Washington: A study published in the Annals of Family Medicine offers hope in the form of a hands-on treatment that provides moderate to substantial improvement in chronic low back pain and reduces the use of prescription medication.
More than 632 million people worldwide suffer from low back pain, and it is a leading cause of disability. According to the Institute of Medicine, one-third of all Americans suffer from chronic pain, which exceeds the number of people who are affected by heart disease, diabetes and cancer combined.
The study, conducted at the University of North Texas Health Science Centre (UNTHSC) used osteopathic manual treatment (OMT) and ultrasound therapy to treat chronic low back pain in 455 adults.
Patients in the study who received ultrasound therapy did not see any improvement, but the patients who received OMT saw significant improvement in pain, used less prescription medication and were more satisfied with their care over the 12 weeks of the study than those patients who did not receive OMT, according to the researchers.
In study patients who received OMT, nearly two-thirds had a 30 per cent reduction in their pain level, and half had a 50 per cent reduction in their pain level. Patients received six treatments during the course of the study.
“One of the great benefits of OMT is that it has few side effects compared with other common treatments for low back pain that often involve serious side effects,” says John Licciardone, executive director of The Osteopathic Research Centre at the UNTHSC and author of the study.
“In our study, patients who had higher levels of pain saw even greater reductions in pain. Not only does OMT reduce pain, it seems to work even better in people who experience higher pain levels. These are the people who are often treated with potentially addictive drugs such as OxyContin and Vicodin, epidural steroid injections or surgery,” says Licciardone.
“If we can reduce the use of these drugs and invasive procedures by helping people to feel better with hands-on treatment that has few side effects, that is a plus for our patients and contributes to the management of chronic pain,” adds Licciardone.
Licciardone concludes, “Now that we have evidence of moderate to substantial pain relief and a reduction in the use of prescription medications over 12 weeks, we need to look at a longer follow-up period to see if we can maintain or improve these results.”
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