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Posted by john on July 6th, 2007 — in Fioricet News
Genzyme shares were down 5.5% at $61.33 in midday trading.
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GENZ61.48, -3.39, -5.2% ) said tests evaluating the safety and effectiveness of tolevamer liquid, which is an investigational polymer therapy for patients with Clostridium difficle associated diarrhea, missed its primary endpoint, but a second Phase III trial is fully enrolled and results are expected later this year.
“This is clearly disappointing and should continue to drive multiple compression as investors will increasingly key-in on the company’s maturing product mix, deteriorating financial performance, increasing competitive threats to its top revenue drivers, and few drivers of long-term earnings growth,” Citigroup analyst Yaron Werber wrote in a note to clients.
The news about tolevamer comes a day after Genzyme said results from a study testing the safety and efficacy of hylastan in treating pain in patients with osteoarthritis of the knee didn’t meet the study’s primary endpoint.
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Genzyme said Thursday that the test showed a statistically significant and clinically meaningful reduction in knee pain. However, the difference in pain reduction between patients treated with hylastan and patients treated with a steroid was not significant. The trial didn’t show hylastan provides superior pain relief to steroids.
William Blair analyst John Sonnier said growth prospects are still in place for Genzyme.
“We are disappointed with the Phase III failure; however, we reiterate our positive growth outlook for Genzyme,” he told clients in a note, and adjusted his estimates for 2008. But he said he is looking ahead to data being reported on Mozobil and Myzoyme.
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Posted by john on July 2nd, 2007 — in Fioricet News
Aamann Degarth and Eric Gay are spearheading an effort to open a local chapter of the Portland, Ore.-based The Hemp and Cannabis - or THC - Foundation, which advocates the use of medicinal marijuana in the 13 states that have legalized the practice.
In November 2000, Colorado voters approved Amendment 20 to the state constitution, legalizing the use of marijuana to treat certain medical conditions, including AIDS, cancer, glaucoma, hepatitis, chronic pain and spastic disorders. But nearly seven years later, Degarth believes the controversial treatment remains a marginalized option in the medical community.
“There’s no support system if you want to get medical marijuana and you go to a doctor,” Degarth said. “It’s a Catch-22 - they passed the law but good luck getting a doctor to prescribe it for you.”
Degarth, 53, said he has been diagnosed with arthritis and chronic pain, but had to travel to Denver to find a physician who would prescribe marijuana for his condition. He now holds a license to possess marijuana from the Colorado Department of Public Health and Environment.
Degarth says that many physicians refuse to prescribe marijuana for a number of reasons, but primarily because of what he calls an improper and lucrative relationship between the Amer-ican Medical Association and large pharmaceutical companies.
“It threatens their customer base, and money always talks, but it’s not in the best interest of their patients,” Degarth said. “They’re not practicing the Hippocratic oath; they’re practicing the ‘hypocritic’ oath.”
Durango doctor doesn’t prescribe
Durango ophthalmologist John Parkinson disputes Degarth’s claim, and said his reasons for not prescribing marijuana are purely medical in nature. He treats hundreds of glaucoma patients, and said there are a number of topical eye drops and other medications that relieve pressure on the optic nerve, which is the cause of the eye disease.
“It is true that marijuana lowers intraocular pressure,” Parkinson said. “The problem is, the side effects of the drug - being stoned - and the carcinogenic side effects make it unsuitable for long-term treatment of glaucoma in people who are looking at a normal life expectancy. Alcohol also lowers eye pressure, so it would be the same as prescribing alcohol to treat glaucoma and developing alcoholism.”
Calls to several Durango oncologists, orthopedists and family practitioners by the Herald were not returned for this article, but Parkinson said he might feel differently about the issue if he treated more than ocular complaints.
“It drives me nuts when people come in and they want me to prescribe marijuana for glaucoma,” Parkinson said, “but they ain’t gonna get it from me. Now, if I was a cancer doctor and these people were dying, I’d figure, what have they got to lose, they’re not going to get cancer and die, they’ve already got it.”
Colorado allows for medical use
Gay, 22, whose condition is not terminal, suffers from severe migraine headaches and is allergic to many painkillers including ibuprofen, acetaminophen and aspirin. Gay said he was denied a prescription for medical marijuana by three different physicians at the now-defunct Valley Wide Health Systems clinic in Durango and is filing lawsuits against all three. Like Degarth, Gay had to obtain a prescription from a Denver physician before the state would issue a permit to use or grow marijuana.
