Regular updates are a key feature of PainScience.com tutorials. As new science and information becomes available, I upgrade them, and the most recent version is always automatically available to customers. Unlike regular books, and even e-books (which can be obsolete by the time they are published, and can go years between editions) this document is updated at least once every three months and often much more. I also log updates, making it easy for readers to see what’s changed. This tutorial has gotten 122 major and minor updates since I started logging carefully in late 2009 (plus countless minor tweaks and touch-ups).
^ Jump up to: a b American Academy of Family Physicians, Ten Things Physicians and Patients Should Question, Choosing Wisely: an initiative of the ABIM Foundation, American Academy of Family Physicians, archived from the original on 10 February 2013, retrieved 5 September 2012
Back pain is generally treated with non-pharmacological therapy first, as it typically resolves without the use of medication. Superficial heat and massage, acupuncture, and spinal manipulation therapy may be recommended.
A toilet seat for elderly loved ones helps those recovering from injury, suffering from chronic joint pain, or hindered by limited mobility. A raised toilet seat alleviates pain and makes it easier for aging adults to go to the bathroom independently. Raised toilet seats are secure, comfortable, and affordable. Here, we look at the ten best toilet seats for elderly adults.
Twenty eight male participants (14 healthy individuals and 14 patients with LBP) between the ages of 21–50 were asked to participate in the study. Healthy individuals consisted of those who were free of LBP for the six months previous to the study, whereas patients with LBP had a history of LBP for at least three consecutive days over the last three consecutive weeks prior to testing. Individuals with a known neurological disorder, scoliosis or other deformity, inflammatory or degenerative arthropathy, connective tissue disease, or a history of spinal surgery were excluded from the study. Individuals with current or previous neck pain in the past three weeks were also excluded. Participants were asked to avoid engaging in any type of resistive exercise for the 48 hours prior to testing. All participants signed the informed consent form. The procedures used were in accordance with the institutional research ethics board. The clinical trial was registered at ClinicalTrials.gov (NCT00754585). Data were collected in the Biomechanics and Elastography laboratory at the Canadian Memorial Chiropractic College (CMCC).
Astaxanthin – This is one of the most effective oil-soluble antioxidants known to man today. Astaxanthin has very potent anti-inflammatory properties. In some cases, it may even be more effective than NSAIDs. You may need to take high doses of this antioxidant (as much as eight milligrams a day), though, to achieve this benefit.
Anyone with severe or worsening back pain, particularly after a fall or injury, should speak to a doctor. People should also speak to a doctor if they experience pain that gets worse after resting or at night.
In addition to good back support while sitting, it’s best to try to avoid sitting in the same position for more than thirty minutes at a time. If possible, stand up, stretch, and walk around a bit before returning to the sitting position.
Ergonomic chair. There are a number of ergonomic chairs that are ergonomically sculpted with a lumbar support curvature built into the chair. To test if the ergonomic chair fits well, the user should sit up straight, with the head, spine, and buttocks in alignment. Then sit all the way back against the seatback. The curve of the ergonomic chair should naturally follow the curve of the lower back.
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.
^ Jump up to: a b Steffens D, Maher CG, Pereira LS, Stevens ML, Oliveira VC, Chapple M, Teixeira-Salmela LF, Hancock MJ (January 2016). Prevention of Low Back Pain: A Systematic Review and Meta-analysis. JAMA Internal Medicine. 176: 1–10. doi:10.1001/jamainternmed.2015.7431. PMID 26752509.
