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Back Pain News
Botox maker to pay $600M to resolve investigation
by AP
2 Sep 2010 at 3:01am
Allergan Inc., the maker of wrinkle-smoothing Botox, has agreed to pay $600 million to settle a yearslong federal investigation into its marketing of the top-selling, botulin-based drug.

Abbott's diet drug study renews calls for U.S. ban
by Reuters
2 Sep 2010 at 6:20am
A study funded by Abbott Laboratories offered more detailed evidence that its weight-loss drug Meridia increases heart risks, prompting renewed calls by consumer advocates and others to pull the drug from the market.

Americans Blind to the Obesity Epidemic
by HealthDay
2 Sep 2010 at 8:03am
THURSDAY, Sept. 2 (HealthDay News) -- Many Americans have skewed perceptions when it comes to their weight, often believing they are lighter than they actually are, even when the scales are shouting otherwise, a new poll finds.

Mental "exercise" linked to faster dementia progression
by Reuters
2 Sep 2010 at 6:19am
While staying mentally active in old age has been linked to a delayed onset of dementia, seniors who engage in such brain "exercise" may actually have a faster rate of decline once Alzheimer's is diagnosed, researchers reported Wedne...

Global cash support to fight AIDS is falling: UN
by AFP
2 Sep 2010 at 4:27am
The chief of the UNAIDS agency said Thursday that global contributions to fighting the disease are dropping off for the first time in 15 years amid tough economic times.

Workers see higher health costs, less care
by Reuters
2 Sep 2010 at 11:21am
Companies are cutting healthcare costs further amid a continuing sour economy, scaling back benefits and shifting a greater share of the expense to employees.

Soy may ease sleep problems in older women
by Reuters
2 Sep 2010 at 10:35am
The estrogen-like compounds found in soy could help postmenopausal women get a better night's sleep, according to a small study.

Starting periods early tied to greater asthma risk
by Reuters
2 Sep 2010 at 12:19pm
Women who start menstruating early may be at increased risk of asthma and poor lung function, new research shows.

Text messages little help in remembering the Pill
by Reuters
2 Sep 2010 at 2:33pm
A cell phone text message -- and the buzz or beep that signals its arrival -- may not help a woman remember to pop her birth control pill, a new study suggests.

Promising new one-dose malaria drug discovered
by AFP
2 Sep 2010 at 1:05pm
Researchers have discovered a promising new malaria drug with the potential to treat resistant strains of the deadly disease in a single dose, according to a study published Thursday in the journal Science.

Women, children most vulnerable in Pakistan crisis
by Reuters
2 Sep 2010 at 2:38pm
Pakistan's displaced flood victims say a lack of clean water and high temperatures are causing illnesses sweeping through relief camps with children most at risk.

Experimental Novartis drug shows malaria promise
by Reuters
2 Sep 2010 at 1:54pm
An experimental Novartis drug can clear malaria infection in mice with a single dose and scientists say it shows promise as a possible future treatment for one of the world's major killer diseases.

Breakthrough test gives fast diagnosis of drug-resistant TB
by AFP
2 Sep 2010 at 2:16pm
A groundbreaking new test can accurately diagnose drug-resistant tuberculosis (TB) in as little as two hours, researchers wrote in a study published Thursday in the New England Journal of Medicine.

Groups of friends key to changing health behaviors
by Reuters
2 Sep 2010 at 1:46pm
When it comes to changing health behaviors, it takes more than a far-flung network of friends on Facebook egging you on. It takes a jostling herd, U.S. researchers said on Thursday.

Abbott diet drug study renews calls for U.S. ban
by Reuters
2 Sep 2010 at 2:30pm
A study funded by Abbott Laboratories offered more detailed evidence that its weight-loss drug Meridia increases heart risks, prompting renewed calls by consumer advocates and others to pull the drug from the market.

IMPORTANT NOTICE: The URL for this RSS feed has changed. Click here to get th...
3 Jun 2009 at 3:54am

Measuring changes during graded exposure & acceptance treatment
by HealthSkills Weblog
31 Aug 2010 at 1:35pm
I have been pondering about the best way to monitor ‘Matt’s progress during graded exposure therapy for his avoidance of activities involving back movement. I introduced you to Matt yesterday. He’s a ‘man’s man’, a real bloke who, for the past four years since he had surgery for a prolapsed disc, has avoided things like mowing the lawns, making the bed, fishing and whitebaiting and even golf. Yesterday I described how we went through 100 photographs of activities of daily living, and of these, Matt identified 67 of the photographs as things he wouldn’t do because of his concern about both the impact on his pain and the ‘strain’ on his back. I have used a simple count of the number of photographs a person decides is in the ‘avoided...

