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140

Low Back Pain Lumbar Disc Herniation - Everything You Need To Know - Dr. Nabil Ebraheim

Educational video describing low back pain. Lumbar disc herniation. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: htt...  
YouTube
over 5 years ago
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2
30

Lumbosacral Disc Herniation ,low back pain- Everything You Need To Know - Dr. Nabil Ebraheim

Educational video describing Lumbosacral Disc herniation. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitt...  
YouTube
over 5 years ago
Static.www.bmj
1
21

Opioids for low back pain

Back pain affects most adults, causes disability for some, and is a common reason for seeking healthcare. In the United States, opioid prescription for low back pain has increased, and opioids are now the most commonly prescribed drug class. More than half of regular opioid users report back pain. Rates of opioid prescribing in the US and Canada are two to three times higher than in most European countries. The analgesic efficacy of opioids for acute back pain is inferred from evidence in other acute pain conditions. Opioids do not seem to expedite return to work in injured workers or improve functional outcomes of acute back pain in primary care. For chronic back pain, systematic reviews find scant evidence of efficacy. Randomized controlled trials have high dropout rates, brief duration (four months or less), and highly selected patients. Opioids seem to have short term analgesic efficacy for chronic back pain, but benefits for function are less clear. The magnitude of pain relief across chronic non-cancer pain conditions is about 30%. Given the brevity of randomized controlled trials, the long term effectiveness and safety of opioids are unknown. Loss of long term efficacy could result from drug tolerance and emergence of hyperalgesia. Complications of opioid use include addiction and overdose related mortality, which have risen in parallel with prescription rates. Common short term side effects are constipation, nausea, sedation, and increased risk of falls and fractures. Longer term side effects may include depression and sexual dysfunction. Screening for high risk patients, treatment agreements, and urine testing have not reduced overall rates of opioid prescribing, misuse, or overdose. Newer strategies for reducing risks include more selective prescription of opioids and lower doses; use of prescription monitoring programs; avoidance of co-prescription with sedative hypnotics; and reformulations that make drugs more difficult to snort, smoke, or inject.  
bmj.com
almost 5 years ago
Static.www.bmj
1
43

Opioids for low back pain

Back pain affects most adults, causes disability for some, and is a common reason for seeking healthcare. In the United States, opioid prescription for low back pain has increased, and opioids are now the most commonly prescribed drug class. More than half of regular opioid users report back pain. Rates of opioid prescribing in the US and Canada are two to three times higher than in most European countries. The analgesic efficacy of opioids for acute back pain is inferred from evidence in other acute pain conditions. Opioids do not seem to expedite return to work in injured workers or improve functional outcomes of acute back pain in primary care. For chronic back pain, systematic reviews find scant evidence of efficacy. Randomized controlled trials have high dropout rates, brief duration (four months or less), and highly selected patients. Opioids seem to have short term analgesic efficacy for chronic back pain, but benefits for function are less clear. The magnitude of pain relief across chronic non-cancer pain conditions is about 30%. Given the brevity of randomized controlled trials, the long term effectiveness and safety of opioids are unknown. Loss of long term efficacy could result from drug tolerance and emergence of hyperalgesia. Complications of opioid use include addiction and overdose related mortality, which have risen in parallel with prescription rates. Common short term side effects are constipation, nausea, sedation, and increased risk of falls and fractures. Longer term side effects may include depression and sexual dysfunction. Screening for high risk patients, treatment agreements, and urine testing have not reduced overall rates of opioid prescribing, misuse, or overdose. Newer strategies for reducing risks include more selective prescription of opioids and lower doses; use of prescription monitoring programs; avoidance of co-prescription with sedative hypnotics; and reformulations that make drugs more difficult to snort, smoke, or inject.  
bmj.com
over 4 years ago
Www.bmj
1
21

Another patient with low back pain

A 52 year old man was admitted to our oncology unit owing to the side effects of ongoing chemotherapy; he also gave a 10 day history of back pain. In 2008, after a bowel resection for colonic obstruction, he had been diagnosed with diffuse large B cell lymphoma. This was treated with eight cycles of R-CHOP chemotherapy (rituximab, cyclophosphamide, doxorubicin, vincristine, prednisolone) and a complete response was achieved.  
bmj.com
over 4 years ago
Static.www.bmj
0
17