Shingles (herpes zoster) is an acute infection of the nerves that supply sensation to the skin, generally at one or several spinal levels and on one side of the body (right or left). Patients with shingles usually have had chickenpox earlier in life. The herpes virus that causes chickenpox is believed to exist in a dormant state within the spinal nerve roots long after the chickenpox resolves. In people with shingles, this virus reactivates to cause infection along the sensory nerve, leading to nerve pain and usually an outbreak of shingles (tiny blisters on the same side of the body and at the same nerve level). The back pain in patients with shingles of the lumbar area can precede the skin rash by days. Successive crops of tiny blisters can appear for several days and clear with crusty inflammation in one to two weeks. Patients occasionally are left with a more chronic nerve pain (postherpetic neuralgia). Treatment can involve symptomatic relief with lotions, such as calamine, or medications, such as acyclovir (Zovirax), for the infection and pregabalin (Lyrica) or lidocaine (Lidoderm) patches for the pain.
Sleeping on one’s side with the knees drawn up in a position can help open up the joints in the spine and relieve pressure by reducing the curvature of the spine. Always sleep on a firm surface.
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More than 90% of people with back pain get better after conservative treatment. Only 5% of people with back pain will have symptoms for more than 12 weeks and for most of these people, the cause is not serious.
Now you can kick back and relax anywhere, inside or out, with this comfortable and supportive Reading Pillow. The Majestic Home Goods Indoor/Outdoor Reading Pillow provides back and head support that is perfect for many activities such as reading, working on your laptop or lounging with friends. Stuffed with a super loft recycled polyester fiber fill, the reading pillows zippered slipcover is woven from Outdoor Treated polyester and has up to 1000 hours of U.V. protection. Hand wash slipcover…
Spinal fusion is used to strengthen the spine and prevent painful movements in people with degenerative disc disease or spondylolisthesis (following laminectomy). The spinal disc between two or more vertebrae is removed and the adjacent vertebrae are “fused” by bone grafts and/or metal devices secured by screws. The fusion can be performed through the abdomen, a procedure known as an anterior lumbar interbody fusion, or through the back, called posterior fusion. Spinal fusion may result in some loss of flexibility in the spine and requires a long recovery period to allow the bone grafts to grow and fuse the vertebrae together. Spinal fusion has been associated with an acceleration of disc degeneration at adjacent levels of the spine.
Whether you want to read for a forthcoming exam or review some work documents in bed, you need a comfortable pillow. Comfort is one of the important reasons why you should go for the best reading pillow because if whatever you buy does not provide it you will not be able to sit in bed for long. Many things will affect the comfort of the backrest pillow, and they include things like the size, firmness and filling type.
Low back pain can certainly be sensitive to emotional state, just like an ulcer gets worse when you’re stressed. But both are real physical problems! All of this will be discussed in detail, and it’s important, but this is not a tutorial about treating back pain through psychoanalysis, stress relief, and positive thinking. Tools like yoga and meditation are great for those who enjoy them, but not required.
Sure, sky-high stilettos are a no-no, but it turns out that flats can cause trouble, too. Sandals and flip-flops often provide little, if any, arch support. Continuous wear can lead to back, knee, and foot problems down the line, says Megan Tabor, a chiropractor at the Osher Clinical Center at Brigham and Women’s Hospital. But don’t worry: You needn’t settle for all function and no flair. Alternate styles throughout the week — from high to low, sneakers to sandals — and avoid wearing a particular pair every day. Shoes should fit properly and offer good arch and heel support, Tabor says. If you walk to work or the bus stop, wear shock-absorbing sneakers, then slip on cuter kicks once you get to the office. Your purse could also be to blame, especially if it’s huge and you’re lugging it on one shoulder. Try a tote with a wide, padded strap; carry it messenger style; and lighten the load. According to the American Chiropractic Association, your bag should weigh less than 10 percent of your body weight.
If you see your doctor for back pain, he or she will examine your back and assess your ability to sit, stand, walk and lift your legs. Your doctor might also ask you to rate your pain on a scale of zero to 10 and talk to you about how well you’re functioning with your pain.
2010 — Minor update: Added a scientific thumbs down for transcutaneous electric nerve stimulation (TENS). [Section: A few more snack-sized reality checks: brief comments on other treatments to avoid.]