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Mattresses for Chronic Back or Neck Pain: A Review of the Clinical Effectiveness and Guidelines

Rapid Response Report: Summary with Critical Appraisal

Persistent back pain is a common presentation in primary care settings. It presents significant costs in relation to care, absenteeism, and early retirement. Chronic back and neck pain can be moderate to severe and debilitating. Often back and neck pain of musculoskeletal origin is self-limited and resolves with little or no intervention, however it is also often recurrent.

While chronic back and neck pain is often of musculoskeletal origin, the possibility of other serious etiologies must also be considered.

Common approaches to nonspecific back and neck pain include physical therapy, advice to stay active and analgesia. The main treatment goals are pain reduction and improving function.

It has been reported that firmness and/or construction of bedding systems may be associated with complaints of back and neck discomfort or pain.

The purpose of this report is to retrieve and review the existing evidence of efficacy and evidence-based guidelines for the use of specific mattresses to reduce chronic back and neck pain of musculoskeletal origin.


Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should be considered along with other types of information and health care considerations. The information included in this response is not intended to replace professional medical advice, nor should it be construed as a recommendation for or against the use of a particular health technology. Readers are also cautioned that a lack of good quality evidence does not necessarily mean a lack of effectiveness particularly in the case of new and emerging health technologies, for which little information can be found, but which may in future prove to be effective. While CADTH has taken care in the preparation of the report to ensure that its contents are accurate, complete and up to date, CADTH does not make any guarantee to that effect. CADTH is not liable for any loss or damages resulting from use of the information in the report.

Copyright © 2014 Canadian Agency for Drugs and Technologies in Health.

Copyright: This report contains CADTH copyright material and may contain material in which a third party owns copyright. This report may be used for the purposes of research or private study only. It may not be copied, posted on a web site, redistributed by email or stored on an electronic system without the prior written permission of CADTH or applicable copyright owner.

Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions.

Except where otherwise noted, this work is distributed under the terms of a Creative Commons Attribution-NonCommercial- NoDerivatives 4.0 International licence (CC BY-NC-ND), a copy of which is available at http://creativecommons.org/licenses/by-nc-nd/4.0/

Bookshelf ID: NBK263379PMID: 25520997


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