Graded exposure in the real world
by HealthSkills Weblog
30 Aug 2010 at 3:02pm
Well, not exactly the real world – yet – just the clinic. A man I’m working with is very worried about his back.  Some years ago he had a discectomy and his surgeon told him he needed to be ‘very careful’ with his back – and so he has.  No bending, twisting, lifting for this man!  He’s given up some of his favourite things like fishing and whitebaiting and even golf because of this worry, although when I talk things through with him he’s not exactly sure what might happen if he ‘disobeyed’. Let’s call him Matt for wont of a better name (and yes, as usual, details have been changed to ensure confidentiality), and he’s a fairly ‘blokey’ man who loved his fishing, diving, and taking off for days in his conv...

Exposure in vivo for kinesiophobia
by HealthSkills Weblog
29 Aug 2010 at 1:33pm
In this study, the authors firstly looked at outcomes of graded exposure and whether anxiety, depression and catastrophising moderated these.  While anxiety was found to influence outcome generally (leading to poorer outcomes for those who were more anxious), catastrophising was found to have a more complex relationship.  Graded exposure was effective for low and moderate catastrophising, but for those with high catastrophising the results were far less spectacular.  And depression? Made little difference to outcome at all. After finding that high levels of catastrophising influenced outcome, the next step in this study was to examine those people who made a good deal of changein disability  and compare them with those who made much less change in disability.   For this part of the s...

Paying the price
by Caroline's Breast Cancer Blog
29 Aug 2010 at 5:56am
Today I am paying the price. Yesterday I had fun. I got together with a college friend. She runs half marathons and I don't so she is probably in better shape than I but that, of course, didn't stop me. I went to visit her yesterday. She went for a run before I got there so she should have been tired. We hung out on the rocks behind her house on the lake. Then we went for a little hike - 3-4 miles through the woods and got caught up on marriages and old friends. After a brief shopping stop, we decided to cool off by floating around her lake on tubes. After successfully flipping from my back to my stomach on the tube and staying dry, I was over confident and assumed I could handle tubing. I erroneously attempted to navigate off the tube and onto the rocks. On my first try, I stayed mostly o...

Drawing pain
by HealthSkills Weblog
24 Aug 2010 at 9:05pm
The pain drawing has to be one of the more ubiquitous assessment tools around. There are many versions of outlines of naked bodies on which a person can scribble, colour, and write to indicate to treatment providers exactly where they feel their pain, and to a certain extent, some of the sensory features of that pain. But – how many of us use that drawing for anything other than ‘Oh so that’s where you feel it?’ Schott, in this truly interesting paper, discusses pain maps – not a term I’d come across before – and traces the history of pain maps as well as discussing some of the problems with it – and concludes that pain maps can contribute something quite unique to our understanding of the person’s experience, but at the same time, ackn...

Information is to behaviour change as spaghetti is to a brick
by HealthSkills Weblog
23 Aug 2010 at 1:35pm
I’m a great fan of books like ‘Explain Pain’. This delightful publication by David Butler and Lorimer Moseley gives accurate information about pain, particularly chronic pain, in an accessible format for both patients and clinicians, and I’ve used it often with people I’m seeing. I’m also a fan of helping people to understand what we do (and don’t) know about pain to give them more awareness of their ability to influence their own body. But as anyone who has worked in chronic pain management knows, telling someone something doesn’t always make an enormous difference – and here’s a case in point.  Before I go on, any cases I refer to on this blog are a compilation of several people and details are altered to protect confidentiali...

Who drops out of CBT for chronic pain?
by HealthSkills Weblog
23 Aug 2010 at 3:14am
Wouldn’t it be wonderful if everyone we saw was ready for self management and committed to putting everything in place? Wouldn’t it be even better if we could tell who was and who wasn’t going to drop out? Then we could focus treatment on people who were ready for treatment, and help those who are not ready prepare to get ready (or manage their situation differently). Unfortunately, it’s one of those areas that is not well-researched, even though it’s a very important part of our clinical planning and can affect up to 60% of people initially enrolled in a cognitive behavioural approach to pain management. Over the years I’ve worked in pain management, I’ve seen several different approaches for establishing whether people should be included or not. ...

Exercise questions
by HealthSkills Weblog
17 Aug 2010 at 1:36pm
If there is one finding that has remained pretty solid over the past 10 – 15 years, it’s the one that says being active is a good thing for managing chronic pain.  I’m not sure how many papers I’ve read where ‘exercise’ and some form of cognitive behavioural approach have been found to produce improvements in disability, mood and even pain – and the benefits are often maintained for 12 months or more.  But we have a problem, Houston.  The problem is this – many of these studies treat ‘exercise’ in much the same way as ‘interdisciplinary pain management’ – a black box that no-one really knows exactly what goes on in there, but hey it works. This is a real problem when we come to put the research findings to wor...

