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 ...
Is your pain worse in the morning? At times, that pain at dawn is the worst pain of the day. We tend to be vulnerable this time of day because the muscles are stiff, the mind is not completely awake, the blood pressure is low, and the medications are losing their effectiveness. Breaking this daily pain cycle can be a matter of improving your sleep posture, changing your morning routine or changing your medications. Explore the ways to start your day with less pain.
Sleep Posture : Spending five, six or seven hours in a poor sleep posture is going to cause you to wake up in pain. Poor sleep postures can be fixed with a good mattress and some well placed pillows. Millions of people - including me - wake up in less pain by using the Tempur-Pedic mattresses and pillows . A body pillow is also worth trying because it can help you avoid sleeping in a twisted or rotated position. A pillow between the knees or a pillow at the small of your waist are also worth considering; eventually, yo...
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...
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