Summary
When it comes to riding patients of back pain, medical doctors are often at a loss. So they are increasingly turning to chiropractors, an alternative that many had once shunned. "When I first started practicing (20 years ago) it was quite rare that a medical doctor would refer a patient to me," one chiropractor in Delaware says. "Now, it's quite common." One recent study found that chiropractors have helped reduce back surgeries by 32 percent.
Original source:
http://www.delmarvanow.com/deweybeach/stories/20050420/2115967.html
Details
- About 80 percent of people have back pain at some point in their lives, and it's second only to cold and flu in the number of doctor visits it prompts.
- Back pain can be notoriously difficult to diagnose and treat, but advances in both nonsurgical and surgical options make it more likely than ever that your pain can be tamed.
- According to the federal Agency for Healthcare Research and Quality, the number of spinal surgeries shot up 77 percent between 1996 and 2001.
- A study published last year found that chiropractic care reduced back surgeries by 32 percent and cut hospitalizations among back pain patients by 41 percent.
- "When I first started practicing (20 years ago) it was quite rare that a medical doctor would refer a patient to me," says chiropractor Beth Barnett.
- Barnett's Nashville, Tenn., practice also incorporates massage and acupuncture, two of the most popular nonmedical treatments for back pain.
- A 2003 review of the medical literature on the role in acupuncture and massage in treating back pain concluded that acupuncture is as effective as non-steroidal painkillers.
- Dr. Benjamin Johnson, director of a pain management and rehabilitation center, stresses pain management is an approach that uses techniques from many fields and isn't just prescribing pain pills.
- In a procedure called intradiscal electrothermal therapy, a surgeon inserts a heated wire into a painful disc.
- Psychologists increasingly are being used to manage back pain because doctors are beginning to appreciate the role depression plays in back pain -- as a cause and an effect.
- "There's no one drug that seems to be helpful in all patients, so we have to use a combination including narcotics, antidepressants, anticonvulsive and anti-inflammatory medications," Johnson says.
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