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Back Pain News
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17 Nov 2008 at 10:47pm HealthDay - (HealthDay News) -- If you have chronic back pain, it can periodically put you out of commission and onto the couch. |
22 Nov 2008 at 1:01am Health insurance is one thing that every person in a family needs in order to feel safe, and it is absolutely vital for people to ... 22 Nov 2008 at 1:00am Recession brings obstacles, opportunities for small businesses Posted Nov 22, 2008 @ 01:00 AM A recession can be particularly tough for small businesses that lack ... 22 Nov 2008 at 1:00am BROOKSVILLE They never lost a game they played this year. But the record books will show a 9-2 season and a big asterisk ... 22 Nov 2008 at 1:00am BROOKSVILLE They never lost a game they played this year. But the record books will show a 9-2 season and a big asterisk ... 22 Nov 2008 at 1:00am CHARLOTTE AMALIE, U.S. Virgin Islands—Second-ranked Connecticut got its leader back on the court Friday and stayed unbeaten with a hard-fought ... 22 Nov 2008 at 12:59am The state’s financial health has taken a dramatic turn for the worse behind ballooning deficits and thousands of job losses, Gov. David Paterson ... 22 Nov 2008 at 12:59am You're a recognized expert in your field, and you have the credentials and experience to back you up. You have professional writing experience in ... 22 Nov 2008 at 12:59am ended up shifting public attention from reconstruction efforts to unresolved questions about how many children perished beneath the rubble of their poorly built schools. Asked ... 22 Nov 2008 at 12:59am dominated David Ferrer of Spain with crisp ball-striking and sharp angles, requiring just under two hours to give Argentina a 6-3, 6-2, ... 22 Nov 2008 at 12:59am The French stake out the terrace of Fabian's Cafe, the Brits convene at the Spike Hill Bar & Grill to watch Manchester United soccer ... 22 Nov 2008 at 12:59am Putting aside denominational and racial differences to celebrate Thanksgiving is becoming a Macon tradition. That tradition continues Sunday with two joint worship services — one ... 22 Nov 2008 at 12:59am That stand-off was pointless. President Bush is out in two months. Democrats could use the fuel-efficiency money now and let an Obama administration ... 22 Nov 2008 at 12:59am COLUMBIA, S.C. Bob Jones University has apologized for racist policies, including a one-time ban on interracial dating that wasn't lifted until ... 22 Nov 2008 at 12:59am Patrick Mahnke is certain to remember his first full game for the Buffaloes. The pain guarantees it. Anthony Perkins , a redshirt freshman, and Mahnke played ... 22 Nov 2008 at 12:59am Armed men were demanding money and drugs when they barged into a Lake Elmo duplex Wednesday morning, dumped gas on the residents and fired a ... |
by HealthSkills Weblog 20 Nov 2008 at 12:11pm In New Zealand most people who have been off work with chronic pain, and receive compensation from ACC, will have been a participant in some sort of fitness programme. It’s almost a rite of passage for people to have a programme of functional restoration before or during an attempted return to work once the person has been off work for around 3 - 6 months. There are a lot of different types of programme available: two of the Prof Mick Sullivan’Goal attainment’ programmes for sub-acute pain, Functional restoration programme - for sub-acute pain, involving activity with some ‘education’ Pain management psychological services - for psychological strategies for pain management Activity focus programme - for chronic pain, involving activity and cognitive behavio... by HealthSkills Weblog 19 Nov 2008 at 11:28am I asked the participants in the pain management group to think about the words ‘acceptance’ and ‘change‘ yesterday. One person asked whether you had to ‘give up hope’ to accept chronic pain, and another said he could ‘never accept that things wouldn’t return to normal, I don’t want this change’. At the time I didn’t want to add my own thoughts about acceptance, but as I mulled over the words myself, I found myself trying to define acceptance - and kept coming up with phrases that included the word ‘change‘ every time. According to wikipedia (oh yes, the font of all wisdom!), ‘Acceptance usually refers to cases where a person experiences a situation or condition (often a negative or uncomfortable situation... by HealthSkills Weblog 18 Nov 2008 at 12:23pm Continuing