Health & Safety

February 14, 2014

Get doc’s opinion on how to treat low back pain

Low back pain is number one in the top ten diagnoses seen by providers at the 56th Medical Group.

There are two classifications of back pain: Acute back pain, which lasts up to 12 weeks in duration, or chronic back pain, which lasts more than 12 weeks. Approximately 98 percent of acute low back pain events can be attributed to soft tissue injuries involving the muscles, fascia and ligaments. This type of pain is self-limiting and usually resolves itself within a few weeks. Only 2 percent of back pain diagnoses are linked to underlying conditions such as metastatic cancer, spinal osteomyelitis, herniated discs or trauma in which nerve damage can be involved.

The American College of Physicians and the American Pain Society did an extensive review of clinical studies to determine the best approach to treating low back pain. Here are their recommendations:

•Doctors should use a patient’s history and the results of a physical examination to determine whether that patient’s low back pain is musculoskeletal, associated with nerve damage or potentially related to another serious condition.

•Doctors should not order X-rays, CT scans, MRIs, or other tests unless they suspect nerve damage or a specific cause of the low back pain that would show up on the test.

•Doctors and patients should discuss the expected course of low back pain, the importance of remaining active, and self-care options, such as heating pads, special mattresses and exercise.

•They should also consider acetaminophen or nonsteroidal anti-inflammatory drugs along with self care.

•Doctors and patients should consider the following nondrug treatments for patients who do not respond to self-care: rehabilitation, spinal manipulation, exercise therapy, massage, acupuncture, yoga, progressive relaxation or cognitive-behavioral therapy.

Imaging for acute lower back pain has limited benefits and is not needed for diagnosis. It is only warranted if there are red flags that point to a more serious condition on examination.

The primary goal in treating acute low back pain is to reduce the pain to a manageable level in order to facilitate the healing process and rehabilitation. Resolution of symptoms takes time. It may seem counterintuitive, but evidence demonstrates that continued activity improves function and that bed rest is rarely recommended.

Nonsteroidal anti-inflammatory drugs such as ibuprofen and naproxen are usually the drugs of choice for low back pain. Most NSAIDS are sold over the counter. Acetaminophen or Tylenol is another drug effective in relieving back pain.




All of this week's top headlines to your email every Friday.


 
 

 
DT_JTC0216

Supreme allied commander comes home

Gen. Philip Breedlove, left, NATO supreme allied commander, Europe, visited Luke Air Force Base Sept. 12. Brig. Gen. Scott Pleus, right, 56th Fighter Wing commander, briefed the general on Luke’s evolving mission to train F-3...
 
 
Senior Airman Grace Lee

Command post chief averts potential disaster

Senior Airman Grace Lee Capt. George Normandin, 56th Fighter Wing Command Post chief, received the Aviation Safety Well Done Award Sept. 2, presented by Brig. Gen. Scott Pleus, 56th FW commander. Normandin took control of an F-...
 
 

You are what you eat

“You are what you eat.” This is a generic statement or a notion. It implies that if you eat healthy, you will be healthy. But how true is this in the world today? What we eat, drink, wear, drive and buy is often an attempt to construct a social identity. It lets others know who...
 

 

Knowledge equals power

The phrase “knowledge is power” is said to originate from Sir Francis Bacon in 1597. Personally, I remember learning the phrase from the old television show “School House Rock” theme song. The key idea behind the phrase is the more knowledge you accumulate, the more “power” you will have. Here is a simple breakdown: knowledge...
 
 
Senior Airman
MARCY COPELAND

EOD Airman changed for good by life experiences

Senior AirmanMARCY COPELAND Tech. Sgt. David Gerig’s, 56th Civil Engineer Squadron Explosive Ordnance Disposal team chief, first assignment after technical school was Kadena Air Base, Japan. The challenges in life are often w...
 
 

News Briefs September 19, 2014

CFC kick-off The 56th Fighter Wing Combined Federal Campaign kick-off charity fair is 9 a.m. Monday in Bldg. 1130 auditorium. Learn about the 2014 campaign ‘Serving Our Country. Supporting Our Community.’ and visit with local charities. For more information, call Maj. Jennifer Preyer-Bonton at 623-856-7144. Hispanic Heritage Month National Hispanic Heritage Month began Monday and...
 




0 Comments


Be the first to comment!


Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>


Directory powered by Business Directory Plugin