FROM OUR EXPERTS
Many would argue that back pain is inevitable and for some it becomes a sudden reality. Bending over to pick up a piece of paper, moving furniture, or reaching for something in the car's back seat; one of these scenarios may sound familiar to you. At home or at work, you need to know what to do when a sudden attack of back pain occurs. Fortunately, most back pain will get better naturally. But in order to improve your chances of recovery and to save yourself a trip to your doctor's office, you need to learn some first aid for back pain.
Those of you familiar with life-saving first aid remember the ABC's (Airway, Breathing, and Circulation). Let's apply the ABC's to your back; "A" for arrest the offending activity, "B" for balance the pressure, "C" for control the inflammation. With the ABC's for sudden back pain, you can quickly recover from a sudden back pain attack.
Let's go back to the scenarios: bending, lifting, and twisting (the BLT's). All of these activiti...
Driving a car to the local mechanic to get it fixed is not the same thing as taking the human body into surgery; although, this "fix-it" attitude drives patients and surgeons alike towards surgical solutions. Lately, a growing number of people are undergoing low back surgery . A recent study examined the relationship between patient expectations and the actual outcomes from lumbar spine surgery. Because pre-surgical expectations do not always equate to the actual results, how can a person judge whether or not a surgery was successful? How can one predict surgical success?
Understanding the primary reasons for seeking surgical solutions is the first step towards discussing the likelihood of success. The top three causes for patients wanting lumbar surgery are: 1#, other therapies have failed to help; 2#, the pain is unbearable; 3#, walking has become difficult. Based on these reasons to see a surgeon, patients come to the operating room harboring certain expectations. Patients wa...
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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