Do You Suffer From? Low Back Pain and Chiropractic
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
Posterior Dislocation of Hip in Adolescents Attributable to Casual Rugby
J Accid Emerg Med 2000;17:429–431 429 J Accid Emerg Med: first published as 10.1136/emj.17.6.430 on 1 November 2000. Downloaded from EMERGENCY CASEBOOKS Posterior dislocation of hip in adolescents attributable to casual rugby K Mohanty, S K Gupta, A Langston A 11 year old boy was brought to the accident eight weeks and magnetic resonance imaging and emergency department with a painful left of the hip at six months ruled out avascular hip after having been injured it in a tackle in a necrosis of the head of femur. casual game of rugby. On examination the hip Posterior dislocation of hip usually occurs was found to be flexed, adducted and inter- when force is directed proximally up the shaft nally rotated with no distal neurovascular defi- of femur from knee to the flexed hip1. Although cit. All movements of that hip were extremely it is commonly seen after high energy road Department Of painful. Posterior dislocation of hip was traYc accidents, it can occur in children result- Trauma and confirmed by radiograph (fig 1).This was ing from relatively minor injury such as a Orthopaedics, reduced under general anaesthesia within three Morriston Hospital, casual game of rugby as reported here. Such Swansea hours of the injury. After reduction he was on dislocations have been reported attributable to skin traction for a week and followed by jogging, skiing, mini rugby2 and basketball. Correspondence to: non-weight bearing mobilisation for a further Major complications of traumatic hip disloca- Mr Mohanty, 65 Hospital four weeks. Computed tomography was done tion include nerve injury, avascular necrosis of Close, Evington, Leicester LE54 WQ (Kmohanty@ to rule out any intra-articular bone fragments. -
Lower Back Pain in Athletes EXPERT CONSULTANTS: Timothy Hosea, MD, Monica Arnold, DO
SPORTS TIP Lower Back Pain in Athletes EXPERT CONSULTANTS: Timothy Hosea, MD, Monica Arnold, DO How common is low back pain? What structures of the back Low back pain is a very common can cause pain? problem in industrialized countries, Low back pain can come from all the affecting over 70 percent of the working spinal structures. The bony elements population. Back pain is also common of the spine can develop stress fractures, in such sports as football, soccer, or in the older athlete, arthritic changes golf, rowing, and gymnastics. which may pinch the nerve roots. The annulus has a large number of pain What are the structures fibers, and any injury to this structure, of the back? such as a sprain, bulging disc, or disc The spine is composed of three regions herniation will result in pain. Finally, the from your neck to the lower back. surrounding muscles and ligaments may The cervical region corresponds also suffer an injury, leading to pain. to your neck, the thoracic region is the mid-back (or back of the chest), How is the lower back injured? and the lumbar area is the lower back. Injuries to the lower back can be the The lumbar area provides the most result of improper conditioning and motion and works the hardest in warm-up, repetitive loading patterns, supporting your weight, and enables excessive sudden loads, and twisting you to bend, twist, and lift. activities. Proper body mechanics and flexibility are essential for all activities. Each area of the spine is composed To prevent injury, it is important to learn of stacked bony vertebral bodies with the proper technique in any sporting interposed cushioning pads called discs. -
Guidline for the Evidence-Informed Primary Care Management of Low Back Pain
Guideline for the Evidence-Informed Primary Care Management of Low Back Pain 2nd Edition These recommendations are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. They should be used as an adjunct to sound clinical decision making. Guideline Disease/Condition(s) Targeted Specifications Acute and sub-acute low back pain Chronic low back pain Acute and sub-acute sciatica/radiculopathy Chronic sciatica/radiculopathy Category Prevention Diagnosis Evaluation Management Treatment Intended Users Primary health care providers, for example: family physicians, osteopathic physicians, chiro- practors, physical therapists, occupational therapists, nurses, pharmacists, psychologists. Purpose To help Alberta clinicians make evidence-informed decisions about care of patients with non- specific low back pain. Objectives • To increase the use of evidence-informed conservative approaches to the prevention, assessment, diagnosis, and treatment in primary care patients with low back pain • To promote appropriate specialist referrals and use of diagnostic tests in patients with low back pain • To encourage patients to engage in appropriate self-care activities Target Population Adult patients 18 years or older in primary care settings. Exclusions: pregnant women; patients under the age of 18 years; diagnosis or treatment of specific causes of low back pain such as: inpatient treatments (surgical treatments); referred pain (from abdomen, kidney, ovary, pelvis, -
