PEER simplified chronic pain guideline

It is unfortunate that a recent article which allows family physicians to reach a quick diagnosis for over 80% of low back pain and provide relief to 90% of those affected following a two-minute corrective exercise was not cited. Those physicians afflicted by or treating low back pain would be interested to read the following: Bertrand H, Reeves KD, Mattu R, Garcia R, Mohammed M, Wiebe E, Cheng AL: Self-treatment of chronic low back pain based on a rapid and objective sacroiliac asymmetry test: a pilot study. Cureus. 2021, 13 doi10.7759/cureus.19483
In treating osteoarthritis, if the affected nerves are close to the skin surface, topical applications of pain-relieving creams have, in my practice, proven very useful. A mannitol containing cream provides greater than 60% average relief when applied to the hand or the knee. Check out: https://qrcream.com/clinical-evidence/
Hip or knee osteoarthritis is often related to irregular wear because of malalignment due to overly pronated or supinated feet. As both the tibia and the femur are long bones, they act like levers: a small change in foot alignment can cause a great deal of wear in the knee or in the hip. Those with bowlegs or knock knees should be fitted with orthotics.
These simple, drug-free, treatments should be part of every family physician’s therapeutic armamentarium.