Tuesday, July 3, 2012

The Big Lie About Back Pain Treatments - Spending Too Much Money Without Any essential Back Pain

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People suffering from back pain are being taken for a ride. Back pain sufferers are spending millions of dollars each year without looking any indispensable improvements in their aching backs. How do we account for such contradictory outcome? In fact, the rehabilitation cost of back pain has risen over the past some years. However, there is no evidence indicating that these treatments are productive in eradicating or improving back pain. Current back pain treatments are plainly not working; yet, new drugs and devices are being promoted aggressively by manufactures.

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Trust in the science behind these products has waned over the years by revelations of misleading advertising, allegations of kickbacks to doctors, and major investments by surgeons in the same exact products they are testing and investigating, (Uw & Ohsu). This is friction of interest at its top level of existence. We will shed some light on the ineffectiveness of back pain treatments and the high cost they are causing patients suffering from such ailments.

Back pain sufferers visit their traditional care providers in the hope that their back pains will all be taken care of by taking a few pills, taking a few injections, or even going under the knife but perceive the sad truth that none of these healing interventions work. Yet, they still find themselves spending more and more of their hard-earned dollar at doctor's offices. When will there be an end to such dilemma? Patients should be told the truth about the determination of their back pain and whether or not it can be cured by medical, surgical, or alternative healing means, but no! This is not happening! Patients are still nevertheless being referred for things such as imaging, medication, injections, and surgery, (Uw & Ohsu).

According to a study conducted by researchers at the University of Washington (Uw) and Oregon health and Science University (Ohsu), management decisions relating to imaging, medication, and referral for injections and surgical operation are being made in traditional care to treat chronic back pain without reason. The study revealed that there have been steady increases in the request for healing tests and surgical interventions for the rehabilitation of back pain that shows no improvements in inpatient outcomes. For instance, there have been a stark increase in healing expenditures of 629% for epidural steroid injections; a 423% increase for opioids; a 307% increase in the whole of lumbar Mri; and a 220% increase in spinal fusion surgeries. The harsh reality is that these dramatic increases in referrals have not showed any indispensable improvements in inpatient outcomes.

Low back pain magnetic resonance imaging (Mri) has increased in the Medicare habitancy by 307% during a modern 12 year study. Parallel with the increase of Mri is the increase of surgeries for back pain in distinct geographic areas. These high levels of Mri instances are contradictory to allowable guidelines established to regulate such practice. The researchers asserted that inpatient demands, the compelling nature of optic evidence, fear of lawsuits, and financial incentives could be the underlying cause of such increases in Mri.

The Uw & Ohsu study found that opioid analgesic prescriptions have steadily increased over all, especially for musculoskeletal conditions; in addition, the National healing Expenditure Panel study showed an increase of 108% in opioid prescriptions from 1997 straight through 2004. The compound of increase use and higher drug prices have resulted in a 423% inflation-adjusted increase in expenditures according to the study. The researchers stated that these trends could have been driven as a succeed of concern for the under-treatment of pain in the past, especially among terminally ill patients and cancer patients. In fact, the study went even further, stating that many patients receiving opioid analgesics for non-cancer pain have persistent high levels of pain and poor potential of life.

The study also found that spinal injections are very limiting in their effectiveness for treating back pain, added stating that epidural corticosteroid injections may offer temporary relief of sciatica, but they do not cut the occurrence of surgery. In spite of the wee advantage of epidural injections, Medicare claims rose 271% during a modern 7-year study. In fact, charges for injections increased by 100% during the past 10 years, and the compound of expanding rates and charges resulted in a 629% increase in fees for spinal injections, according to the Uw & Ohsu study. While this increase was occurring, the Medicare habitancy only increased by 12%, showing us that the expenditure is vastly out gaining inpatient outcomes.

Spine fusion surgical operation is being over indicated at an alarming rate. This form of surgical operation has a well-established role in treating fractures and deformities. However, it is very wee in treating degenerative discs with pack pain alone, a looking discovered in 4 randomized trials conducted by the Uw & Ohsu researchers. Despite no exact or conclusive reports clarifying improved effectiveness, there was a 220% increase in the rate of lumbar spine fusion surgical operation from 1990 to 2001 in the United States, according to the study.

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