Full presentation on low back pain clinical guidelines by EIM Fellow Adam Yoder
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Non-specific low back pain accounts for over 90% of patients presenting to primary care and these are the majority of the individuals with low back pain that present to physiotherapy. Physiotherapy assessment aims to identify impairments that may have contributed to the onset of the pain, or increase the likelihood of developing persistent pain. These include biological factors (eg. weakness, stiffness), psychological factors (eg. depression, fear of movement and catastrophisation) and social factors (eg. work environment). The assessment does not focus on identifying anatomical structures (eg. the intervertebral disc) as the source of pain, as might be the case in peripheral joints such as the knee. Previous research and international guidelines suggest it is not possible or necessary to identify the specific tissue source of pain for the effective management of mechanical back pain.
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Weights & Measures There are two main forms of lower back pain: acute and chronic. Acute pain is defined by a sharp, severe, sudden onset. You got in a car accident, fell down the stairs, or “threw out your back” lifting something. But for all the misery you feel, acute lower back pain can often be healed with Advil, ice, and sufficient rest.
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[ProductDetail_TopEspot] The Home Depot México Homepage US Food and Drug Administration. FDA News Release. FDA clears Cymbalta to treat chronic musculoskeletal pain. Available at. Available at http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm232708.htm.. Accessed: November 5, 2010.
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Why is back pain still a huge problem? Maybe this: “It is extremely difficult to alter the potentially disabling belief among the lay public that low back pain has a structural mechanical cause. An important reason for this is that this belief continues to be regularly reinforced by the conditions of care of a range of ‘hands-on’ providers, for whom idiosyncratic variations of that view are fundamental to their professional existence.”
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Essex Sagegrass Nucleoplasty, also called plasma disc decompression (PDD), is a type of laser surgery that uses radiofrequency energy to treat people with low back pain associated with mildly herniated discs. Under x-ray guidance, a needle is inserted into the disc. A plasma laser device is then inserted into the needle and the tip is heated to 40-70 degrees Celsius, creating a field that vaporizes the tissue in the disc, reducing its size and relieving pressure on the nerves. Several channels may be made depending on how tissue needs to be removed to decompress the disc and nerve root.
Also contact your doctor right away if you have back pain and you have any of these: a history of cancer, unintentional weight loss, long-term steroid use, weak immune system, history of IV drug use, or your pain gets worse with rest.
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Nevermind, I remember. Medical Topics Education Using the wrong form or overexerting yourself can strain muscles or tendons in your back, or sprain one of your ligaments, according to the Cleveland Clinic. That essentially means those components have been twisted, stretched, or torn. These kinds of injuries can present as abrupt pain that worsens with activity, muscles cramps or spasms, and stiffness or limited movement.
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