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 –
- Biopsychosocial Aspect of Chronic Pain
- And Finally, a Story about Self-reported Low Back Pain and Radiographic Lumbar Disc Degeneration
For HealthBeat …. This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #610 recorded October 27, 2017.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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Biopsychosocial Aspect of Chronic Pain
Chronic pain can be best understood from a biopsychosocial perspective through which pain is viewed as a complex, multifaceted experience emerging from the dynamic interplay of a patient’s physiological state, thoughts, emotions, behaviors, and sociocultural influences.
A biopsychosocial perspective focuses on viewing chronic pain as an illness rather than disease, thus recognizing that it is a subjective experience and that treatment approaches are aimed at the management, rather than the cure, of chronic pain.
Current psychological approaches to the management of chronic pain include interventions that aim to achieve increased self-management, behavioral change, and cognitive change rather than directly eliminate the locus of pain.
Benefits of including psychological treatments in multidisciplinary approaches to the management of chronic pain include, but are not limited to, increased self-management of pain, improved pain-coping resources, reduced pain-related disability, and reduced emotional distress – improvements that are effected via a variety of effective self-regulatory, behavioral, and cognitive techniques.
Through implementation of these changes, psychologists can effectively help patients feel more in command of their pain control and enable them to live as normal a life as possible despite pain.
Moreover, the skills learned through psychological interventions empower and enable patients to become active participants in the management of their illness and instill valuable skills that patients can employ throughout their lives.
Surf to our Show Notes for Links – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3218789/
Self-reported Low Back Pain and Radiographic Lumbar Disc Degeneration
Low back pain (LBP) is very common and the main cause of activity limitations and work absence throughout the world. Although lumbar disc degeneration (LDD) is suggested as a cause of LBP, this association remains debatable.
Therefore, a recent study, published in the journal Spine, assessed the association between the radiographic features of lumbar disc degeneration and the presence of self-reported LBP, LBP persisting longer than 3 months, the perceived severity of LBP and presence of neuropathic pain.
Previous literature suggests an association between LBP and both the lumbar disc degeneration definitions osteophytes and disc space narrowing. There are no studies that have explored the association between lumbar disc degeneration and neuropathic pain.
Associations between the radiographic LDD using two definitions (i.e., osteophytes, disc space narrowing) versus the presence of LBP, LBP > 3 months, severe LBP and neuropathic pain, were analyzed with logistic regression models.
The conclusion of this study shows the presence of an association between disc space narrowing, whereas no association was found between osteophytes and LBP.
The authors of the study stated that they are the first to report an association between disc space narrowing and neuropathic pain.
Surf to our Show Notes for Links – http://journals.lww.com/spinejournal/Abstract/2017/10010/The_Association_Between_Self_reported_Low_Back.13.aspx
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– Brian Tracy
For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.