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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...
Back care consists of any of several approaches used to restore or maintain a healthy, pain-free back. Low back pain is a major problem in our society. Up to 90 percent of all Americans will have a problem with back pain at some time in their lives. They will spend approximately five billion dollars annually for relief. Each year, some 200,000 back surgeries are performed, and hundreds of thousands of prescriptions are written for medications to relieve low back pain. It is estimated that one-third of all workmen's claims and 60 percent of all long-term disability payments are used for the care of back injuries. It is no wonder there is an increasing interest in the prevention and management of low back pain. The major reason low back pain is not a simple problem to solve is that each individual's situation is unique. Pain may be the result of any combination of factors, such as day-to-day activities, lifestyle, level of fitness, nutritional status and even, the aging process. ...
Damage to the spinal cord, an information superhighway that originates in the brain, is a very devastating injury that can lead to paralysis. Most people have heard of traumatic spinal cord injuries because the sudden tragedies grab headlines from time to time. But, few people have heard of spinal stenosis, a narrowing of the tube which shelters the spinal cord called the spinal canal (See Spine Anatomy 101 ). As the space tightens like a noose, this slow strangulation of the nerves in the spine can disrupt anyone’s life. Sara turned 68 years old last month. She has enjoyed good health and has been an avid golfer. But, lately she has noticed an aching pain in her legs that occurs when she is walking or standing. This new problem has really slowed her golf game down and has made it difficult for her to even do her own grocery shopping. The only way she can make it up and down the aisles is by leaning on the shopping cart because that eases her pain. Frustrated, she calls to ...
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