FROM OUR EXPERTS
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...
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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