Author Topic: American College of Physicians issues new back pain treatment guidelines  (Read 1085 times)

MillCreek

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https://www.eurekalert.org/pub_releases/2017-02/acop-aco020717.php

http://annals.org/aim/article/2603228/noninvasive-treatments-acute-subacute-chronic-low-back-pain-clinical-practice

These recommendations will not make a lot of people happy.  In America, we generally want the quick fix, and things like yoga, massage or biofeedback sounds like work.
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BobR

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Re: American College of Physicians issues new back pain treatment guidelines
« Reply #1 on: February 13, 2017, 08:52:06 PM »
ohhhhhhhh..

That's going to make a lot of people very happy  :mad: . Now if the docs will just take it to heart. :)


bob

RoadKingLarry

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Re: American College of Physicians issues new back pain treatment guidelines
« Reply #2 on: February 13, 2017, 10:19:59 PM »
When my back laid me out in 2013 the back doctor sent me to PT. Helped a bunch. Unfortunately the arthritis that is one of the underlying causes is still progressing. X-rays in October came back with the diagnosis of "moderate to severe arthritis, lower lumbar and right hip". I was having problems walking more than 5-10 minutes. In my case a little pharmaceutical help was warranted. Mobic (meloxicam) and Tylenol got me moving again. I started walking every day. First for 15 minutes at a time and gradually built up. I like ot get out at least 4 days a week to walk and I've gone 5 miles several times but usually keep it to around 3 miles in a session, more due to time constraints than anything else. Weather and other things have kept me a little more sedentary for a couple of weeks and I'm starting to stiffen up again.
Weather is improving so back to the grind.
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Ben

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Re: American College of Physicians issues new back pain treatment guidelines
« Reply #3 on: February 13, 2017, 10:43:10 PM »
I absolutely vouch for yoga and specific stretching exercises. Call me a hippie all ya want, I'll happily smile back at you pain and medication free.

I hardly ever have back trouble anymore, because between the yoga and just piddling around the farm, plus having a stand up desk where I do a lot of stuff, I don't put my back in bad situations. For a while there when I was working, between being a big guy in a cramped tiny cockpit, and sitting at the desk a lot when I was in the office, then zoning in the recliner when I got home, I was having really bad lower back issues. That's when my doctor at the time first got me into yoga and gave me a stretching regime designed for the back. I actually started to see improvement within a couple of weeks.

Depending on the yoga, it can be hard. I started with the Budokan regime. I thought all yoga was sissy stuff, but the yoga portion of Budokan kicked my butt harder than the martial arts part when  I first started, mostly from the strength side. I couldn't even finish the beginner regime the first couple of times.

I have a DVD called "Yoga for Inflexible People". Takes you through some of the same general exercises as Budokan, plus a lot more, but in a much easier fashion. Highly recommended for anyone that wants to try yoga out but wants to start slow. It's more focused on stretching than on strength. I think Netflix has a bunch of beginner stuff on streaming.
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charby

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Re: American College of Physicians issues new back pain treatment guidelines
« Reply #4 on: February 13, 2017, 10:52:16 PM »
If been thinking about yoga to give my body a work/stretch out. I spend a lot of my time working on my ass in a car seat, so I need something to move all my joints. I know I feel a lot better when I get my regular bike rides in when the weather is nice.
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Mannlicher

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Re: American College of Physicians issues new back pain treatment guidelines
« Reply #5 on: February 14, 2017, 08:20:26 AM »
Like Road King, I have that dang osteoarthritis in my lower vertebrae and right hip.  I mostly just live with the discomfort,  and still manage to get around.  I believe in "better living through chemistry", and welcome the relief that Mobic, Tylenol and Norco provide.   :)