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...
One of the most common problems seen in a primary care medical practice is low back pain. It accounts for more discomfort, lost work and productivity, and frustration for many patients than any other malady. Some think it is the price we, as humans, pay for walking upright. The lower back is a complex structure made of bone, muscles, connective tissue and nerves that, along with our legs, hold us erect, allow us to bend, run, twist, catch a football, or just lay down and rest. However, once a problem arises, the complexity of its structure makes pain in the lower back difficult to diagnose and treat. The lower back consists of a spinal column from the lumbar region of the mid-back down to the tail bone or coccyx. The spinal column consists of 5 lumbar vertebrae which are cylindrical bony structures with a ring like component behind the cylinder also made of bone. In between the vertebrae are disc shaped cushions filled with a gelatinous central core known as the nucleus pulposis
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...
You should knowAnswers to your question are meant to provide general health information but should not replace medical advice you receive from a doctor. No answers should be viewed as a diagnosis or recommended treatment for a condition. Content posted by community members does not necessarily reflect the views of Remedy Health Media, which also reserves the right to remove material deemed inappropriate.