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May, 2007 | Rebuild Your Back - Part 2

Monthly ArchiveMay 2007



Chiropractic &Medications 02 May 2007 11:02 pm

Rebound Headaches

I ran across this rather amusing anecdote posted by GruntDoc about the guidelines for chiropractors in the ER, which I won’t quote from since he prefers that you read it in context.

However, Orac of scienceblogs fame made a rather astute observation in respect to GruntDoc’s post:

Whatever benefits (or lack thereof) chiropractic may have in the treatment of chronic back pain, one thing you can say about alternative medical treatments with some confidence is that they are in general pretty useless for acute problems of the kind seen in most emergency rooms. Next they’ll be calling chiropractors in to treat spinal fractures.

Sums it up pretty well if you ask me. (By the way, if you’re curious about my opinions concerning chiropractic treatment be sure to read: Don’t I Need a Chiropractor?)

But putting all that aside, what was also interesting was a comment about rebound headaches left on the post by A Bohemian Road Nurse that reads as follows:

I’ve also found a lot of people with constant “migraine” headaches whereby Immitrex, narcotics and NSAIDS are not working are really having “rebound headaches”. My sister, who suffered from just such a headache merry-go-round didn’t believe me about the existence of rebound headaches. But she reluctantly tried my suggestion of weaning herself from pain meds. After three days of misery, she was headache free. It worked. Now, she only gets the ocasional “real” migraine, around her menstrual cycle, for which Immitrex DOES now work. (I know this doesn’t cover everybody, but it is a thought to consider for some people with lots of headaches….)

I first heard of rebound headaches a few years back from (I believe it was) Dateline NBC. The gist of the story was that constant use of NSAIDS like Ibuprofen can actually lead to worse headaches once the medication wears off.

It eventually turns into a vicious cycle.

I can’t help but wonder if there might not be a similar “rebound back pain” associated with over-reliance on pain meds for the treatment of back and neck problems. It would explain why a lot of minor injuries develop into chronic problems.

I’m sure there is a flaw in my logic somewhere… I’m just thinking out loud.

Dean

Uncategorized 01 May 2007 06:58 am

What Do You Call Your Kids?

I ran across this post on Dr. Flea’s blog this morning that was too good not to share with you. For those of you unfamiliar with Flea he is a pediatrician and one of the more prevalent medical bloggers.

This quote is from his response to the question, Why Do You Blog?

Our culture is suffused with messages telling parents that their children are sick, or potentially sick: one sniffle away from certain doom. Flea’s message is that American children are the healthiest children that ever lived on planet Earth. We should celebrate our good fortune.

The culture tells us the children are defined by series of capital letters: ADD, ADHD, ASD, PDD-NOS, OCD. Flea wants children to be called by the names their parents gave them.

Pediatrics today consists of daily exercises in over-testing, over-diagnosing, over-treating, and over-admiting to hospital. Flea wants the folks to
know that often the best thing to do for a child is to keep him or her
the hell out of the pediatrician’s office!

Pediatricians who write for newspapers and magazines produce icky, squishy pap that bears only the faintest resemblance to expository writing, and that is astonishingly void of original points of view.

Flea is trying to keep it real.

(Editor: Flea has decided to close his blog for the time being. We can only hope this is only temporary.)

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