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These are still impressive figures, those of backache: we know, for example, that the 8 percent of us will suffer sooner or later, but the data put forth by The Lancet at the time of A recent special issue devoted to "The arguments are really worrisome: today low back pain is the leading cause of disability in the world, with the most complex cases have increased 54 per cent in the last 25 years, and also in our country is the main reason we are absent from work. "Given the premises, we would expect the problem to be dealt with everywhere in the best possible way the experts point out that the majority of patients still receive inadequate or inadequate care
Scientific studies are clear: back pain should be treated mainly with specific exercises, a regular physical activity and learn how to manage everyday life, without ever staying still. Yet, in reality, the majority of patients are instead invited to rest, take inappropriate medication, undergo unnecessary tests, and end up in the emergency room under the care of the surgeon without having to wait until they reach the emergency room. There are real needs. A half-world catastrophe: the data of The Lancet refers to dozens of different countries but the bad luck is the same everywhere: the United States, where opioids are the most common and only one person on two advised exercise, in South Africa, where therapy only consists of painkillers in 90% of cases
Not even Italy is a virtuous example, as Sabrina confirmed Donzelli, doctor of ISICO (Italian Colonna Vertebrale Scientific Institute) in Milan: "The mistreatment comes for various reasons. First of all, because often those who are suffering are looking for a "magic wand" to eliminate the problem without too much commitment: the urgent need to resolve back pain without effort can lead to choosing solutions that do not are not really. In addition, low back pain is a complex condition, with many different faces, to which many factors contribute, and for which the same scientific studies do not give us an absolute certainty as to the effectiveness of therapies
"Anti -Inflammatories, for example, are the only clbad of drugs that in some studies have proven superior to placebo and are a good choice for a few days treatment, but some forms of low back pain do not respond to treatment. The challenge today is to better clbadify patients, to identify the different subtypes of back pain to arrive at more specific approaches for each person ". In short, there is not only a back pain but different problems depending on the parameters such as the responsible alteration of the pain, the duration of the symptoms, the age, the positions that worsen discomfort, the presence or less of symptoms such as anxiety. "There is no cure that is good for everyone because there is no patient equal to the other: with the same injury, two people may have more or less severe symptoms; the same treatment, on two different subjects, can have completely different effects. Also for this reason, the therapies may be inadequate – adds Alessandra Negrini, physiotherapist ISICO -. We then take rooted habits: the idea is still widespread that one must stop and go to bed with back pain. "
The opposite is true, the actual past should be limited to the most acute moments of pain, but then it is good to try as much as possible not to be restricted in everyday life. often of the absence of a correct path of diagnosis and treatment: when the pain of
is not resolved, we must talk to the general practitioner, who can already give useful information, while orthopedics do not serve almost
"The ideal is to find a physiatrist who takes care of the spine, an essential figure when the problem persists and does not respond to the activity regular physics or postural therapies – says Donzelli –
not even who knows what diagnostic tests: many believe that they must submit to TAC or magnetic resonance, actually in the case of a first episode do not often need tests , while when there is a recurrence or the pain does not pbad, even a radiograph of the column. Radiography is also helpful before starting any therapy as it serves to verify that there are no malformations or conditions that contraindicate certain exercises or manipulations.
After an episode of low back pain with anxiety: in fact, most cases resolve in 6-8 weeks. Excessive anxiety, moreover, can lead to aggravating the case, entering a vicious cycle from which it becomes more and more complicated to go out even trying to rely on the most disparate therapies. "Taking care of the patient's experience and emotions, therefore, is an essential part of a treatment that works," concludes Donzelli
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