How well do we really communicate?
by HealthSkills Weblog
15 Aug 2010 at 6:03pm
In this study, Habit 4 and the total score were used to measure the quality of the interactions, and scoring was rated by one clinician who had been recently trained in the system, while a second clinician re-rated a random sample of 16 videos independently. Inter-rater reliability was 0.835 (CI 0.600; 0.939). Patients also completed a set of questionnaires about their experience, and several biographical details such as age, duration of pain and so on. What did they find? Firstly, the providers included chiropractors, physiotherapists and doctors, and a total of 21 clinicians were included.  79 encounters were rated.  There were no real differences between the various professions, and patient variables such as gender, educational level and social class weren’t associated with any ...

Is reassurance reassuring?
by HealthSkills Weblog
10 Aug 2010 at 12:43pm
Having started yesterday’s post by discussing health anxiety, and pointing out that one of the things people do to cope with their anxiety about their pain is to seek reassurance, I thought it might be useful to go back to a paper published a couple of years ago by Linton, McCracken & Vlaeyen (2008).  In this paper, the authors reviewed the concept of reassurance and see whether it is, in fact, reassuring. What is reassurance anyway? We talk about it as if we know what we mean, and it’s even part of most guidelines for managing acute low back pain – but what is it? In this paper, the authors refer to the Oxford dictionary definition where reassurance is defined as ‘‘. . .removes the fears or doubts of (pain/illness); to comfort’’. As they point out, “Re...

Think before you eat
by Caroline's Breast Cancer Blog
26 Jul 2010 at 4:23am
Someone pointed this article out to me. It makes me pack my own snacks for a professional sports game. If you read it, you will note that in Chicago, where the scores were good, they inspected when the stadiums were closed. Also, in FL where all the stadiums did poorly, apparently the state has stringent inspections. But regardless, I am not sure I want to eat at any of them. It makes me reconsider a lot of restaurants in general.When we go out to eat, we assume that food is prepared correctly. We assume the basics - the ice machine is clean, they are not using the same knife and cutting board to chop raw chicken and a prepared sandwich. And that the food is cooked and stored correctly. The whole idea of it is EEEWWW! I do like my own cooking and know that I may not always be up to restaur...

The Medical School Decoder Ring
by Caroline's Breast Cancer Blog
22 Jul 2010 at 4:16am
There is a project afoot to allow normal people to understand doctor-speak without going to medical school. Its called the Open Notes project but I think it really should be the Medical School Decoder Ring project. I'm all for it.One of my favorite activities while hanging around pre and post surgery is to read my own medical file. Usually I understand most of it but not all. I have asked the doctors and nurses around to translate. Sometimes I get a copy to take home and then start googling all the words and phrases. But even with that, it doesn't always make sense. For example when the doctor writes 'patient denies' to the non doctor, it means you denied sneaking out after bedtime. To the doctor it means you said you don't have shortness of breath (or SOB). They might have written 'patien...

What do people really do about their back pain? An on-line survey reveals…
by HealthSkills Weblog
19 Jul 2010 at 11:53pm
There are many studies describing the way treatment providers fail to follow clinical guidelines for managing acute low back pain – and because there are inconsistencies between various guidelines for chronic low back pain, it’s not surprising that people with back pain (whether acute or chronic) get a little confused about what to do.  Of course, if you use a popular search engine or two you’ll be able to find loads of sites on the internet that put forward their ideas of how to manage, and the quality of these sites is pretty variable.  So when a group of Australians carried out an online survey asking what people did when they had back pain, you can guess there was a pretty wide range of strategies used. In February 2009, 1001 participants who met the inclusion crite...

Online self management: works for some
by HealthSkills Weblog
14 Jul 2010 at 1:43pm
Given that you’re reading this, I suspect that the thought of an on-line approach to managing pain wouldn’t take a terrible stretch of the imagination. The idea is certainly appealing – after all, there are many, many people with chronic low back pain in the community, and not nearly so many clinicians specialised (or even interested!) in helping people to learn to live well despite their pain. Along with the practicalities of getting the message across to as many people as possible, there is some evidence that people are prepared to reveal more about themselves and their health problems via computer than face-to-face (Williams, Freeman, Bowen, et al. 2000). In this well-described study, participants were recruited to either receive written material about back pain (the N...

