Leg Length Discrepancy and Degenerative Changes in the Hip Joint and Lumbar Spine

There is an article that shows an association (not a cause) between leg length inequality and developing arthritis in the hips and the low back. Some articles in the past have said that you need over 20 mm difference to cause problems, but this articles says anything over 5 mm difference can start to cause problems,…

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Rx for Pain Patients Who Are Obese: Recommend the Mediterranean Diet

Written by Robert Bonakdar MD, FAAFP, FACN We often see pain patients in our clinic who are obese. Many of them did not start their pain journey this way, and there is emerging evidence that pain, in addition to changing activity, can also change dietary patterns. In addition, the stress of chronic pain combined with…

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If you have low back pain try these steps first

POSTED APRIL 03, 2017, 10:00 AM Monique Tello, MD, MPH, Contributing Editor Low back pain, the scourge of mankind: it is the second leading cause of disability here in the United States, and the fourth worldwide. It’s also one of the top five medical problems for which people see doctors. Almost every day that I see…

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Stretching Exercises vs Celebrex (anti-inflammatory) For Chronic Back Pain

This study shows that stretching exercises were almost the equivalent to that of taking the anti-inflammatory, Celebrex for chronic back pain. Therapeutic efficacy of nonsteroidal anti-inflammatory drug therapy versus exercise therapy in patients with chronic nonspecific low back pain: a prospective study Naoto Takahashi FUKUSHIMA JOURNAL OF MEDICAL SCIENCE Vol. 63 (2017) No. 1 p. 8-15…

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Bed rest for back pain? A little bit will do you

  Published: February, 2015 Bed rest, once a key part of treating back pain, has a limited role in healing sore backs. In very small doses, bed rest can give you a break when standing or sitting causes severe pain. Too much may make back pain worse. Here is how to do bed rest “right.”…

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Can staying active help to prevent chronic pain?

The more it hurts, the less we move to try to protect it, but if we move more, it will hurt less. Kind of ironic, isn’t it. The article below describes a study that found that light to moderate activity helps to prevent or reduce chronic pain in arthritis, back pain and fibromyalgia. Date: February…

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Placebo Plus Usual Treatment Achieves Clinically Significant Back Pain Relief

Patients who knew they were taking a placebo pill had 28% more pain relief and 30% less disability as the treatment as usual group. FEBRUARY 9, 2017 A placebo of a pill added to treatment as usual for chronic low back pain resulted in clinically significant improvements in patients who were informed about the placebo…

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Lumbar Support for Low Back Pain: Does It Work?

From: PAIN MEDICINE NEWS FEBRUARY 3, 2017 Lumbar support cannot be recommended for the management of nonspecific low back pain in the general population, according to a study conducted by a French research team affiliated with CHU Gabriel-Montpied Hôpital, in Clermont-Ferrand, France (Ann Phys Rehabil Med 2016;59S:e29). Charlotte Lanhers and her colleagues conducted a review…

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The drugs don’t work, say back pain researchers

Date: February 2, 2017 Source: George Institute for Global Health Summary: Commonly used non-steroidal anti-inflammatory drugs, such as aspirin and ibuprofen, used to treat back pain provide little benefit, but cause side effects, according to new research. The findings of the systematic review reveal only one in six patients treated with the pills, also known…

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Clinical practice guidelines for the noninvasive management of low back pain

Brand new clinical guideline recommendations are published in the European Journal of Pain. According to high-quality guidelines, all patients with acute or chronic back have the option of receiving treatments that chiropractors use including spinal manipulation and manual therapy. Acupuncture is even included. Patients with herniated discs with sciatica may benefit from spinal manipulation as well.…

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