Between 2008 to 2015, 11.5% of opioid-naive adults were prescribed a BZD after receiving a diagnosis of low back pain, even though there is no conclusive evidence of an analgesic effect. These central nervous system depressants have fallen out of favor due to limited benefits, but many providers have difficulty determining the best alternative.
However, over the past few years, systematic reviews have highlighted strong evidence supporting CSMT (chiropractic spinal manipulative therapy) for patients with radicular low back pain. The proposed mechanism of action includes the release of adhesions, improved range of motion, and relaxation of hypertonic muscles.
If you have patients with radicular low back pain looking for non-pharmacological relief, please consider recommending an evaluation at our practice. We provide an array of movement-based, evidence-informed care options that may help them find relief without needing pharmaceuticals.
“The number of physician visits during which BZD’s was prescribed for back pain and chronic pain in the USA more than tripled from 2003 to 2015.”
“Although BZD’s are increasingly prescribed for LBP, there is no strong evidence supporting their use for this condition.”
“…recipients of CSMT had significantly reduced odds of BZD prescription for each 3-month, 6-month, and 12-month follow-up window.”
We believe patients have better outcomes when
their health professionals work together.