Just Released — CureTogether Guide to Back Pain
by The Collective Well
14 Jul 2010 at 1:41pm
. . You are a part of this. It’s a new kind of health book that puts real-world data before authority, and teaches you how to make better decisions for your health. Inside, you’ll find 7 insight-filled sections to help you navigate your way through Back Pain. Download your copy here, or read on for more details. . The Story Health books are usually written by experts who offer authoritative information about conditions, symptoms and treatments – people who usually don’t live with the condition themselves, but nevertheless tell you what you should do because they know best. This book is different. It’s based on the real-world experiences of patients. Our approach is not to tell you what to do, but to give you the hard data and the education to help you make your own decisions â...


Tired? Stressed? Melt Away Your Tensions At Massage Envy
2 Sep 2010 at 7:58pm

Sometimes you just need a vacation, and sometimes you just need a vacation from Scarsdale.



Take steps to prevent pain from backpacks
2 Sep 2010 at 5:53pm

With the new school year under way, one thing not to overlook is a quality backpack.



Heavy backpacks hurting young students?
2 Sep 2010 at 1:43pm

Chiropractors and emergency room physicians in Arizona are seeing an increase in the number of children experiencing neck and back pain.



Avoid back-to-school back pain
2 Sep 2010 at 8:33am

Kids have always been a pain. But these days, they're also in pain. "It's an epidemic," warned Scott Bautch, a Wisconsin chiropractor specializing in occupational health and a spokesman for the Arlington, Va.-based American Chiropractic Association.



Relieving Back Pain From Muscle Sprain
2 Sep 2010 at 2:19am

If you are lucky, your pain is just from your back and/or your hips being out of line or you have a muscle sprain or strain.



Study: Yoga takes certain diseases to the mat
2 Sep 2010 at 1:14am

Registered yoga teacher Nicole Payseur takes her students through familiar poses at Uptown Yoga in Dallas.



Chiropractic Care for Scoliosis
1 Sep 2010 at 9:10pm

Scoliosis is an abnormal curvature of the spine. This common condition is most frequently seen in adolescent girls.



Pilates, tai chi or yoga?
1 Sep 2010 at 5:00pm

Each of these exercise philosophies consists of low-impact movements that focus on both mind and body for better physical and mental health.



Students should choose comfort over cool
1 Sep 2010 at 12:45pm

Personal trainer Ginette Biro shows student Kyle Lim how to wear his backpack properly while Laura Filice shows how not to wear a backpack.



Alexander Technique for Back Pain
1 Sep 2010 at 8:46am

If you suffer from lower back pain , you're not alone. Lower back pain ranks only below the common cold as a leading cause of missed work hours by American workers.




Bone Spurs in Feet
1 Sep 2010 at 5:36am

Are you suffering from foot pain due to bone spurs in feet? Here's some information on what causes bone spurs in feet and how to treat them.



My HorizonsHOMELAND INSECURITY
1 Sep 2010 at 3:31am

My next place of work will be Japan. The past few days I have been preparing for the two-month trip.



Modern medicine
31 Aug 2010 at 11:31pm

This week I have been reminded of what a godsend the miracle of modern medicine that we enjoy in this country today truly is.



Fitness: For a healthy back, start early
31 Aug 2010 at 7:11pm

Back pain isn't limited to adults. Statistics vary, but anywhere from 17 to 50 per cent of kids and teens suffer from occasional low back pain and discomfort.



New Surgery for Patients Experiencing Lower Back Pain
31 Aug 2010 at 3:07pm

Eighty percent of Americans will suffer lower back pain at some point in their lives.



The Face Of An Infant's Suffering; Can It Be Sugarcoated?
2 Sep 2010 at 12:00pm
When your newborn infant is crying with uncomfortable teething or otherwise obviously suffering, feeding sugar to the little one has been a home remedy for years based on not only perceived behavior, but also physiological reactions. However, a new article by Dr...

QRxPharma Announces Interim Analysis Of Final Pivotal Phase 3 Study For MoxDu...
2 Sep 2010 at 4:00am
QRxPharma (ASX: QRX and OTCQX: QRXPY) announced a successful interim analysis of its final MoxDuo IR pivotal Phase 3 study required for New Drug Application (NDA) submission. The analysis indicated the planned sample size of 140 patients has greater than 90% power to detect differences of analgesic effect, indicating there is no need to enrol additional patients...

Floridians Prepare To Take Back The State
2 Sep 2010 at 4:00am
September's National Pain Awareness Month has never been more important for the state of Florida. Recent data from the Florida Medical Examiner shows residents are dying at a rate of at least 7 per day as a result of prescription drug abuse...

