29-4 Chronic Pain Management


In This Issue:

  • FEATURE ARTICLE: Nutritional Interventions for Chronic Neuropathic Pain
    Susan St. Claire, DC, MS, DCBCN, CCN
    • Chronic Low Back Pain Management Strategies
      Joel P. Carmichael, DC, DACBSP®
    • The Role of Opioids in the Management of Chronic Low Back Pain
      Brian M. Bond, DC, MS, PhD
    Lisa Zaynab Killinger, DC

    • Association of Lumbar Spine Stiffness and Flexion-Relaxation Phenomenon with Patient-Reported Outcomes in Adults with Chronic Low Back Pain – A Single-Arm Clinical Trial Investigating the Effects of Thrust Spinal Manipulation
    • Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Trial
    • Provider and Patient Perspectives on Opioids and Alternative Treatments for Managing Chronic Pain: A Qualitative Study
    • The Effectiveness of Acupuncture, Acupressure and Chiropractic Interventions on Treatment of Chronic Nonspecific Low Back Pain in Iran: A Systematic Review and Meta-Analysis


How does a clinician objectively assess a patient who complains of low back pain that is chronic? Oftentimes, the condition is primarily subjective, with little objective clinical findings that would validate the complaint. Whether it is chronic low back pain or any number of similar complaints, the conundrum presents itself to the doctor as a challenge to seek and determine any positive physical, orthopedic or neurological signs that would corroborate the complaint, and lead to a direction for appropriate treatment.