in the vein of yesterday’s post where I discussed a study showing no additional benefit from adding graded exposure or graded activity to treatment by classification, today I want to discuss a recent finding showing that all the hard work put into helping people develop and use self management may not make a difference to their recovery in the end. It’s this study (doi:10.1016/j.ejpain.2008.06.009) by Charlotte Curran, Amanda C. de C. Williams, and Henry W.W. Potts - Cognitive-behavioral therapy for persistent pain: Does adherence after treatment affect outcome? European Journal of Pain What?! Shock and panic around the world! Pain management skills are not used! The whole basis of self management lies with the idea that people develop practical skills they can... by HealthSkills Weblog 17 Nov 2008 at 5:34pm This study by George, Zeppieri, Cere et al. (2008) looks at a clinical trial comparing the effectiveness of treatment-based classification (TBC) physical therapy alone to TBC augmented with graded activity (GA) or graded exposure (GX) for patients with acute and sub-acute LBP. ‘Graded exercise and graded exposure are specific behavioral interventions that dose exercise and activity parameters on factors other than pain intensity. Briefly, graded exercise uses a quota system to progress subjects’ therapeutic exercise and activity. In contrast, graded exposure hierarchically exposes subjects to specific situations of which they are fearful by starting with exercise or activity that elicits minimal amounts of fear, and then gradually increasing to situations that elicit larger amounts... by HealthSkills Weblog 13 Nov 2008 at 1:55am In 1995 I started work at the Burwood Pain Management Centre. It wasn’t my first foray into pain management, but it was the first time I had worked in a fully integrated interdiscipinary team environment. It was also significant because of the use of the words ‘fear-avoidance’, ‘guarding’ and ‘anticipatory anxiety’. What the team had observed was that there were a specific group of patients who were not just worried about experiencing pain, but were also showing the signs of increased physiological arousal, avoidance of specific activities, and firm beliefs about harm, reinjury, or doing further damage. At the time we used an operant conditioning model (based on Fordyce, 1971 & 1976), along with graded reactivation using a physical conditio... by HealthSkills Weblog 12 Nov 2008 at 11:31am I’ve been mulling over my delight and joy in theory, and wondering whether this turns people off reading my blog. So today I thought I’d draw a link between theory and everyday work in pain management. Theory and models really matter! They form the organisational framework for the data we collect (ie the things we look for when we assess people), from the models we use, we develop hypotheses, or potential explanations for the way the person presents. It’s these hypotheses we test when we actually carry out therapy: to confirm our predictions. If our predictions don’t hold, we’ve probably got the wrong explanation and need to look for another one, if they do hold, we can probably work with the underlying theory or model to develop other hypotheses or inte... by HealthSkills Weblog 28 Oct 2008 at 10:59pm Discussion (Live) (Date TBC) Cost? Canadian $ $375 for non-members of the Canadian Physiotherapy Association. (Source: HealthSkills Weblog) by HealthSkills Weblog 28 Oct 2008 at 1:48am One of the most challenging jobs we do in chronic pain management is help people get their heads around what chronic pain is…without giving them the idea that we think they’re imagining it, they’re mentally unwell, they’re ‘pretending’, ‘malingering’ or otherwise ‘not coping’. While I can’t say I’ve got the answer, after explaining what pain is for a few years (not telling how many!), there are some things I find work better than others… The first thing is to have a bunch of examples of everyday pain (mainly acute pain) to act as examples - mine include getting a flu jab, sunburn, a stubbed toe, sports bruises, and shark bites! This helps people understand that pain is a normal, everyday experience that is unde... by HealthSkills Weblog 23 Oct 2008 at 12:51pm To understand pain and pain management, there are some terms that are used that we need to define. The definitions I use come from the IASP 2008 Proposed Taxonomy Changes, and the previously published Taxonomy of Pain. Pain is - An unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage. Noxious