Supplementary File 1
Supplementary File Table S1 Checklist for Documentation of Google Trends research. a) Initial list of pain locations and factors related to pain Name Matched as topic related to pain (not disease diagnosis) Head & Neck Headache / Head Pain Yes, „Headache” Eye pain Yes „Eye pain” Nose pain No Ear pain Yes, „Ear pain” Toothache Yes, „Toothache” Tongue pain No Lip pain No Sore Throat Yes, „Sore Throat” Neck pain Yes, „Neck pain” Trunk Chest pain / Heart pain Yes, „Chest pain” Breast pain Yes, „Breast pain” Abdominal pain / Stomache Yes, „Abdominal pain” Epigastric pain Yes, „Epigastric pain” Umbilical pain No Flank pain Yes, „Abdominal pain” Hypogastrium pain No Groin pain Yes, „Groin pain” Back pain Yes, „Back pain” Low back pain / Lumbar pain Yes, „Low back pain” Pelvic region Pelvic pain Yes, „Pelvic pain” Penis pain Yes, „Penile pain” Testicular pain / Pain of balls Yes, „Testicular pain” Rectum pain / Anal pain Yes, „Rectum pain” Limbs Shoulder pain Yes, „Shoulder pain” Clavicle pain No Arm pain No Forearm pain No Wrist pain Yes, „Wrist pain” Hand pain / Palm pain No Thigh pain No Buttock pain No Knee pain Yes, „Knee pain” Calf pain / Calf cramps No Podalgia / Feet pain Yes, „Podalgia” Factors Dysmennorhea / Painful Yes, „Dysmenorrhea” mennorhea Dyspareunia / Sex during Yes, „Dyspareunia” intercourse Odynophagia / Pain during Yes, „Odynophagia” swallowing Pain during breathing No Pain during walking No b) Search details Section/Topic Checklist item Search Variables Access Date 22 July 2019 Time Period From January 2004 to date of the -
The Pfizer/Biontech COVID-19 Vaccine: What You Need to Know
Vaccine Information Statement • Pfizer/BioNTech COVID-19 Vaccine • When administering vaccine use EUA Fact Sheet date for VIS date in Plummer Chart • Created and distributed by Mayo Clinic VACCINE INFORMATION STATEMENT Mayo Clinic created this Vaccine The Pfizer/BioNTech COVID-19 Information Statement for use temporarily until the official CDC Vaccine: What You Need to Know versions are available. Why get vaccinated The Pfizer/BioNTech 1 against COVID-19? 2 COVID-19 vaccine This COVID-19 vaccine can prevent COVID-19 The Pfizer/BioNTech COVID-19 vaccine provides infection. protection against COVID-19 infection. It is one of several vaccines developed to protect against The COVID-19 infection (also called coronavirus COVID-19 infection. disease 2019) is caused by the SARS-CoV-2 virus. Symptoms can range from no symptoms at all to In a randomized, controlled trial involving severe acute respiratory syndrome. Most common over 40,000 volunteers, the vaccine prevented symptoms include fever, cough, loss of smell or COVID-19 in 95% of people vaccinated. The 95% taste and fatigue. prevention rate was about the same no matter the age, sex, ethnicity or race of the people who Symptoms usually appear 2 to 14 days after received it. infection. Early symptoms may include a loss of taste or smell. Other symptoms include shortness The Pfizer/BioNTech COVID-19 vaccine is of breath or difficulty breathing, muscle aches, recommended for people 12 years of age and chills, sore throat, runny nose, headache and older. The vaccine is given in two doses. The chest pain. Some people have experienced rash, second dose is given 21 days after the first. -
Anesthetic Or Corticosteroid Injections for Low Back Pain
Anesthetic or Corticosteroid Injections for Low Back Pain Examples Trigger point injections. Sometimes, putting pressure on a certain spot in the back (called a trigger point) can cause pain at that spot or extending to another area of the body, such as the hip or leg. To try to relieve pain, a local anesthetic, either alone or combined with a corticosteroid, is injected into the area of the back that triggers pain (trigger point injection). Facet joint injections. A local anesthetic or corticosteroid is injected into a facet joint, which is one of the points where one vertebra connects to another. Epidural injections. A corticosteroid is injected into the spinal canal where it bathes the sheath that surrounds the spinal cord and nerve roots. These injections can be done by an orthopedist, an anesthesiologist, a neurologist, a physiatrist, a pain management specialist, or a rheumatologist. How It Works Local anesthesia is believed to break the cycle of pain that can cause you to become less physically active. Muscles that are not being exercised are more easily injured. Then the irritated and injured muscles can cause more pain and spasm and can disrupt sleep. This pain, spasm, and fatigue, in turn, can lead to less and less activity. Steroids reduce inflammation. So a corticosteroid injected into the spinal canal can help relieve pressure on nerves and nerve roots. Why It Is Used Injections may be tried if you have symptoms of nerve root compression or facet inflammation and you do not respond to nonsurgical therapy after 6 weeks. How Well It Works Research has not shown that local injections are effective in controlling low back pain that does not spread down the leg.footnote1 Side Effects All medicines have side effects. -
Rehabilitation Advice Following a Whiplash Injury
