Big Pharma recently began promoting Humira, an expensive drug with a price tag of nearly 20,000 dollars a year. Humira is touted to help treat ankylosing spondylitis, a chronic inflammatory disease of the axial skeleton, which includes the spine. It is outrageous how drug companies promote this dangerous drug for an exceedingly rare cause of low back pain – one that is only responsible for less than a tenth of a tenth of one percent of low back pain! What’s more, Humira may cause severe side effects, such as:
Janelle Shane is a humorist who creates and mines her material from neural networks, the form of machine learning that has come to dominate the field of artificial intelligence over the last half-decade.
Back pain can usually be managed successfully with the simple treatments listed above, but about 10 percent of people have ongoing problems. Back surgery is usually a last resort in people who have an underlying cause for their pain.
Feldman M, et al. Sleisenger & Fordtran’s Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.clinicalkey.com. Accessed Oct. 25, 2014.
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Table 2 provides details of the descriptive statistics for the CoP LSR. The results of the three-factor ANOVA for the entire sample of participants suggested that there was a significant effect of Condition (p = 0.017) and Epoch (0.028) but not Group (p = 0.095). The lack of any significant interaction effects, however, suggested that the effect of Condition was consistent over Epoch, in that the LSR was consistently lower in the lumbar support condition for both healthy and LBP groups than in the standard chair condition, suggesting greater comfort.
I was an alternative health professional myself for many years — a Registered Massage Therapist, trained in Canada (which has unusually good training standards). Of course, some of my colleagues in alternative medicine were diligent students of medical science. However, in my experience, most were certainly not — indeed, many lacked even the most basic knowledge of how medical science works or how to keep current about recent discoveries with clinical implications. BACK TO TEXT
The lumbar spine, or low back, is a remarkably well-engineered structure of interconnecting bones, joints, nerves, ligaments, and muscles all working together to provide support, strength, and flexibility. However, this complex structure also leaves the low back susceptible to injury and pain.
The US National Library of Medicine has information on a study done to determine whether a lumbar support pillow, outfitted with a cut-out to accommodate the bulk of posterior pelvic soft tissue volume, is more effective than a standard chair in promotion a neutral spine posture and improving subjective and objective measures of comfort in healthy individuals and patients with lower back pain.
The treatment of lumbar strain consists of resting the back (to avoid reinjury), medications to relieve pain and muscle spasm, local heat applications, massage, and eventual (after the acute episode resolves) reconditioning exercises to strengthen the low back and abdominal muscles. Initial treatment at home might include heat application, acetaminophen (Tylenol) or ibuprofen (Advil, Motrin), and avoiding reinjury and heavy lifting. Prescription medications that are sometimes used for acute low back pain include anti-inflammatory medications, such as sulindac (Clinoril), naproxen (Naprosyn), and ketorolac (Toradol) by injection or by mouth, muscle relaxants, such as carisoprodol (Soma), cyclobenzaprine (Flexeril), methocarbamol (Robaxin), and metaxalone (Skelaxin), as well as analgesics, such as tramadol (Ultram).
Waist Back Braces Supports Belt,SZ-Climax Adjustable Double Pull Lumbar Supports,Breathable Low Back Pain Relief Lumbar Protector,Abdominal Muscle Waist Trainer Wraps with Removable Steel Spring Stays
Continue with normal activities as much as possible. This may not be possible at first if the pain is very bad. However, move around as soon as you are able, and get back into normal activities as soon as you can. As a rule, don’t do anything that causes a lot of pain. However, you will have to accept some discomfort when you are trying to keep active. Setting a new goal each day may be a good idea. For example, walking around the house on one day, a walk to the shops the next, etc.
Nerve block therapies aim to relieve chronic pain by blocking nerve conduction from specific areas of the body. Nerve block approaches range from injections of local anesthetics, botulinum toxin, or steroids into affected soft tissues or joints to more complex nerve root blocks and spinal cord stimulation. When extreme pain is involved, low doses of drugs may be administered by catheter directly into the spinal cord. The success of a nerve block approach depends on the ability of a practitioner to locate and inject precisely the correct nerve. Chronic use of steroid injections may lead to increased functional impairment.
