Dr. Smith: Back pain comes from many sources The Saratogian, NY - Disc problems constitute only a small portion of the causes of back pain and rarely require surgery for pain relief. Spinal discs are thick ligament-like ...
Comrie skating again, but return date is unclear Newsday, NY - BY GREG LOGAN | greg.logan@newsday.com Goaltender Rick DiPietro isn't the only Islander who pushed to come back from offseason surgery in time to start the ...
Rerouted receiver Boston Globe, United States - Nov 30, 2008 What frustrated him over time, in addition to the throbbing, piercing pain he felt after the second surgery, were mixed messages he was hearing. ...
Following successful surgery, Paterno plans to return The Daily Collegian Online, PA - 25, Paterno was no longer experiencing hip-related pain, and will continue his rehabilitation at home. He was expected to be walking by today, but there has ...
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Spinal Fusion Procedure Relieves Back Pain ABC News - Nov 24, 2008 Though she's been in pain ever since, the 43-year-old mother of two from Ridgewood, NJ, put off back surgery for more than a decade. ...
One last chance for SHU's Henley Connecticut Post, CT - I'm feeling pain, I can't do this. I have no strength. In the back of my head, I'm thinking I might need surgery again." He did. An MRI showed scar-tissue ...
Recent News and Articles on the Keywords: back surgery + back pain + back Related to the article below (Last Update: 8/5/2008)
New type of therapy battles back pain Arizona Republic, AZ - Being able to prevent and control your back pain helps to avoid surgery, lengthy visits to the emergency room, or having to wait for an appointment with ...
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Low-back pain - RA Deyo - Sci Am, 1998 - sciamdigital.com ... all these standards also often go under the knife, and there is extensive litera-
ture on failed low-backsurgery. Indeed, if the pain is not actually from ...
An overview of the incidences and costs of low back pain. - JW Frymoyer, WL Cats-Baril - Orthop Clin North Am, 1991 - ncbi.nlm.nih.gov ... disabled temporarily or permanently from backpain--a phenomenon ... Within this overall
equation, spinal surgery plays a relatively ... a myth that low backpain is a ...
An international comparison of back surgery rates. - DC Cherkin, RA Deyo, JD Loeser, T Bush, G Waddell - Spine, 1994 - ncbi.nlm.nih.gov Spine. 1994 Jun 1;19(11):1201-6. An international comparison of backsurgery
rates. Cherkin DC, Deyo RA, Loeser JD, Bush T, Waddell ...
Outcome Measures for Low Back Pain Research: A Proposal for Standardized Use. - RA Deyo, M Battie, A Beurskens, C Bombardier, P … - Spine, 1998 - spinejournal.com ... The Oswestry Low BackPain Disability Questionnaire. ... Effects of questionnaire
design on determination of end results in lumbar spine surgery. ...
Cost, Controversy, Crisis: Low Back Pain and the Health of the Public - RA Deyo, D Cherkin, D Conrad, E Volinn - Annual Reviews in Public Health, 1991 - Annual Reviews ... the current methods of treating disorders of the spine." Wide variations among hospital
markets in the use of hospital care and surgery for backpain have been ...
Epidemiological features of chronic low-back pain. - GB Andersson - Lancet, 1999 - ncbi.nlm.nih.gov Click here to read Epidemiological features of chronic low-backpain. Andersson
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Think twice before back pain surgery, experts say
Surgery to relieve chronic lower back pain is no better than intensive rehabilitation and nearly twice as expensive, researchers said .
Low back pain is one of the world's most common complaints. In the 25-nation European Union, it affects over 40 million workers and accounts for nearly half of all sick days .
Researchers at the Nuffield Orthopaedic Center in Oxford, England found little difference when they compared the effects of surgery with rehabilitation on nearly 350 sufferers .
"This is strong evidence that intensive rehabilitation is a good thing to do for people with chronic back pain who are thinking of having about having operations," said Jeremy Fairbank, an orthopaedic surgeon at the center .
"The ultimate outcome ... is there is not much difference," he told .
Fairbank and his colleagues studied 349 back pain sufferers who either had spinal fusion surgery or intensive rehabilitation involving exercises and cognitive behavioral therapy .
Thirty patients in the therapy group later had surgery .
The researchers, whose findings are reported online by the British Medical Journal, concluded that there was no evidence that surgery was any better .
But the average cost for a surgery patient was 7,830 pounds ($14,400), compared to 4,526 pounds for rehabilitation .
"In the short term, compared with intensive rehabilitation, surgical stabilisation of the spine as first line treatment for chronic low back pain patients who have already failed standard non-operative care seems not to be cost effective," said Helen Campbell of the University of Oxford in the journal .
Doctors suspect chronic back pain is caused by a combination of normal wear and tear on the joints of the back and poor muscle control. It is treated with physiotherapy, osteopathy, chiropody and surgery or a combination of treatments .
"The peak prevalence is in young middle age," said Fairbank .
He added that surgeons offering spinal fusion surgery, in which one or more vertebrae of the spine are joined to stabilize a section of the spine, should explain all the options to patients.