Further Information If you require any further information after reading this leaflet, please contact: Therapies Department Tel: 01926 608068 As a key provider of healthcare and as an employer, the Trust has a statutory obligation to promote and respect THERAPIES SERVICE equality and human rights. This is set out in various pieces of legislation including: Race Relations (Amendment) Act 2000, Disability Discrimination Act (2005), Sex Discrimination Act (1975) and the Age Discrimination Act Rehabilitation Advice (2006) Our information for patients can also be made available in following a Whiplash other languages, Braille, audio tape, disc or in large print. Injury PALS We offer a Patient Advice Liaison Service (PALS). This is a confidential service for families to help with any questions or concerns about local health services. You can contact the service by the direct telephone line on 01926 600 054 or calling in at the office located at Warwick Hospital. Date: January 2016 Revision Due: January 2019 Author: Outpatient Physiotherapy Team Leader SWH 01390 If you are unable to attend your appointment please telephone 01926 608068 to cancel your appointment Introduction Neck movement exercises: Sit in the correct postural position, as in exercise 3 repeat all What is whiplash? exercises below 10 times to each side. ‘Whiplash’ is the term used to describe when your head moves quickly forward and then backwards, which commonly 5. Rotation happens in road traffic accidents. This quick back and forth Gently turn your head from one side to the other. Your eyes movement may cause injury to the neck should follow the direction in which you are turning. -
Platelet-Rich Plasma Prolotherapy for Low Back Pain Caused By
Prolotherapy Platelet-Rich Plasma Prolotherapy for Low Back Pain Caused by Sacroiliac Joint Laxity A relatively new treatment modality, PRP prolotherapy demonstrates effectiveness in case studies of patients with sacroiliac (SI) joint ligament laxity and painful dysfunction. Donna Alderman, DO Platelet-rich plasma prolotherapy (PRPP) is an injection treatment that stimulates healing. Like dextrose prolotherapy, PRPP “tricks” the body into repairing incompletely-healed musculoskeletal injuries that results in reduced pain and increased function. Growth factors from blood platelets in platelet-rich plasma stimulate and accelerate healing. Reports are continuing to emerge of the effectiveness, safety, and regenerative capacity of this treatment. In this interesting article, Dr. Gordon Ko, a Canadian physi- cian, shares his expertise in the use of PRPP for low back pain caused by sacroiliac joint laxity. Dr. Ko integrates PRPP with other modalities to accomplish reliable and often dramatic improvement for his patients in this retrospective case report study. — Donna Alderman, DO Prolotherapy Department Head By Gordon D. Ko, MD, CCFP(EM), FRCPC, FABPM&R, FABPM he sacroiliac joints are subject however, quite unreliable.1,2 to con-siderable stresses in A new scale to diagnose SI joint instability that responds to Tweight-bearing and back- prolotherapy has been recently co-developed by the author and twisting movements. Trauma to the SI ligaments can occur with is undergoing validity/reliability testing (Whitmore-Gordons falls on the buttocks, car accidents, twisting and lifting injuries, Sacroiliac Instability Tool; see Appendix A). SI joint dysfunction and repetitive impact loading from excessive running diagnosed by intra-articular blocks accounts for about 20% of (marathoners). -
My Tooth Hurts: Your Guide to Feeling Better Fast by Dr
Copyright © 2017 by Dr. Scott Shamblott All rights reserved. No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means—including electronic, mechanical, photocopying, recording, or otherwise—without the prior written permission of Dental Education Press, except for brief quotations or critical reviews. For more information, call 952-935-5599. Dental Education Press, Shamblott Family Dentistry, and Dr. Shamblott do not have control over or assume responsibility for third-party websites and their content. At the time of this book’s publication, all facts and figures cited are the most current available, as are all costs and cost estimates. Keep in mind that these costs and cost estimates may vary depending on your dentist, your location, and your dental insurance coverage. All stories are those of real people and are shared with permission, although some names have been changed to protect patient privacy. All telephone numbers, addresses, and website addresses are accurate and active; all publications, organizations, websites, and other resources exist as described in the book. While the information in this book is accurate and up to date, it is general in nature and should not be considered as medical or dental advice or as a replacement for advice from a dental professional. Please consult a dental professional before deciding on a course of action. Printed in the United States of America. Dental Education Press, LLC 33 10th Avenue South, Suite 250 Hopkins, MN 55343 952-935-5599 Help! My Tooth Hurts: Your Guide to Feeling Better Fast by Dr. -
Third Molar (Wisdom) Teeth
