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Kristine: EVERY THURSDAY
WE'RE TAKING A LOOK AT A HEALTH
ISSUE AFFECTING MANY PEOPLE.
KNOW.
DR. KALANI BRADY FROM THE JOHN
A. BURNS SCHOOL OF MEDICINE
JOINS US NOW.
GOOD MORNING.
WELCOME BACK.
THANK YOU.
Kristine: I HEAR PEOPLE
TALKING A LOT ABOUT LOW BACK
PAIN.
HOW COMMON IS IT?
DURING OUR LIVES, ADULTS
GENERALLY HAVE BETWEEN 80 AND
84% OF US HAVE LOW BACK PAIN.
SO OF THOSE, 90% AFTER THREE
MONTHS DON'T SEEK CARE.
MOST OF IT IS ACUTE.
THE WORLD, HAVE SUFFERED FROM
LOW BACK PAIN.
Kristine: SO LONGER THATTEN
THREE MONTHS IS CONSIDERED
CHRONIC BACK PAIN.
WHAT ARE SOME OF THE TREATMENTS.
TREATMENTS ARE TO AVOID BED
REST.
PEOPLE SAY, OH, BED REST SHOULD
BE GOOD.
YOU'RE RESTING THE BACK.
TO REACTIVATE THE MUSCLES
SURROUNDING THE BACK PAIN, IT'S
BETTER TO BE ACTIVE.
SO YOUR DOCTOR, IF YOU SEE YOUR
DOCTOR, WILL GIVE YOU SELF CARE
ADVICE THAT WILL HELP WITH
RECOVERY.
AND PHYSICAL THERAPY IS REALLY
PRETTY EFFECTIVE AS WELL.
THERE'S SOME BENEFIT FROM
COGNITIVE BEHAVIORAL THERAPY FOR
CHRONIC SUFFERERS.
THERE'S RESEARCH SHOWING
INCONCLUSIVE EVIDENCE THAT TAI
CHI OR YOGA HELP.
MEDICINES ARE IMPORTANT.
NSAIDS ARE THE GOLD STANDARD
HERE.
THEY'RE VERY EFFECTIVE IN
CONTROLLING LOW BACK PAIN.
ACUTE AND CHRONIC.
IF YOU'RE USING THEM FOR MORE
THAN A DAY OR TWO, ALWAYS TAKE
SOMETHING LIKE ALEVE?
ABSOLUTELY.
OTHER WAYS THAT WE CAN REMEDY
BACK PAIN?
WELL, IF THE BACK PAIN IS
BREAKTHROUGH AND
ANTI-INFLAMMATORY ALONE DOESN'T
WORK, YOU CAN ADD PREMADOL, A
MILD NARCOTIC AND EVEN FOR
CHRONIC -- LOW BACK PAIN, YOU
CAN USE AN ANTIDEPRESSANT.
PEOPLE WHO SUFFERING FROM BACK
PAIN HAVE DEPRESSION AS WELL.
SHORT-TERM EFFECTS FROM SPINAL
MASSAGE HAS SHORT-TERM EFFECTS.
ACUPUNCTURE IS OF SLIGHT
BENEFIT.
LOW-LEVEL LASER, THERE'S NO
PROOF IT WORKS.
TRACTION IS INEFFECTIVE.
Kristine: WHAT IT TENS
UNIT?
ELECTRICAL NERVE TIMMATION. TIM --
STIMULATION.
YOU PUT PATCHES ON YOUR BACK,
AND A MACHINE DELIVERS LOW LEVEL
VERY LOW LEVEL.
YOU CAN FEEL IT.
Kristine: YOU SAID AVOID
BED REST.
ANY TYPE OF TREATMENT OR
LIFESTYLE CHANGE WE CAN DO TO
HELP THE LOW BACK PAIN?
SURE.
THERE ARE EXERCISES THAT YOU CAN
DO.
SPECIFIC TO THE TYPE OF LOW BACK
PAIN.
AND YOU WANT TO ASK YOUR ASK OR
PHYSICAL THERAPIST TO WHICH THEY
REFER TO, BUT KIND OF EXERCISES
ARE GOOD FOR THAT KIND OF LOW
BACK PAIN.
GENERALLY, NONSPECIFIC LOW BACK
PAIN HAS A CERTAIN SET OF
EXERCISES.
SCIATICA HAS EXERCISES.
AND FINALLY, THERE'S SPINAL PATH
OL
PATHOLOGIC --
Kristine: WHEN I HEAR
PEOPLE SAYING, I'VE HAD LOW BACK
PAIN ALL MY LIFE.
DOES THAT MEAN THEY'RE GOING TO
HAVE IT FOR THE REST OF THEIR
LIVES OR CAN SOME OF THIS
TREATMENT AND LIFESTYLE CHANGE I
DON'T KNOW IF YOU SAY CURE --
BUT MANAGE IT.
PUTTING THEM TOGETHER, TO
CONTROL THE BACK PAIN IS VERY
EFFECTIVE WHEN USING A LOT OF
MODALITIES TOGETHER.
COGNITIVE BEHAVIORAL THERAPY,
NONSTEROIDAL ANTI-INFLAMMATORY,
APPROPRIATE EXERCISES.
Kristine: JUST DON'T ACCEPT
THE LOW BACK PAIN.
YOU CAN DO SOMETHING.