Evidence map›Paper›PMID 33150555›Full record

ReviewPain and therapy2021

A Comprehensive Review of Over the Counter Treatment for Chronic Low Back Pain.

Jacquelin Peck, Ivan Urits, Sandy Peoples, Lukas Foster, Akshara Malla, Amnon A Berger, Elyse M Cornett, Hisham Kassem, Jared Herman, Alan D Kaye and 1 more

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Pain and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06987162 (Comparative Effects of Percussive Therapy and Instrument-Assisted Soft Tissue Mobilization On Pain, Muscle Flexibility and Function in Patients With Chronic Non-Specific Low Back Pain.), which is not on this map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
6.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06987162 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Comparative Effects of Percussive Therapy and Instrument-Assisted Soft Tissue Mobilization On Pain, Muscle Flexibility and Function in Patients With Chronic Non-Specific Low Back Pain.

TypeinterventionalSponsorRiphah International UniversityRan2025 to 2025Enrolled52ConditionsLow Back PainArmsPercussive Therapy, Instrument-Assisted Soft Tissue Mobilization
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Jacquelin PeckDepartment of Anesthesiology, Mount Sinai Medical Center, Miami Beach, FL, USA.
Ivan UritsDepartment of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. ivanurits@gmail.com.ORCID http://orcid.org/0000-0002-3652-6085
Sandy PeoplesUniversity of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.
Lukas FosterCreighton University School of Medicine, Phoenix Regional Campus, Phoenix, AZ, USA.
Akshara MallaUniversity of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.
Amnon A BergerDepartment of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Elyse M CornettDepartment of Anesthesiology, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
Hisham KassemDepartment of Anesthesiology, Mount Sinai Medical Center, Miami Beach, FL, USA.
Jared HermanDepartment of Anesthesiology, Mount Sinai Medical Center, Miami Beach, FL, USA.
Alan D KayeDepartment of Anesthesiology, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
Omar ViswanathValley Anesthesiology and Pain Consultants-Envision Physician Services, Phoenix, AZ, USA.
Mount Sinai Medical Center · USBeth Israel Deaconess Medical Center · USCreighton University · USLouisiana State University Health Sciences Center New Orleans · USUniversity of Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of the reviewChronic low back pain (CLBP) is a major contributor to societal disease burden and years lived with disability. Nonspecific low back pain (LBP) is attributed to physical and psychosocial factors, including lifestyle factors, obesity, and depression. Mechanical low back pain occurs related to repeated trauma to or overuse of the spine, intervertebral disks, and surrounding tissues. This causes disc herniation, vertebral compression fractures, lumbar spondylosis, spondylolisthesis, and lumbosacral muscle strain. RECENT

findingsA systematic review of relevant literature was conducted. CENTRAL, MEDLINE, EMBASE, PubMed, and two clinical trials registry databases up to 24 June 2015 were included in this review. Search terms included: low back pain, over the counter, non-steroidal anti-inflammatory (NSAID), CLBP, ibuprofen, naproxen, acetaminophen, disk herniation, lumbar spondylosis, vertebral compression fractures, spondylolisthesis, and lumbosacral muscle strain. Over-the-counter analgesics are the most frequently used first-line medication for LBP, and current guidelines indicate that over-the-counter medications should be the first prescribed treatment for non-specific LBP. Current literature suggests that NSAIDs and acetaminophen as well as antidepressants, muscle relaxants, and opioids are effective treatments for CLBP. Recent randomized controlled trials also evaluate the benefit of buprenorphine, tramadol, and strong opioids such as oxycodone. This systematic review discusses current evidence pertaining to non-prescription treatment options for chronic low back pain.

Indexed as

Chronic painLow back painPharmacology

Identifiers

PMID33150555
PMCPMC8119578
OpenAlexW3097223526

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.