FROM OUR EXPERTS
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 ...
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...
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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