Low back pain is number 1 cause of disability worldwide

This Annals of Rheumatic Diseases six year study looked at 117 previous studies and the health and disability data from 187 countries. Overall, out of 291 conditions studied, low back pain was at the top in terms of years lost to disability. The researchers estimate that this problem will increase in the coming decades. As such, the team warns governments and health services to take the issue more seriously than they have in the past.
Do you think this is good advice?
Low back pain is number 1 cause of disability worldwide

Corticosteroid injection for plantar heel pain

t may surprise some, but I treat many non spinal conditions including plantar fasciitis, A recent review of 47 previous studies on cortisone injection for plantar fasciitis ( common cause of heel pain) found that it was no more effective than sham injection (injection of an inert solution).

Has anyone had a treatment that was successful for this condition?

Corticosteroid injection for plantar heel pain: a systematic review and meta-analysis

Physical Therapy, Chiropractic Back Care Cut Opioid Use, Costs

A recent study in Journal of the American Medical Association Network Open concluded that adding increased chiropractic and physical therapy coverage and other non drug services to insurance plans gave better outcomes, decreased costs, and reduced opioid use.

Physical Therapy, Chiropractic Back Care Cut Opioid Use, Costs

9 Risk Factors for Developing Sciatica

I have had many patients with more severe sciatica (leg pain from a pinched nerve in the low back) tell me with a straiight face they wished someone would cut their leg off! It can be more severe than back pain because it is a form of nerve pain.
You can decrease your risk of sciatica by working on the nine factors discussed in this article.

9 Risk Factors for Developing Sciatica

The problem with MRIs for low back pain

It seems to make sense that more medical testing gives better results, yet studies have shown that imaging for low back pain does not improve one’s pain, function, or quality of life. One of the big negatives with imaging is that there is a high amount of false negatives, which are incidental findings that do not cause symptoms, and this many times leads to unneeded further testing and failed treatments including surgeries.
So it is counter-intuitive but sometimes less testing is better.
The problem with MRIs for low back pain

Depression and anxiety: Exercise eases symptoms

Good article from Mayo Clinic on how exercise can help with depression and anxiety. I am board certified in rehabilitation and continually discuss the benefits of activity and exercise with my patients. Did you know that exercise has been shown to be as effective as drug therapy for mild and moderate depression, and it can help with anxiety syndromes? Only 30 minutes 5 times per week can have significant benefits and even 10-15 minutes per day can be beneficial. It does not have to be structured....taking the stairs instead of an elevator or escalator is exercise.Depression and anxiety: Exercise eases symptoms

VA Study Finds Chiropractic Linked to Lower Opiate Usage

A recent Veteran's Administration study published in the Pain Medicine Journal found that veterans who received chiropractic treatment had a significantly lower usage of opiates after their chiropractic visits compared to non-chiropractic patients.
Opioids can sometimes be beneficial, but in some cases other treatments can be more appropriate. Do you think it would be beneficial to get veterans better access to chiropractic and other non drug treatments?

VA Study Finds Chiropractic Linked to Lower Opiate Usage