NONINVASIVE NONPHARMACOLOGICAL TREATMENT FOR CHRONIC PAIN: A SYSTEMATIC REVIEW UPDATE (2020)
 
   
 

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
 
   

Key Messages

Purpose of Review

To assess noninvasive nonpharmacological treatments for common chronic pain conditions.

  • Interventions that improved function and/or pain for ≥1 month:

    • Low back pain:   Exercise, psychological therapy, spinal manipulation, low-level laser therapy, massage, mindfulness-based stress reduction, yoga, acupuncture, multidisciplinary rehabilitation (MDR)

    • Neck pain:   Exercise, low-level laser, mind-body practices, massage, acupuncture

    • Knee osteoarthritis:   Exercise, cognitive behavioral therapy (CBT)

    • Hip osteoarthritis:   Exercise, manual therapies

    • Fibromyalgia:   Exercise, CBT, myofascial release massage, mindfulness practices, tai chi, qigong, acupuncture, MDR

    • Tension headache:   Spinal manipulation

  • Some interventions did not improve function or pain.

  • Serious harms were not observed with the interventions.

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