NSAIDs No Better for Low Back Pain چاپ
نوشته شده توسط health.msn   
جمعه, 07 تیر 1387 ساعت 19:01
Acetaminophen provides comparable relief, researchers say
WEDNESDAY, Jan. 23 (HealthDay News) -- When it comes to treating low back pain, non-steroidal anti-inflammatory drugs (NSAIDs) such as naproxen and ibuprofen are no more effective than acetaminophen

That's the conclusion of researchers who reviewed more than 65 studies that included more than 11,000 people with low back pain

The review authors concluded that NSAIDs are "slightly effective" for short-term symptomatic relief in patients with acute and chronic low back pain without sciatica. But they said it's unclear whether NSAIDs work better than simple analgesics or other drugs. No kind of NSAID was obviously better than another


NSAIDs were not superior to acetaminophen, the researchers said


The researchers said the review data "support guidelines for the management of low back pain in primary care that recommend NSAIDs as a treatment option after (acetaminophen) has been tried, since there are fewer side effects with (acetaminophen)," said lead reviewer Pepijn Roelofs, a doctoral student at Erasmus University Medical Center in Rotterdam, the Netherlands

Roelofs and colleagues noted there's "conflicting evidence that NSAIDs are more effective than simple analgesics and bed rest, and moderate evidence that NSAIDs are not more effective than other drugs, physiotherapy or spinal manipulation for low back pain

The review was published in the current issue of the journal The Cochrane Library

"Currently, the long-term use of NSAIDs is controversial because of cardiovascular adverse effects in patients with cardiovascular risk factors, such as previous angina pectoris, heart failure and myocardial infarction," Roelofs said



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نویسنده فيزيوتراپيست مح در تاریخ جمعه, 14 تیر 1387 ساعت 20:22
It was excellent and I'm thankful about that
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آخرین بروز رسانی در جمعه, 07 تیر 1387 ساعت 19:24
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