stimulus - an actually or potentially tissue-damaging event. The notes state: there are some types of tissue damage that are not detected by any sensory receptors, and thus do not cause pain. (See “nociceptive stimulus”) Nociceptor - A sensory receptor that is capable of transducing and encoding noxious stimuli. This means that receptors such as tactile or thermoreceptors can respond to noxious stimuli when the stimulus ... by HealthSkills Weblog 21 Oct 2008 at 2:15am Now it’s time to turn to the details of the biopsychosocial model as it is applied to pain. There are some excellent resources available to look at this in both a simple way, and in much greater detail. This site is written by a physiotherapist - and contains some well-written and reasonably simple information both about pain and more especially about low back pain. I’d suggest heading to this page on biopsychosocial model for a quick overview. As far back as 1953, pain has been seen as more than simply either body or mind… Pain is no longer considered exclusively either as a neurophysiological or a psychological phenomenon. Such a rigid dichotomy is obsolete, because pain is now recognised as the compound result of physiopsychological processes whose complexity is almos... by HealthSkills Weblog 20 Oct 2008 at 12:17pm I posted last week on some of the basic domains of knowledge that I personally think are important when you’re new to pain management. For more detailed curricula, the best place to go is IASP, where you can see some older but still relevant examples of curricula such as this one for occupational therapy and physiotherapy. To break the area down a bit, because it really is quite a daunting list of topics, I thought about some of the basic conceptual material as being quite helpful to organise learning. The first topic that I think is fundamental to understanding pain is the biopsychosocial model, and a quite nice summary of the model is this one by Dr Shaheen Lakhan. A lightly longer, albeit older couple of papers are here. A much more recent paper is briefly summarised here,... by HealthSkills Weblog 19 Oct 2008 at 12:23pm In this study, again the total score was found to be most predictive of future sick leave ‘The prediction of future sick leave with the OMPSQ is based on the total score. As in earlier studies the results showed that the total score of the screening questionnaire was related to future sick leave and functional ability; the higher the score, the higher the risk for long term sick leave and developing of chronic problems.’ The higher functional limitation scores the greater disability in the long term, which is slightly different from previous studies which have suggested psychosocial distress and avoidance were more predictive. Again, this study shows that using this screening tool early in the course of an episode of low back pain (whether the first episode or subsequent episo... by HealthSkills Weblog 2 Oct 2008 at 1:02am My final post on case formulation illustrates the slightly simplified case study that I presented here. I will be simplifying his presentation again today, to make sure this post isn’t too enormous! Firstly, we identify the relatively stable phenomena: Pain-related anxiety and avoidance Work disability Depression Pain behaviours Selected biophysical contributing factors: Initial scaphoid fracture Complex regional pain syndrome type i Reduced range of movement and strength Central sensitisation Selected psychological contributing factors: Unhelpful beliefs about pain and activity Negative reinforcement from avoiding movements anticipated to be painful Catastrophising Nonadherence to treatment recommendations Anxiety/stress about financial situation and employment Selected socia... by HealthSkills Weblog 30 Sep 2008 at 2:54am Over the past few days I’ve been writing about case formulation because in pain management, it’s rare to find only one single causal factor that is influencing either the pain or the disability. Most times we are looking at many factors coming from all three areas of the biopsychosocial model. In each person, the relationships between and combinations of these factors will be unique. And that’s the value of a case formulation as opposed to a diagnosis, which is more like ’shorthand’ for a group of symptoms that go together and are supposedly linked by a causal mechanism (in the case of non-mental health problems). After identifying stable phenomena (symptoms that are present over time and in different places), the next step is to identify the underlying biopsy... by HealthSkills Weblog 26 Sep 2008 at 6:02pm I thought I’d heard of most things, but this one has me inspired! You’re never too old to dance, nor too immobile. I discovered bellydance coming up to two years ago - best remedy for my back pain that I ever found! (Source: HealthSkills Weblog) |
