Evidence map›Paper›PMID 40027984›Full record

ReviewInterventional pain medicine2025

Strategies for combining interventional and behavioral therapies in management of chronic low back pain: A scoping review.

Jasmina Solankee, Royce Sumayo, Thiru M Annaswamy

Abstract readReview
In one paragraph

Review in Interventional pain medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Jasmina SolankeeDepartment of Physical Medicine & Rehabilitation, UT Southwestern Medical Center, Dallas, TX, USA.
Royce SumayoJordan-Young Institute, Virginia Beach, VA, USA.
Thiru M AnnaswamyDepartment of Physical Medicine & Rehabilitation, Penn State Health Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Common non-surgical treatment approaches for chronic low back pain (CLBP) include pharmacologic, interventional and behavioral therapies, but there is no consensus treatment approach. Despite studies that show the effectiveness of interventional and behavioral approaches individually and evidence-based recommendations for multimodal treatment approach, specific stacking and sequencing strategies used to combine both approaches haven't been studied. Objectives: The objectives of this scoping review were to: 1) explore how interventional and behavioral approaches to CLBP treatment are stacked or sequenced; 2) evaluate the feasibility of utilizing interventional and behavioral treatments in an integrative manner, and 3) assess whether optimal combinations of interventional and behavioral approaches to CLBP treatment exist. Methods: A literature search of indexed and gray literature was conducted for studies involving the combination of interventional and behavioral therapies for treatment of CLBP. 374 abstracts and 72 records of gray literature were independently screened followed by 60 that underwent full-text review. Results: A total of three studies were included in this review, all of which found the integration of modalities to be feasible. Two studies that utilized non-conventional interventions found no significant treatment effect by combining modalities. One study demonstrated a non-significant additive effect of combining radiofrequency ablation with cognitive behavioral therapy. Conclusions: Despite known individual benefits, there are limited studies exploring combined interventional and behavioral approaches to CLBP. Given the feasibility and the additive effects of combining interventions with behavioral therapy seen in the studies included this review, further exploration of this subject is needed to guide clinical practice.

Indexed as

Behavioral therapyChronic low back painScoping reviewSpine injections

Identifiers

PMID40027984
PMCPMC11871444

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Registered trials

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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.