Targeted treatment of back pain sees 50% drop in work absence
I began restricting my movements in an effort to keep the pain at bay. I was seriously doubting the experience and wisdom that had served me so well for so long. After about 10 days, I told myself that I simply needed to be reassured that there was nothing wrong with me. Dr. Sarno has retired, so I went to see his successor, Ira G. Rashbaum, at NYU Langone Medical Center. In minutes, he concluded that it was, indeed, T.M.S. Youre going to be fine, he reassured me. The next morning, my pain was just as severe as it had been the previous day. It was time, I decided, to address the fear more directly. By this point, Id given up my daily 30-minute run on a treadmill. I decided to try to resume walking for three minutes at a time, even if it hurt a lot. Sure enough, the first day was excruciating, and I fought with myself not to quit.
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Back Pain Treatment Cuts Work Absences by Half
Patients who have the most complex back pain problems in primary care benefit the most from stratified care. The study was funded by the Health Foundation and led by NIHR Professor Nadine Foster at Keele University, who said: “We have shown that this approach to stratifying care can be implemented in general practice, leading to better outcomes for patients, reductions in work absence and more targeted use of health care resource without increasing health care costs. As a result we believe that stratification should be implemented more widely across primary care in the UK. This research is particularly timely given that the National Institute for Health and Care Excellence (NICE) is currently reviewing national guidance for the management of back pain patients .” Professor Alan Silman, medical director of Arthritis Research massage therapy in north york UK added: “This exciting research shows that stratified or targeted approach to managing back pain in primary care is effective, and challenges the ‘one-size fits all’ strategy that is currently recommended by national guidelines in which everyone with nonspecific back is offered the same treatment, irrespective of their risk of persistent problems”. “Back pain is one of the leading causes of work place absence, and to be able to reduce this burden on society by getting more people back to work, as well as giving benefit to individuals is a fantastic outcome.” Back pain is the sixth highest contributor to the global burden of disease. Between 6% and 9% of adults consult a GP for back pain each year, accounting for 14% of consultations. More information: Nadine E. Foster, Ricky Mullis, Jonathan C. Hill, Martyn Lewis, David G. T.
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Best At-Home Treatments for Lower Back Pain
(Photo : Flickr/ Samantha Evans Photography) Low back pain can greatly affect people’s ability to get up in the morning and head into work. When people are forced to skip work, productivity levels fall. In a new study, researchers examined the effects of providing targeted back pain care. The team discovered that this kind of treatment, known as stratified care, can cut work absences by 50 percent and does not increase healthcare costs. For this study, the research team from the Arthritis Research UK Primary Care Center at Keele University examined medical data on 922 patients from five different primary care offices in Cheshire. The researchers discovered that stratified care, which is when doctors use a screening tool to group their patients according to low, medium or high risk for persistent disability in order to treat them accordingly, can be effective. The patients were able to go to work more often and reported fewer fear avoidance beliefs. The researchers also discovered that patients who received stratified care were also given non-steroidal anti-inflammatory prescription drugs less often. “We have shown that this approach to stratifying care can be implemented in general practice, leading to better outcomes for patients, reductions in work absence and more targeted use of health care resource without increasing health care costs. As a result we believe that stratification should be implemented more widely across primary care in the UK. This research is particularly timely given that the National Institute for Health and Care Excellence (NICE) is currently reviewing national guidance for the management of back pain patients,” Professor Nadine Foster said according to Medical Xpress . The screening tool that the researchers used was the STarT Back, which is a nine-item questionnaire that patients fill out during their doctor’s appointment. It was designed so that patients get personalized and targeted care depending on their back pain severity.
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A hot shower or bath can bring relief to stressed muscles and reduce pain. This is among the list of oft-overlooked effective home remedies for lower back pain. Natural diet and nutrients are important home remedies. Proper nutrients and a healthy natural diet can bring relief from lower back pain. A diet containing omega-3 fatty acids (fish is a good source), Vitamin D, and vitamin K12 is a simple pain relief treatment that can be done at home. Ginger, curcumin, and boswellia are also effective home remedies that provide relief. Preventive Measures of Lower Back Pain Following these steps can prevent pain in the lower back: Avoiding injury can help prevent pain in the lower back. Avoid the known causes of lower back pain. Lying on your side during bedtime and supporting both knees with a pillow in between can help prevent pain in the lower back.
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Back Pain: Causes, Symptoms and Treatment
It can be triggered by poor posture while sitting or standing, improper bending, or incorrect lifting. Other risk factors include obesity, poor physical condition, smoking, stress, poor sleeping position or other skeletal irregularities. Generally, back pain is not a serious condition and usually disappears on its own. In most cases, it is also successfully treated by pain medications and mobility. Back pain can be chronic if it lasts longer than three months. Symptoms Swelling or any burning sensation on the back Limited flexibility or range of motion Tingling, weakness and numbness Test and Diagnosis There is no specific diagnostic test that can confirm the cause of back pain. If you see a doctor, he or she will examine your back and assess your ability to sit, stand, walk and lift your legs. If the doctor suspects any underlying cause, certain diagnostic tests are recommended such as X-ray, CT scan or Bone Scan. Treatment and Drugs Most back pains are usually managed with over-the-counter painkillers and continued mobility. Bed rest can be of help but continued light activities are more recommended if tolerated. However, if any activity increases the pain, bed rest is necessary. Medications Pain relievers are usually the first-line treatment for back pain.
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