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How to relieve your back pain?

Category Archive for The Back Pain

Acute low back pain and medication

August 12

Posted by Thibault Renalut in low back pain | No Comments

Many items can be helpful in finding an answer to the painful phase of LBP. There should be a specific medication, taking into account (1) guidance (2) cons-indications (3) goals of therapy (analgesia, reducing inflammation, muscle spasm? Etc..) And (4) of the scientific evidence and clinical effectiveness.
Thus, with a good selection of drugs against pain and a positive reaction can improve the patient's condition through a more active rehabilitation and avoid developing a chronic problem.
Aerobic fitness and low back pain

A review of physical therapy for low back pain often allows a therapist to identify specific movements and positions which, in fact, possible to reduce or control pain. Once the techniques of pain control treated, the patient must move rapidly towards a program of aerobic conditioning. It has been proven that aerobic activity is involved in nutrient intake of the structural elements of the spine. Some items, such as hard, have a relatively poor blood supply, and rely on body movement and gestures aerobic to circulate nutrients to them. The more a person is sedentary, the less nutrients are able to access the structural elements of the column to keep them healthy.
The patient must choose aerobic activities according to their tastes and availability, and these activities must match the type of problem it faces. Typically, a program of walking, elliptical or stationary bike are good choices. We must engage in exercise at least three times a week for sessions of thirty to forty minutes.
A program of physical therapy for LBP active in nature and focused on teaching the patient techniques for self-care and prevention of back injuries are the key ingredients of the return of a person to a lifestyle free of any pain, active and healthy.

Acupuncture and Traditional Chinese Medicine

August 9

Posted by Thibault Renalut in The Chiropractic , Fibromyalgia , back pain | No Comments

Why is there so many to experience pain, especially in the lower back? Doctors and patients ask the question with a variable degree of frustration. I would like to propose here another way of looking back pain, from the perspective of Chinese medicine.
Traditional Chinese medicine is an Eastern practice millennium has seen a renewed interest in our Western world in recent decades. It includes the practices of acupuncture (ak-u-punk-chur), herbal medicine, the moxabustion (ah-mox-bust-shun), and Tui-Na (toui-nah) or therapeutic massage, and It often includes nutritional and respiratory therapies (Qi-Gong, pronounced "chee-gong").
In November 1997, the U.S. National Institutes of Health issued a consensus statement stating that there was sufficient evidence about the effects of acupuncture to support the practice (in some cases). Further study of its physiology and clinical value was still encouraged, and promising results have emerged regarding its effectiveness in treating low back pain. I would also point out that the practice of acupuncture does not exclude that, concurrent, Western therapeutic methods, and often successful treatment of a patient is the result of their combination.
Theory of traditional Chinese medicine
Where in the Western medical world, a person is diagnosed with a "back problem", whether spondylosis, spinal osteoarthritis, the disc prolapse or elongation of a muscle or a lumbar ligament, therapy focuses so exclusively on the lower back region, and processing solutions are implemented therapies around the spinal surgery, physical therapy, pharmaceutical intervention or injections of cortisone or epidural type. These methods are quite acceptable, but what interest if they do not reduce the pain? And most importantly, what does one of the underlying cause of low back? Can not we build this hidden Achilles heel? Consider this possibility in terms of Chinese medicine.
Even if, in its way, the traditional Chinese medical system is very logical and scientific, while separating it from the modern Western system and it is not always easy to explain rationally through the eyes of Western medicine. To our mind can assimilate the system of traditional Chinese medicine, which has borne fruit, we must open our way of seeing things and consider each of these two systems as valid, while learning to accept the similarities and differences .
We can consider that Chinese medicine sees its origin in the theory of Ying and Yang. In addition to describing all that exists in nature, the Ying and Yang are perfectly applicable to all parts and body functions. Indeed, they are in a constant state of dynamic equilibrium, and when this balance is threatened, the disease becomes possible. Consider an example in nature: the dynamic equilibrium that characterizes the solar cycle (Yang) and lunar (Ying). In a 24 hour period, each cycle is unique, replaces another, and need him to find an overall balance (in perspective, of course, pure earth). The Ying and Yang each have a personal role in the body, yet one can not exist without the other, for example, represents the Ying stillness, shape and blood while Yang is active, according and Qi.
Qi needs the blood that nourishes it, like the blood needs Qi to circulate. Qi can be defined as energy, material force, electromagnetic current, material, ether, life force or life force. Qi runs through the entire body through channels or meridians which reaches every corner. Understand that these channels have nothing to do with the trajectories of the networks nervous, vascular and lymphatic systems of Western medicine. Roughly speaking, it is assigned at birth a reserve of Qi, and when the tank is empty, our life force has left us: in other words, you die. This reserve, according to the theory of Chinese medicine, is implanted in the body system of the kidneys, and distributed to all our organs, glands and ducts in a very systematic. Because of the complexity of the channel running through the body, evoking a body like the kidneys includes much more than just the strict anatomical sense organ. Each body system has its representations of Ying and Yang's own hormonal balance, and Qi and blood specific functions, which play a vital connection, via channels with other systems and the rest of the body, and make it a holistic system. In other words, it is impossible for traditional Chinese medicine, to treat an organ or body part in isolation, without considering the system of the body as a whole. Wondering report this with your back pain?

