• Alexander technique studied for chronic low back pain 

    Rowland, Kate (Family Physicians Inquiries Network, 2009-02)
    Low back pain affects about 30% of people in the United States every year, and is the second most common reason for visits to primary care offices.Despite optimal treatment, many patients have recurrent or chronic back ...
  • Are insoles effective in preventing or treating back pain? 

    Mehta, Mukulika; Patel, Deepak (Family Physicians Inquiries Network, 2009-05)
    Shoe insoles are not recommended for preventing or treating back pain. (SOR C, based on expert opinion and poor quality, conflicting studies.)
  • Cymbalta, Lyrica, and Savella: Should help with fibromyalgia pain really start here? 

    Owens, Christopher T.; Pugmire, Brooke (Family Physicians Inquiries Network, 2009-06)
    Cymbalta®, Lyrica®, and Savella® are all recently approved by the US Food and Drug Administration (FDA) for the treatment of fibromyalgia; however, older, less expensive drugs appear equally effective and should be considered ...
  • How can we best manage chronic pain for patients taking long-term narcotic analgesics? 

    Glass, Gina G. (Family Physicians Inquiries Network, 2009-07)
    Tramadol has proven efficacy up to 6 months and less abuse potential than hydrocodone over 1 year. (SOR B, based on randomized controlled trials [RCTs].) Transdermal fentanyl and sustained-release morphine have been proven ...
  • Is antiviral therapy for acute, localized herpes zoster safe and effective? 

    Abello-Poblete, Maria Veronica; Remde, Alan (Family Physicians Inquiries Network, 2009-12)
    Oral famciclovir, valacyclovir, and acyclovir are all well tolerated and accelerate resolution of pain associated with subacute herpetic neuralgia (SHN) in patients 50 years of age or older (SOR A, multiple randomized ...
  • Is calcitonin useful for reducing the pain of acute osteoporotic fractures? 

    Parker, Alex; Soberon, Angelica M.; Rodriguez, Jose E. (Family Physicians Inquiries Network, 2009-12)
    Calcitonin has been shown to improve acute pain at rest in patients with osteoporotic vertebral fractures, when compared with placebo, and reduce the use of other analgesic medications (SOR A, based on a meta-analysis of ...
  • What are the best treatments for reducing pain due to compression fractures? 

    Bada, Alvaro M.; Rodriguez, Jose E. (Family Physicians Inquiries Network, 2009-01)
    The answer remains unclear. Nasal salmon calcitonin is effective for analgesia of vertebral compression fractures (SOR A, based on a systematic review of randomized controlled trials [RCTs]). Although percutaneous ...
  • What is most effective for medication-induced recurrent headaches? 

    Oikarinen, Lisa; Kraus, Connie (Family Physicians Inquiries Network, 2009-07)
    Complete withdrawal of the overused medication is the treatment of choice for medication-induced headaches in adults. Adjuvant medications such as amitriptyline may further improve symptom control, but are not a substitute ...