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Category: Medical Care & Diagnosis

Pain Management Cheat Sheet

Pain management is one of the oldest areas of medicine. And just as there are many different causes of pain, there are many different treatment options. One of the most controversial options is pain-relieving drugs, especially the long-term use of opioids for chronic pain. One thing is for sure – all patients should have access to a variety of pain management options. Pain-relieving drugs may be the right choice in some cases, but they should never be the only option on the table. A recent bill sponsored by Wisconsin congressman Ron Kind serves to highlight this issue. Many veterans receive …

A Look at Spinal Manipulation Therapy and Back Pain

If you’ve ever been to a chiropractor or had a professional “crack your back,” you may have been a recipient of spinal manipulation therapy (SMT). Spinal manipulation, also called spinal manipulative therapy or manual therapy, is used in both Western and traditional East Asian medicine; in North America, it’s typically performed by chiropractors, osteopathic physicians, and physical and occupational therapists. Over 100 types of adjustment techniques are known throughout the world, but typically chiropractors will focus on eight to 10 varying approaches within their practice. Spinal manipulation therapy uses force, while spinal mobilization therapy is gentler. Some conditions such as …

Acupuncture and Back Pain

Does acupuncture work for pain relief? It’s a question that’s been debated by the medical community for some time, but of late, more and more physicians have come down on the side of supporting it, or at least maintaining that it does no harm. In 1998, the National Institutes of Health (NIH) stated that there was enough evidence to show that acupuncture has beneficial, pain-relieving qualities for adults suffering from postoperative dental pain, the nausea of chemotherapy, lower back pain, headache, myofascial pain, osteoarthritis, and carpal tunnel syndrome. There have been several important studies that report acupuncture is effective in …

AARP’s Surgeries to Avoid

  An AARP article that discusses common surgeries to avoid – including spinal fusion – has recently made its way back into the headlines. Specifically, it cites studies that show the frequency of this procedure has increased 1,400 percent between 2002 and 2007, and does not appear to be slowing down. The article suggests that the surgery is dangerous and is no more effective than physical therapy, which is inaccurate and misleading. Spinal fusion involves the joining of two or more vertebrae together, using screws and rods along with bone graft material, and sometimes cages (devices that support the vertebra). …

Back on the Dance Floor: Kathryn’s Patient Experience

Kathryn is a former patient of mine who has left a lasting impression. Her back pain began when she hurt her L3/L4 disc after a spinning class, and she believes she aggravated the injury during a subsequent game of golf. Initially, Kathryn told me she didn’t think too much of it because she’s athletic and used to pushing herself outside her comfort zone. Kathryn thought this was something she could deal with – so she sought a massage treatment, iced her lower back area, and rested. Afterwards, she continued to play golf and attend spinning class. Unfortunately, what Kathryn didn’t …

How to Find the Right Mattress

Your bed may be the most important piece of furniture in your home. After all, we spend roughly a third of our lives sleeping, recharging our bodies and minds for a new day. But when that sleep is interrupted by back pain, it’s time to start learning how to find the right mattress. Decide if it’s time to get rid of your mattress. How do you know when it’s time to get rid of your mattress? Good mattresses typically have a lifespan of 10 years, but if you’re experiencing back pain, you may want to consider replacing it sooner. Choose …

Feeling Back Pain at Night?

It’s hard enough experiencing back pain as you go through your day, but back pain at night when you want to sleep is especially grueling.  Many patients experiencing nighttime back pain aren’t even especially uncomfortable during the day, but find that once they climb into bed, the pain may be too much to bear. These people find themselves in a nasty cycle: insufficient or interrupted sleep can exacerbate the very same pain that keeps them up each night. Nighttime back pain can be caused by a number of issues. Disc degeneration and arthritic changes as the result of aging may …

Ebola: What You Need to Know

If you’ve been paying attention to the news—and even if you haven’t—you know that an outbreak of the Ebola virus has been ravaging West Africa since August and, in recent weeks, has made its way to Spain and the United States. After approximately 10,000 cases and nearly 4,000 deaths in Liberia, Guinea, Sierra Leone, Senegal, Nigeria, the Democratic Republic of the Congo, plus two in Spain, one in Germany and one in the United States, there’s a lot of concern about what comes next. Of course, it all sounds scary, but this isn’t quite the dire situation of disaster movies. …

Your Hips and Back Pain

From day to day, as we walk, run, sit, and lie down, it can be easy to forget about our hips – that is, until they suddenly start to hurt. They need care, especially in relation to the rest of the back; the spine rests on the hips, so the hips have a very important job when it comes to alignment and posture. In fact, pain you feel in your hip may signal a problem in your back – and tight or weak hips can disrupt your back’s proper alignment. Some hip and back pain may be the result of lumbar spinal stenosis, a condition that becomes more common as we age past 50. In this condition, the …

Bras, Breasts and Back Health

With these exercises, you should be able to avoid discomfort or lessen existing back pain. If the pain is unbearable or is accompanied by tingling in the arms, I recommend consulting your doctor. Whether big, small, sports, or lace – industry figures show that women around the world spend $16 billion on bras. Aesthetics aside, many women find themselves dealing with the frustrating problem of upper and mid-back back pain caused by large breast size. Excessively large breasts, known as breast hypertrophy, put extra stress on the back extensor muscles and spinal disks, leading to muscle tension, spasm and pain. …