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...
Resources www.niams.nih.gov -- National Institute of Arthritis and Musculoskeletal and Skin Diseases www.aaos.org -- American Academy of Orthopaedic Surgeons www.arthritis.org -- Arthritis Foundation www.spine.org -- North American Spine Society www.apta.org -- American Physical Therapy Association www.ampainsoc.org -- American Pain Society www.theacpa.org -- American Chronic Pain Association www.iasp-pain.org -- International Association for the Study of Pain
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