Discover and read the best of Twitter Threads about #backpain

Most recents (9)

Can #exercise “strengthen” the intervertebral disc?

A brief history of research from 2013 to 2020:

Review: dx.doi.org/10.1007/s40279…
Cross-section: dx.doi.org/10.1038/srep45…
RCT: dx.doi.org/10.1007/s00586…

🙏 collaborators

Thread 👇 👇 👇 👇
#backpain
First, we did a review of the literature (narrative, not a #systematicreview. This was back in my pre-systematic review days!) dx.doi.org/10.1007/s40279… in @SportsMedicineJ

🙏 @DieenJaap, Kirsten Albracht, Prof. Brüggemann, Dr. Vergroesen
It has been well established that exercise and loading can impact IVD height. E.g. doi.org/10.1097/000076… doi.org/10.1249/mss.0b…

So, exercise and movement protocols can at least ‘influence’ the IVD
Read 20 tweets
I spoke to a very upset elderly patient (more than 80 years old yesterday) who has hardly had any sleep the night before due to back pain and wanted to speak to a doctor. She was not online. I listened to her, suggested some painkillers and promised I would call her back today.
I asked her as I finished if she was online at all. She replied she wasn’t but she knew her son was. So I asked her if she would like to ask her son if he might get #recordsAccessAndUnderstanding for her. She said she would ask him and then inform me today #DigitalDivide
Today I called her back as promised and she immediately gave me her son’s telephone number eager for him to access her records. I just wanted to know how her back was and if meds I had given her had helped. (She has been waiting 6 months for epidural for lumbar stenosis)
Read 9 tweets
Back pain is the greatest cause of disability and lost productivity world-wide: ncbi.nlm.nih.gov/pmc/articles/P…

2/24
Back pain generates significant financial costs for society in developed countries, such as the United States of America, Japan, Europe and Australia (e.g. US$80 billion per year in direct and indirect costs in the United States of America): pubmed.ncbi.nlm.nih.gov/18164449/

3/24
Read 26 tweets
Thoughts and Emotions Can Contribute to Back Pain.

I saw a patient yesterday who reminded me that while pain is real and physical, sometimes the source of these #BackPain problems may not be from an injury or a physical problem.
I was first exposed to this idea my first year as a physical therapist in 2000. I read a Howard Stern book where he talked about Dr. John Sarno and how this doctor helped him understand that Stern's back pain was likely linked to his emotions.
I remember one day, I was in a Border's Books in Fresno, CA. I was just looking to chill out, drink an iced coffeee, and browse through some books in the store.

I stumbled upon the book "Healing Back Pain" by Dr. John Sarno.
Read 14 tweets
Treatment for #backpain costs the nation almost $5bln a year as more patients undergo expensive, complex surgery. But some argue there's little evidence that procedures such as spinal fusion are always the best option. #abc730 @tabowden
In 2017-18 nearly 18,000 spinal fusions were carried out in Australia. “It's a low level of evidence we accept and I don't think that's good enough particularly for highly invasive, risky & costly procedures like spine fusion.” Prof. Ian Harris, orthopaedic surgeon. #abc730
After three back operations including a spinal fusion, Steve Durell turned to physiotherapy. “If I had my time again and doing this whole process again, I would definitely explore other options than getting surgery to start off with.” #abc730 #backpain
Read 6 tweets
I will be sharing my Ph.D. research during the next 30 days #Covid19 lockdown, while I wait for my Ph.D. defence!

My Ph.D. mainly aimed to improve pain care in Nepal.

Paper 1: Nepali Numerical Rating Scale and Global Rating of Change! bit.ly/2JdysnJ Image
Paper 2: Validation of the Nepali Patient-Specific Functional Scale published in our very own @JOSPT. We found that PSFS is comprehensible, reliable, valid, and responsive in people with MSK pain (who r able to comprehend numbers). Full-text: jospt.org/doi/abs/10.251… Image
Paper 3: Clinimetric properties of the Nepali version of the Pain Catastrophizing Scale (PCS). We found a 2 factor structure for the Nepali PCS. The scale is reliable and valid. @DovePress

dovepress.com/clinimetric-pr… Image
Read 24 tweets
"Mendenhall says they see thousands of patients a year with substance use problems and about half of them are addicted or dependent on opioids"
.Oct 2018 Oregon katu.com/news/local/sta…
Back pain is one of the most common reason someone goes to a physician in the United States. It’s also the leading reason someone is prescribed opioids, Roger Chou, M.D.
“I would say [the opioid crisis] is probably our number one public health issue at this time,” said Chou
Keeping in line with the OHA guidelines, Oregon Health and Science University doctors are now treating ACUTE back pain differently. Chou helped create the new back pain guidelines at the hospital.
Read 6 tweets
starting the day with drugs is not as fun as it sounds #chronicpain
strong cannabis cookie, 1/2 soma, 600 mg ibuprofen, 1/2 a joint, heating pad, and now we wait. #migrainemorning #backpain #walkinglikeagnoll
a whole nother joint and several hours later, i can move and managed a shower! now to eat breakfast and then probably rest again. I've got schoolwork to do, laundry and dishes piling up... i will do what i can do today #spoonie #chronicillness
Read 12 tweets

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