NPR: 2018 April 5. Ineffective treatment often prescribed for low back pain.

W

WillowJ

Senior Member (Voting Rights)
https://www.npr.org/sections/goatsa...reatment-often-prescribed-for-lower-back-pain

Wherein The Lancet, Cochrane, O.H.S.U., and University of Washington tout C.B.T. and lament how rarely it’s used.

This warning comes via a series of articles published in the medical journal Lancet in March. They state that about 540 million people have lower back pain — and they predict that the number will jump as the world's population ages and as populations in lower- and middle-income countries move to urban centers and adopt more sedentary lives.

"We don't think about [back pain] the same way as cancer or heart attacks. But if you look at disability it causes, especially in middle- and low-income where there isn't a safety net, it impacts half a billion people," says Roger Chou, a physician who is a pain specialist at the Oregon Health and Science University and a co-author of the articles.
Click to expand...
K, Medicaid and Medicare aren’t covering alternative medicine for the most part, either, as far as I know.

For most people with back pain, guidelines developed by pain management specialists at the American Pain Society and the American College of Physicians recommend staying active, using cognitive behavioral therapy and techniques like focused breathing, and getting regular exercise. But doctors are more likely to recommend rest, decreased physical activity and treatments such as surgery or injections.
Click to expand...

Ps, I cannot create a U.W. tag as too few characters. Therefore, the tag is U.dub, which a local pronunciation.

E.T.A.: just to be clear, this is not a recommendation. Esther12 knew that, but in case anyone else didn’t. I can’t recall how to edit a title but it may be long enough already.
 
Last edited:
WillowJ said:
Medicaid and Medicare aren’t covering alternative medicine for the most part, either, as far as I know.
Click to expand...
Nor will most physicians recommend them. I have a herniated disc. I get a lot of relief from an anti-imflammitory pain med/supplement that I get at the "health-food" store. I seriously think that I would be back of opioids by now if I hadn't found it.

ETA: There is no way CBT would work for a herniated disc. And you can't exercise when you cannot even move. I'm all for medication and physical therapy once the medication has done it's job.

I only started using the OTC product once the meds and physical therapy had done their job.
 
Last edited:
A good chiropractor can handle many back pain issues (not all, once too much damage is done its permanent), but the profession has shot itself in the foot by clinging to debunked 18th century stupidity. Then you get chiros who keep you coming back forever further staining the profession's reputation :emoji_face_palm:

CBT is laughable, is there anything they won't recommend it for? Is there a list somewhere?
Perhaps the best response is to advertise CBT for them, what won't it cure, pretend something does't exist is the default of all the CBT nutcases :emoji_face_palm:
 
Alvin said:
A well trained non shyster chiropractor. If they lived in my city i would recommend my person, she is amazing and needs cloning.
Click to expand...

Unfortunately, the person I'm thinking of has been to chiropractors before. One of them made him faint. Several of them have made him worse. A few have achieved nothing either good or bad. He would never agree to see another one.
 
  • Like
Reactions: sea
Arnie Pye said:
Unfortunately, the person I'm thinking of has been to chiropractors before. One of them made him faint. Several of them have made him worse. A few have achieved nothing either good or bad. He would never agree to see another one.
Click to expand...
I see, thats why ones who know what they are doing are the ticket

Perhaps you can convince him to visit a clone of my chiropractor.
 
Last edited:
Trish said:
Care to clarify? I'm all for the succinct response, but I'm not clear which bit of which post you are referring to as twaddle.
Click to expand...

Everything quoted seems to be twaddle. Back pain has a whole range of causes, which need to be identified and treated in an appropriate way. Broad brush propaganda on what is good or bad, like surgery or medicine or CBT is simple nonsense. Some people benefit from surgery. Many do not. There is no evidence it has anything to do with being sedentary. It is at the level of a Virgin Atlantic flight magazine.
 
Well, except, CBT can only help with coping, including reducing emotional response to pain.

There’s no logical way it could help with the pain itself (unless by changing some activity or positioning that was causing pain, but I think that’s usually called biofeedback, except a few strange ones who call it symptom focusing).
 
Arnie Pye said:
Can you let us into the secret? What is it called? I know people with bad backs who are probably willing to try anything.
Click to expand...
It is called Curamin. It contains curcumin and some other things. It is made by Terry Naturally. I have no idea if it is available in the U.K. It is very good for inflammation. I don't know how much it would help non-inflammatory pain. I think it is supposed to.
 
Hip said:
Chronic lower back pain was recently shown to be linked to spinal disc infection with the same bacteria that cause acne.
Click to expand...

So, does that imply that many chronic lower back pain sufferers could be fixed with antibiotics of the type that are prescribed for severe acne?
 
You must log in or register to reply here.
Back
Top Bottom