Willow bark and low back pain

What 2 graded rows on willow bark agree on for low back pain, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the Willow bark page, with its PubMed record.

Your question

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Willow bark and low back pain

2 rows · 489 people

They agree: both rows found an improvement.

No difference
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside.
  • Grade B× 1
  • Grade D× 1
Rows
2
Trials
3
People
489
Pooled reviews may count some twice

What the rows share

From the rows

The best-graded row, grade B, is a meta-analysis of 261 people (2014) and found an improvement.

The rows run from 228 to 261 people, published from 2001 to 2014: 1 pooled review and 1 single study.

The rows

2 improved
  1. Grade BLow back pain (pooled willow bark trials) · Improved

    Meta-analysis, 2 studies · n 261 · 2014 · Adults with non-specific low back pain (2 placebo-controlled willow bark trials within a 14-trial herbal review)

    120 or 240 mg salicin/day · Short term (as reported in the review)

    Probably better than placebo for short-term pain relief and less rescue medication (moderate-quality evidence). No significant adverse events were noted in the included trials.

    Row on the Willow bark page · PubMed 25536022 (opens PubMed)

  2. Grade DLow back pain flare-ups versus rofecoxib · Improved

    RCT · n 228 · 2001 · Outpatients aged 18 to 80 with acute flare-ups of low back pain (228 randomised; number analysed not given in the abstract)

    240 mg salicin/day (versus rofecoxib 12.5 mg/day) · 4 weeks

    Both groups improved similarly (pain component of the Arhus index about 30% better; about 60% responders in each group), with no significant difference between treatments and similar adverse events.

    Row on the Willow bark page · PubMed 11752510 (opens PubMed)

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