Geneology International

Tag: Pain

  • Availability of alternative pain treatment decreased opioid use

    Availability of alternative pain treatment decreased opioid use

    October 21, 2021

    2 min read

    Source:

    Lin CC, et al. Poster 407. Presented at: American Neurological Association Annual Meeting; Oct. 17-19, 2021 (virtual meeting).


    Disclosures:
    Healio Neurology was unable to confirm relevant financial disclosures at time of publication.


    We were unable to process your request. Please try again later. If you continue to have this issue please contact [email protected].

    The likelihood that opioid treatment for common neurological conditions was initiated appeared to decrease with greater access to neurologists or other specialists who offered alternative pain treatment.

    Researchers presented these findings at the American Neurological Association annual meeting.


    infographic with Lin quote



    “Despite limited evidence of long-term opioid efficacy in the management of these conditions, studies have shown that opioid treatment is quite common,” Chun Chieh Lin, PhD, MBA, assistant research scientist in the department of neurology at the University of Michigan Medical School, said during a virtual presentation. “Previous studies have looked into factors associated with opioid initiation but have [not evaluated] providers’ roles.”

    In the current study, Lin and colleagues sought to investigate opioid initiation trends among patients with new diagnoses of neuropathy, headache and low back pain over time. They also aimed to pinpoint factors linked to opioid initiation among opioid-naive adults with new neurologic diagnoses. They analyzed statistics from 2008 to 2018 Medicare data for patients aged 18 or older with incident neuropathy, headache or low back pain diagnoses between 2010 and 2017.

    Primary outcomes included opioid initiation, defined as having the first opioid prescription filled at or after the patient’s diagnosis date, and disease-related opioid initiation, defined as having the first opioid prescription filled within 7 days of a disease-specific visit claim. The other primary outcome was chronic opioid use initiation, defined as having at least 10 opioid prescription fulfillments or at least a 120-day opioid supply within 1 year of initiation. Covariates included diagnosing provider specialty, alternative therapies, regional provider density and patient characteristics.

    Results showed 20,086 neuropathy, 49,415 headache and 71,347 low back pain diagnoses between 2010 and 2017 without other chronic pain conditions or filled opioid prescriptions within 2 years before the index diagnosis. Fifty-four percent of patients with neuropathy, 54{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of patients with headache and 62{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of patients with low back pain initiated opioids, with more than one-third of these prescribed by primary care providers. Between 4{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} and 6{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} became chronic opioid users within 12 months of initiation. Fewer than one-third of initial opioid prescriptions were less than a 3-day supply. Two percent of patients with neuropathy, 8{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of patients with headache and 22{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of patients with low back pain initiated disease-linked opioids.

    “[These] data can inform policymakers to provide a better support mechanism for providers who have difficulty managing [patients’] pain and [assist] patients in accessing specialists in low-density regions,” Lin said during the presentation.


    We were unable to process your request. Please try again later. If you continue to have this issue please contact [email protected].

    ANA Annual Meeting

    ANA Annual Meeting

  • Back Pain Giving You A Hard Time? Do These Exercises For A Healthy Spine

    Back Pain Giving You A Hard Time? Do These Exercises For A Healthy Spine

    Back Pain Giving You A Hard Time? Do These Exercises For A Healthy Spine

    Straightforward physical exercises can assist you control back again soreness effectively

    A healthier and solid backbone is essential for a person to perform everyday routines. With present-day quick-paced way of life and harmful perform-everyday living harmony, millions of persons are known to be suffering from serious again challenges. The backbone is designed up of a series of organic curves. When the sitting posture is incorrect and there is insufficient aid, these arches, in excess of a long time, can trigger long-term damage to the vital spinal nerves. Extensive periods of sitting maximize the load on the spinal discs by 40{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c}, resulting in them to herniate or suffering resulting in inflammation or compression of the spinal nerve.

    Sustaining spinal overall health is significant as the spine is in charge of the body’s other very important functions. The spine is the paramount construction that delivers structural aid to the human human body and aids in maintaining the posture. It guards the spinal twine and nerve roots even though also helping in movements.

    Day to day actions these as going for walks, sitting, and bending in excess of can trigger excruciating suffering if spine health and fitness is dismissed. It is also essential in transmitting sensory information these as stress, contact, temperature, pain level, and other sensations to pores and skin tissues, muscle tissues, bone joints, and inside organs. Taking care of one’s spinal health is important simply because it can result in sensory responses to staying disrupted and impair sensations in a couple of places of the body. If left untreated, it can result in extreme injury to the nerve’s motor capabilities, resulting in long term weakness.

    With a typical physical exercise regimen and standard stretches, a single can quickly keep a good spinal health. These workout routines not only aid in blocking back accidents and damages but are proven to benefit the all round health and fitness.

    Best exercise routines to relive again ache

    There are 3 types of exercising types:

    Strengthening – aids in firming the muscle mass and stamina

    Stretching – improves overall flexibility and assists for a total assortment of actions

    Cardio – strengthens the heart and lungs and promotes circulation

    Simple workouts that preserve spinal health and fitness-

    1. Pelvic tilt

    Pelvic Tilt is a fundamental exercising that tones and strengthens the reduce abdomen muscle tissue. This workout involves 1 to lay on the back with your toes flat on the floor. While tightening the belly muscle groups, a single has to slowly but surely force the reduced back again to the floor and hold that situation for 3 -5 seconds prior to calming. This helps in strengthening the muscular tissues in the reduced portion of the spinal column.

    2. Knee-to-chest stretch

    This extend assists to loosen up the hips, thighs, and glutes and moreover assists in complete relaxation. To accomplish knee-to-chest extend, 1 has to lie on the again with both equally knees bent and feet flat on the floor. Although preserving the left knee extended straight along the floor, draw the correct knee in to the upper body with the aid of your arms. Straighten the spine all the way to the tailbone with no boosting the hip. This pose need to be held for 30 seconds while inhaling deeply, then recurring with the reverse leg.

    3. Shoulder shrugs

    This is a single of the easiest workouts and can be quickly carried out at any time. To do shoulder shrugs, one particular requirements to stand up straight with toes broad aside. The pose can then be introduced by little by little raising the shoulders in direction of the ears although breathing out. The shoulder really should be pushed down as a great deal as attainable although releasing. This allows in strengthening and conditioning the upper aspect of the spine.

    4. Cardio physical exercise

    Aerobic physical exercise has proven to have quite a few advantages which includes strengthening the coronary heart and lungs muscles, expanding strength degrees, will help in correcting the slumber cycle, decreasing blood stress, and promotes body weight reduction. Standard cardio pursuits like jogging, biking, swimming, walking are regarded aerobic workouts. By incorporating a least of 15 minutes of these small-impact aerobic pursuits 3-4 moments a week, 1 can effortlessly steer clear of damage and cut down muscle mass exhaustion.

    All the previously mentioned-talked about exercises are really uncomplicated to do and do not require any main assistance or assistance. On the other hand, if there are any other well being difficulties to contemplate, it is usually advisable to seek the advice of a standard medical doctor or a backbone expert. Together with a typical exercising regimen, it is vital to have balanced taking in to dietary supplement spinal health and fitness.

    (Dr Subodh Shetty is an Orthopedic Surgeon at Apollo Spectra Medical center Bangalore)

    Disclaimer: The views expressed in just this post are the private thoughts of the writer. NDTV is not accountable for the accuracy, completeness, suitability, or validity of any facts on this post. All info is offered on an as-is basis. The data, points or viewpoints appearing in the report do not mirror the sights of NDTV and NDTV does not presume any obligation or legal responsibility for the identical.