HEALTH

The Price of Pain

A new study reveals that Americans are spending record amounts on treatments for their aching backs. But are these expensive fixes a waste of money?

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  • Posted By: wmdc09 @ 04/30/2008 1:47:39 PM

    Chiropractic care is a major alternative approach to drugs and surgery for back pain, in addition to many other conditions leading to pain in the body. Today's chiropractors are well-trained as primary healthcare providers and provide a different perspective to understanding common ailments.

  • Posted By: uvalda8 @ 02/29/2008 3:32:59 PM

    The solution to the majority of the lower back pain problems is a nutritional protocol that i have developed. Relief can be experienced in as little as one minute. I have used this protocol on hundreds of people. The primary causes of lower back pain are stress and poor nutrition.

  • Posted By: phiomalibumalibu @ 02/18/2008 5:37:49 AM

    There are some good points. I think when you can preventitive measures are the best, like stretching out the back and yoga. Also for pain a friend turned me on to Doctor-rx.com and got some relief when I needed it.

    • Posted By: sjbrock80 @ 02/28/2008 1:57:22 PM

      Doctor-rx.com is pretty good. They send out "nurses" to massage my back and perform other sexual services.

  • Posted By: mommymuse @ 02/26/2008 12:15:20 AM

    My husband's father has had several back surgeries as the result of an injury he sustained as a teen. It is scary how many pills he pops in a day. Of course, after a while, his doctor has to up his Rx, and then he tries a different pill for awhile, and keeps cycling through every few months. Whenever we visit, I am always nervous to let my kids get in the car with him driving. He claims they "don't affect" him anymore. Well, then why does he take them? Because he is a DRUG ADDICT! He is not MY father, but I wish my husband would sit down with him and tell him, if the pills don't help, get off of them!! Try alternative therapies! Lose 50 pounds! Stop eating junk! Americans in general need to quit this ridiculous dependancy on prescriptions!! Do what it takes to get, and as much is in your power, STAY healthy!

  • Posted By: Speedbump @ 02/14/2008 4:19:14 PM

    Terrible article. Full of vague generalizations. No real information that a back pain sufferer could use as guidance. Just because Dr. Deyo was lucky enough to get by with a dose of ibuprofen is no reason to dismiss other treatments. What does he recommend for people with chronic pain and loss of function? What about the effects of long term use of over the counter medications like ibuprofen?

  • Posted By: iamjamie0303 @ 02/13/2008 8:23:03 PM

    acupuncture is dangerous sometimes...

  • Posted By: sportsnut794 @ 02/12/2008 4:53:06 PM

    Chiropractic care has been shunned by the medical community and the insurance companies, yet it is less expensive and more effective than any other treatment. In a society that is constantly pushing new prescriptions via television commercials and magazine ads, we need to look for safer alternatives that do not have the side effects that these meds can cause. It is time for this very necessary group of professionals to be given the respect that they deserve. They are DOCTORS that have gone through many years of education and exams to practice their specialty. Chiropractic care should be considered prior to these costly surgeries and injections that may cause severe complications.

    • Posted By: Terrils @ 02/13/2008 5:59:04 PM

      No, they are not doctors.

  • Posted By: UNCepidemiologist @ 02/13/2008 5:42:32 PM

    wasn't as productive so I finally ran out of excuses to tell my boss for not trying acupuncture. To make a long story short, I was pain-free after four or five visits (five weeks). My biggest excuse had been the cost- about $80/visit in NC. However, after the first week I started feeling better so the cost didn't seem much then.
    I'd like to add that stretching is what *keeps* me pain-free now. You don't have to do yoga; just a few minutes of stretching each day is enough. There's good book called 'relief is in the stretch' or something like that. Good luck.

  • Posted By: UNCepidemiologist @ 02/13/2008 5:37:21 PM

    This is for all of you back pain sufferers who are tired of drugs and 'treatments' that don't work: go see an acupuncturist. If possible, seek one who did *not* receive all of his/her training in the US-- Chinese are the best in my experience.
    I started having back pain after a car accident a few years ago and followed the usual route: MDs, NSAIDs, physical therapy, TENS, etc. When my boss first told me to try acupuncture I said I would but of course I didn't because like most of you I thought it wouldn't work. Four months after my accident I was still in pain (well, not in much pain because my MD was nice enough to prescribe opioids). Either way, it was obvious that I wasn't as productive so I finally ran out of excuses to tell my boss for not trying acupuncture. To make a long story short, I was pain-free after four or five visits (five weeks). My biggest excuse had been the cost- about $80/visit in NC. However, after the first week I started feeling better so the cost didn't seem much then.
    I'd like to add that stretching is what *keeps* me pain-free now. You don't have to do yoga; just a few minutes of stretching each day is enough. There's good book called 'relief is in the stretch' or something like that. Good luck.