21 Nov 2008 at 6:14pm After diagnosing a 13-year-old girl with scoliosis, Tigard resident and chiropractic physician Veronica Esagui realized there had to be a holistic approach to reversing the disabling spine curvature caused by ... 21 Nov 2008 at 5:30am "Alternative Medicines for Osteoporosis." 20 June 2007. HowStuffWorks.com. 21 November 2008. 21 Nov 2008 at 12:30am ADAM. "Chiropractor - Doctor Of Chiropractic ." 16 May 2007. HowStuffWorks.com. 21 November 2008. 20 Nov 2008 at 8:12pm ADAM. "Back Pain And Sciatica In-Depth." 03 April 2007. HowStuffWorks.com. 20 November 2008. 20 Nov 2008 at 2:46am Learn what the typical process may be for a DRX9000 back pain patient seeking assistance from a licensed professional. 19 Nov 2008 at 9:45am If you have dealt with pain in your body, from backaches to headaches to pain related to an injury, you've probably tried just about everything to get some relief. 18 Nov 2008 at 9:32am A benefit supper and auction will be held Saturday to raise money to help Nathan Leier and his family with their financial needs. 18 Nov 2008 at 1:20am A Swanville woman went to the hospital Sunday after her vehicle collided with another outside of Flensburg. 17 Nov 2008 at 5:08pm Comtex MINNEAPOLIS, Nov 17, 2008 ----Medtronic, Inc. announced it has added an innovative bone cement delivery system to its spine product portfolio with the acquisition of the assets and intellectual property ... 17 Nov 2008 at 12:40pm LOW back pain is second only to headache as a source of pain. It is a disease of industrialized societies and one of the most common cause of lost time from work. 17 Nov 2008 at 8:06am This week's Elder Connection is published in larger type for the benefit of our senior readers. 17 Nov 2008 at 3:54am Bowen practitioner and pilates teacher, Katharine Forrer. KATHARINE Forrer of Katharine Forrer Bowen and Pilates in Monbulk offers gentle and safe treatment for all ages. 16 Nov 2008 at 3:39am The U.S. Coast Guard evacuated a 45-year-old man from the Canadian Coast Guard Cutter Griffon. 15 Nov 2008 at 7:34pm Many people wonder under what circumstances you go to see a medical doctor. A recent report from the United States Bone and Joint Decade , a coalition formed to study musculoskeletal problems and their ... 14 Nov 2008 at 7:20pm The March of Dimes ranks West Virginia one of about 20 failing states for babies born too soon. |
21 Nov 2008 at 5:00am A course of water aerobics classes has been shown to reduce the amount of pain-killing medication women request during labor. Research published in BioMed Central's open access journal Reproductive Health has shown that, as well as being safe, the gentle exercise has the benefit of making it easier to give birth. 21 Nov 2008 at 3:00am Janssen-Cilag International NV announced today that the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMEA) has recommended suspension of the marketing authorisation for IONSYS(R) (fentanyl iontophoretic transdermal system), indicated for the management of acute moderate to severe post-operative pain for use in a hospital setting only. 21 Nov 2008 at 3:00am Jazz Pharmaceuticals, Inc. (Nasdaq: JAZZ) and UCB (Euronext Brussels: UCB) announced today positive preliminary top-line results from the first of two Phase III clinical trials of sodium oxybate (JZP-6) for the treatment of fibromyalgia. The randomized, double-blind, placebo-controlled study achieved its key endpoints, demonstrating that sodium oxybate significantly decreased pain and fatigue, and improved daily function in patients with fibromyalgia. 21 Nov 2008 at 2:00am Neuromed Pharmaceuticals, a biopharmaceutical company developing new and improved chronic pain drugs, announced it has completed enrollment in the pivotal Phase 3 chronic low back pain clinical trial of NMED-1077 (OROS(R) Hydromorphone) for the treatment of chronic moderate-to-severe pain in opioid tolerant patients. 20 Nov 2008 at 5:00am Research highlights include how we see faces in our dreams, understanding how young and old adults learn, helping stroke survivors speak using fMRI, an explanation about autism and facial recognition and ways to possibly forestall Parkinson's disease. 