Interventional Therapeutic Analysis

Low back pain (LBP) is an issue that affects patients, healthcare professionals, and society on a global scale. With advancements in allopathic medicine, LBP is better managed than ever before—however, its methodologies in diagnosing and treating LBP—and its results—are inconsistent. For this reason, many patients and healthcare professionals are turning to alternative treatments such as traditional Chinese medicine, which is now considered one of the leading treatments of LBP.

Lumbago, also called lower back pain is a universal experience. Many of the victims experience very intense pain, making it difficult to go to work or do simple day to day activities, like sleep. Lower back pain is not a serious condition, however in some people it can be. Since it is so common I plan to study the effects and ways to cure it in my paper. I plan to show an effective way to use essential oils for back pain as well.

These results and the success in reducing pain and improving function in their patients, led them to conclude that intra-articular MSC injections are an effective and safe way to treat OA of the knee.

Chronic lower back pain is on the rise in not only America, but is on the rise in the world. According to a study by the Annals of Rheumatic Diseases in 2010, approximately one in ten people suffer from lower back pain, which makes lower back pain the leading cause of disability in the world (http://ard.bmj.com/content/early/2014/02/14/annrheumdis-2013-204428). This rate is on the rise and should be extremely alarming as common activities, including working a desk job, can contribute to chronic lower back pain. While there are many different methods to treat chronic lower back pain, including physical therapy, therapeutic

Back pain is one of the most common health complaints in the United States and around the world. Back pain affects 8 out of 10 people at some point during their lives.1 One quarter of the US adult population describes having low back pain at least one day over a three month period; 7.6% of the population reported severe acute low back pain in a one year period. 2 In a survey conducted by the National Institute of Health Statistics, 28.4% population reported low back pain as the leading source of pain. 3

Treatment plan includes additional 6 acupuncture sessions as IW has reported 10% improvement, lumbar ESI at right L4-5, trial of Melatonin for sleep and follow-up in 4 weeks. Patient has completed 6 acupuncture visits with good benefit. She reports having fewer flare-ups after she completed acupuncture, improvement with pain symptoms and has increased range of motion and improvement in her flexibility and muscle strength.

Communication between two unrelated machines? Impossible, or at least that’s what I thought. Until recently, I had no clue that the wearable device on my wrist was considered an internet of things. A black, sleek watch incorporating biometric technologies embedded in its sensors was an IoT Fitbit device? Who would’ve thought such an intimate object was capable of creating new relationships – human-to-device and device-to-device. Every morning, it remembers to wake me up at seven o’clock, silently alerting me through vibrations. It tracks my sleeping patterns: when I’m asleep, restless, or awake. When I open the Fitbit app on my phone, I can find the number of steps taken, the distance walked, the calories burned, and the duration of activity.

The single leading cause of disability worldwide is low back pain (LBP) (Salomon et al., 2013). In the U.S, approximately 80 percent of adults experience back pain sometime in their life, with a total health care expenditure of 90.7 billion in 1998 (Luo, Pietrobon, Sun, Liu, & Hey, 2004). LBP is the second most frequent systematic reason for visits to primary healthcare providers (Hart, Deyo, Cherkin, 1995) and is usually recurrent with exacerbations that tend to increase in severity. The total costs of LBP in the United States exceed $100 billion per year (Katz, 2006).

Interventional radiologists treat and diagnose disease using imaging equipment. Interventional radiologists sometimes sub-specialise further so that they only treat abnormalities of the brain or spinal cord (neuro intervention) or of the blood vessels other places in the body (angiointervention). Interventional radiology is a minimally invasive procedures using X-ray, magnetic or ultrasound images to help guide the procedures, mainly done with small instruments and very thin plastic tubes called catheters inserted through an artery or vein.

The lower back pain is a public health problem causing suffering and physical stress to patients affecting 12% to 35% of people according to studies with 10% of suffering becoming chronically disabled (Maniadakis and Gray, 2000). In addition, is an enormous economic issue for society with estimated medical cost at 12 billion pounds

Non-pharmaceutical treatments involve educating the patients about their disease condition and help them manage pain by prescribing muscle strengthening and stretching exercises (54). As losing weight can help affected individuals reduce the stress on their weight-bearing joints, they are advised on how to improve their standard of living to lead healthy and active life (53,54). Although non-pharmaceutical approaches are affective in the long run, they do not help alleviate pain immediately and people with OA have restricted mobility. The most used medications for OA are the non-steroidal anti-inflammatory drugs (NSAIDs) which include aspirin, ibuprofen, etc. and pain relieving analgesics like acetaminophen (4). Non-invasive surgical options, such as intra-articular injections with corticosteroids, hyluronic acid (HA), have been used to improve joint lubrication. Hyaluronic acid (HA) injections could be beneficial for both knee and hip OA, however, it has been found that HA efficacy is very low(3). Corticosteroids are anti-inflammatory drugs that are used to alleviate pain (1). All of these drugs have pain-relieving effects, however, the core issue of the constant degeneration of the articular cartilage remains unmodified. In addition, constant

DOI: 09/13/2006. Patient is a 40-year-old male traffic control technician who sustained a work-related injury to his back from lifting arrow board trailer. Per OMNI, he was diagnosed with lumbar herniate d nucleus pulposus. Patient was deemed maximum medical improvement (MMI) on 09/22/08 at maximum medical improvement (MMI) with 18% permanent disability. Future medical care include orthopedic visits, PT, gym membership, MRI, Epidural Steroid Injection (ESI) and back surgery.

Interventional radiology and image-guided medicine is a specialty of radiology in which radiologists diagnose and treat diseases without surgery by placing tiny tubes through the body's arteries and organs using X-rays and other imaging methods to guide them. This allows radiologists to deliver medications directly to a disease site, open blocked blood vessels, obtain biopsies, and perform a range of other procedures.

This study is a single-blinded randomized clinical trial. The level of evidence for this study is 1, based on the single blind RCT.

Many patients with OA opt complementary treatments (e.g., massage, relaxation techniques) in an effort to manage OA- related symptoms. This could be because of limited symptom relief from conventional therapies, as well as a belief that complementary treatments are free from adverse effects. However, the efficacy and safety of these interventions are not defined well. (Shengelia, Parker, Ballin, & Reid, 2014). Use of CAM modalities for chronic musculoskeletal disorders, such as OA, is primarily to alleviate associated discomfort and disability, and approximately 50%of patients with chronic musculoskeletal disorders reported using CAM modalities.(Chyu et al., 2011)