A study published in the Annals of Internal Medicine reports that pelvic floor muscle training, in conjunction with bladder training, resolved the symptoms of urinary incontinence in women. "The Annals...
U.S. NEWS AND WORLD REPORT ARTICLE:
Using medical imaging on people who have low back pain that has no apparent underlying cause doesn’t improve clinical outcomes, says an article by US News & World Report based on a recent study in the Lancet.
- A systematic review of 6 RESEARCH STUDIES that included more than 1,800 participants and found a wide range of outcomes – including pain and functioning, quality of life, mental health, overall improvement, and patient satisfaction – showed no differences between patients who received immediate imaging and those given usual clinical care. The results apply most strongly to patients with acute or sub-acute low back pain assessed in a family physician’s office, said the study.
“Rates of utilization of lumbar MRI are increasing, and implementation of diagnostic-imaging guidelines for low back pain remains a challenge,” the authors said. “However, clinicians are more likely to adhere to guideline recommendations about lumbar imaging now that these are supported by consistent evidence from higher-quality, randomized controlled trials.”
Patient expectations and preferences also need to be addressed, they added, citing one study of people with low back pain in which 80% of the participants said they would have imaging, if given the choice, even without expected benefits.