A group of researchers from the University of Sydeney (Australia) reviewed 13 clinical trials in lower back pain and, according to their findings published in the British medical journal, paracetamol would have no effect on pain relief in low back pain. In osteoarthritis of the hip or knee, they found little improvement with paracetamol. But this impact on pain is so small that it does not seem “clinically important” to them.
In France, paracetamol is the analgesic that the Haute Autorité de santé recommends as a first-line treatment for pain in patients with chronic low back pain “although there is no study attesting to its analgesic efficacy in this indication” underlines the HAS which recommends optimizing the dosage “in accordance with the data of the marketing authorization, ie up to 4 g per day administered in 4 systematic doses.”
The universal approval of paracetamol to relieve low back pain raises questions, according to the researchers, who want this study to reopen the debate on the treatment recommendations.
In France, low back pain is the chronic disease which causes the most sick leave in people over 45 years old. It is also the 3rd cause of chronic disability in 45-64 year olds.
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