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Chronic back pain. This lasts longer than 12 weeks, gives you daily pain, and may happen suddenly or develop over time. ... If you need treatment, here are your options. Medication. Medications ...
Spinal manipulation appears to provide similar effects to other recommended treatments for chronic low back pain. [57] There is no evidence it is more effective than other therapies or sham, or as an adjunct to other treatments, for acute low back pain [58] "Back school" is an intervention that consists of both education and physical exercises.
[14] [21] Spinal manipulation, massage, and acupuncture have been used to treat the pain associated with various back injuries, but there is little consensus on their degree of effectiveness. [21] [14] [9] Injections: Spinal nerve blocks and epidural injections are options available to alleviate pain and neurological symptoms. [12]
In 2007, the American College of Physicians and the American Pain Society jointly recommended that clinicians consider spinal manipulation for patients who do not improve with self-care options. [6] Reviews published in 2008 and 2006 suggested that SM for low back pain was equally effective as other commonly used interventions.
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Any pain in this area is considered "middle back pain". [2] The exact symptoms associated with middle back pain will depend upon the underlying cause. Most middle back pain is not serious in nature. However, it does tend to have more serious pathology associated with it than pain in the neck or low back. [3]
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