Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.
In this week’s news: We’ll Be Looking At –
- Low Back Pain and Cooled Radiofrequency Therapy
- Hypermobile Joints in Children
- And Finally, a story about Stress and Physical Activity
For HealthBeat, This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #403, recorded March 29, 2013.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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And Now for some news ….
Low Back Pain and Cooled Radiofrequency Therapy
Two studies recently published in Pain Medicine show the efficacy of minimally invasive cooled radiofrequency for treating discogenic and sacroiliac joint low back pain, according to a press release from the manufacturer of the products that were studied.
Radiofrequency neurotomy is recognized as an effective minimally invasive treatment for chronic pain originating in the facet joints.
But in order to deliver relief for patients, successful radiofrequency lesioning requires reaching the pain source.
Investigators enrolled 59 patients in the first randomized study — 29 patients received cooled radiofrequency treatment with intradiscal biacuplasty (IDB) and 30 patients served as controls.
The results showed that, compared to controls, there were significant decreases in pain, disability and opioid use in the IDB group.
The second study, which was conducted in Europe, was a retrospective chart review of 126 patients with sacroiliac joint pain who were treated with cooled radiofrequency. In the study’s 1 year results, 67% of patients stopped or decreased their opioid use, 48% of patients had significant decreases in pain scores and 85% of patients noted an improved quality of life after treatment.
Surf to our Show Notes for Links – http://www.healio.com/orthopedics/spine/news/online/%7B526CBE8E-D9B0-43DB-98DD-2492D94DFF54%7D/Better-function-less-opioid-use-with-cooled-radiofrequency-therapy-for-low-back-pain
Hypermobile Joints in Children
Children were twice as likely to develop musculoskeletal pain in certain joints when those joints were hypermobile, according to study results in Arthritis Care & Research.
According to the study’s author this “study provides the first prospective evidence that adolescents who display joint hypermobility are at increased risk of developing musculoskeletal pain as they get older, particularly in the shoulder, knee, ankle or feet.”
The results showed 4.6% of children had hypermobile joints by age 14 and 45% of them reported joint pain that lasted one day or more at the age of 18 years. Among the participants, 16.1% had low back pain, 8.9% had upper back pain, 8.9% had neck pain, 9.5% had shoulder pain, 8.8% had knee pain and 6.8% had foot and ankle pain.
For the spine, hands, elbows and hips, investigators found no correlation between hypermobility and musculoskeletal pain.
According to the author of the study, “Further investigation of increased joint pain in teens is warranted to determine if the long-term effects of joint hypermobility puts them at risk for developing osteoarthritis later in life.”
Surf to our Show Notes for links –
Stress and Physical Activity
Children who undertake more physical activity (PA) not only have more optimal physical health but also enjoy better mental health. However, the pathways by which PA affects well-being remain unclear.
A recent study published in The Journal of Endocrinology and Metabolism, examined whether objectively measured daytime physical activity was associated with diurnal hypothalamic-pituitary-adrenocortical axis (HPAA) activity and HPAA responses to psychosocial stress.
Physical activity was assessed with wrist-worn accelerometers. Overall physical activity and percentage of time spent in vigorous physical activity (VPA) were categorized by sex into thirds. Salivary cortisol was measured diurnally and in response to the Trier Social Stress Test for Children.
The study concluded that these results suggest that children with lower levels of daytime physical activity have higher hypothalamic-pituitary-adrenocortical axis activity in response to stress. These findings may offer insight into the pathways of physical activity on physical and mental well-being.
Remember to discuss all Exercise related issues with your Qualified Health Care Professional.
Surf to our Show Notes for Links – http://jcem.endojournals.org/content/early/2013/03/07/jc.2012-3745.abstract
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Finally, I leave you with the following quote:
“Some people walk in the rain, others just get wet.”
– Roger Miller
For Chiropractic OnLine Today’s HealthBeat, This has been Dr. Todd Eglow.