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Hei, olen lkri mike evans ja kerron teille nyt alaselkkivusta, joka useimmiten paranee itsestn, mutta on silti yleisimpi syit hakeutua lkriin ja on syyn perti 40 %:iin sairauspoissaoloista. Ok, aluksi hieman hmmentv tietoa. Selkkipu ei ole lhes koskaan merkki sairaudesta.

Vaan ihan normaali kokemus kahdella jalalla kvelevlle ihmiselle. Selkrangan rakenteet kuten nivelet, luusto, vlilevyt ja hermosto mahdollistavat ne miljoonat asiat, joita voimme selkmme avulla tehd.

Vlill tm hieno systeemi kaatuu ja koemme niin sanottua mekaanista selkkipua. Kivun voimakkuus ei aina vastaa ongelman vakavuutta ja suurimmalla osalla kipu paranee itsestn ilman lketieteellist hoitoa.

Tst huolimatta 30 %:lla kipu uusiutuu 6 kuukauden sisll ja 40 %:lla vuoden sisll. Kuulostaako tutulta? Kannattaa nhd uusiutuva selkkipusi yksittisten tapahtumien sijaan.

Kroonisena herkkyyten ja tee itsellesi kivunhallintasuunnitelma. Voit ottaa oppia ihmisist, jotka prjvt kroonisten sairauksiensa kanssa. He rakentavat ymprilleen tukiverkoston ja hakevat ongelmiinsa apua ajoissa.

He tekevt pieni muutoksia kerrallaan ja keskittyvt perusasioihin, kuten stressinhallintaan, unenlaatuun ja aktiivisuuden yllpitmiseen. Aloitetaan itse kivusta.

Ja kahdesta hyvin yksinkertaisesta kiputyypist: Ensimminen on ns. paikallinen selkkipu, jossa kipu tyypillisesti steilee selst takamukseen ja/tai lonkkien alueelle. Vaikka jotkut kokevat kipua vain selss, ja jotkut taas alas jalkoihin asti,.

On kipu selss silti hallitsevin. Monet tllaisista kivuista krsivist saavat helpotusta kipuun (tai kipu voi rsyynty) tietyill liikkeill, kuten taivuttelemalla taaksepin tai eteenpin. Tyypillisesti tllainen kipu tulee ja menee, joskus aiheuttaa lihaskramppeja liikkuessa.

Regenerative Medicine Can it be used to treat back pain

Good morning and welcome to you be all you are tv I’m your host Brad Harmon and today my guess is David Russo with Colombia Pain Management in Hood River, Oregon. Russo welcome to the broadcast. Thanks Brad. We’re so glad that you could take time out of your busy schedule to join us today.

Recently we’ve been talking a lot about regenerative medicine in the exciting breakthroughs that are going on with stem cells and plateletrichplasma therapy and stuff like that. Can you talk to us a little bit today about what regenerative medicine is doing for back pain? I know you guys are the back pain specialist for the northwest. I’d like to know a little bit about how regenerative medicine can help with back pain.

Sure absolutely, so you know first i think it’s important to recognize that most common causes of back pain do not require surgery. In fact the data suggests that unless a you’re experiencing progressive neurological impairment or weakness or intractable pain time is on your side.

For resolving most common back pain conditions. so you know the history of treating back pain has really looked at exercise and injections. And on the exercise side , I considered. I consider exercise or a regenerative therapy in a sense because.

You know when you’re going in and strengthening and stretching stressing tissues in a physiological way you are inducing a regenerated change in those tissues so exercise is medicine and I think exercises regenerative medicine a key component regenerative medicine.

On the injection side you know we’ve looked a lot at putting steroids into various spine structures we put them in the epidural space sometimes we put them in the small knuckle joints of the back called the faucet joints sometimes we put then in the sacroiliac joint which is kinda where the lower spine and the pelvis meet.

And the reality is that that might work as a you know an acute or an urgent intervention kinda you know reduce pain temporarily but as a longterm solution it appears that steroids used in repeated high doses over time.

Can cause tissue breakdown. so you know, we scratched our heads a lot in the field the spine Medicine and said you know are we doing more good than harm? are we helping patients you know get over a painful acute episode and are we preventing them from becoming a chronic a back pain patient?.

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