Back Pain Archive

Low back pain is a leading cause of disability worldwide. A recent review of dozens of studies suggests that combining physical therapy with psychological approaches to treating pain led to better overall results in improvement of pain.

Water sports that use oars or paddles are effective forms of exercise with many health benefits. However, the sports may pose health risks, especially after age 60. The sports have a repetitive component to them. Paddling can stress the shoulder tendons. Rowing can lead to low back strains. Neither sport would be a good idea for people with tendinitis at the shoulder, elbow, or wrist; a diagnosed back problem such as a disc injury or spinal stenosis; or a previous back surgery.

Osteoarthritis in the hand is a painful condition that is more common in women than in men. While this condition can be debilitating, a number of strategies can be used to manage it, including using various topical, oral, and injected pain medications; splinting the joint; making lifestyle changes; and working with a hand therapist. Surgery may be an option when other measures have failed to control symptoms.

Virtual reality (VR) is being studied as a therapy for people with chronic pain. It immerses people in calming three-dimensional environments and uses principles of mindfulness, meditation, guided imagery, or cognitive behavioral therapy. It's believed to help reduce chronic pain by decreasing stress, anxiety, depression, and fear, which all contribute to pain. It could also be that VR and its many stimuli simply distract your brain from receiving pain signals. VR for pain reduction isn't widely available as of 2022.

A small, randomized trial published online Jan. 3, 2022, by JAMA Network Open suggests that aquatic or pool therapy is more effective at reducing chronic low back pain than physical therapy.

A doctor's serious health threat prompts reflection on the power of spirituality, the value of mindfulness practice, and acknowledgment of mortality as a motivator to reassess one's priorities.