Third molar (wisdom) teeth This information leaflet is for patients who may need to have their third molar (wisdom) teeth removed. It explains why they may need to be removed, what is involved and any risks or complications that there may be. Please take the opportunity to read this leaflet before seeing the surgeon for consultation. The surgeon will explain what treatment is required for you and how these issues may affect you. They will also answer any of your questions. What are wisdom teeth? Third molar (wisdom) teeth are the last teeth to erupt into the mouth. People will normally develop four wisdom teeth: two on each side of the mouth, one on the bottom jaw and one on the top jaw. These would normally erupt between the ages of 18-24 years. Some people can develop less than four wisdom teeth and, occasionally, others can develop more than four. A wisdom tooth can fail to erupt properly into the mouth and can become stuck, either under the gum, or as it pushes through the gum – this is referred to as an impacted wisdom tooth. Sometimes the wisdom tooth will not become impacted and will erupt and function normally. Both impacted and non-impacted wisdom teeth can cause problems for people. Some of these problems can cause symptoms such as pain & swelling, however other wisdom teeth may have no symptoms at all but will still cause problems in the mouth. People often develop problems soon after their wisdom teeth erupt but others may not cause problems until later on in life. -
PHARYNGITIS- Management Considerations
PHARYNGITIS: Management Considerations NICE’18, BMJ’17, IDSA’12 www.RxFiles.ca © Aug 2021 PEARLS for the MANAGEMENT of PHARYNGITIS SHOULD ANTIBIOTICS BE USED TO TREAT PHARYNGITIS? The majority of pharyngitis cases do NOT require antibiotics as they are viral infections 80-90% of adults (>70% of children) do NOT require antibiotics as infection likely viral. (80-90% in adults, >70% in children). Patients with a positive throat swab should receive an antibiotic to the risk of Pharyngitis is typically self-limiting (often 3-7 days; up to 10 days). complications. See modified Centor score on left column, & antibiotic table below. A validated clinical decision rule e.g. modified Centor score can help identify low risk patients The turn-around-time for throat swab results can take a few days. However, antibiotics who do not require diagnostic testing (see below) or antibiotics. started within 9 days of symptom onset in confirmed GAS will prevent rheumatic fever. For confirmed Group A Streptococcus (GAS) pharyngitis, penicillin for 10 days is the drug Some possible strategies: watchful waiting, or empiric antibiotic (stop if throat swab negative). of choice. There is no documented GAS resistance to penicillin. MOST COMMON BACTERIAL PATHOGEN Advise on treatments that will provide symptomatic relief: NSAIDs, acetaminophen, Group A Streptococcus (GAS) medicated throat lozenges, topical anesthetics, warm liquids. EMPIRIC DRUG REGIMENS OF CHOICE & SUSCEPTIBILITY CONCERNS Patients should see their prescriber if: ❶ symptoms worsen, ❷ symptoms take longer FIRST LINE than 3 to 5 days to resolve, &/or ❸ unilateral neck swelling develops. - Majority of cases are viral. - See Symptom Management PRE-TREATMENT CONSIDERATIONS No antibiotic - Only use antibiotics in confirmed following page. -
Mechanical Low Back Pain Joshua Scott Will, DO; David C
Mechanical Low Back Pain Joshua Scott Will, DO; David C. Bury, DO; and John A. Miller, DPT Martin Army Community Hospital, Fort Benning, Georgia Low back pain is usually nonspecific or mechanical. Mechanical low back pain arises intrinsically from the spine, interverte- bral disks, or surrounding soft tissues. Clinical clues, or red flags, may help identify cases of nonmechanical low back pain and prompt further evaluation or imaging. Red flags include progressive motor or sensory loss, new urinary retention or overflow incontinence, history of cancer, recent invasive spinal procedure, and significant trauma relative to age. Imaging on initial presentation should be reserved for when there is suspicion for cauda equina syndrome, malignancy, fracture, or infection. Plain radiography of the lumbar spine is appropriate to assess for fracture and bony abnormality, whereas magnetic resonance imaging is better for identifying the source of neurologic or soft tissue abnormalities. There are multiple treatment modalities for mechanical low back pain, but strong evidence of benefit is often lacking. Moderate evidence supports the use of nonsteroidal anti-inflammatory drugs, opioids, and topiramate in the short-term treatment of mechanical low back pain. There is little or no evidence of benefit for acetamin- ophen, antidepressants (except duloxetine), skeletal muscle relaxants, lidocaine patches, and transcutaneous electrical nerve stimulation in the treatment of chronic low back pain. There is strong evidence for short-term effectiveness and moderate-quality evidence for long-term effectiveness of yoga in the treatment of chronic low back pain. Various spinal manipulative techniques (osteopathic manipulative treatment, spinal manipulative therapy) have shown mixed benefits in the acute and chronic setting.