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...
Did you know that approximately one-fourth of adults in the United States experience back pain at least once during a three-month time period. Unfortunately, I am now officially one of them and have several other friends who are members of this group.
So what does back pain have to do with diet and exercise? A lot, as it turns out. The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) has identified both as risk factors for back pain. For instance, people who don’t exercise regularly often have weak core muscles that don’t do a good job of supporting the spine. Additionally, people who adopt a “weekend warrior” approach (exercise a lot on the weekends while being inactive the rest of the week) are actually more likely to have painful backs. And obesity puts additional stress on the back. NIAMS also identified other risk factors for back pain, which include:
Age. The first lower back pain commonly occurs between the ages ...
Sometimes cancer cells spread to other parts of the body. When this happens, the breast cancer may be described in a few different ways: metastatic, advanced, or stage IV. The term "metastases" refers to specific areas of spread, such as bone metastases.
If you have signs or symptoms of metastases, your doctor will likely use local treatment (treatment directly to the cancer area) to relieve the symptoms and to control the disease at that spot. Radiation can shrink and help control specific spots where the cancer has spread. Radiation can help:
lower the risk of broken bones in areas that may be weakened from cancer
improve breathing by opening up a blocked airway
take pressure off a pinched nerve that might be causing pain, numbness, or weakness
The radiation dose and schedule for metastases depends on a number of factors, including:
the urgency of the situation (pain, loss of function, size and location of the metastasis, for example)
any previous ...
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