  • Posted By: jimfed33 @ 02/13/2008 4:57:51 PM

    Surgical Treatments have a one in four success rate by most published studies. This report Fails to mention chiropractic care which has been shown to have a 89 percent success rate and 96 percent satisfaction rate. for more information. www.villagefamilychiro.com

  • Posted By: bslater @ 02/12/2008 9:28:28 PM

    About 4 to 6 months ago, I started experiencing back pain while jogging. I tried to ignore it and keep jogging. It kept getting worse, so I stopped jogging. I decided to go to a chiropractor to see if it would help get rid of the pain. He said that I had a collapsed vertebrae in your lower back and my hips were not level. I am 53 years old and I have never before had a problem with any back pain, until recently. I don't know whether it is worth going to the chiropractor for a month and see what happens or trying to cure it on my own with rest and ibuprophen. I still do push-ups and sit-ups which don't seem to bother me. As soon as I try to run, and I feel that banging on the pavement, I feel the back pain. I'm looking at getting a Cybex Arc Trainer, instead of jogging. They are expensive to purchase but I wouldn't have the pounding of jogging. Any feedback, I would greatly appreciate.

    • Posted By: Boka @ 02/13/2008 3:30:46 PM

      How about riding a bike. Might be better than jogging. I do a lot of bodyweight exercises like the bridge and squat really seem to help my back and stay in good shape.

  • Posted By: studentnurse68 @ 02/13/2008 3:09:46 PM

    Having recent back surgery, I found that this article to be somewhat insulting. In 2005, my neurosurgeon was very upfront with his assessment of my condition, and the treatment. He gave two options. The first being conservative therapy, injections and prescriptions. He also stated that you could not fix a massively herniated disk and spinal stenosis with Physical therapy, exercises anything else. Option 2 was surgery but only after option, one was exhausted and I could not stand the pain. Two years later, I had reached the end of my tolerance of pain. After another MRI to confirm that things had things had changed I scheduled surgery. I now wonder why I waited. It was a decision that changed my life for the better. I understand that surgery is not the answer for all low back pain but when it works, it is a miracle. It is my hope that people who read this make an informed decision with their Doctor, not based on the hype of this study and article. The honesty of what will work and will not help back pain is also vitally important. Over treatment of low back pain could stem from either lack understanding of the diagnosis and or a possible unrealistic expectation instant pain relief. If all Doctors and patients have a relationship to speak openly, honestly and at times bluntly, costs to treat low back pain may drop.

  • Posted By: studentnurse68 @ 02/13/2008 3:09:32 PM

    Having recent back surgery, I found that this article to be somewhat insulting. In 2005, my neurosurgeon was very upfront with his assessment of my condition, and the treatment. He gave two options. The first being conservative therapy, injections and prescriptions. He also stated that you could not fix a massively herniated disk and spinal stenosis with Physical therapy, exercises anything else. Option 2 was surgery but only after option, one was exhausted and I could not stand the pain. Two years later, I had reached the end of my tolerance of pain. After another MRI to confirm that things had things had changed I scheduled surgery. I now wonder why I waited. It was a decision that changed my life for the better. I understand that surgery is not the answer for all low back pain but when it works, it is a miracle. It is my hope that people who read this make an informed decision with their Doctor, not based on the hype of this study and article. The honesty of what will work and will not help back pain is also vitally important. Over treatment of low back pain could stem from either lack understanding of the diagnosis and or a possible unrealistic expectation instant pain relief. If all Doctors and patients have a relationship to speak openly, honestly and at times bluntly, costs to treat low back pain may drop.

  • Posted By: LMP in Washington @ 02/13/2008 1:08:34 PM

    Massage therapy by licensed professional therapists has been proven beneficial for back pain. As has chiropractic. Why didn't the article mention these complementary practices?

