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Posts Tagged ‘back pain’

Back Pain Patients Prefer Physical Therapists

Tuesday, May 5th, 2009

By Christine Whitmarsh, RN, BSN

Physical therapists aren’t the only ones touting the benefits of non-surgical and alternative therapies for back pain.  An article in the May 2009 issue of Consumer Reports Magazine reports that 55% of the 14,000 back pain sufferers interviewed were highly satisfied with physical therapy as a treatment for back pain.  Ranking lowest on the satisfaction scale for back pain treatment was the care these patients received from primary care physicians (34%).

This data may be a revealing glimpse into patient perceptions of pharmaceutical care for pain (most often dished out by primary care doctors) versus a more hands-on approach utilized by physical therapists, rehabilitation therapists, acupuncturists and other therapeutic practitioners.  Since nearly 80 percent of American adults report suffering from some level of back pain at some point, this is encouraging data that will most likely drive more back pain sufferers to physical therapists.  It’s no wonder that U.S. News & World Report recently ranked a career in physical therapy as number one, of “5 jobs that may be your best shot at finding work.”

Physical therapists and traveling physical therapists have seen the debilitating effects of chronic back pain in their patients.  The American Physical Therapy Association (APTA) has expressed their optimism about the Consumer Reports data, particularly in regards to back pain patients looking at conservative treatment approaches first.  Orthopedic surgery and narcotics are of course viable solutions for many patients, however, seeing a physical therapist first may be a wiser approach for patients seeking more conservative treatment.

Christine Whitmarsh is a Registered Nurse with a BSN from the University of Rhode Island. She is a freelance health journalist and medical writer and a contributor to Travel Nurse Source and Allied Travel Careers.

Ow, My Aching Back!

Thursday, April 2nd, 2009

By Christine Whitmarsh, RN, BSN

I would have to say that the large metal rod and giant screws keeping my spine in place reminds me every day that a healthy back is a very important part of life. When I was 19, I underwent Harrington Rod surgery to correct my extremely severe scoliosis from a combined curvature of 116 degrees to its present curve of 68 degrees. As I worked with my outpatient physical therapist for several months following the surgery, I was reminded of the usually sturdy skeletal centerpiece that largely holds the rest of our body together.

The effects of an ailing or disabled spine are far reaching, affecting the neurological, circulatory, muscular, and skeletal systems. At last count, in 2005 the portion of Americans suffering from some type of back pain had risen to 15 percent (JAMA). Physical therapists have likely seen all of the major causes of back pain and then some. They include obesity (also on the rise), a sedentary lifestyle, lack of core strength, injury from misuse and trauma. Most back pain is located in the lower back, the area absorbing the brunt of daily activity (or inactivity in the case of chronic sitters).

Fortunately for physical therapists and traveling physical therapists who get to see a diverse sampling of back pain patients in popular travel pt destinations across the country, people don’t seem to be learning the essential lessons of maintaining a healthy back. As an orthopedic nurse I learned that most patients have the attitude that it’s okay to abuse and misuse their spine because surgery will fix anything. Even the surgeons don’t have that attitude because it is simply not true. Surgery is not the cure all for everything. Ask one of the residents of VH1’s “Celebrity Rehab”, Jeff Conaway, whose on camera debate with Dr. Drew concluded with the well-known physician telling Conaway that another surgery was simply not an option for the star, who had already undergone years of spinal surgeries, only to remain in chronic pain.

This is the case for countless Americans and thankfully, physical therapists and traveling physical therapists have solutions for individuals with chronic back pain. The solutions include both daily exercises to keep the pain at bay as well as treatments and additional therapeutic exercises for acute flare ups.

Although they were sometimes referred to as “drug seekers” by other medical staff, I always felt sympathy for the “frequent flyers” who would visit the orthopedic floor sometimes monthly for an epidural IV of morphine or other strong pain medicine. I literally felt their pain and I am thankful for physical therapists, who are there to provide a user’s manual to the back, reminding us that movement is sometimes just what the doctor ordered.

Christine Whitmarsh is a Registered Nurse with a BSN from the University of Rhode Island. She is a freelance health journalist and medical writer and a contributor to Travel Nurse Source and Allied Travel Careers.