A Cochrane review of superficial heat or cold for low back pain

Spine
Simon D FrenchAdrian J Esterman

Abstract

Cochrane systematic review. To assess the effects of superficial heat and cold therapy for low back pain in adults. Heat and cold are commonly used in the treatment of low back pain. We searched electronic databases from inception to October 2005. Two authors independently assessed inclusion, methodologic quality, and extracted data, using the criteria recommended by the Cochrane Back Review Group. Nine trials involving 1,117 participants were included. In two trials of 258 participants with a mix of acute and subacute low back pain, heat wrap therapy significantly reduced pain after 5 days (weighted mean difference [WMD], 1.06; 95% confidence interval [CI], 0.68-1.45, scale range, 0-5) compared with oral placebo. One trial of 90 participants with acute low back pain found that a heated blanket significantly decreased pain immediately after application (WMD, -32.20; 95% CI, -38.69 to -25.71; scale range, 0-100). One trial of 100 participants with a mix of acute and subacute low back pain examined the additional effects of adding exercise to heat wrap and found that it reduced pain after 7 days. The evidence base to support the common practice of superficial heat and cold for low back pain is limited, and there is a need for fut...Continue Reading

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