![]() ![]() We need information on long-term pain management for chronic low back pain (CLBP) and chronic neck pain (CNP) that includes use of provider-based nonpharmacologic therapies. However, this approach has risks that may outweigh benefits ( 18, 19). ![]() Many turn to sustained medication use for this purpose. Although use of medications (including opioids) is most common ( 5, 11, 12), provider-based nonpharmacologic therapies ( 5, 11), are now recommended in guidelines as first-line therapies for chronic spinal pain ( 13– 16).Īccording to NIH Medline Plus, “chronic pain usually cannot be cured, but it can be managed” ( 17). It is associated with substantial burden to patients ( 3– 7), the healthcare system ( 3– 5, 8, 9), and employers ( 7, 10). Chronic spinal pain is one of the most common types of chronic pain ( 1, 2). Although chronic pain affects over 40 percent of US adults,( 1) little information is available on management of that pain with ongoing provider-based care. ![]()
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