20 Nov 2008 at 2:00am Pharmos Corporation (Nasdaq: PARS) announced results from its Phase 2a clinical trial of its topical NanoEmulsion (NE) drug delivery technology formulated with 3% Diclofenac Diethanolamine. The multi-center, randomized, double-blinded, placebo controlled study evaluated the safety and efficacy of the Company's 3% Diclofenac Diethanolamine NanoEmulsion cream in 104 patients with chronic pain due to osteoarthritis of the knee. 20 Nov 2008 at 2:00am NeuroDiscovery Ltd (ASX: NDL), a specialty neuroscience service provider and drug development Company, and Sosei Group Corporation ("Sosei"; TSE Mothers Index: 4565), a leading international biopharmaceutical company, announce that NeuroSolutions is presenting further pivotal pre-clinical efficacy data for NSL-043/SD118. This investigational drug is a potential therapy for neuropathic pain and has successfully completed Phase I clinical studies and is now ready for Phase II studies. 19 Nov 2008 at 11:00am The biopharmaceutical company PAION AG (ISIN DE000A0B65S3; Frankfurt Stock Exchange, Prime Standard: PA8; London AIM: PAI) today announces that it has successfully completed a Phase I study with its intravenous sedative/anaesthetic CNS 7056. The study was completed ahead of schedule because the target criterion, more than 50% of the volunteers reaching loss of consciousness for more than 5 minutes, was reached in the 9th of the 10 planned cohorts. 19 Nov 2008 at 10:00am A recent clinical study found that patients experienced nearly a 70% reduction in pain when MPM Medical Inc.'s Regenecare HA® hydrogel was used prior to and during the changing of their wound dressings. The finding comes at a time when a cross-section of American thought leaders are calling the lack of proper pain management a national healthcare crisis. In answer, members of Congress have united to sponsor the National Pain Care Policy Act of 2008 (H.R. 19 Nov 2008 at 10:00am Applied Pharma Research sa (APR), and Fidia Farmaceutici SpA (Fidia) today announced that the U.S. Food and Drug Administration (FDA) has accepted the Investigational New Drug (IND) application for the development of a 140mg Diclofenac Sodium Matrix Patch for the topical treatment of acute pain due to minor strains, sprains and contusions. 19 Nov 2008 at 8:00am Alkermes, Inc. (NASDAQ: ALKS) today announced positive preclinical results for its proprietary small molecule candidate, RDC-1036, which emerged from a library of novel opioid modulators. The data demonstrated RDC-1036 was effective in reversing opioid effects on gastrointestinal motility. Data also showed that oral administration of RDC-1036 had greater efficacy at a lower dose and for an extended period of time compared to an active comparator, methylnaltrexone. 19 Nov 2008 at 4:00am Cancer patients in Newcastle, NSW, have been taking part in a unique Australian trial to record levels of pain and distress using touchscreen technology. When out-patients see their doctor at Calvary Mater Newcastle, they use touchscreen computers to complete pain and distress "thermometers", as well as a brief psychological assessment. 18 Nov 2008 at 8:00am At least one in four of the 697,000 U.S. veterans of the 1991 Gulf War suffer from Gulf War illness, a condition caused by exposure to toxic chemicals, including pesticides and a drug administered to protect troops against nerve gas, and no effective treatments have yet been found, a federal panel of scientific experts and veterans concludes in a landmark report released Monday. 18 Nov 2008 at 6:00am Johns Hopkins Researchers at Neuroscience 2008 - Table grapes are high in flavonoids, which are thought to have strong antioxidant and anti-inflammatory properties. Now, researchers at the Johns Hopkins University School of Medicine have shown that powdered grapes appear to reduce pain and inflammation in a rat model of arthritis, where rats knees are inflamed using a chemical injection. 18 Nov 2008 at 3:00am LED Technologies, LLC announced today that the U.S. Food and Drug Administration (FDA) cleared their DPL™ Therapy System for the relaxation of muscles and relief of muscle spasms, temporary relief of minor muscle and joint aches, pains and stiffness; temporary relief of minor pain and stiffness associated with arthritis; and to temporarily increase local blood circulation. |
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