Spine Lumbar

I'm having trouble finding someone who will take my back pain seriously and help me. The doctor says to exercise and it will get better. Well, I've tried exercise and the pain always comes back. Is it just me? Or do other people have this experience, too?

A recent study was done investigating patient satisfaction with health care for chronic low back pain. They found that the majority of patients were satisfied with their care. The number of visits didn't seem to affect satisfaction. Those who weren't happy didn't attribute their dissatisfaction with their health care provider. They might not have felt they got an adequate explanation of their problem, so decided to seek other opinions.

I seem to be able to manage my chronic low back pain with Oxycontin. The pain is tolerable and I'm able to put in my three shifts a week at work. My doctor says I'm not improving and would like to see me get off the drugs. Isn't not getting worse an acceptable result? I'm happy with it, but I can't seem to get that across to the doc. What do you suggest?

More and more, patient satisfaction is becoming an acceptable outcome measure of treatment. However, when potentially addictive medications such as narcotics (e.g., Oxycontin) are involved, the physician recognizes that there are other factors to consider.

After six years of suffering with low back pain with no known cause, my doctor tells me I'm just going to have to learn to live with the pain. That's just not acceptable to me. Are there any other options for people like me?

No one doubts that patients with chronic low back pain have pain and even an underlying cause for that pain. But what to do about it can be a baffling challenge. Scientists, researchers, doctors, and physical therapists have not been able to find one individual treatment that's most effective for chronic back pain sufferers.

I have about six weeks to devote to exercise before starting a work-training program for people with low back pain who want to get back on the job. Should I go for Pilates or yoga? I keep hearing my friends say, "Oh you should go to Pilates" or "Oh you have got to try yoga". I can't do both. Which one works best?

There aren't very many studies directly comparing these two forms of exercise. But there are literally hundreds of studies supporting the use of ANY physical activity or exercise for your better health. Even 10 minutes of exercise twice a day has been shown to help.

My counselor has suggested I try yoga to help with my back pain and my depression. I don't really know where or how to get started. I know there are different kinds of yoga. Which one works best for these two problems?

Yoga is a meditative practice based on the Hindu philosophy centered on training the mental, verbal, and physical aspects of life. The discipline started in India around Hinduism, Buddhism, and Jainism. But it has spread to the western world where it is more likely to be practiced as a form of physical exercise without the philosophic or religious focus.

I've been all over the United States looking for someone who can tell me what's wrong with my back. I've had tests and tests and tests with no positive findings. No matter what I try, it doesn't seem to give me lasting pain relief. Please tell me where I can go to get the help I need.

As with many cases of nonspecific low back pain, even when there's a known cause (car accident), tests are negative and no known anatomical reason exists for the pain that continues past the time of healing. Many patients like you who find themselves in this situation expect a medical doctor somewhere to figure out what is wrong and fix it. They have become weak and deconditioned. Their quality of life has plummeted. They feel they have nowhere else to go.

You Have to Learn to Live with the Pain

You have to learn to live with the pain. Have you ever heard these words?

Chronic Back Pain Got You Down? Try Yoga!

Imagine lying on a soft mat completely relaxed and pain free. This is how most yoga classes end. Sometimes the class begins and ends this way. The pose is called Savasana or corpse pose. Chronic back pain sufferers often think, "Oh, yoga, I can't do that -- I have too much back pain.

Factors Affecting Patient Satisfaction with Health Care for Chronic Low Back Pain

Katharine Hepburn once said, I don't know what happiness is. When I get a box of chocolate turtles, I'm happy. When my box of chocolate turtles is gone, I'm unhappy. Happiness or satisfaction isn't always so easy when you suffer from chronic low back pain. In this study, researchers conducted a telephone survey of 624 people with chronic low back pain to find out what makes them unhappy with their health care.

I am now the proud "owner" of an artificial disc. It's in my low back around L4. I've been told not to jump (or fall) from tall buildings or use a jackhammer 24/7. All joking aside, I understand the reason for caution. But just how durable are these devices? Could it really break if I fell on my back, for example or stepped in a hole unexpectedly and went down?

Artificial disc replacements are gaining in popularity as studies show how well they are working. They are still used primarily for patients with degenerative disc disease, but the number and types of patients with this diagnosis who have benefited continues to expand. For example, younger patients (less than 65 years old) and younger adults with early disc degeneration from trauma or work-related repetitive motions are now getting artificial implants of this type.

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