, and concurrent treatment use.
    • Further research is needed to comprehensively understand CAM therapy use and its impact on back pain management.