“I have not found anything that relieves my pain as effectively as cannabis,” Gay said. “They (local doctors) gave me narcotics, which made me sick, and I don’t want narcotics anyway because they’re incredibly addictive. But this is about more than my case or any one situation. My main thing is to educate as many Colorado patients as possible so they know their rights.”
Gay grows his marijuana in his Durango home and also supplies several other patients. The state permit allows a grower to supply legal patients with marijuana, but legality is a two-step process. A prescription from a physician without the state permit isn’t enough to allow a grower such as Gay to provide marijuana to a patient or for the patient to use it.
Amendment 20 allows diagnosed patients to grow their own supply of marijuana or to designate a supplier who may only maintain enough supply for legally registered patients. The state law does not punish a patient for purchasing marijuana illegally on the black market, but the seller is criminally liable as he or she would be in any other drug distribution case.
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The Wheat Ridge clinic
The THC Foundation operates clinics in Oregon, Hawaii, Washington and the Denver suburb of Wheat Ridge. Each clinic is typically open for only a few days each month.
Executive Director Paul Stanford said patients must have a physician’s documentation of a pre-existing and valid condition, fill out an extensive questionnaire, watch a video and receive a physical examination from an on-site doctor and nurse before the prescription recommendation is forwarded to the state authorities, who then issue the legal permit to grow or purchase marijuana.
Stanford said the Wheat Ridge clinic opened last June serving about 700 patients and now serves double that amount, and he expects the number to top 3,000 patients by year’s end. He said between 60 percent and 70 percent of all patients who apply suffer from some form of chronic pain, and most are seeking the same alternative as Gay.
“They want off of the stuff like Oxycontin, morphine and those heavy drugs,” Stanford said. “Cannabis is less debilitating, and it allows for a better quality of life.”
State vs. federal law
District Attorney Craig Westberg said the efforts of Degarth and Gay will not draw the attention of local law enforcement in Durango or La Plata County, but cautioned the pair to proceed with care.
“As long as they adhere to the state laws, we have no reason to get involved at all. What the federal authorities do is another matter, but that’s their matter,” Westberg said.
The district attorney’s words may prove prophetic, because regardless of what Colorado voters and legislators approved in 2000, the federal government does not recognize a state law that conflicts with federal law.
“The DEA’s view on marijuana is, federally speaking, there is no such thing as medical marijuana, so if one opens a clinic like this anywhere in America, that clinic would be in violation of federal law, and anyone involved would be subject to federal prosecution,” said Special Agent Mike Turner, the public-information officer for the Drug Enforcement Agency in the four-state Rocky Mountain Region.
Turner said the DEA’s job is to seize contraband when its agents see it, although it is rare for federal agencies to be involved in cases of personal possession.
Jeff Dorschner, a spokesman for the U.S. Attorney’s Office in Denver, confirmed that federal prosecutors’ chief concern is with large-scale drug distribution organizations, but that doesn’t mean his office would turn a blind eye to any illegal possession, regardless of documentation.
“Since the law passed, a handful of times during the course of an investigation we’ve come into contact with someone who had a medical marijuana card,” Dorschner said. “Without exception, the marijuana is seized and destroyed as contraband, but whether we take it the next step and prosecute is on a case-by-case basis. We don’t have the resources to put every case through the court system, but at the same time that doesn’t mean we won’t ever do it either.”
Stanford said the THC Foundation has advocated on behalf of a handful of marijuana growers in California who have been charged by federal authorities for distribution of a controlled substance, and that the U.S. Supreme Court has not ruled decisively on the issue.
He said Colorado is the only state that included the provision in its constitution, which he said strengthens the case for those charged in Colorado. Stanford said he will visit Durango in the coming weeks to meet with Degarth and Gay and hopes to have a local clinic up and running by August or September.
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Posted by john on June 30th, 2007 — in Fioricet News
In treating acute or chronic pain, it has long been accepted that physicians had two basic options to alleviate suffering: surgery or pain medication. Now there is a third option–pain alleviating, non-invasive pain management procedures used as the method of first resort, not last.
Creative, innovative solutions to previously persistent painful disorders are increasingly making surgery unnecessary. Pain management includes pain alleviating treatment for back pain, neck pain, nerve pain, work related injuries, cancer related pain, traumatic insult, Sciatica (compression or irritation of the sciatic nerve), Spinal Stenosis (build-up of bone in the spinal cavity), Spinal Cord Injuries, Post Stroke Pain, Shingles, Herniated Disks and Reflex Sympathetic Dystrophy (RSD) also known as Complex Regional Pain Syndrome.