Surgery To Repair Torn Shoulder Muscles In The Elderly Can Reduce Pain And Im...
2 Sep 2010 at 3:00am
Repairing torn shoulder muscles in elderly patients is often discouraged because of fears of complications. But a new study conducted at Rush University Medical Center has shown that minimally invasive, or arthroscopic, surgery can significantly improve pain and function...

BEMA Buprenorphine Phase 2 Study Results Selected For Presentation At Pain We...
1 Sep 2010 at 8:00am
BioDelivery Sciences International, Inc. (Nasdaq:BDSI) announced today that its abstract showing the results of a Phase 2 clinical study of BEMA Buprenorphine in the treatment of pain has been selected for oral presentation at Pain Week 2010, a national conference educating frontline clinicians who are faced with treating patients with pain...

After Needle Accidents, Hospitals Face Legal Dilemma If They Test Incapacitat...
1 Sep 2010 at 7:00am
Anaesthetists are calling for greater clarity on the legal implications of testing incapacitated patients for blood-borne viruses, after a survey found that this is often done following staff needlestick injuries, in possible breach of UK legislation...

QRxPharma To Sponsor Symposium At 13th World Congress On Pain Meeting
1 Sep 2010 at 4:00am
QRxPharma (ASX: QRX and OTCQX: QRXPY) announced it will sponsor a symposium at the 13th World Congress of Pain on 31 August, 2010 at Palais des congres de Montreal. The symposium, titled "Dual Opioid Therapy: Changing the Paradigm" will focus on preclinical and clinical data for MoxDuo®IR, an immediate-release Dual Opioid product for moderate to severe acute pain...

Glenmark Announces The Discovery Of A Novel Chemical Entity 'GRC 17536', A TR...
1 Sep 2010 at 4:00am
Glenmark Pharmaceuticals announced the discovery of a Novel Chemical Entity(NCE) 'GRC 17536'. The new NCE program is targeting TRPA1 receptor antagonists for pain and respiratory disorders...

MonoSol Rx Announces Reckitt Benckiser FDA Approval Of Suboxone® Sublingual F...
1 Sep 2010 at 4:00am
MonoSol Rx, the developers of PharmFilm® technology and a drug delivery company specializing in film pharmaceutical products, today announced that its partner, Reckitt Benckiser Pharmaceuticals Inc., a wholly-owned subsidiary of Reckitt Benckiser Group plc (LSE: RB), has received approval from the U.S...

"Pill Mill" Bill Requires State Certification By Sept. 1
1 Sep 2010 at 3:00am
Texans seeking pain relief soon can take comfort from a new state law requiring pain management clinics to be certified by the Texas Medical Board (TMB) by Sept. 1. Texas physicians hope the new law will put "pill mills," storefronts disguised as pain medicine clinics, out of commission...

Smoking Cannabis Reduces Pain, Helps Sleep And Improves Mood For Those With C...
30 Aug 2010 at 11:00am
For patients with chronic (long-term) neuropathic pain, smoking cannabis was found to reduce symptoms of pain, improve mood and help sleep, a report published in CMAJ (Canadian Medical Journal Association) revealed...

Hospira Japan Receives Approval For New Indication For 'Precedex IV(TM) 200ug'
30 Aug 2010 at 6:00am
Hospira Japan Co., Ltd. announced it has received an approval for the long-term (greater than 24 hour) use of the sedative "Precedex IV(TM)200ug" (generic name: dexmedetomidine hydrochloride). This approval follows Hospira's first launches earlier this year of Precedex in Canada and in South Korea, important milestones for Hospira as the company continues to build the molecule's global presence...

'Neural Inertia' May Explain The Brain's Resistance To Changes In Consciousness
30 Aug 2010 at 3:00am
Despite the fact that an estimated 25 million patients per year in the U.S. undergo surgeries using general anesthesia, scientists have only been able to hypothesize exactly how anesthetics interact with the central nervous system. They previously thought that the processes of "going under" and waking up from anesthesia affected the brain in the same way...

Study Identifies Risk Factors For Painkiller Addiction And Links The Addictio...
28 Aug 2010 at 3:00am
A new Geisinger study begins to unlock the puzzle of painkiller (opioid) addiction why some people are more likely to become addicted than others. Geisinger investigators have found that patients with four common risk factors have a significantly higher risk of addiction. In addition, a history of severe drug dependence and drug abuse compounds the risk...

American Pain Foundation Calls On Health Care Providers, Regulators And Polic...
28 Aug 2010 at 3:00am
The American Pain Foundation (APF), the nation's largest consumer advocacy organization for people in pain, released a position statement imploring the medical community, regulators and concerned stakeholders to reaffirm their ethical commitment to the 76...

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