FROM OUR EXPERTS
Back pain - nonspecific
The majority of nonspecific back pain is probably caused by muscle strain. This usually responds to 2-5 days of rest and pain medications (such as nonsteroidal anti-inflammatory agents -- ibuprofen, naproxen, aspirin, etc.), followed by gradual return to activities. Medications may be needed to reduce muscle spasms.
Physical therapy is often prescribed to instruct the patient on proper body mechanics (such as good posture and lifting correctly) and to improve strength and flexibility in the spine, abdomen, and legs.
Surgery is not useful for the treatment of nonspecific back pain.
Most cases of nonspecific back pain resolve on their own or respond to treatment. It is helpful to sleep on a firm mattress, with a board under the mattress, or even on the floor. Heat or ice applied to the affected area may provide some relief.
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 ...
In this study, researchers from the Gait and Posture Lab at the University of Montreal in Canada compare walking patterns between patients who had a total hip replacement versus a surface replacement arthroplasty . An earlier study by Mont et al comparing these two groups reported a slower walking speed and decreased muscle force in the hip abductor muscle of the hip. Results for the patients in the previous study were reported for six to 18 months after surgery. The effects of different implants on gait pattern were measured six to eight months after surgery in this study. The authors thought that a tighter time frame might give them a better way to compare these two patient groups. Hip joint resurfacing was introduced several years ago to help younger patients who are more active and who would likely dislocate or wear out a total hip replacement. Surgeons found a way to replace the surface of the joint without removing the bone and replacing the entire joint. Bone is saved because the...
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