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.


 
 

 
Courtesy photo

Airmen reach terminal velocity

Courtesy photo Second Lt. Tanya Wren, 56th Fighter Wing Public Affairs Community Relations chief, takes in the expansive view after the chute was pulled at 3,000 feet. Luke Air Force Base Airmen were chosen to tandem jump with ...
 
 

Planning for your future equals success

“If you can imagine it, you can achieve it. If you can dream it, you can become it.” ~ William Arthur Ward Success does not happen accidentally, it takes detailed planning and a vision of the future. I remember the day before I left for basic military training, I tried to imagine what my future...
 
 

Tuition assistance — a great benefit

In my opinion, tuition assistance is one of the best benefits that we as active-duty military members have available. During my 17 years in the Air Force, I have seen this benefit increase from 75 percent of tuition being paid to 100 percent. Additionally, most of us experienced this benefit being eliminated for a short...
 

 
Senior Airman Marcy Copeland

Military children celebrated for courage, resilience

Senior Airman Marcy Copeland Col. Jeremy Sloane, 56th Fighter Wing vice commander, signs the Month of the Military Child proclamation April 1 at the Luke Air Force Base Child Development Center. The Month of the Military Child ...
 
 

News Briefs April 17, 2015

LOSC The Luke Officers Spouses Club invites spouses of officers to play bingo and have lunch at 11 a.m. Tuesday at Club Five Six. For more information or to RSVP, go to LukeOSCReservations@gmail.com. Days of Remembrance There will be a Holocaust remembrance ceremony at 10 a.m. April 30 in the Luke Air Force Base Chapel...
 
 

Salutes and Awards

Air Force Reserve Command announces major selects The following 944th Fighter Wing captains have been selected for promotion to major: 944th Fighter Wing Christopher Bisdnack 307th Fighter Squadron Jason Gentry 944th Force Support Squadron Derrick Young 944th Medical Squadron Jeffrey Cohen and Craig Lussier 46 graduate ALS class 15-3 The 56th Fighter Wing Airman Leadership...
 




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