Opioids for low back pain

Back pain affects most adults, causes disability for some, and is a common reason for seeking healthcare. In the United States, opioid prescription for low back pain has increased, and opioids are now the most commonly prescribed drug class. More than half of regular opioid users report back pain. Rates of opioid prescribing in the US and Canada are two to three times higher than in most European countries. The analgesic efficacy of opioids for acute back pain is inferred from evidence in other acute pain conditions. Opioids do not seem to expedite return to work in injured workers or improve functional outcomes of acute back pain in primary care. For chronic back pain, systematic reviews find scant evidence of efficacy. Randomized controlled trials have high dropout rates, brief duration (four months or less), and highly selected patients. Opioids seem to have short term analgesic efficacy for chronic back pain, but benefits for function are less clear. The magnitude of pain relief across chronic non-cancer pain conditions is about 30%. Given the brevity of randomized controlled trials, the long term effectiveness and safety of opioids are unknown. Loss of long term efficacy could result from drug tolerance and emergence of hyperalgesia. Complications of opioid use include addiction and overdose related mortality, which have risen in parallel with prescription rates. Common short term side effects are constipation, nausea, sedation, and increased risk of falls and fractures. Longer term side effects may include depression and sexual dysfunction. Screening for high risk patients, treatment agreements, and urine testing have not reduced overall rates of opioid prescribing, misuse, or overdose. Newer strategies for reducing risks include more selective prescription of opioids and lower doses; use of prescription monitoring programs; avoidance of co-prescription with sedative hypnotics; and reformulations that make drugs more difficult to snort, smoke, or inject.  
feeds.bmj.com
over 4 years ago
Www.bmj
0
16

Another patient with low back pain

A 52 year old man was admitted to our oncology unit owing to the side effects of ongoing chemotherapy; he also gave a 10 day history of back pain. In 2008, after a bowel resection for colonic obstruction, he had been diagnosed with diffuse large B cell lymphoma. This was treated with eight cycles of R-CHOP chemotherapy (rituximab, cyclophosphamide, doxorubicin, vincristine, prednisolone) and a complete response was achieved.  
feeds.bmj.com
over 4 years ago
Www.bmj
0
14

Transcranial direct current brain stimulation for chronic pain

Transcranial direct current stimulation (tDCS) is a form of non-invasive brain stimulation that delivers low intensity direct current stimulation to the brain through electrodes applied to the skin over the target area. It has been found to modulate cortical excitability at the target site leading some researchers to investigate it as a possible treatment for chronic pain and a host of other conditions. tDCS has clear appeal; it is cheap, relatively easy to use, and seems to be safe. In a linked article, Luedtke and colleagues (doi:10.1136/bmj.h1640) report the results of a randomised controlled trial of transcranial direct current stimulation for chronic low back pain.1  
feeds.bmj.com
over 4 years ago
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Approach to Low Back Pain with Dr. Burke

Dr. Anna Burke presented this talk at the University of Louisville as she neared the end of her residency with us. Dr. Burke is trained in Osteopathic Medici...  
youtube.com
over 4 years ago
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0
8

Acetaminophen 'does not work for lower back pain or osteoarthritis'

Acetaminophen is ineffective for spinal pain in the lower back and has little value for hip or knee osteoarthritis, concludes a review of studies testing its safety and efficacy.  
medicalnewstoday.com
over 4 years ago
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0
13

Study: Daily exercise and education reduces episodes of low back pain in children

A study in Physical Therapy (PTJ), the monthly scientific journal of the American Physical Therapy Association found that a program of regular exercise and education appears to reduce...  
medicalnewstoday.com
over 4 years ago
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0
11

Study: Early physical therapy for low back pain reduces costs, resources

A study in the scientific journal BMC Health Services Research shows that early and guideline adherent physical therapy following an initial episode of acute, nonspecific low back pain...  
medicalnewstoday.com
over 4 years ago
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0
13

Early physical therapy for low back pain reduces costs, resources

A study in the scientific journal BMC Health Services Research shows that early and guideline adherent physical therapy following an initial episode of acute, nonspecific low back pain...  
medicalnewstoday.com
over 4 years ago
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0
13

Study identifies low back pain risk factors

Counseling at-risk patients may prevent and minimize painNew research presented at the 2015 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS)...  
medicalnewstoday.com
over 4 years ago
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0
10

Spinal surgery diminishes low back pain, improves sexual function

Chronic low back pain can limit everyday activities, including sex. New research presented at the 2015 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), found that 70...  
medicalnewstoday.com
over 4 years ago
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0
13

Twin study lends new insights into link between back pain and depression

Genetic factors help to explain the commonly found association between low back pain and depression, suggests a large study of twins in the March issue of PAIN®, the official...  
medicalnewstoday.com
over 4 years ago
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0
24

Acupuncture back pain success determined by psychological factors

A study has shown that people receiving acupuncture for lower back pain will derive less benefit from the treatment than others if they have low expectations.  
medicalnewstoday.com
over 4 years ago
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0
16

Researchers identify modifiable triggers of acute low back pain

Modifiable factors such as awkward postures, fatigue and distraction can increase odds of acute episodes of low back pain, say researchers.  
medicalnewstoday.com
over 4 years ago
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0
11

Data presented at NANS 2014 demonstrate long-term, low back pain relief with Spectra Spinal Cord Stimulator System

New retrospective data evaluating the Boston Scientific Corporation (NYSE: BSX) Precision Spectra™ Spinal Cord Stimulator (SCS) System demonstrate that the device provided sustained...  
medicalnewstoday.com
over 4 years ago
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0
21

Yoga: What is yoga? How does it work?

Find out the potential health benefits of practicing yoga, including effectiveness for low back pain, increasing flexibility, improving cancer-related fatigue and aiding balance.  
medicalnewstoday.com
over 4 years ago