powered by centersite dot net
Pain Management
Resources
Basic InformationLatest News
Many Prescribed Opioids Even After OverdoseReview: Cannabis May Alleviate Neuropathic PainOpioid Prescription Rates Higher in Cancer SurvivorsDoctors May Be Over-Prescribing Seizure Drugs to Treat Pain2 of 3 U.S. Patients Keep Unused Painkillers After SurgeryDoctors Still Overprescribing Opioids in U.S.Reduction of Opioid Dose May Improve Pain, Quality of LifeEasing Opioid Dose May Improve Pain and Quality of LifeAt-Risk Pain Patients Can Cut Opioid Use With Psychology ToolsHalf of Opioid Prescriptions Go to People With Mental IllnessReaching Beyond the Prescription Pad to Treat PainRx Changes, Counseling, Regular Visits Can Cut Opioid Deaths3 Simple Steps Might Reduce Opioid OD DeathsWhen Is an Opioid Safe to Take?Yoga Soothes Back Pain in StudyFDA Asks Maker of Opioid Painkiller Opana ER to Pull Drug From MarketOpioids Over-Prescribed After C-Sections: StudiesPersistent Pain May Lead to Memory Troubles1 in 5 Weight-Loss Surgery Patients Using Opioids Years LaterTaking Opioids Before Knee Surgery Could Raise Pain LaterERs May Need to Rethink Opioid Prescription PracticesCommon Painkillers Tied to Slight Rise in Heart Attack RiskOpioid Use by Iraq, Afghanistan War Vets Mirrors Rest of U.S.: Study'Mindfulness' Probably Won't Cure Your Back Pain: StudyMusic May Soothe the 'Savage Beast' of Post-Op PainInitial Rx Can Affect Likelihood of Long-Term Opioid UseOpioid Dependence Can Start in Just a Few DaysOpioid Painkillers and Xanax or Valium a Deadly Mix: StudyDiazepam Not Beneficial for Acute Low Back Pain in ERKids' OD Risk Rises When Opioids Left Out at HomeChronic Pain More Likely for Poor, Less Educated: StudySome Docs May Help Fuel Opioid Abuse EpidemicTry Drug-Free Options First for Low Back Pain, New Guidelines SayTwelve Percent of Women Fill Opioid Rx After Vaginal DeliveryLow Back Pain? Relax, Breathe and Try YogaOpioids and Alcohol a Dangerous CocktailTreatment of Hips Beneficial in Patients With Low Back PainCommon Painkillers Don't Ease Back Pain, Study FindsHigh Pain Tolerance Tied to 'Silent' Heart Attack RiskWhat You Need to Know When Prescribed an Opioid PainkillerDiscussing Opioid Risks With Patients Reduces MisuseCelebrex May Not Pose Bigger Heart Risk Than Similar Drugs: StudyMany Take Opioids Reluctantly for Back Pain: Survey'Fake Pills' May Help Ease Back PainHealth Tip: Need Pain Relief?DEA Puts Quota on Production of Opioid PainkillersRisk of Opioid Addiction Up 37 Percent Among Young U.S. AdultsCould Prescribed NSAID Painkillers Raise Heart Failure Risk?Opioid Epidemic Costs U.S. $78.5 Billion Annually: CDCReview Suggests Safe, Effective Ways to Relieve Pain Without Meds
Questions and AnswersVideosLinksBook Reviews
Related Topics

Depression: Depression & Related Conditions
Mental Disorders
Medications

'Mindfulness' Probably Won't Cure Your Back Pain: Study

HealthDay News
by By Alan Mozes
HealthDay Reporter
Updated: Apr 25th 2017

new article illustration

TUESDAY, April 25, 2017 (HealthDay News) -- Proponents of mindfulness-based stress reduction claim it can improve relationships, mental health, weight and more. But, one complaint it's unlikely to fix is lower back pain, researchers now say.

Lower back pain doesn't respond to the programs, which embrace meditation, heightened self-awareness and exercise, according to a review of seven prior studies.

Although short-term improvements were reported, "no clinical significance" was found in terms of overall pain or disability when mindfulness was compared to standard treatment, said study lead author Dennis Anheyer. Anheyer is a psychology research fellow in the faculty of medicine at the University of Duisburg-Essen in Germany.

About eight out of 10 American adults will experience lower back pain at some point in their lives, according to the U.S. National Institute of Neurological Disorders and Stroke. Roughly one in five of them will struggle with chronic lower back pain, lasting three months or more, which is a major cause of job-related disability.

Because no sure-fire treatment of back pain exists, many patients try complementary therapies such as mindfulness.

Mindfulness programs, which are growing in popularity in the West, derive from the Buddhist spiritual tradition and are used to treat pain. They include sitting meditation; walking meditation; hatha yoga and body scan along with focusing attention sequentially on different parts of the body.

The seven studies that were reviewed involved close to 900 patients who had lower back pain for at least three months. Six of the studies were conducted in the United States; the seventh in Iran.

Some patients were offered standard back pain treatment, such as physical therapy and exercise routines that aim to strengthen the back and abdominal muscles; prescription and over-the-counter pain medications; ice packs and heat packs; and spinal manipulation and/or massage (chiropractic care). In some cases, surgery is recommended for chronic back pain.

Other patients engaged in mindfulness programs aimed at stress relief. Six of the programs were variations on an eight-week program developed at the University of Massachusetts. Most had a weekly 2.5 hour group session; one also had a day-long silent retreat.

Practitioners were also encouraged to engage in 30 to 45 minutes of meditation at home, six days a week.

"We found that mindfulness-based stress reduction could decrease pain intensity at short-term, but not at long-term," said Anheyer.

Despite the negative findings, Michigan orthopedist Dr. Rachel Rohde isn't ready to rule out mindfulness as a back-pain treatment.

The size of the research review was relatively small, said Rohde, an associate professor of orthopedic surgery at the Oakland University William Beaumont School of Medicine.

Also, "pain" is perceived differently by everyone, she said. In the case of chronic pain, people tend to try everything they can to feel better, making it difficult to figure out exactly what works and what doesn't, she added.

The idea that changing the way you think can change the way you feel -- the premise of cognitive behavior therapy -- is used as a treatment for chronic pain, Rohde continued.

"I think that mindfulness-based stress reduction is somewhat of an extension of this and probably would work very well for some and perhaps not so well for others," she added.

The researchers behind the new review suggested that future studies look at specific components of mindfulness programs, such as yoga and mindful meditation. Yoga, they said, has been shown to increase function and decrease disability in patients with low back pain.

The results were published online April 24 in the Annals of Internal Medicine.

More information

There's more on alternative pain treatment at the National Center for Complementary and Integrative Health .