FROM OUR EXPERTS
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...
No reason to panic and no reason to think the worse; if your child is experiencing low back pain, just take a deep breath and read. And contrary to popular belief, low back pain in children is usually not caused from a backpack full of books. No, a majority of back pain seen between the ages of 10-18 years of age is related to sports. Children who are involved in football, gymnastics, wrestling, diving, volleyball, or racket sports tend to be the most likely kids who will experience back pain. Fortunately, these aches and pains usually go away with good conservative care because they rarely represent a dire problem.
Although dire problems like infections and tumors do rarely occur; thus, a child with low back pain should see a doctor just to be sure. A doctor will ask a lot of questions about what makes the pain worse or better, general health, and other feelings of numbness, pain or weakness. After these questions have been answered, the doctor will test the reflexes, strength...
KEEPIN' THE FAITH I used to think I was a little different from many people, but as I "mature" (i.e. get older), I find that I'm terminally average, and that's fine with me. My first osteoarthritis surgery was for a joint replacement at the base of my big toe about 12 years ago. At the time, I thought "well, we got THAT fixed -- won't have anymore surgeries." Little did I know that I would have four more joint replacement surgeries with at least three more in my "forecast." Instead of thinking "poor me," I'm incredibly grateful that these surgeries are possible and I can go on to live a reasonably active life. In fact with my second hip, the surgeon told me that it should last 35 years -- it may outlive me! With Osteoarthritis, You Have to Think Positive I've found that anything can happen and you have to want something badly enough and be willing to work toward it. My passions for Af...
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