Pioneering pain management techniques performed by Board Certified Pain Management physicians include highly specific injection procedures eliminating pain at its source by isolating the nerve ending to the painful spot. The breakthrough process numbs or freezes the nerve and keeps it numb for up to a year. Benefits include avoiding costly major surgery, lengthy recovery times and the risks of infection or debilitating complications.
Who experiences pain?
According to the American Chronic Pain Association, pain affects 86 million Americans, causing losses to US business and industry of $90 billion. Back pain is the leading cause of disability in Americans under 45 years old, and more than 26 million Americans between the ages of 20 and 64 will have back pain during their lifetime. Many back pain problems occur following injury, strain and accidents causing fractures, lumbar muscle strains and ruptured/herniated discs.
Other causes of pain include degenerative changes caused by the normal aging process. The US Census bureau reported 78.2 million Baby Boomers in 2005, (nearly a quarter of the U.S. population). In 2006 there were 7,918 people turning 60 each day—representing 330 every hour. Baby Boomers are an active generation—working longer and playing harder than previous generations. Sports activities, repetitive stress and ambitious weekend projects account for painful conditions and injuries.
According to the National Osteoporosis Foundation (NOF), osteoporosis is responsible for more than 300,000 bone fractures annually, costing the nation $17 billion. According to the NOF, osteoporosis affects 44 million American men and women age 50 and older, and one in two women and one in four men in this age group will break a bone due to osteoporosis.
Recent advances in technology, new techniques and minimally invasive procedures in interventional pain medicine have eliminated many of the sources of pain, allowing patients to return to a normal level of activity.
What is the non-invasive nature of the treatment?
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Over the last twenty years, many chemical and anatomic pain pathways have been identified and studied. The Board Certified pain medicine specialist often performs diagnostic injections, usually with enhanced fluoroscopic guidance. These injections isolate and confirm the source of the patient’s pain. Once identified, these painful structures are medically treated.
Medication can be injected at the exact site of the injury or compressive lesion. Epiduroscopy is the insertion of a fiber optic filament through a needle directly into the spine. This is connected to a television monitor to visualize the inside of the spinal canal, spinal cord and spinal nerves. This procedure has been effective in making accurate diagnosis, accomplishing precise injections, cutting of epidural adhesions and scar tissue and the removal of toxins liberated by injured discs.
Injured or painful facet joints can be injected with steroids. If long-term pain relief is not accomplished, these patients are often treated with Radiofrequency rhyzotomies. These Radiofrequency procedures numb the facet joints and eliminate the patient’s pain for approximately one year. These are outpatient or office procedures, which often provide immediate pain relief and allow the patient to return home after a 30-45 minute recovery period.
Discogenic pain due to injured and herniated discs is now being treated with new outpatient procedures called an IDET (Intradiscal Electrothermal Treatment) procedure and a Nucleoplasty. A special wire electrode is inserted through a needle into a disc and directed to the affected area of the disc herniation. Once in place, the electrode is heated with Radiofrequency or designed to create an electromagnetic field. This causes cauterization and vaporization of the disc, proliferation and tightening of the protein matrix of the disc, shrinking of small herniations and disc denervation or numbing. The final effect of this process is the relief of pain and the creation of more collagen within the disc.
Rather than simply administering pain medication, Board Certified Pain Management physicians diagnose the sources of pain and provide pain relief through these and other minimally invasive techniques.
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Posted by john on June 25th, 2007 — in Fioricet News
June 25, 2007-The European Medicines Agency (EMEA) has recommended restrictions on the use of piroxicam-containing medicinal products because of the risk of gastrointestinal side effects and serious skin reactions. The Agency’s Committee for Medicinal Products for Human Use (CHMP) concluded that piroxicam should no longer be used for treatment of short-term painful and inflammatory conditions. Piroxicam can still be prescribed for the symptomatic relief of osteoarthritis, rheumatoid arthritis and ankylosing spondylitis. However it should not be the first choice of non-steroidal anti-inflammatory drug (NSAID) treatment in these conditions.
Prescription of piroxicam should always be initiated by a physician experienced in the treatment of patients with inflammatory or degenerative rheumatic diseases and treatment should be used in the lowest dose (no more than 20 mg per day) and for the shortest duration possible. In any case, the treatment should be reviewed after the first 14 days of starting.
