In selected patients, exercise as good as surgery for low back pain.

Interesting randomized study half the patients treated with cognitive therapy and exercise and the other half had fusion surgery. Take home message — before thinking about surgery for your back pain, make sure you’ve tried an extended, intensive period of nonsurgical management as it will likely be effective.

 

“Conclusions Long-term improvement was not better after instrumented transpedicular fusion compared with cognitive intervention and exercises.”

EXERCISE vs SURGERY IN LOW BACK PAIN RANDOMIZED TRIAL