FROM OUR EXPERTS
Starting a little less than a year ago, I would walk my father’s miniature Schnauzer, Austin, as well as my terrier mix, Noel. Each dog weighed about 20 pounds, walked rapidly while following their nose, and did not have strong obedience training (which means that they pulled while on the leash). While they loved the walks, I ended up paying the ultimate price last spring with lower back pain.
So I was very interested in a Houston Chronicle column by Dr. Michael Roizen and Dr. Mehmet Oz entitled, “Back Hurt? Check Your Attitude.” The good doctors noted that people who are older than 30 years of age tend to have had or will have lower back pain due to improper posture while driving and working on computers. However, they suggest that your attitude can affect the status of your back. “What you think will happen next – healthy recovery or chronic pain – dramatically affects what will happen. The more optimistic and can-do your mind-s...
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 ...
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