One of the major risks of having spine surgery is the development of an infection. Discitis is an uncommon infection of the spinal disc that can occur after spinal surgery. Because of its rarity, discitis is often not on the minds of doctors. In this world of rushed, inattentive doctors, a person with an infection of the spine can be dismissed as a "common back pain" case when in fact discitis is the culprit.
A 58 year old woman who had years of lumbar pain came to me one and a half years following a complicated lumbar fusion; the surgery was complicated by the fact that the surgeon had to operate twice in order to get the hardware placed correctly. Unfortunately, the surgery did not cure her pain; and she came to me for pain management.
Two months into her treatment with me, she had a severe episode of low back pain after shoveling snow. She went to her primary doctor with not only complaints of worsening back pain, but she also had a fever and an upset stomach. That ...
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...
Anaerobic pneumonia; Aspiration of vomitus; Necrotizing pneumonia; Aspiration pneumonitis
Some people may need to be hospitalized. Treatment depends on the severity of the pneumonia . You may receive antibiotics, which treat bacteria. Some people may get special antibiotics to treat bacteria that live in the mouth.
The type of bacteria that caused the pneumonia depends on:
Where you live (at home or in a long-term nursing facility, for example)
Whether you've recently been hospitalized
Recent antibiotic use
You may need to have your swallowing function tested. Patients who have trouble swallowing may need to use other feeding methods to reduce the risk of aspiration.
The outcome depends on:
The severity of the pneumonia
The type of bacteria causing the pneumonia
How much of the lungs are involved
If acute respirator...
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