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 ...
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...
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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