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In addition, the CHMP recommended new contraindications and strengthened warnings for piroxicam, further details of which are provided in a separate question-and-answer document.
Topical medicines containing piroxicam are not concerned by these restrictions.
Further to the request of the European Commission, the CHMP initiated a full assessment of the benefits and risks of piroxicam in September 2006, because a review of non-selective NSAIDs showed that piroxicam could be associated with a higher risk of gastrointestinal side effects and serious skin reactions than other non-selective NSAIDs.
The CHMP recommendations will now be forwarded to the European Commission for adoption of a legally binding decision, applicable in all EU Member States.
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Posted by john on June 23rd, 2007 — in Fioricet News
ONDAMED® is a FDA registered Class II biofeedback device and currently an IRB approved status as a secondary therapeutic device for the treatment of various disorders which alleviates pain, discomfort, or general malaise. The device is now awaiting final designation as a pain-treatment device. New Windsor, NY (PRWEB) October 30, 2006 — After passing its preliminary registration phase with the FDA, Ondamed is now awaiting final approval to be officially listed with the government agency as an effective pain-treatment device. The cutting-edge device is already receiving great feedback from
Biofeedback Pain Relief Device First of its Kind to be Registered with FDA
both patients and doctors, says Silvia Locke (CEO and president of the company), who adds that it is increasingly being recognized in the health community as a viable alternative to painkillers. Practitioners are also finding that ONDAMED® is helpful in relieving the symptoms of Lyme disease and trigeminal neuralgia. Lyme, like trigeminal neuralgia, is a disease that is dreadfully debilitating and for which people have great difficulty in getting effective treatment. “I am very impressed with ONDAMED®,” says Burton Goldberg, Ph.D. Hr. “In my opinion the ONDAMED® is one of the most astounding devices I have ever seen. I have witnessed several sessions and I am amazed at the fast and lasting effects this system offers.”
“Patients with neuropathy who use ONDAMED® have up to 90% of their pain relieved,” adds Dr. Steven JBock, M.D., ACCUP. And, according to Dr. Stephen T. Sinatra, M.D., C.N.S., “This is the future of medicine.” Doctors are not alone in this assessment. Patients have also come forward to laud the device, including Rita Losee who was in her late thirties when she experienced her first blast of trigeminal neuralgia pain.
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Years of unending pain followed. Then, in May of 2005, she learned of ONDAMED®. She purchased a machine in late August, was trained, and has been treating herself 2 - 3 times per week since. Today, she is pain-free, tapering off her medications, and has boundless energy.
“ONDAMED® makes so much sense,” she says. “We know scientifically that the origin of everything in our physical world is electromagnetic energy. Our bodies are also sourced by electromagnetic energy; energy becomes disharmonious before physical symptoms manifest. We measure bodily energy fields with respect to EKGs and EEGs. ONDAMED® is a therapeutic Biofeedback device that works with more subtle energy in our bodies. “Traditional medical treatments are generally focused on treating the physical result, the symptom, not the energy imbalances themselves. ONDAMED®, like acupuncture, realigns the electromagnetic energy but this System has the advantage of not requiring needle sticks. This is particularly important for a person with TN as the slightest stimulus can trigger excruciating pain for the individual.” PRWeb eBooks - Another online visibility tool from PRWeb
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Posted by john on June 17th, 2007 — in Fioricet News
A PAIN-RELIEF medication that has fewer side effects and reduces the risk of users becoming addicted has been developed by Australian scientists.
They were able to combine two traditional, powerful pain-relief medications, morphine and oxycodone, so patients can get the same relief using half the normal dose.
The discovery by Professor Maree Smith at the University of Queensland has been adapted by Australian pharmaceutical company QRxPharma, which hopes to have the new treatment on the market by 2010.
Chief executive John Holaday said six clinical trials had found that the “dual opioid” treatment, currently dubbed Q80031R until a suitable brand name is found, gave the same pain relief as a single opioid.
The research also showed it had lower levels of classic opioid side effects such as vomiting, respiratory depression, constipation, drowsiness, confusion, dry mouth and psychological dependence.
Opioids, meaning opiate-like, are derivatives of opium.
Medical dogma stated that two opioids could not be combined because they worked using the same mechanism, but Professor Smith found that combining a lower than therapeutic dose of oxycodone with low doses of other opioids such as morphine produced the same, if not more, pain relief but with fewer side effects and associated risks.
