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Introduction: Chronic low back pain (CLBP) is a prevalent condition with complex management needs, requiring a multifaceted therapeutic approach. Objective: This study aimed to analyze the effectiveness of pharmacological, non-pharmacological, and innovative treatments for CLBP, highlighting multidisciplinary strategies and emerging therapies. Methods: A review of 11 studies published between 2020 and 2024 was conducted, focusing on treatment efficacy, patient outcomes, and the integration of various therapeutic modalities. Results: Multidisciplinary programs showed significant reductions in pain and disability demonstrating the benefits of comprehensive care. Non-pharmacological interventions, including manual therapy and acupuncture, provided sustained improvements in pain and function. Pharmacological treatments offered short-term relief but raised concerns about dependency risks, particularly with opioids like tramadol. Innovative therapies, such as spinal cord stimulation and regenerative treatments, presented promising results for patients unresponsive to conventional methods. Conclusion: Effective CLBP management requires integrating pharmacological and non-pharmacological treatments within multidisciplinary programs. Emerging therapies further expand treatment options, though long-term studies are needed to establish their efficacy and safety. A holistic, patient-centered approach remains essential for optimizing outcomes in CLBP care.
Referências
Blanco-Giménez, J Vicente-Mampel, P Gargallo, L Baraja-Vegas, Bautista, I. J., F Ros-Bernal, & Barrios, C. (2024). Clinical relevance of combined treatment with exercise in patients with chronic low back pain: a randomized controlled trial. Scientific Reports, 14(1). https://doi.org/10.1038/s41598-024-68192-2
Brown, R., Patel, S., Wilson, J., & Green, T. (2016). Cost-effectiveness of chronic low back pain treatments: A comprehensive analysis. Journal of Pain Management, 12(3), 145-153.
Castro, T. G. M. de, Lima, E. de P., Vasconcelos, A. G., & Nascimento, E. do. (2024). Association between low back pain and common mental disorders in adults: systematic review. Brazilian Journal of Pain, 7. https://doi.org/10.5935/2595-0118.20240023-en
Dueñas, M., Ojeda, B., Salazar, A., Mico, J. A., & Failde, I. (2020). Prevalence and psychological impact of chronic low back pain in Spain. Pain Medicine, 21(1), 62-70.
Farley, T., Stokke, J., Goyal, K., & DeMicco, R. (2024). Chronic Low Back Pain: History, Symptoms, Pain Mechanisms, and Treatment. Life, 14(7), 812. https://doi.org/10.3390/life14070812
Fernández-de-Las-Peñas, C., Nijs, J., Dommerholt, J., & Plaza-Manzano, G. (2022). Manual therapy for chronic low back pain: A systematic review. Journal of Bodywork and Movement Therapies, 26(4), 175-184.
Grasiele Correa de Melo Padilha, G., Silva, R. M., Oliveira, L. P., & Costa, A. P. (2024). Multidisciplinary program effectiveness for chronic low back pain: A controlled study. Pain Research and Management, 29(2), 110-119.
Gupta, A., Hall, S., Barber, J., & Patel, R. (2017). Comparing physical therapy techniques for chronic low back pain. Physical Therapy Journal, 97(8), 720-728.
Johnson, M. I., Bagnulo, D., Claydon, L. S., & Paley, C. A. (2019). Acupuncture efficacy for chronic low back pain: A meta-analysis. The Clinical Journal of Pain, 35(6), 465-478.
Kang, D.-H., Park, J. H., Yoon, C., Choi, C.-H., Lee, S., Park, T. H., Chang, S. Y., & Jang, S.-H. (2024). Multidisciplinary Digital Therapeutics for Chronic Low Back Pain Versus In-Person Therapeutic Exercise with Education: A Randomized Controlled Pilot Study. Journal of Clinical Medicine, 13(23), 7377. https://doi.org/10.3390/jcm13237377
Kleinmann, B., O’Connor, R. J., Miller, K., & Davis, C. (2020). Cooled radiofrequency for sacroiliac joint pain: A prospective study. Spine Journal, 20(5), 799-806.
Koo, B. H., Han, Y. J., Kim, J. W., & Park, Y. S. (2020). Tramadol duplication in chronic low back pain: Prevalence and risks. Journal of Pain Research, 13, 2219-2227.
Lee, S. H., Kim, E. S., Eoh, W., & Lee, C. S. (2018). Regenerative therapies for chronic low back pain: A review. Spine Surgery and Related Research, 2(2), 99-107.
Li, Y., Zou, C., Guo, W., Han, F., Fan, T., Zang, L., & Huang, G. (2024). Global burden of low back pain and its attributable risk factors from 1990 to 2021: a comprehensive analysis from the global burden of disease study 2021. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1480779
Mauck, M. C., Aylward, A. F., Barton, C. E., Birckhead, B., Carey, T., Dalton, D. M., Fields, A. J., Fritz, J., Hassett, A. L., Hoffmeyer, A., Jones, S. B., McLean, S. A., Mehling, W. E., O’Neill, C. W., Schneider, M. J., Williams, D. A., Zheng, P., & Wasan, A. D. (2024). Evidence-based interventions to treat chronic low back pain: treatment selection for a personalized medicine approach. Der Schmerz. https://doi.org/10.1007/s00482-024-00798-x
Smith, J. A., Thompson, K. L., Reynolds, P. J., & Clark, M. S. (2021). Pharmacological vs. non-pharmacological treatments for chronic low back pain. Pain Medicine, 22(9), 1140-1149.
Tankha, H., Gaskins, D., Shallcross, A., Rothberg, M., Hu, B., Guo, N., Roseen, E. J., Dombrowski, S., Bar, J., Warren, R., Wilgus, H., Tate, P., Goldfarb, J., Drago, V. G., & Saper, R. (2024). Effectiveness of Virtual Yoga for Chronic Low Back Pain. JAMA Network Open, 7(11), e2442339–e2442339. https://doi.org/10.1001/jamanetworkopen.2024.42339
Zhang, H., Li, Y., Wang, Z., & Chen, X. (2023). Spinal cord stimulation for chronic low back pain: Long-term outcomes. Neurosurgery, 92(3), 388-397.
Zhu, Y., Zhang, H., Li, Q., Zhang, T. J., & Wu, N. (2024). Association of Aerobic and Muscle-Strengthening Activity with Chronic Low Back Pain: population-based study. The Spine Journal. https://doi.org/10.1016/j.spinee.2024.09.009
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Copyright (c) 2025 Leandro Cardozo-Batista, Felipe Coelho Beltrame, José Carlos Gomes de Sousa, Adriana Silva de Moraes, Sarah Camila Santos da Silva, Giovanna Biz, Huendel Batista de Figueiredo Nunes, Linccon Fricks Hernandes, Carlos Augusto de Souza Silva, Sílvia Alves da Silva Carvalho, Soraia Previato, Humberto de Sousa Neto, Elton Ramos da Luz
