FROM OUR EXPERTS
Fun, fun, fun! That is what summer is all about now that school is out and the winter blizzards are a thing of the past. Before the parachutes, wakeboards, skateboards, and soccer balls come out of the closet, a few words of caution should be heeded. Before the horses are loaded up for the big summer ride and roundup, some warnings should be understood.
Even with the best intention for safety and fun, many activities of enjoyment can cause injury. Those injuries usually amount to chronic pain with arthritis in the future because no matter how far the practice of medicine has come, injuries rarely heal back to an original, pristine state. Mirco-injury to ligaments and cartilage leave a joint vulnerable to the effects of overuse, stress, and aging . Thus, these joints become arthritically inflamed and painful later. The price of pain might be in years to come, but it will come. Take a look at the common injuries associated with some popular summertime activities.
Did you know that hip bursitis can mimic back pain? Even though doctors know this, 20 percent of the LBP cases caused by hip bursitis aren't properly diagnosed. There are many possible reasons for this. Hip bursitis is a painful irritation on the side of the upper part of the hip. A jelly-like sac called the bursa sits between the hipbone and a tendon. It's designed to offer a cushion for the tendon as it slides over the bone. Hip bursitis is part of a larger group of problems called greater trochanteric pain syndrome (GTPS). GTPS is most common in middle age--just about when many vague aches and pains begin. At first, the symptoms of GTPS may be too hard to pinpoint. This prevents a correct diagnosis. The painful symptoms may move down the thigh to the knee with numbness and tingling present. These symptoms are just like another problem called lumbar radiculopathy. Radiculopathy occurs when pressure from a spinal disc, tumor, or bone spur causes shooting pain and numbness down the leg...
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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