ACP low back pain anything

ACP Guidelines for Low Back Pain: ‘Anything, ANYTHING But Opioids’

  • 453
    Shares

PHILADELPHIA, PA – Last week, the American College of Physicians (ACP) published new recommendations for the management of nonradicular low back pain in the Annals of Internal Medicine advocating nonpharmacologic treatment since “most patients… improve over time regardless of treatment.”  It went on to say, “Look, we’ll be blunt: use anything you want, just not narcotics, okay?”

ACP low back pain anything
The current ACP home page

Nonpharmacologic therapies include superficial heat, massage, acupuncture, spinal manipulation, mindfulness-based stress reduction, tai chi, yoga, motor control exercise, progressive relaxation, electromyography biofeedback, low-level laser therapy, operant therapy, and cognitive behavior therapy.

But that’s not all.

The list of nonpharmacologic treatment continued: video games, Sudoku, juggling, tightrope walking, bungee jumping, yodeling, archery, backgammon, rodeo, using your imagination, story time, and tickling matches.  The recommendations then went on to say that if pharmacologic therapy is desired, then the best choices would be NSAIDs or muscle relaxants.  That’s it.  No opioids.  Hallelujah!

“Look, let me put it this way,” explained ACP spokesperson Bill Sullivan.  “Use anything, anything, ANYTHING, I don’t care if you make it up, whatever, just don’t use narcotics.  DON’T.  Those things are the WORST.  And definitely no Dilaudid.”

ACP FTW!

image_pdfimage_print
  • Dr. 99

    First there was Dr. 01, the first robot physician, created to withstand toxic levels of burnout in an increasingly mechanistic and impossibly demanding healthcare field. Dr. 99 builds upon the advances of its ninety-eight predecessors by phasing out all human emotion, innovation, and creativity completely, and focusing solely on pre-programmed protocols and volume-based productivity. In its spare time, Dr. 99 enjoys writing for Gomerblog and listening to Taylor Swift.

  • Show Comments

Your email address will not be published. Required fields are marked *

comment *

  • name *

  • email *

  • website *

You May Also Like

Hillary Clinton

Hillary Clinton Blames Benghazi on Anesthesia

16.5KSharesWASHINGTON, D.C. – Last week former Secretary of State and self-presumed next president Hillary ...

medical student crying

OB/GYN Resident Skills Directly Linked to Number of Medical Students Made to Cry

7.2KSharesBOZEMAN, MT – A recent study using data gathered from women’s hospitals nationwide, recently confirmed ...

new england journal of medicine

Tips: How to Read the New England Journal of Medicine

857SharesSTEP 1: Grab copy of New England Journal of Medicine (NEJM) from mailbox. STEP ...

Dilaudid & Morphine Shortage Prompts Pharmacy to Switch to Heroin PCA Pumps

6.9KSharesSMITHVILLE, AR – The ongoing rise in demand for opiate medications, combined with limited ...