03/06/2025
Getting injections for back pain? You might want to think twice.
New research suggests they're no better than placebos, despite their growing popularity and hefty price tag.
In short, injections for back pain might not be a good idea after all, according to a panel of experts who have reviewed the practice and found serious concerns regarding its effectiveness and financial motivations.
Back pain is a common global health issue, affecting millions and leading to significant disability and economic burden.
While various interventions exist, including epidural steroid injections and nerve blocks, a new study published in The BMJ reveals that these injections may be no more effective than placebos. The research team conducted a comprehensive meta-analysis of 81 trials, involving nearly 8,000 participants, and found no high-certainty evidence supporting the efficacy of these procedures in alleviating either axial or radicular pain. Despite this lack of evidence, the use of spinal injections for back pain is on the rise, raising concerns about potential ulterior motives. The study reveals a possible confirmation bias among interventionists, where those who prescribe injections are more likely to report positive outcomes in their research. Financial incentives may also play a role, as physicians performing these procedures often generate substantial revenue. The disconnect between evidence and practice raises questions about the appropriateness of these interventions and the need for a more balanced approach to chronic pain management. The researchers suggest that healthcare systems should reconsider funding these procedures and instead prioritize non-procedural treatments that have stronger evidence of effectiveness. This shift in focus would necessitate exploring alternative treatment options, such as non-invasive approaches like physical therapy, exercise, and cognitive behavioral therapy, which have shown promising results in managing chronic back pain and improving quality of life.
learn more https://bmjgroup.com/back-pain-recommendations/