Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review Update (April 16, 2020). Andrea C. Skelly, Ph.D., M.P.H., Roger Chou, M.D., Joseph R. Dettori, Ph.D., M.P.H., M.P.T., Judith A. Turner, Ph.D., et al. Rockville (MD): Agency for Healthcare Research and Quality (US); 2020 (Apr)

This section was compiled by Frank M. Painter, D.C.
Send all comments or additions to:   Frankp@chiro.org

Conclusions

Our prior AHRQ report found evidence of persistent effects for a number of nonpharmacological, noninvasive treatments for specific chronic pain conditions. Findings in this update are largely consistent with those in the prior report. Across trials in the prior report and this update, exercise, MDR, acupuncture, CBT and mindfulness, and mind-body practices were most consistently associated with durable small to moderate improvements in function and pain for specific chronic pain conditions, although the data were sparse for many interventions. Our findings provide some support for clinical strategies that focus on use of nonpharmacological therapies for specific chronic pain conditions. Additional comparative research on sustainability of effects beyond the immediate post-treatment period is needed, particularly for conditions other than low back pain.

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