Acute back pain typically has a positive prognosis, even if it is with sciatica, meaning improvement within the first month of treatment. Non-pharmacological treatments are usually the first options considered in patients with chronic low back pain. There is evidence that supports exercise as an effective way to treat - such as stretching and strength training. Other non-pharmacological treatments include:
multidisciplinary rehabilitation, acupuncture, mindfulness-based stress reduction, tai chi, yoga, motor control exercise, progressive relaxation, electromyography biofeedback, low-level laser therapy, operant therapy, cognitive behavioral therapy, or spinal manipulation.
In patients who have had an inadequate response to the non-pharmacological therapy, the next step is usually non steroidal anti-inflammatory drugs while the ACP recommends duloxetine as a second line of therapy. Benzodiazepines feature somnolence, or a strong urge to sleep and are extremely addictive among other adverse side-effects. Acetominophen features hypoglycemia and systemic corticosteriods feature hyperglyccemia or high blood sugar.
Prolozone therapies provide a safe and effective way to treat back pain. Prolozone is an injectable combination of natural steroids, tissue regeneration homeopathics, cellular nutrients, proliferants and ozone. This combination repolarizes cellular membranes so injured cells can heal. Inflammation and swelling disappear. Proliferants stimulate growth factor production and ozone stimulates healthy blood flow.
Here what one of our recent prolozone patients said about our care to his physical therapist.
You will know as you read this, that Dr. Isadora Guggenheim and her partner Dr. Janis L. Enzenbacher are the real deal, they have mastered their craft beyond all expectations.
The dynamic duo are caring gentle and serious healers, I can't say enough about the good care I received from them, or the effect they have had on my health.
I know your dad would receive results way beyond what he has received to date, I can not express how the word healer is not misplaced here. It's their calling and your dads opportunity for better health.
Dr. G and Dr. E
Are across the river from your parents.
All the best is close by, tell everybody I said so.
Interested in learning more about Prolozone therapies? Download our free eBook!
Take the quiz to test your knowledge of chronic back pain with the information read in the post.
1. True or False. Acute low back pain has a generally favorable prognosis, even if sciatica is present.
A. True B. False
2. Which of the following statements is/are TRUE regarding treatment of low back pain?
A. For treatment of chronic low back pain, nonpharmacologic treatments should be applied before pharmacologic treatments B. The exercise therapy regimens that are most effective against pain include stretching and strength training C. A and B D. None of the above
3. Among the types of nonpharmacologic therapy recommended by the ACP for treatment of chronic low back pain is/are __________.
A. Acupuncture B. Electromyography biofeedback C. Tai chi D. All of the above
4. True or False. Duloxetine is among the pharmacologic therapies the ACP recommends for first-line treatment of patients with chronic low back pain that has not adequately responded to nonpharmacologic therapy.
A. True B. False
5. Regarding adverse events associated with different pharmacologic treatments for acute, chronic, and radicular low back pain, __________ is/are associated with __________.
A. Acetaminophen; hyperglycemia B. Benzodiazepines; somnolence C. Systemic corticosteroids; hypoglycemia D. All of the above
Answer key:
1. A.) True
2. C. ) A and B
3. D.) All of the Above
4. B.) False
5. B. Benzodiazepines; somnolence
For complete information, see:
Qaseem A, Wilt TJ, McLean RM, Forciea MA, for the Clinical Guidelines Committee of the American College of Physicians. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. [Published online ahead of print February 14, 2017]. Ann Intern Med. Accessed February 17, 2017.
Isadora Guggenheim, ND, FNP, RN, MS, CNS, LMT, owner of Second Nature Naturopathic Care, LLC
For all appointments: Tel: 845 358-8385 Fax: 845 358-2963
drguggenheim@msn.com
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