Digital program for Low Back Pain

There is a lack of high quality trials investigating the usefulness of different strategies in the management of low back pain. However, due to the potential benefits of some interventions, further studies investigating and comparing the efficacy of these interventions are needed.

There are two essential components to low [back pain](https://www.withpower.com/clinical-trials/back-pain): 1) pain (ie, nociceptive signals), and 2) dysfunction or impairment in the nerves supplying sensation to the lower back. The pain (ie, nociceptive) originates from various locations in the LBP-affected spine.\n

Nearly 4.7 million Americans will experience low back pain, causing them to spend $27.7 billion a year in healthcare expenses. About 16.5 million will consult a doctor about it, and 5.6 million will seek help from a chiropractor. Nearly 1.4 million of those will have to seek treatment more than once, and 0.7 million will go to hospital or other care more than 2 times. To address this large and growing problem, we recommend that clinicians be aware of this disorder in their patients.

Treatment is usually conservative, focusing on education and reassurance about normal activity. The majority of low [back pain](https://www.withpower.com/clinical-trials/back-pain) patients can expect improvement over a minimum of 2 to 3 weeks. In some cases, low back surgery may be indicated. Pain can be exacerbated by physical activity. Although exercise, relaxation, and massage can reduce discomfort in the short term, they do not necessarily alleviate pain permanently.

[Patients with low back pain manifest different clinical symptoms according to underlying pathophysiologies]. These distinctions can be useful for predicting outcomes and for selecting patients for appropriate treatment.

Babies may have a variety of causes of sudden low back pain, ranging from back pain caused by simple sprained ankle to back pain caused by a ruptured disc. In this manner, the most effective approach to diagnosis and treatment may be to reassure parents and providers that back pain may often be a normal part of childhood, rather than a medical emergency.

A randomized clinical trial may help determine new treatments to treat low back pain. Since low back pain has so many possible causes, many different treatments have been tried, however, evidence for their efficacy has not been strong. New treatments, such as medications, are under investigation. The most successful method to treat low back pain has been nonsurgical treatments, such as a hot bottle, heat packs, and other modalities. Some patients benefit from nonsurgical treatments, though, people often need surgical treatment to relieve back pain [references 1-3].

One major difference is that digital program, while effective, is less effective with moderate levels of pain, and it may not help resolve the patient's pain effectively enough. In addition, it is unclear whether digital program help patients recover from a period of disability due to low back pain by providing positive outcomes.

Results from a recent paper the positive effect of the digital program was stronger than for the controls at 6 months and at 6, but not at 12 months.

The digital program appears to be safe and may have positive effects for those who complete a full assessment. The program is also acceptable to those who choose to receive some assessment. Digital resources might be effective for those with low back pain but the effectiveness needs to be further investigated.

There was a high prevalence of [back pain](https://www.withpower.com/clinical-trials/back-pain), neck pain and musculoskeletal pain among the patients who participated in the DTP sessions. In the literature, the effect of the DTP on back pain was similar to that of other DTP protocols. However, the DTP was more effective than conventional physical therapy in treating neck pain, but ineffective in treating back and musculoskeletal pain.