Consumer Reports article on Back Pain Treatment Satisfaction

Consumer Reports

Relief for your aching back: What worked for our readers

Our survey respondents tried an average of five or six different treatments over the course of just a year.

About 80 percent of the adults in the U.S. have been bothered by back pain at some point. The Consumer Reports Health Ratings Center recently surveyed more than 14,000 subscribers who experienced lower-back pain in the past year but never had back surgery. More than half said the pain severely limited their daily routine for a week or longer, and 88 percent said it recurred throughout the year.

Lower-back pain disrupts many aspects of life. In our survey, 46 percent said that it interfered with their sleep, 31 percent reported that it thwarted their efforts to maintain a healthy weight, and 24 percent said that it hampered their sex life.
Where to go for treatment

When back pain goes on and on, many people go to see a primary-care doctor. While this visit may help rule out any serious underlying disease, a surprising number of the lower-back-pain sufferers we surveyed said they were disappointed with what the doctor could do to help. Although many of our respondents who saw a primary-care doctor left dissatisfied, doctors can write prescriptions and give referrals for hands-on treatments that might be covered by health insurance.
Who helped the most?

The percentage of people highly (completely or very) satisfied with their back-pain treatments and advice varied by practitioner visited.
Professional Highly satisfied
Chiropractor 59%
Physical therapist 55%
Acupuncturist 53%
Physician, specialist 44%
Physician, primary-care doctor 34%
Source: Consumer Reports Health Ratings Center

Patients with lower-back pain are faced with a confusing list of options. Our survey respondents tried an average of five or six different treatments over the course of just a year. We asked them to rate a comprehensive list of remedies (available to subscribers) and had enough data to rate 23 treatments. We analyzed the medical evidence for each and came up with recommendations and cautions. Here are some highlights from our survey findings:

* Hands-on treatments were rated by lower-back-pain sufferers as very helpful. Survey respondents favored chiropractic treatments (58 percent), massage (48 percent), and physical therapy (46 percent) (available to subscribers)—another testament to the healing power of touch.

* Spinal injections were rated just below chiropractic treatments by those who took our survey. Fifty-one percent of the respondents found them to be very helpful, although the techniques their doctors used varied.

* Prescription medications (available to subscribers), which one-third of our respondents said they took, were rated as beneficial by 45 percent of them. Almost 70 percent said they took an over-the-counter medication, but only 22 percent said the drugs were very helpful.

* Fifty-eight percent told us they wished they had done more exercising to strengthen their backs.

* Although lower-back pain is the fifth most common reason people go to a doctor, 35 percent of the people in our survey said they had never consulted a professional. Most of them had severely limiting pain for less than a week. Many of those with more prolonged pain who didn't see a health-care professional said it was because of cost concerns or because they did not think professional care could help.

Source: Consumer Reports Health.org. Relief for your aching back: What worked for our readers Accessed May 19, 2009. http://www.consumerreports.org/health/medical-conditions-treatments/back-pain/overview/back-pain.htm

Comments

Post a Comment

Popular posts from this blog

Body Mass Index

Image
Source: http://beta.images.theglobeandmail.com/archive/01320/aaaabmi-chart-for-_1320321a.jpg  The body mass index is an advance from the older and less meaningful height and weight charts. And is the current tool used by health and insurance agencies to assess body weight and degree of obesity. However, it does not allow for individual variation of muscle mass and bone structure.    Click on image for better view http://beta.images.theglobeandmail.com/archive/01323/lf-jockology-obesi_1323094a.jpg Although body mass index (BMI) has been adopted by WHO as an international measure of obesity, it lacks a theoretical basis, and empirical evidence suggests it is not valid for all populations.1 The body mass index (BMI) does not accurately represent the amount of [body] fat,"2 The BMI has been around since the 1840s, but it has a number of weaknesses. Firstly, it doesn't give a real estimate of percentage body fat. Secondly, the BMI can be quite differen
Read more

Beat Gluttony with Gullibility

Beat Gluttony with Gullibility Eating-behavior expert Brian Wansink ​ offers tips on fooling yourself into eating less. Katherine Harmon reports Our eyes are bigger than our stomachs. And visual perception plays a big fat role in eating—often without our realizing it. So says Brian Wansink , a professor of consumer behavior and nutritional science at Cornell. His research has shown that people eat more when their food is served on larger dishes. Because lots of folks use an empty plate—rather than a full stomach—as a cue to put down their fork. Wansink reviewed his findings last week at the American Psychological Association meeting in Washington. In one experiment, he had unsuspecting subjects eat soup from bowls that continually refilled from the bottom. And volunteers who unknowingly ate from these bowls consumed on average 73 percent more soup than those who had had a finite supply. But both groups thought they had eaten about the same amount. Wansink’s advice i
Read more

What Science Says You Should Eat

Image
   What Does Science Say You Should Eat? By Brad Lemley, Photography by Dan Winters   From Discover Magazine, February 2004 issue , http://discovermagazine.com/2004/feb/science-diet/article_view?b_start:int=0&-C= Most diets aren't realistic or advisable, including the U.S. agriculture department's famous food pyramid. Instead, a Harvard scientist recommends a new way of eating based on the world's largest and longest food study. America clearly needs dietary guidance.   More than 44 million people are clinically obese compared with 30 million a decade ago, putting them at increased risk for heart disease, stroke, type 2 diabetes, and breast, prostate, and colon cancers. In the meantime, the noun diet seems to attract a different adjective every week, including Atkins, Ornish, Cooper, grapefruit, rice, protein, Scarsdale, South Beach, Beverly Hills, Best Chance, Eat Smart, and Miracle, not to mention Help, I’m Southern and I Can’t Stop Eating.
Read more