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Clinical use: back pain 

Clinical use: back pain
Chapter:
Clinical use: back pain
Author(s):

Cathy Stannard

, Michael Coupe

, and Anthony Pickering

DOI:
10.1093/med/9780199678075.003.0010
Page of

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date: 20 October 2019

Back pain is common; few people need or request medical treatment; fewer still require opioid therapy. Opioids are best used as part of a multimodal rehabilitation plan. Evidence that opioids are effective analgesics for the treatment of low back pain and that they confer functional benefit comes from short-term studies. Little is known about the long-term effectiveness of opioids in the management of low back pain. Persistent pain following spinal surgery (failed back surgery syndrome) is difficult to manage: a trial of opioid therapy may be reasonable for this condition.

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