  • Posted By: LMP in Washington @ 02/13/2008 1:05:27 PM

    Massage therapy provides excellent results for back pain. Why didn't the article mention that?
    LMP in Washington

  • Posted By: AnonymousDoc @ 02/13/2008 10:36:21 AM

    To Oceanbrisa: (See my previous post). I couldn't agree more with you in terms of people taking better care of themselves when they are younger. Brutalize your body when you are young, and mostly likely you are going to pay for it later. However, no one can tell us that when we are young.

    To McFar73: Many times, well conditioned, non-obese, non-smoking careful people have back pain that eludes a precise diagnosis. Obesity, smoking, etc., are just risk factors.

    As far as the conspiracy theory goes, (See my post), there is no question that companies want to make as much money off of anything as they can. However, I assure you that there are a lot of very smart people working on this problem, and there are no "secret cures" that are being hidden. Back Pain is a very elusive problem. I give you a quote from Alf Nachemsen, MD, PhD, one of the "Gods" of back pain, shortly before he died, "One of the main goals of my career has been to determine the cause of nonspecific back pain. And in this I have failed. I didn't know the origin of back pain [early in my career], and I don't know now.??? Note that he said "nonspecific back pain", not well known causes of back pain. There are many times when we actually can tell people exactly what their problem is, just not always. At this point, your back pain may well be non-specific.

  • Posted By: Oceanbrisa @ 02/12/2008 11:42:03 PM

    I am not over weight or a drinker, but I am a sufferer of back pain and have had surgery twice. I agree that surgery is an expensive way to go, and the it may the road choosen in hopes of the instant gratification that today's society is used to.
    When my back flared up for probably the 4th time in 15 years I once again sought medical help, not just relying on time. I may be the rare guess(?) but surgery was necesssary as bones fragments from a disc had caused drop foot and unbelievable pain.
    I truly think the answer is in educating young people about the body. In high school I was a gymnast & cheerleader. I wonder had I known how much I suffer today would I have respected my body more. I am a female, 51 living on disability. I have tried pilates, yoga and keep in shape via water exercise.
    Point: Surgery is sometimes a must - time cannot cure all. Education!!! and not just about backs, but about knees also.

  • Posted By: AnonymousDoc @ 02/12/2008 9:07:35 PM

    As a non-surgeon pain physician/Physiatrist MD, PhD who has spent 30 years treating spinal pain, I can state that any attempt to discuss back pain comprehensively in less than 20 books or so is impossible. Back pain has many causes, and diagnosis is imprecise. Rarely are two cases of back pain identical. Treatments have to be specific to the cause of the problem. A good treatment for one person may harm someone else. Surgery, injections, chiropractic, physical therapy, medications all have their place. A good spine physician should not be afraid to use any of these treatments for properly selected patients. By properly selected, I mean something like, "if a person had appendicitis, then an appendectomy is the appropriate procedure. If they have gall bladder problems, you treat their gallbladder. For the gallbladder patient, an appendectomy won't work. So is it with spine pain patients. I would make a few generalizations:

    1) No one treatment works for everybody
    2) Don't try to understand your back pain like you would understand a machine. It doesn't work like that. Rarely can a Doctor (or anyone else!) give a person the exact cause of their spinal pain.
    3) Managing back pain is 50% science and 50% art. Find a good back pain practitioner and listen to their advice. A good MD knows when to refer to a Chiropractor and vice versa. As a general rule, don't start with a surgeon.
    4) Pharmaceutical companies put incredible pressure on Physicians and the public to use newer, in-patent drugs (Much more expensive/profitable) when older, out-of-patent, cheaper drugs work essentially as well. Similarly, companies who manufacture hardware, equipment, etc., used in surgery market their products very aggressively to both Physicians and patients.
    5) Except in emergency cases, surgery should be the last alternative. I have seen many patients do very well after surgery when all else failed. For some patients who are in agony, surgery is the fastest way to relieve their pain.
    6) Patients have to do their part. Obesity, smoking, poor spine care habits, poor conditioning can undo anything we medical people (MD's, DO's, Chiropractors, Physical Therapists, etc.) can do from a medical standpoint. The mind-body connection and body awareness/physical conditioning are all very, very important.
    7) Eat right, Exercise, and you are still going to die! No one beats aging. After about the age of 45, give or take a few years, every year we are generally capable of less than we were the year before. The only person who gets better after this point is the one who was in terrible shape to start with. If you fit into this category, then you can make things better with some hard work. If you are already in good shape, sorry. How many machines do you own that are your age and good as new?
    8) As you get older, what you DON"T do to your back in terms of bad habits is probably more important than what you do in terms of exercise, etc..

