Posts from March, 2014

BACK PAIN CLINIC MARKET HARBOROUGH

Written By davecasey6719@gmail.com, On March 29, 2014

HARBOROUGH BACK PAIN CLINIC

It is important that you follow up with regular sessions to ensure the back pain is kept under control.

Living a life without back pain is possible with the help of your  chiropractor.

About Back Pain Treatment in Market Harborough

Back pain is a common ailment. Most people suffer from simple or non-specific back pain, which is often put down to being caused due to minor injury or strain and this is simply not always true. Often back pain is due to accumulated damage and can never be completely cured.

Types Of Back Treatment in Market Harborough

There are various methods for relieving back pain such as mild activity, taking bed rest, heat therapy and ice therapy. Chiropractic has become the treatment of choice for back treatment that identifies the cause of back pain and then increases or restores the potential for movement to help overcome it. Many people find this is an effective way of easing joint and muscle pains.

 

 

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Lumbago

Written By davecasey6719@gmail.com, On March 21, 2014

Lumbago

Lumbago is just an old term used to describe pain in the lower back

Lumbago is another term for low back pain a condition experienced by up to 80% of people in the industrialised Western world at some point in their lives. The term first appeared in the 1600s, then used mainly by doctors. It became more popular amongst the medical profession and was widely used even in the 1960s and 70s. Lumbago is a meaningless term often used by GPs to give an instant diagnosis, just as the term slipped disc is meaningless, both terms have no place in the modern world and only serve to confuse patients even more.

The term lumbago is derived from Latin – with lumbus meaning loin. Hence, lumbago means ‘weakness in the loins’ (which does conjure up a number of visions), or alternatively, ‘weakness in the lower back’ which is a more accurate description.

We commonly consider lower back pain to be a modern-day phenomenon and indeed, it appears that the sedentary lifestyle enjoyed in our civilised world may contribute to the problem. However, the fact that lumbago was described in the 1600s suggests that our ancestors also suffered back problems.

It is likely however, that in those days, it was not a lack of exercise or bad posture that contributed to the problem, but rather, degenerative conditions such as arthritis.

 

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Back pain test ‘aids diagnosis’

Written By davecasey6719@gmail.com, On March 10, 2014

Back pain test ‘aids diagnosis’

A simple technique could help differentiate patients with different causes of back pain.  Test commonly used by chiropractors in their offices are seen to be valuable aids to diagnosis. Researchers have devised bedside tests that distinguish between neuropathic pain (nerve damage) and other causes of pain. It said the tests are better than existing tests for neuropathic pain. The different causes of pain have different treatments and the researchers say, “if a diagnosis is wrong, patients may receive treatment, including surgery, that does not improve their pain”.

This study indicates that a simple, quick diagnostic procedure can distinguish between the most common cause of back pain (axial) and pain caused by nerve damage (neuropathic). As the treatment for these can be very different, this is potentially a very useful tool. As a chiropractor we see misdiagnosis all the time, most patients are just managed with pain relief without any attempt made to locate the actual cause ofr pain.

Where did the story come from?

The research was carried out by Dr Joachim Scholz from the Massachusetts General Hospital in Boston and colleagues from other institutions in the US, UK and Switzerland. The work was supported by a grant awarded by Pharmacia through The Academic Medicine and Managed Care Forum, with supplementary support from Pfizer. The study was published in the (peer-reviewed) medical journal PLoS medicine, a free journal from the Public Library of Science.

What kind of scientific study was this?

This was a diagnostic test validation study. It had two parts, the first of which involved the researchers devising a set of questions and bedside tests for distinguishing between two different types of back pain: neuropathic and axial. These diagnostic ‘tools’ were then tested on a separate group of participants to measure their accuracy.

Neuropathic pain is caused by damage to the nerves and is often difficult to formally diagnose. Sufferers commonly describe it as a ‘burning’ or ‘stabbing’ pain. A common form of neuropathic pain is ‘radicular’ low back pain, also called sciatica, which comes from a ruptured or bulging  disc and radiates from the back into the legs. The researchers compared this to the most common type of low back pain, ‘axial pain’, which is confined to the lower back and is non-neuropathic (not caused by nerve damage but is due to damage to joints, muscles or other tissue.

What does the NHS Knowledge Service make of this study?

Diagnostic studies such as these are rarely reported in the news, though they form an important part of developing any potential test.  There are a few points to consider about this study:

  • The researchers also looked at the accuracy of the individual examination signs that make up the tool and showed
  • that the best tests were tests for radicular pain known as a straight-leg-raising sign,
  •  a test for detecting cold, and a reduced response to pinprick test.

    These findings indicate that a simple, quick diagnostic procedure can distinguish between radicular (neuropathic) and axial (non-neuropathic) low back pain in the selected group tested. Because the two types of back pain are treated in different ways, this is important when deciding who to refer for further tests such as an MRI scan.

    The use of these tests routinely in chiropractic surgeries has been valuable and prevents over use of MRIs and surgery in the treatment of back pain.

     

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