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I recently read this short article by Dr. Mehmet Oz and his colleague, Dr. Mike Roizen:
Over 80 percent of Americans contend with LBP at some point, often from arthritis, heavy use at work, doing sports, or following an accident. So what’s been the go-to solution? First a NSAID or other anti-inflammatories, then a scan and opioids. They are the treatments that Medicare/insurers push.
Well, that’s about to change — we hope. New clinical practice guidelines from the American College of Physicians recommend that doctors move away from scans and prescribing drugs, and embrace nonmedicine based treatments for LBP, including yoga, mindfulness and cognitive behavioral therapy. Why? According to a Canadian review, for 95 percent of LBP patients medical interventions are no more effective than placebo! This echoes a study from 2016 in the Annals of Internal Medicine that found that massage, tai chi, yoga, physical therapy and acupuncture were effective therapies.
So if you’re knocked off your feet with LBP, ask your doc about nonmedicine-based treatments. If the pain lasts more than six weeks, then you should be referred to a specialist and get an MRI. We bet Medicare/insurers also will embrace this effective, cost-saving approach! (LBP costs the U.S. over $100 billion annually; two-thirds of that in lost productivity and decreased wages!)
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Really? You suggest “mindfulness” and “cognitive behavioral therapy”? In other words, you suggest finding a means to “think your way past the pain”? I am sure that when a person is crippled with low back pain their first thought is “I should just think this pain away”. It is an insult to patients in pain that you believe that you should suggest that if they just changed their emotional and intellectual approach to low back pain that it will go away (the problem is all in their heads).
Hey Dr. Oz – how well does that work with gallbladder pain? What about hemorrhoids, endometriosis, kidney pain, and twisted ankles? Don’t hurry with the answers – I will be patient and wait for your reply. [These are all examples of self-limited problems that often resolve on their own whether you seek care or not].
Yes, the article suggests yoga but that is never going to be enough. Motion needs to be put back into the spine and that can only be done by a chiropractor.
In my office we combine yoga with chiropractic treatment and 95% of my patients walk out of my office with reduced pain and increased motion within 30 minutes! To tell people to use pain relievers and wait it out is infantilizing, paternalistic, and demeaning.
Back pain is a problem that squarely falls into the arena of chiropractors and responds very well to an intervention by a skilled practitioner.
Dr. Oz and Dr. Roizen, please get your heads out of your (1950s mentality) and learn something new about a field of healthcare that has been around since 1895. Even moreso, the field of chiropractic has evolved greatly in the last 15 years and boasts a strong literature of peer-reviewed articles demonstrating evidence-based care with excellent results.
Please take the time to find your way to the year 2017. We’ll be patient and wait for you.
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