Spinal manipulation: Osteopathic or chiropractic manipulation appears to be beneficial in people during the first month of symptoms. Studies on this topic have produced conflicting results. The use of manipulation for people with chronic back pain has been studied as well, also with conflicting results. The effectiveness of this treatment remains unknown. Manipulation has not been found to benefit people with nerve root problems.
Testimonials on health care websites reek of quackery, so publishing them has always made me a bit queasy. But my testimonials are mostly about the quality of the information I’m selling, and I hope that makes all the difference. So here’s some highlights from the kind words I’ve received over the years… plus some of the common criticisms I receive, at the end. These are all genuine testimonials, mostly received by email. In many cases I withold or change names and identifying details.
The Faux Beaver Pillow from Cyan Design is the precise pillow to accent your space. The eye-catching color and polyester fibers ma…terial make this pillow an inviting addition to any room. read more
Dahm KT Brurberg KG Jamtvedt G et al. Advice to rest in bed versus advice to stay active for acute low-back pain and sciatica. Cochrane Database of Systematic Reviews. 2010, Issue 6. doi: 10.1002/14651858.CD007612.pub2
The diagnosis of low back pain involves a review of the history of the illness and underlying medical conditions as well as a physical examination. It is essential that a complete story of the back pain be reviewed including injury history, aggravating and alleviating conditions, associated symptoms (fever, numbness, tingling, incontinence, etc.), as well as the duration and progression of symptoms. Aside from routine abdomen and extremity evaluations, rectal and pelvic examinations may eventually be required as well. Further tests for diagnosis of low back pain can be required including blood and urine tests, plain film X-ray tests, CAT scanning, MRI scanning, bone scanning, and tests of the nerves such as electromyograms (EMG) and nerve conduction velocities (NCV).
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I apply a MythBusters approach to health care (without explosives): I have fun questioning everything. I don’t claim to have The Answer for low back pain. When I don’t know, I admit it. I read scientific journals, I explain the science behind key points (there are more than 440 footnotes here, drawn from a huge bibliography), and I always link to my sources.
I’m writing to congratulate and thank you for your impressive ongoing review of musculoskeletal research. I teach a course, Medicine in Society, at St. Leonards Hospital in Hoxton. I originally stumbled across your website whilst looking for information about pain for my medical students, and have recommended your tutorials to them. Your work deserves special mention for its transparency, evidence base, clear presentation, educational content, regular documented updates, and lack of any commercial promotional material.
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So, how is low back pain treated? As described above, the treatment very much depends on the precise cause of the low back pain. Moreover, each patient must be individually evaluated and managed in the context of the underlying background health status and activity level.
To learn more about the dangers of too much sitting and the importance of regularly getting out of your chair, I recommend you to see my interview with Dr. Joan Vernikos, author of Sitting Kills, Moving Heals and former director of NASA’s Life Sciences Division. Dr. Vernikos, who was one of the primary doctors that ensured the health of the astronauts as they went into space, gives a very intensive explanation on how you can simply and easily counteract the ill effects of sitting.
While past authors have advocated the quantitative assessment of comfort through CoP shifting , the current study employed a novel method of determining CoP shift  and its potential to represent the full range relationship of comfort to posture remains to be explored.
David diligently followed up a month later with the following comment: “By now I’m convinced your research and recommendations are right on the money. Thanks. I’ve recommended you to a few people who, like myself, have had back problems on and off for years. Thanks for having provided such a useful tool.” ~ Paul
Reading in bed is a common behavior, and for some individuals, it is one of the things that they love doing in their free time. Students will spend several hours doing their homework in bed or reading for exams. Those in the corporate world also spend a lot of time reviewing documents or finishing up projects on their laptop.