Last month, the American Pain Society added to its recommendations to health care providers regarding the diagnosis and treatment of low back pain .
In addition, the Society decided to discuss openly procedures that could be risky to sufferers of low back pain, including recommendations on surgery and other invasive therapies.
Unfortunately, there is not a significant body of good evidence to justify unquestioningly embracing these new recommendations. It is difficult to find well-done clinical studies which support the use of a number of the more invasive treatments used for chronic low back pain.
The initial set of guidelines for the management of chronic low back pain were published in "Annals of Internal Medicine" last October. However, these recommendations dealt more with the initial evaluation of a low back pain patient, and included thoughts on what type of x-rays to order in addition to more conservative treatments such as massage/manipulation and exerci...
How can chronic pain be prevented? Oh that I and the insurance companies knew the answer to that question!
The key is to identify those patients at risk for the development of chronic pain .
Musculoskeletal pain is a significant problem in this country: 85% of the population suffers from this affliction at some point during the employment years. Fortunately, the majority recover rather quickly from acute back pain . It is the 3% to 10% that develop long-term disability due to their chronic pain, which is a deceptively small percentage if one considers that this minority consumes significantly more than 50% of the health care dollars for this problem.
If the chronic pain group could be identified, perhaps an intervention could occur which might avoid the suffering and costs associated with pain and loss of income. Unfortunately, musculoskeletal pain is such a frequent occurrence, it would be prohibitively costly to attempt psychological interventions upon every ...
All of the latest research shows undeniable proof that obesity and back pain are intimately linked together. This relationship is not beneficial to you. No, this relationship can cause you to lose your job, house, spouse and life as you know it. Obesity and low back pain walk hand in hand down a pathway towards pain and misery.
In one study 1 , the researchers reviewed the causal relationship between obesity and low back pain. They definitely found evidence that the higher the Body Mass Index was the more likely a person would develop low back pain. The risk of low back pain in someone who is overweight increases substantially as the person ages. Another underlying factor that causes obese people to have more low back pain is the increased levels of inflammation due to metabolic syndrome. Does this mean that skinny people don’t get low back pain or that obese people will always have low back pain? No, the relationship between obesity and low back pain is not an absolute cau...
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