The head of the department of anaesthesia and pain management at Sydney University, Professor Michael Cousins, said Australian doctors needed more pain-treatment options, particularly for cancer patients.
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An estimated one in five Australians suffers persistent pain (that which continues for more than three months) that accounts for 36.5 million lost working days a year.
“If it [dual opioid treatment] comes on the market, it will be the first time this option would be available to doctors,” said Professor Cousins, a member of QRxPharma’s scientific advisory board.
“It remains to be seen how effective it turns out to be in wider clinical practice.”
The trials, using 660 patients in the US, will begin later this year and are expected to be completed in 2009.
Dr Holaday said the company would target the $10 billion global industry of treatments for moderate to severe pain.
Almost 200 million opioid prescriptions a year are written in the US, most of them for Vicodin (hydrocodone), OxyContin (oxycodone) and various forms of fentanyl.
Professor Smith’s research has been licensed by another Australian biotech company, Spinifex Pharmaceuticals, to develop a drug for the treatment of neuropathic pain caused by disorders of the nervous system.
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Posted by john on June 13th, 2007 — in Fioricet News
June 12 /PRNewswire/ — Calling all guys: it’s time to round up your buddies, pack your bags and leave your responsibilities behind. From gambling in Las Vegas to golfing in Myrtle Beach, men’s desire to spend more time with their guy friends is driving an upswing in the planning of guys-only getaways. According to the Alka-Seltzer “Guys Will Be Guys” survey(1), 42 percent of men aged 25-44 have been on an all-guys’ vacation, with Las Vegas ranked as the top destination. This summer, Alka-Seltzer-the anywhere, anytime total remedy for indigestion and headache-has entered into a sponsorship agreement with the Palms Casino Resort in Las Vegas, Nevada and is offering men around the country a chance to have the ultimate guys’ escape with The Alka-Seltzer Living Large in Vegas Sweepstakes.
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From June through August, consumers will have the opportunity to enter The Alka-Seltzer Living Large in Vegas Sweepstakes and entering their lucky lot code, found on Alka- Seltzer packages or available by mail. The grand prize winner and three friends will receive the ultimate guys’ getaway weekend courtesy of Alka- Seltzer, which includes round trip first-class airfare(2), a weekend stay in the Palms Casino Resort’s “The Real World Suite,” 24 hours of limousine service and $2000 in cash. Additional instant prizes include $1000, $500 and $100 Visa Gift Cards; as well as gift certificates from Amazon, Sports Authority and iTunes.
More than 85% of men reported spending time with good friends as a primary benefit of getting away with the boys. While quality time with friends is a prime motivator, former president Bill Clinton and pro golfer Tiger Woods ranked highest among celebrities that guys would most enjoy having on their guys’ getaway. And whether it is the intent of these trips or not, half (50%) of men 21-55 tend to overdo it with food and drinks when hanging with the boys.
Web site that helps consumers plan gender-specific trips, estimates that 20 million men currently spend $10 to $12 billion annually on guys’ getaways. According to research conducted by I’m in! in partnership with Compete, Inc. an online market research firm, 65 percent of men who take these trips are setting aside time for more than one guys’ getaway per year.
“Given the increasing demands of work, family and other commitments, guys are finding less time in their every day lives to connect with old buddies; so the trend of guys-only vacations is on the rise,” said Josh Lesnick, CEO and founder of I’m in!. “Guys getaways are all about reconnecting, letting go and having fun. Part of that is enjoying indulgences, like that extra round of beer or a late-night plate of wings, which they may pass on when at home.”
Through its status as a sponsor of the Palms Casino Resort, Alka-Seltzer is proud to help guys live large in Las Vegas, the top destination for guys’ getaways. “We know that guys are indulging in good times-especially on vacation, and Alka-Seltzer is the perfect complement to a good time, helping you to feel yourself again,” said Jay Kolpon, vice president, marketing and new business, Bayer HealthCare’s Consumer Care Division.
“Our partnership with the Palms Casino Resort, as well as the sweepstakes, reinforces Alka-Seltzer as the perfect guys’ getaway accessory.”
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Posted by john on June 10th, 2007 — in Fioricet News
Is back pain slowing you down?
A non-surgical option could help you find relief.
90% of adults will have back pain at least once in their life and the last thing many people want to have is surgery.
Now there is an option that has many people finding relief without going under the knife.
Last year, Rick Terrana hurt his back and could not walk or sit in a chair without being in pain.
