Efficacy and safety of pregabalin in the management of low back pain: a comprehensive meta-analysis - Summary by Liv Harley Street Hospital
Pain Management

Efficacy and safety of pregabalin in the management of low back pain: a comprehensive meta-analysis – Summary by Liv Harley Street Hospital

CONCLUSION: Pregabalin in the treatment of neuropathic LBP demonstrated significant improvements in pain relief, associated symptoms of anxiety and depression, and enhancements in quality of life and sleep quality. In addition, it exhibits a favorable safety profile. Nevertheless, these findings should be interpreted with caution due to the limited quality of the evidence and the inadequate reporting of pain etiology in several included studies.

Radiation exposure during ultrasound- and fluoroscopy-guided spinal interventional pain management procedures in dogs: a retrospective analysis in a single institution - Summary by Liv Harley Street Hospital
Pain Management

Radiation exposure during ultrasound- and fluoroscopy-guided spinal interventional pain management procedures in dogs: a retrospective analysis in a single institution – Summary by Liv Harley Street Hospital

CONCLUSIONS AND CLINICAL RELEVANCE: Ultrasound- and fluoroscopy-guided spinal interventional pain management in dogs resulted in relatively low radiation exposure levels for both animals and operators. Incorporating ultrasound aligns with the ‘as low as reasonably achievable’ principle, helping reduce fluoroscopy time and associated risks. These findings support the development of targeted radiation safety protocols for veterinary interventional procedures and underscore the importance of…

Staying at Work with Musculoskeletal Pain in a Physically Demanding Job: A Qualitative Exploration of Workers' and Managers' Perspectives - Summary by Liv Harley Street Hospital
Pain Management

Staying at Work with Musculoskeletal Pain in a Physically Demanding Job: A Qualitative Exploration of Workers’ and Managers’ Perspectives – Summary by Liv Harley Street Hospital

CONCLUSION: The identified themes describe helpful and unhelpful beliefs and practices involving individual workers, their co-workers and managers. Shared and unshared cultural norms, understandings of what MSK pain is and means, and perceptions of responsibility drive stay-at-work practices, with trust being an important factor for the precarious balance between workplace support and pressure to stay at work.

The person-centered hypothesis framework: Advancing clinical reasoning in musculoskeletal pain management - Summary by Liv Harley Street Hospital
Pain Management

The person-centered hypothesis framework: Advancing clinical reasoning in musculoskeletal pain management – Summary by Liv Harley Street Hospital

INTRODUCTION: The Person-Centered Hypothesis (PCH) framework is a structured clinical reasoning model designed to enhance “in action” reasoning in person-centered care (PCC). The PCH integrates elements of the biopsychosocial model, pain phenotyping, and contextual factors, addressing gaps in real-time clinical decision-making.

Capabilities, opportunities and motivations in implementing guideline-oriented biopsychosocial low back pain management: perceptions of occupational healthcare professionals after an educational intervention - Summary by Liv Harley Street Hospital
Pain Management

Capabilities, opportunities and motivations in implementing guideline-oriented biopsychosocial low back pain management: perceptions of occupational healthcare professionals after an educational intervention – Summary by Liv Harley Street Hospital

CONCLUSIONS: To effectively implement BPS management in occupational health services, organizational and system-level barriers must be addressed and HCPs’ skills and motivation enhanced. For sustained support through policy initiatives and reinforced multidisciplinary collaboration, future strategies should integrate BPS practices into routine workflows.

The MyRelief Digital Educational Self-Management Program for Persistent Low Back Pain: Feasibility Uncontrolled Trial - Summary by Liv Harley Street Hospital
Pain Management

The MyRelief Digital Educational Self-Management Program for Persistent Low Back Pain: Feasibility Uncontrolled Trial – Summary by Liv Harley Street Hospital

CONCLUSIONS: The MyRelief study demonstrated feasibility in terms of recruitment but not retention. However, low baseline disability levels are not representative of the wider persistent LBP population. Future studies should broaden recruitment strategies, in particular, by recruiting from health care settings to improve representativeness. Although usability met industry standards, qualitative feedback suggests that navigation and accessibility require further optimization to better align with…

Cost-effectiveness of spinal manipulation, exercise, and self-management for spinal pain - Summary by Liv Harley Street Hospital
Pain Management

Cost-effectiveness of spinal manipulation, exercise, and self-management for spinal pain – Summary by Liv Harley Street Hospital

BACKGROUND: The United States spends more money on the care of back and neck pain than any other health condition. Despite this, the cost-effectiveness for many recommended treatments is unclear. Our primary objective for this project was to estimate the cost-effectiveness of spinal manipulative therapy (SMT), supervised exercise therapy (ET), and home exercise and advice (HEA) for spinal pain in the U.S.