Physical activity is the key to success in the treatment of chronic low back pain (CLBP), and exercise itself has the most permanent and long lasting effects (Abenhaim et al. 2000). Although the variety of conservative, complementary, and surgical treatments available, such as medication, thermotherapies, ergonomic and self-care advices, and patient education, proven to be beneficial for CLBP, at the present time the main aim is to provide effective interventions as well as reduce the health care costs.
Exercise has become a very effective physiotherapeutic treatment for CLBP which reduces pain and disability, improves general health, and decreases the socioeconomic impact (Middelkoop et al. 2010; Bronfort et al. 2011; Chan 2011). However, there is poor evidence supporting the specific exercise program for the treatment of CLBP due to the different physiological and psychological aspects of exercise that have not been analysed in details.
This essay aims to evaluate relevant research findings (according to the author’s best use of the critical appraisal) in an attempt to identify the more effective exercise programs as treatment of CLBP with relevance to the case study in table 1.
Tim is a 50 year old hill farmer experiencing low back pain radiating into posterior aspect (R) thigh, sometimes accompanied by P&N. It has been present for about 6 months. This pain is intermittent aggravated by walking and standing. He is currently experiencing difficulties at work (W 6/10) pain is relieved by flexing the spine or lying down. He has no Red flags, but some concerns about his future.
Table 1
Non specific low back pain (LBP) is one of the most frequent musculoskeletal disorders associated with psychological and physical dysfunctions causi...
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... dr. Ostelo R., Koes B., van Tulder M. (2010) Exercise Therapy for Chronic Nonspecific Low-Back Pain. Best Practice & Research Clinical Rheumatology vol. 24 pp: 193–204.
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...improvement in or elimination of sciatica pain was reported” (Maria Hersht, Eric M. Massicotte, & Mark Bernstein, 2006, p. 448).
Ytterberg, S.R., Mahowald, M.L. & Krug, H.E.(1994) “Exercise for arthritis”, BailliOre' s Clinical Rheumatology, 8(1), pp. 161-189. ScienceDirect [Online]. Available at: http://www.sciencedirect.com/science/article/pii/S0950357905802304 (Accessed: 13th May 2014).
Pate et al. (1995) stated that physical activity is needed for health promotion and disease prevention. They also stated that every adult should do at least 30 minutes of moderate intensity exercise everyday if possible. Moderate intensity exercising includes activities such as brisk walking and cycling as stated by the Department of Health (2011). They also state that regular physical activity will improve a person’s mental health as it will increase self esteem and reduce symptoms of depression and anxiety. Physical wellbeing is also enhanced by an increase in physical activity. The World Health Organisation (WHO) (2002) found that in developed countries 20% of heart disease and 10% of strokes are due to physical inactivity. Furthermore a lack of physical activity is found to cause 3% of all diseases.
The word “chiropractor” has two word origins, the Greek words cheir and praxis; meanwhile, cheir means “hand” and praxis means “practice.” Also, most of the work that chiropractors do is done by hand (Pike para. 5). In 2002, going to a chiropractor was found to be the most commonly used program for therapy. Seventy-four percent, about 4 million, of people that had back pain went to a chiropractor to get treated. Among that 74 percent of people, 66 percent of them stated that they got “a great benefit” (Pike para. 9). Many chiropractors work full time but 1 out of 3 chiropractors work part time. Chiropractors work whenever their patients need them, even on w...
Currently, I am involved in a prospective cohort study with other colleagues from King Fahad Medical City that aims to study the effect of a low back care educational program on low back pain prevalence among health-care professionals.
Now let’s break down what General Anesthesia actually is. General Anesthesia makes you both unconscious and unable to feel pain during medical procedures. A study done by a team from Harvard Medical School, Weill Cornell Medical college, and the Massachusetts Ins...
Chronic lower back pain is a major health disorder in the world today (Mendelson, Selwood, Kranz, Loh, Kidson, Scott, 1983). It can cause many physical, mental, and emotional problems on the victim (Mendelson, Selwood, Kranz, Loh, Kidson, Scott, 1983). Many people find their work so unbearably painful that they often have to stay home. Others experience depression, inactivity, and social isolation (Kaplan, Sallis, Patterson). Treatments range from the conventional methods such as medication and surgery to the alternative or unconventional methods such as acupuncture. However, only a small percentage of low back pain patients have the type of condition for which surgery can be used so acupuncture is becoming more popular (Lehmann, Russell, Spratt, 1983).
Although the comorbidities and type of surgery dictate certain decisions in managing patient care, anesthesiologists maintain various modalities for the perioperative period. These consist of anything from local to regional anesthesia, including neuraxial techniques and peripheral nerve blocks, as well as monitored anesthesia care with sedation to general anesthesia. Overlapping of different anesthetic types and combinations of regional analgesics to supplement general anesthesia occur frequently.
Posture Correction – Poor posture is a major issue involved in back pain. Poor posture is also unattractive and unhealthy to the body. Good posture helps the body maintain balance and stay aligned. Inversion therapy helps to realign your spine so you can enjoy the health benefits of good
Thatcher, V.S. (1953) History of Anesthesia, With Emphasis on the Nurse Specialist. Philadelphia: J.B. Lippincott Company.
Weiner, S.S. & Nordin, M. (2010). Prevention and management of chronic back pain. Best Practice & Research Clinical Rheumatology, 24, 267-279. http://dx.doi:10.1016/j.berh.2009.12.001
Stephani Curtis (1997) presents a case study of a 32-year-old woman, Mrs. J, who injured her lower back when she fell off a horse. As a result of this accident, Mrs. J experienced a ruptured lumbar disc. The treatment, a lumbar laminectomy, failed to alleviate her pain. Due to the pain and the effects of her prescribed medication, Mrs. J was forced to curtail her activities, and she had to quit her job as a truck driver. Psychologists, neurosurgeons, and other health-care professionals research to relieve pain for patients like Mrs. J. This much needed research offers hope for the millions of people whose lives have been disrupted by pain, such as chronic pain, hyperalgesia, and allodynia.
Accordingly, this article is incredibly significant for anyone suffering from this condition. Being able to successfully treat this condition from the comfort of the individual’s home without the need for trips to physical therapists or the expense of doctor visits could greatly improve the quality of life for someone diagnosed with myofascial pain syndrome. Moreover, the study was completed with an inexpensive, readily available inflatable silicone exercise ball so as to show it very well can be done without a large added expense. Hopefully this study and ones similar will help spread the fact that self-exercise at home can aid in the quality of life and day to day function in sufferers of myofascial pain
If you have suffered from back pain, you know how it can affect your whole view. If the pain is interrupted or not enough to make you in the night is to follow, it's easy to make regular visits to a chiropractor, get to relieve pain, massages and other treatments are looking for. But it's a different story when pain interrupts every aspect of your life.
With yoga as a part of your daily routine, physical health issues can be treated. Back Pain if left untreated can lead to surgery. Ways of avoiding surgery include relaxing the nerves, fixing your posture, loosening and strengthening the muscles, which can be corrected by the practicing of yoga. Bad posture can eventually cause nerves in the spine to come out which are painful for the spinal disk and vertebrae. By gaining physical awareness by using yoga stretching and breathing you can focus more on the sensations your body feels while doing the simplest of tasks such as washing your dishes. (McCall 190) Effect of Short-Term Intensive Yoga Program on Pain, Functional Disability And Spinal Flexibility in Chronic Low Back Pain: A Randomized Control Study writes “Deep relaxation of the spinal muscles achieved during safe body movements with mindful awareness may form the basis of improvement observed in flexibility and pain within this short period of intervention” (Tekur et al.