Rick’s back is better now, in fact, he recently ran his first half marathon.
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It is a machine that literally pulls the spine apart, relieving pressure on the disc.
The technology is so precise; doctors can pinpoint the exact problem area.
Luis Crespo, M.D., pain management specialist, said, “By changing the level and the angle of the pull, we can target the specific disc that’s affected instead of just pulling the entire spine.”
This treatment is for patients with any disc related problem.
Studies show nine out of ten patients significantly reduce their back pain after 20 treatments and there are no side effects.
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Posted by john on June 5th, 2007 — in Fioricet News
There are only a handful of these machines in Bergen County,’ explains Dr. Michael Arber, a chiropractor at the center, who administers non-invasive Intervertebral Disc Decompression (IDD) therapy. ‘The best part about the equipment is that it’s not just temporary relief. It actually reduces the size of disc injuries and helps the surrounding soft tissue return to normal function.’
Thanks to IDD Therapy, a non-surgical treatment, approximately 85 percent of people can relieve back pain symptoms without drugs or surgery. This revolutionary technology is ideal for herniated or bulging discs, degenerative disc disease, spinal stenosis, sciatica and acute or chronic back pain.
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IDD therapy is deployed via the Accu-SPINA System, and works to reshape the spine using computer technology to apply traction to spots causing lower back pain. The traction provides a negative pressure that allows fluid, blood and nutrients into the affected discs that cause pain. In other words, as each challenge is introduced to the body, it supports muscles and ligament tissue to retone itself, re-educating the neuromuscular system and relieving pain. The typical treatment is 18 to 24 treatments over eight weeks, and each session lasts 30 minutes.
‘It’s not painful. Once on the machine, a lower harness pulls at a specific angle and tension to alleviate the area of stress,’ says Dr. Arber. ‘While IDD therapy is not currently reimbursable by insurance carriers, the cost of getting lower-back surgery is far greater. And IDD therapy is non- invasive.’
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Posted by john on June 2nd, 2007 — in Fioricet News
Most people with chronic back pain will find relief without surgery, but it may speed recovery for some, new research suggests.
An estimated four out of five Canadians will experience back pain at some point in their lives.
In a herniated dic, the disc that provides cushioning between the vertebrates bulges out. In a herniated dic, the disc that provides cushioning between the vertebrates bulges out.
(CBC)
A study appearing in Thursday’s New England Journal of Medicine compared surgery with the healing power of time for people with severe back pain due to a herniated disc or sciatica.
With a herniated or slipped disc, the disc that provides cushioning between the vertebrae bulges out, pressing against the sciatic nerve that runs down the leg.
Surgery to remove part of the bulging disc is a common operation that is usually quite successful at relieving the pain that goes down the leg, said Dr. Joel Finkelstein of Sunnybrook Health Sciences Centre in Toronto.
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“They’ll wake up in the recovery room and the pain will be gone,” Finkelstein said. There are complications in about one to two per cent of cases.
Dr. Wilco Peul of the Leiden University Medical Center in the Netherlands looked at 283 patients with sciatica for at least six weeks before the study began. The researchers found that 95 per cent of patients reported recovery after one year, whether or not they had surgery.
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Surgery to remove the bulging disc is a common operation, said Dr. Joel Finkelstein. Surgery to remove the bulging disc is a common operation, said Dr. Joel Finkelstein.
(CBC)
About 40 per cent of the participants assigned to conservative wait-and-see care also opted for surgery, which seemed to relieve symptoms more quickly.
“For patients with persistent sciatica, there seems to be a reasonable choice between surgical and nonsurgical treatment, which may be influenced by aversion to surgical risks, the severity of symptoms, and willingness to wait for spontaneous healing,” Richard Deyo of the University of Washington in Seattle said in a journal editorial.
Surgery should only be considered an option if the pain has persisted for at least six weeks, said Michele Crites Battie, a physical therapy professor at the University of Alberta who researches back pain. Chances are, the pain will eventually go away on its own.
“If you can manage those symptoms, if you can hang on tight, you have options,” said Crites Battie.
Amanda Krischke of Edmonton, who twisted her lower back one month ago, plans to wait it out for now with exercise and physiotherapy to ease the pain.
“I just felt this popping sensation and fire going down my back, going down my leg,” recalled Krischke. “I said to myself, ‘Oh, I’m going to pay for this for a few days, I can just tell.’ ”
If the pain lasts months more, Krischke said, she’ll consider the faster relief of surgery.
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