This extremely popular 2017 article on Vox.com the “new science” of low back pain was praised by many because it superficially seems to be very modern and science-y, and it correctly dismisses a number of myths, but I think it’s an exasperating failure. It creates a strong impression of being scientifically rigorous without actually being so. It brims with promising science news about alternative treatments that do not actually stand up to more cynical and experienced analysis. Adding to the façade of scientific credibility, many of the right caveats and disclaimers about the “new science” are technically there — warnings about small effect sizes, mixed evidence, and potential flaws — but these cautions are also belated and consistently understated. The tone is overwhelmingly sunny and naïve, as though we are on the verge of a revolution in back pain treatment thanks to … a bunch of stuff that has been around forever and has clearly not been saving the world from chronic low back pain.
^ Jump up to: a b c d e f g h Church E, Odle T. Diagnosis and treatment of back pain. Radiologic Technology [serial online]. November 2007;79(2):126-204. Available from: CINAHL Plus with Full Text, Ipswich, MA. Accessed December 12, 2017.
Hexenschuss is a German word for back spasm or lumbago, but translated literally it means shot by the witch (hexe = witch and Schuss = shot). Those Germans have a word for everything! Hat tip to reader Richard Moison for teaching it to me. BACK TO TEXT
Jump up ^ Deshpande A, Furlan AD, Mailis-Gagnon A, Atlas S, Turk D (2007). Opioids for chronic low-back pain. Cochrane Database of Systematic Reviews (3): CD004959. doi:10.1002/14651858.CD004959.pub3. PMID 17636781.
What’s more, researchers have also found that chiropractic adjustments may affect the chemistry of biological processes on a cellular level. Chiropractic care can affect the basic physiological processes that profoundly influence oxidative stress, immune function and DNA repair. This means that aside from addressing any immediate spinal misalignment that might cause back pain, chiropractic care can also help address, prevent and treat deeper dysfunctions in your body.
Back pain can be a symptom of many different illnesses and conditions. The main cause of the pain can be a problem with the back itself or by a problem in another part of the body. In many cases, doctors can’t find a cause for the pain. When a cause is found, common explanations include:
Infections are not a common cause of back pain. However, infections can cause pain when they involve the vertebrae, a condition called osteomyelitis; the intervertebral discs, called discitis; or the sacroiliac joints connecting the lower spine to the pelvis, called sacroiliitis.
Biofeedback is used to treat many acute pain problems, most notably back pain and headache. The therapy involves the attachment of electrodes to the skin and the use of an electromyography machine that allows people to become aware of and selfregulate their breathing, muscle tension, heart rate, and skin temperature. People regulate their response to pain by using relaxation techniques. Biofeedback is often used in combination with other treatment methods, generally without side effects. Evidence is lacking that biofeedback provides a clear benefit for low back pain.
If you are experiencing sharp pain in the lower back, particularly on one side, you may be experiencing kidney stones. Also known as a renal calculus, a kidney stone is a solid piece of material formed in the kidney by minerals.
This Quatrefoil Nursing Cotton Bed Rest Pillow is perfect to use while breastfeeding, relaxing or to support comfortable your baby in back position (2 months) or sitting position (6 months). It is also possible to place baby in tummy time position (4 months) to strengthen his neck and back. Its cotton cover and polyester underfill ensure high-quality smoothness and comfort.
Each month, Rachael pens a personal letter to the readers of her magazine, Every Day with Rachael Ray. Here’s what’s on Rach’s mind for April, and what’s cookin’ in the magazine. Don’t forget to get y
Or this guy’s word. Dr. Nikolai Bogduk has authored dozens of scientific papers about low back pain. He also questions and challenges many common beliefs about low back pain, and is one of the expert sources this tutorial relies upon.
Stay active and continue your daily activities as normally as you can. There is strong evidence that this leads to a faster recovery and reduces the chance of chronic pain and disability. Prolonged bed rest may make back pain worse, so after the first few days limit the time you spend in bed.
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I bought two of your eBooks last week, and I’m enjoying going them. Your presentation is excellent. It’s far too early too say, of course, but I think I’ve already begun to benefit from your approach. One of the things I like most about your approach is your respect for “science,” as opposed to “merchandising.” You’ve put so much into those two eBooks, it’s going to take time to do them the justice they deserve.
Back pain can have many underlying reasons, but often no specific cause will be found and the pain will stop. This chapter will review many of the causes of back pain and proper evaluation and diagnosis. Please be sure to discuss your individual symptoms as well as the suggested treatments with your health-care professional to determine the appropriate diagnostic and treatment plan for your circumstances.
The almost magical power of MRI to look inside the back gives both doctors and patients something to point at and blame, but most are unaware that MRI has been proven (many times) to be a lousy diagnostic tool for back pain. The things you see on MRI scans are rarely the real problem — and every radiologist seems to see something different!
On any given day, almost 2% of the entire US work force is disabled by back pain. In people under 40 years of age, back pain is the most common reason for the inability to perform daily tasks. It also is the direct cause of enormous healthcare expenses, with estimates as high as $60 billion annually.
Jump up ^ Conn’s current therapy 2017. Bope, Edward T.,, Kellerman, Rick D.,, Preceded by: Conn, Howard F. (Howard Franklin), 1908-1982. Philadelphia: Elsevier. 2017. ISBN 9780323443203. OCLC 961064076.
This orthopedic memory foam lumbar support by Sweet Relief is the perfect balance between firmness and softness. It features an adjustable strap, which can extend from 20 to 36 inches, and breathable mesh fabric. You’ll also get a free mesh support so you can enjoy lumbar support in both your car and your home.
Antidepressants may be effective for treating chronic pain associated with symptoms of depression, but they have a risk of side effects. Although the antiseizure drugs gabapentin and carbamazepine are sometimes used for chronic low back pain and may relieve sciatic pain, there is insufficient evidence to support their use. Systemic oral steroids have not been shown to be useful in low back pain. Facet joint injections and steroid injections into the discs have not been found to be effective in those with persistent, non-radiating pain; however, they may be considered for those with persistent sciatic pain. Epidural corticosteroid injections provide a slight and questionable short-term improvement in those with sciatica but are of no long term benefit. There are also concerns of potential side effects.
Quit smoking. Smoking reduces blood flow to the lower spine, which can contribute to spinal disc degeneration. Smoking also increases the risk of osteoporosis and impedes healing. Coughing due to heavy smoking also may cause back pain.
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