Journal About Back Pain and Arthritis

Historically, patients with back pain and arthritis have turned to their doctors to find out what is causing their condition, and what their doctors are going to do about it to get better. Ideally, their doctors will assess the patient's condition by taking the time to get an accurate medical history, results of a physical examination, and any pertinent medical tests required to diagnose the problem correctly. Once the doctor has made a definitive diagnosis, he or she will tell you what treatment options are available for you to choose from. In your ideal world, the doctor will give you percentages for each treatment option, in terms of what the chances are that it will work, and what the chances are that there will be associated complications and side effects.

Unfortunately, in most cases you won't be offered ideal world prognoses in terms of hard facts in terms of percentages and prognoses. Most doctors will admit that pain medicine and physical rehabilitation is part medicine and part science. Some patients respond to certain types of treatments and some don't. There are a variety of reasons why certain patients are responsive to treatments while others may not be. Back pain and arthritis pain are both conditions that are symptoms of disease, not diseases themselves. These symptoms of disease may have pain generators in the body, but in many circumstances, these pain generators are difficult/impossible to find from performing standard physical examinations and diagnostic tests. A pain generator is the physical location in the body where the pain actually originates. In many cases, doctors perform various types of pain treatments, including surgery, on one location of the body where structurally anomalies are found, despite the fact that the pain generator is actually in another part of the spine or body. Besides structural anomalies in the body that may contribute to pain, there are a variety of diseases and lifestyle factors that may cause the patient's pain, discomfort, and related symptoms. Does the way you work or operate your car overwork your muscles, or overstretch the ligaments in your body? Are you consuming the vital calories and nutrients that your body needs to maintain your joints or to stimulate the recovery process when your joints become injured? Are you getting the amount of water that your body needs to maintain the volume of the discs of your back? Are there lifestyle habits that you are involved in that cause inflammation or premature aging in your backs?



Today, there are several media resources available to doctors and their patients to answer many of these questions, and to provide people with the facts they need to understand back pain and other related musculoskeletal conditions. Today, there are journal articles out there to describe what back pain treatments work for patients, and which types of back conditions they are designed to treat. Many scientific journals are focused on western medical treatments, including the latest technologies that are becoming available to speed recovery rates. Other scientific journals specialize in holistic and alternative therapies, and how they may be used to relieve pain with minimal side effect rates. Some of these journal articles compare one treatment to another, so that their readers may be able to make informed decisions for their treatment programs. Let's take a look at some of the most well respected medical journals which focus on back pain and arthritis, as well as some individual landmark journal articles that are sued by physicians and their patients to understand the causes of pain and how to treat/cure them.

JOSPT: Journal of Orthopaedic & Sports Physical Therapy - www.jospt.org
This medical journal focuses on detailing the causes of joint diseases and the products and exercise programs that are available to jumpstart the healing process. In the December 2012 issue, the spine specialists Stephanie Ruth et al. published a research paper called "The Effects of Thoracic Spine Manipulation in Subjects With Signs of Rotator Cuff Tendinopathy." In this journal article, research used various tests to measure the strength and range of motion of patient's shoulders and rotator cuffs before and after thoracic spine manipulation (TSM). The question was, "did the TSM treatments provide clinically beneficial treatment results after one or more treatment sessions"?The results for this study indicated insignificant change in pain levels and other associated symptoms related to the damage of their rotator cuffs. The study did indicate a small increase in scapular upward rotation as a result of the treatments.

These types of journal articles are important for patients to known about when considering whether or not they want to continue with physical therapy alone, consider surgical options, or use these types of spinal manipulative treatments.

CNNAM: National Center for Complementary and Alternative Medicine - http://nccam.nih.gov
This website and organization provide patients with a lot of information about spinal manipulation medicine, which is used by chiropractors and osteopaths (D.O.) s. In one NCCAM journal article, physicians discuss which types of patient are more likely than others to placebo related pain relief. The journal identifies certain genetic predispositions that patients may have to make them more likely to experience placebo like pain relief. Click here to find out more about these results.