Paracetamol in the treatment of acute low back pain

January 18

Posted by Thibault Renalut in LBP | 1 Comment

Paracetamol is the principal member of the group of drugs derived from para-aminophenol. If its analgesic and antipyretic (that reduce fever) are equivalent to those of aspirin, its anti-inflammatory drugs are low. Its therapeutic effects are the result of inhibition of the biosynthesis of prostaglandins (mediators of inflammation) with the result of an increase tolerance to pain modulation and what the thermoregulatory center in the hypothalamus (part of the brain activates certain sections of the nervous system). We note first of all central effects of acetaminophen; its peripheral effects are least, it has little inhibitory role of cyclo-oxygenase (the enzyme for the production of prostaglandins) and does not inhibit activation neutrophils (which are working to eliminate cellular waste), as do other NSAIDs (nonsteroidal anti-inflammatory-drugs).

Analgesic

In the context of acute low back pain, analgesic use of paracetamol is conclusive. Numerous studies have highlighted the superiority of paracetamol over a placebo for treating pain associated with osteoarthritis, and it is this efficiency that has made it a prime requirement in this disease treatment. A study conducted by Bradley in 1991 compared the analgesic properties of paracetamol and ibuprofen in the treatment of pain associated with osteoarthritis of the knee. Over a period of four weeks, paracetamol has proven effective both as an analgesic regimen of Motrin and a low-dose anti-inflammatory diet with high doses of the ibuprofen, which is to relieve lead to pain and functional improvement.
A 1982 study compared the paracetamol diflunisal (Dolobid), a derivative of salicylate NSAIDs (anti-inflammatory agent) in the treatment of chronic low back pain. Thirty patients with a history, ranging from six months to several years of back pain considered secondary to facet disease, have been administered at random one or the other treatment for four weeks, the most convincing results were those of NSAIDs.

Dosage and side effects

Tolerated oral dose of paracetamol is 325 to 1000 mg every four to six hours for a daily dose to exceed 4000mg. Its presence in plasma and its effects usually peak within a period of 30 to 60 minutes after ingestion. Paracetamol is generally available without prescription and relatively cheap.
Apart from occasionally observed the appearance of erythema (skin reddened by inflammation) or skin rash (urticaria) multiple sources of itching and swollen, the adverse effect the heaviest of an acute overdose of paracetamol is the hepatotoxicity (liver damage). In adults, it can be caused by a single dose of 10 to 15 grams. A more chronic abuse of paracetamol showed links with nephrotoxicity, that is to say a deteriorating kidneys.
The analgesic effects of acetaminophen make it a valuable method of treatment of acute low back pain. It is cheap, and usually does not take its complications. Although effective in combating mild to moderate pain in some cases of acute low back pain, it does not offer the patient the other desired effects against inflammation, muscle spasms, or difficulty sleeping . Its effectiveness as an analgesic for back disorders accompanied by severe pain is more debatable.