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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...
Some low back patients with acute pain don't get better. They become chronic pain patients. This study shows how the fear of pain more than the pain itself actually predicts who will transition from acute to chronic low back pain (LBP). And fear that is linked with pain is also linked with restricted physical movement. In the end the acute LBP patient sees himself as more disabled than he really is based on pain-related fear. The authors came to these conclusions by studying 96 men and women with acute LBP. Each one lifted a 15- pound bag from the floor to a table. Then the bag was lifted off the table and set on the floor again. The number of times the bag was lifted and the total lifting time were recorded. The authors make note of the fact that the average adult would not have any trouble lifting 15 pounds repeatedly. But someone with back pain may feel threatened by the task. Before starting the lifting task each person filled out several forms. The surveys asked questions about age...
If you walk into any drug store, mega-box store or sporting goods store, you’ll be sure to find a variety of lumbar supports, back braces and alike. Because these devices are readily accessible, many users grab one off the self before seeking professional advice. That’s not necessarily a good idea because back braces offer a mixed bag of benefits and risks.
Now, strapping on an elastic lumbar support is tempting as a means to relieve pain and keep on going. And for the most part, these medical devices can help to accomplish that goal. The wrap-around support mimics the internal support that supposed to be provided by the abdominal muscles. Because many people have weak core muscles , the extra bracing does help sometimes. It’s probably most helpful in someone with disc degeneration as opposed to someone with lumbar stenosis . And it’s probably most helpful in average-weight individuals that don’t carry a lot of belly fat. Even if you don’t get ...
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