Imaging studies have a limited role during the early stages of back pain, yet more than half of people with low back pain receive an imaging study. People with back pain often are inappropriately told to rest and stop work. Only half of people with low back pain are prescribed exercise, which is the most effective treatment.
Hundreds of stem cell clinics have popped up across the country, many of them hoping to cash in on the enthusiasm surrounding this treatment. The field, particularly in the past five years, has been overrun with a large number of people who have co-opted the word stem and have been using it as a marketing tool to offer therapies to patients that are as yet unproven, says Dr. Muschler. That practice is a misuse of the term stem cell and amounts to selling false hope.
Low back pain is a common problem and a leading cause of disability. A variety of treatments are used to address it. Recent guidelines from the American College of Physicians recommend nondrug treatment first, including heat, massage, acupuncture and spinal manipulation by a chiropractor or other healthcare provider. Findings from a study published in JAMA Network Open (May 2018) back up the effectiveness of spinal manipulation. The study included 750 active-duty service members aged 18 to 50 with low back pain. Half of them received usual medical care, including medications, physical therapy and referral to a pain clinic. The other half also received up to 12 visits with a chiropractor for spinal manipulation and other therapies. After six weeks, the group receiving usual care plus chiropractic care had greater improvements in lowering pain intensity and disability than those getting usual care alone.
According to the CDC, Shingrix may be used in people with weakened immune systems. At this point, no studies have examined Shingrix in patients with autoimmune disease, cautions Dr. Calabrese. Shingrix includes a compound called an adjuvant that helps the vaccine create a stronger immune response. The adjuvant revs up the immune system, so there is a concern for exacerbating autoimmune diseases, explains Dr. Calabrese. Rheumatologists are awaiting further data on Shingrix in this patient population.
Ive had polymyalgia rheumatica for 10 years. I take low doses of prednisone. When I stop it, the symptoms return. Is there anything new to treat this disease? I had an attack of severe pain and swelling in my ankle and knee. Fluid was drawn and tested for gout. But no crystals were found. I was diagnosed with pseudogout. What is pseudogout?
When you have a joint replaced, your anesthesiologists job is to keep you comfortable and safe during your surgery and as pain-free as possible after the procedure. In the past, that often meant going under general anesthesia and getting strong narcotics to dull the pain. Not anymore. Today, when it comes to anesthesia, less is more.
Look in your medicine cabinet. Are there bottles of pills in there you no longer take? If so, its time to get rid of them, especially if there are opioid pain medications or other controlled substances among them.
If you have a condition that affects your bones or joints, you may be taking medications. It could be a pain medication that you take for a short period of time, or it may be drugs for rheumatoid arthritis or another type of arthritis or osteoporosis that you take for a long time or even a lifetime.
How can I strengthen my core muscles? Any machines at the gym I should use? Ive had one cortisone shot in my arthritic knee. Its hurting again. How many of these can I safely get?
After declining every year from 2002 to 2012, the rate of hip fractures among women age 65 and older in the United States leveled off at rates higher than were expected, leading to a rise in the overall number of hip fractures. The findings, reported in the journal Osteoporosis International (December 2017), were based on an analysis of Medicare claims data from 2002 to 2015. The researchers found that the rate of hip fractures began to plateau in 2013.
With all the attention being paid to the problem of opioid abuse, you might hesitate to take these medications for any reason, fearing you might become addicted. While drug abuse is a serious problem, not everyone who takes opioids becomes addicted.
America is in the grips of an opioid addiction crisis. Theres no denying that this is a real problem with devastating consequences. In 2016, 63,000 people died from drug overdoses, a 21 percent rise over 2015. About two-thirds of those deaths involved opioids.