JAMA Study: Opioids No Better Than Nonopioids in Improving Pain-Related Function, Intensity for Chronic Back Pain, Hip/Knee OA

Another comparison study showing no differences in long term outcomes using opioids vs non-opioid drugs for chronic back pain, hip/knee osteoarthritis.
I have seen several of these comparison studies showing no better outcomes in the opioid groups. Does this surprise anyone?JAMA Study: Opioids No Better Than Nonopioids in Improving Pain-Related Function, Intensity for Chronic Back Pain, Hip/Knee OA

FDA proposes that doctors learn about acupuncture for pain management

The Food and Drug Administration released proposed changes Wednesday to its blueprint on educating health care providers about treating pain. The guidelines now recommend that doctors get information about chiropractic care and acupuncture as therapies that might help patients avoid prescription opioids.
Do you think this is a good recommendation to help patients avoid opioid (narcotic drugs)?

FDA proposes that doctors learn about chiropractic and acupuncture for pain management

American College of Physicians new low back pain treatment guidelines

The new guidelines for low back pain by the American College of Physicians (national society of the internists) recommends first using non-invasive, non-drug treatments before resorting to drug therapies.
ACP’s guidelines, published in the Annals of Internal Medicine, cite spinal manipulation (a centerpiece of chiropractic care), heat therapy, massage, acupuncture as possible options for non-invasive, non-drug therapies for low back pain.
Only when such treatments provide little or no relief, the guidelines state, should patients move on to medicines such as ibuprofen or muscle relaxants, which research indicates have limited pain-relief effects. 
The chiropractic profession has long advocated for doctors and patients to use a more conservative approach to treating low back pain. Do you agree on this approach?

American Chiropractic Association Applauds Low Back Pain Guidelines Advocating Non-Drug Treatments First

Ibuprofen for people with back pain has no significant effect - new study

Earlier research has shown that acetominophen (Tylenol) is not effective for back pain and opioid (narcotic) drugs are only minimally effective (with significant possible side effects). 
Now a new study from the University of Sydney and published in Annals of the Rheumatic Diseases which reviewed 35 previous studies on more than 6,000 showed no significant clinical benefit of ibuprofen (Motrin, Advil, Nuprin)
I have said for many years that if the pain meds worked as advertised, I would have many less patients in my clinic.
Would this info change you decision to get chiropractic or physical therapy treatment if you had a back issue in the future?

Ibuprofen for people with back pain has no significant effect - new study