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...
The local weather forecast calls for pain increasing over the next five days and tapering off towards the end of the week. Sound familiar? Many people who have arthritis are very familiar this forecast and know that weather effects pain severity. In fact, many people know what the weather is doing just by how a joint feels. Pain, stiffness and swelling can be as accurate at forecasting the weather as a meteorologist. And those who live in certain climates know exactly how painful some climates can be. What do scientists have to say about this weather phenomenon? Are the rumors true? Does joint pain forecast the weather?
Ouch, it's cold outside. Just looking at temperature, one can easily conclude that l ow temperatures increase pain not only in a joint, but everywhere. Knee pain , rheumatoid pain, and osteoarthritis pain all show consistent increases in severity has the mercury plunges. The reason for this phenomenon probably has something to do with nerve conduction slowing in t...
Alternative Names Backache; Low back pain; Lumbar pain; Pain - back; Acute back pain; Back pain - new; Back pain - short-term Prevention See: Taking care of your back at home References US Preventative Services Task Force. Primary Care Interventions to Prevent Low Back Pain: Brief Evidence Update . Rockville, MD: Agency for Healthcare Research and Quality; February 2004. Anema JR, Steenstra IA, Bongers PM, de Vet HC, Knol DL, Loisel P, van Mechelen W. Multidisciplinary rehabilitation for subacute low back pain: graded activity or workplace intervention or both? A randomized controlled trial. Spine . 2007;32:291-298. Chou R, Qaseem A, Snow V, Casey D, Cross JT Jr, Shekelle P, et al. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med . 2007;147:478-491. Chou R, Fu R, Carrino JA, Deyo RA. Imaging strategies for low-back pain: systematic review and meta-analysis. Lancet . 2009;373:463-472.
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