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...
I have migraines that cause my face to go numb, both my legs to go weak and get pins and needles and burning sensations. I can have altered sensation in both my feet and legs at the same time, this usually only lasts for short periods of time but happens on and off with twitching in the numb areas. Sometimes this can make it difficult to walk. I can also get a tingling tongue. I also sometimes get stabbing eye pain. I never feel sick or light sensitive but I have stabbing like pains in my head, like an electrical bolt. I have had repeat brain MRI on a T3 machine which have been normal. I never usually get severe headache just more weird sensations in my head.
Can migraine cause both legs to go numb at the same time? Or both arms at the same time? I was told migraine is only one sided? I have had spinal MRI and this is normal too.
Thank you for any info. Cheers, Eleanor.
Although the headache and many of the other sy...
There aren't very many long-term studies of results after surgery to repair the anterior cruciate ligament. And many changes have occurred in the last 10 years in the way this procedure is done. In this study, surgeons from France report on 101 knees with an ACL injury. All were repaired with the same bone-patellar tendon-bone (BPTB) arthroscopic graft technique. In January 1993, they started a computer database of all patients having ACL reconstructions. Data gathered included patient age, time between injury and surgery, and symptoms. Joint laxity (looseness) was measured with a special device called the KT-1000 arthrometer . X-rays were used to look at joint space and alignment. Function and sports activity were measured with the International Knee Documentation Committee (IKDC) classification tool. And it was recorded whether or not the meniscus (knee cartilage) had been removed. The authors report about slightly more than half of the patients had a meniscal tear. Most of these were ...
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