    Anonymous Physician

    • Posted By: C. MacLean @ 02/12/2008 9:31:09 PM

      Amazing. Not one mention of acupuncture, podiatry, or massage.
      A good portion of chronic back pain is from poor posture, ill-fitting shoes, and stress. Surgery and drugs only address the symptoms, and don't do a particularly good job at that.
      If you truly want to have less back pain, try correcting the root cause, not just treating the symptoms.
      Anonymous nurse.

      • Posted By: mcfar73 @ 02/12/2008 10:52:48 PM

        Nurse, your comment is valid, but I believe the Dr is trying to say that each case should be treated differently. Which includes different treatment options for different people. the pain speicalist I know, is open to any and all options. Most patients however are not. It is finding that balance that is hard.

  • Posted By: mcfar73 @ 02/12/2008 10:15:37 PM

    I am 35 and have had two lumber spinal surgeries (decompression/laminectomices)--and I had to have them because I had so much pain in my foot and leg I could hardly walk. L4/L5 was bone on bone with nerves directly inbetween. In addition, my blood pressure spiked because of the severe pain. Yes it is expensive, but to say a waste of money is not realistic. I could not hold my son, at the time of my first surgery he was 9 months old. I could not walk with out crying, wash my self in the shower or clean my self well after using the restroom. (thank God for my husband). Granted there are people who would rather get high off the pills, but when faced with being unable to take care of yourself, the cost is justified. There is fine line here between an ache and ruptured disks and nerve compressions. Before my back surgeries, I always thought, oh your back hurts--use some heat and tylenol. After my experiences, let me tell you--it is horriable. My attitude has completely changed. You can not walk, stand, sit or lay down with out hurting. I went months with hardly any sleep because of that. The mental part is almost as bad as the pain from the compression. Who ever wrote this article and or particiapted in the study has not had servere back problems. It is obvious by their lack of knowlege of the "true problems"

    And for those of you wondering, I did not gain more than 35 pounds during my pregnancy--it was not the acutal cause of my back injury. I have Degenertive Disk Disease along with Spinal Stenosis (narrowing of the spinal canal). I have had back problems since I was a teenager--posture, shoes, weight all play crutail roles. I have had epidural injections, test after test, medicine after medicine. If you have back problems, you have to change your lifestyle and want to get better. Try Yoga it has helped me more than any other exercise. and realize that you are lucky to be able to walk. I can now play with my son--it is limited, it can not run or jump, but we can play hide and seek--all worth every dime I spent.

    My general doctor had told me many times how current medicince does not have an answer for backs--has anyone ever wondered since there is sooo much getting made off of it, there is not a cure for a reason. No offense everyone, but this lopsided thinking in the article really hit a "nerve" with me. The researchers should be given major incentives (other than patents) to find solutions--this would reduce costs in the long run..

    • Posted By: mcfar73 @ 02/12/2008 10:35:22 PM

      FYI: Also, I do not smoke, drink or in awful shape I am 20lbs over my "ideal wieght", not obese. So please stop generalizing people. I also visited Chiropractors--no results. Surgery was my last option to get my life back.

  • Posted By: scottbatson @ 02/12/2008 7:49:04 PM

    I had a lumbar fracture after a freak boating accident a few years ago. They did a Vertebroplasty (sorry about the spelling) which means they put a medical grade "cement" around the vertebrae. I have had constant back pain ever since.
    They have done x-rays and MRI's but say everything is spaced well and there is no degeneration. I have tried muscle relaxers, pain pills (I still take those but never more than once a day when I need them). I have seen a chiropractor and massage therapist that provides modest temporary relief.
    I get maybe 4-5 hours of sleep a night. Some nights I sleep 8 hours but I think It's just out of sheer exhaustion. Usually after that eight hours I am in severe pain. I sit on the side of the bed trembling and weak in my legs and have severe nausea because of the pain. Life is sometimes difficult but I don't let it stop me. We are planning a two week Central America trip this upcoming winter and have plans for tons of hiking and scuba diving. I'm fairly young (mid thirties) but I worry what old age has in store for me.

    • Posted By: mcfar73 @ 02/12/2008 10:29:36 PM

      You should try Yoga--it has helped me remarkably. Search "back to health" on any search engine for a great DVD!

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