If you need painkillers, it is best to take them regularly. This is better than taking them now and again just when the pain is very bad. If you take them regularly the pain is more likely to be eased for much of the time, enabling you to exercise and keep active.
Chou R, Qaseem A, Snow V, Casey D, Cross JT, Shekelle P, Owens DK (October 2007). Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine. 147 (7): 478–91. doi:10.7326/0003-4819-147-7-200710020-00006. PMID 17909209.
^ Jump up to: a b c Steffens, Daniel; Maher, Chris G.; Pereira, Leani S. M.; Stevens, Matthew L; Oliveira, Vinicius C.; Chapple, Meredith; Teixeira-Salmela, Luci F.; Hancock, Mark J. (11 January 2016). Prevention of Low Back Pain. JAMA Internal Medicine. 176: 199–208. doi:10.1001/jamainternmed.2015.7431. PMID 26752509.
Sometimes a pain may develop immediately after you lift something heavy, or after an awkward twisting movement. Sometimes it can develop for no apparent reason. Some people just wake up one day with low back pain.
Surgery is seldom considered for acute back pain unless sciatica or the cauda equina syndrome is present. Surgery is considered useful for people with certain progressive nerve problems caused by herniated discs.
A form of radiculopathy, sciatica causes sharp and burning lower back pain, accompanied by pain through the buttocks and down one leg — Occasionally even reaching the foot. These symptoms occur because the sciatic nerve is compressed and nerve signaling is being interrupted. Vertebral fractures, herniated discs, tumors and cysts may all incite sciatica.
Jump up ^ Shmagel, Anna; Krebs, Erin; Ensrud, Kristine; Foley, Robert (2016-09-01). Illicit Substance Use in US Adults With Chronic Low Back Pain. SPINE. 41 (17): 1372–1377. doi:10.1097/brs.0000000000001702. ISSN 0362-2436.
Paget’s disease of the bone is a condition of unknown cause in which the bone formation is out of synchrony with normal bone remodeling. This condition results in abnormally weakened bone and deformity and can cause localized bone pain, though it often causes no symptoms. Paget’s disease is more common in people over the age of 50. Heredity (genetic background) and certain unusual virus infections have been suggested as causes. Thickening of involved bony areas of the lumbar spine can cause the radiating lower extremity pain of sciatica.
President Trump has threatened to “totally destroy North Korea,” respond with “fire and fury” to its nuclear weapons, and said “they’re going to be in trouble like few nations ever have been in trouble in this world.” His remarks have caused commentators, including at The Atlantic, to worry that Trump could essentially taunt Kim Jong Un into a war. And then, suddenly, South Korea said Tuesday that the North was open to talks with the U.S., including on renouncing its nuclear weapons program—something Kim Jong Un had never put on the table before. Could that mean that Trump’s blustery rhetoric … worked?
Several risk factors have been identified for the development of LBP in individuals who are required to sit throughout the majority of their work day. These include prolonged muscle contractions [3,4], vibration , and sustained body postures. Postures outside of neutral are particularly troublesome [3,6-9] as they lead to prolonged low level muscle contractions  and changes in intervertebral disc pressures [8,10]. During sitting, the lumbar spine flattens and there is posterior migration of the nucleus . The pressure on the disc increases [8,10] and there is increased passive strain on the posterior spinal elements [12,13]. The seated lumbar pressures may be minimized by maintaining the natural lordotic curvature [8,14].
The management goals when treating back pain are to achieve maximal reduction in pain intensity as rapidly as possible, to restore the individual’s ability to function in everyday activities, to help the patient cope with residual pain, to assess for side-effects of therapy, and to facilitate the patient’s passage through the legal and socioeconomic impediments to recovery. For many, the goal is to keep the pain to a manageable level to progress with rehabilitation, which then can lead to long-term pain relief. Also, for some people the goal is to use non-surgical therapies to manage the pain and avoid major surgery, while for others surgery may be the quickest way to feel better.