Back Pain and Yoga

So the irritation of the week is back pain.  I have a slight spinal deformity and gosh does that thing flair up sometimes.  I was looking around for some good papers to help address this issue, when I stumbled across this one that compared yoga, exercise, and a self care book.  It’s called Comparing Yoga, Exercise, and a Self-Care Book for Chronic Low Back Pain A Randomized, Controlled Trial  by Karen J. Sherman, PhD, MPH; Daniel C. Cherkin, PhD; Janet Erro, RN, MN, PNP; Diana L. Miglioretti, PhD; and Richard A. Deyo, MD, MPH.  Here’s the sketchnote:07jul15v2

Some thoughts:

  1. It’s pretty unsurprisingly both exercise and yoga outperformed the book.  Both were active interventions with some participation required.  Interventions like that tend to do better.
  2. The design of this study had a lot of attention to detail.  They were very careful to make the exercise as attractive as the yoga by having a physical therapist design a special program uniquely for the study.  They wanted to make sure that both the yoga and the exercise were novel enough that people would be interested equally in both.  I’ve seen other studies skip this step or have one clearly more interesting option, so I was happy to see they controlled for it.
  3. It’s interesting to think of the real world implications of point #2.  It is likely much easier to find a yoga class than it is to find a custom back pain exercise class.  OTOH, some people may like going to a physical therapist better than doing yoga, and that’s probably close to the same thing.

Ultimately, if it looks intriguing, that’s probably enough to help make a difference.