In this month's WDDTY - 'Pharmaceutical drugs: in every drop you drink

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Back pain: no to steroids

The latest fad for chronic low back pain namely injecting steroids into the facet joints has just been proved useless.

Researchers writing in the New England Journal of Medicine conducting fastidious and long term follow up of patients injected with steroid treatment found, in the words of an accompanying editorial, that the treatment was "overused and minimally effective."

The editorial said that this latest treatment follows a long history of faddish treatments for this problem fusing the sacroiliac, removing the coccyx, electrical nerve stimulation which all in time have been abandoned.

To avoid more faddish approaches, the editorial called for practice to be "based more firmly on the results of rigorous outcomes research, and less on seductive theories."

The author, Dr Richard Deyo of the Veterans Affairs Medical Center in Seattle, Washington, also says that in too many cases investigators have vested interests in favourable results. "Too much research on back problems consists of case series that serve the entrepreneurial purpose of legitimizing expensive new forms of technology, rehabilitation centers or surgical programmes of uncertain effectiveness," he writes.

WDDTY Blog Speak

Chronic low back pain: - Considering this is a major health concern among many of us, it is not surprising E-news readers have quite a lot to say about chronic low back pain....

Back pain: the dangers of surgery - More westerners than ever suffer from low back pain, but conventional treatments-surgery, injections, anaesthesia-often make the problem worse. - At some point in our lives, 80 per cent of all of us living in the West will suffer from disabling low back pain. Every year, 12 million Americans mak...

Medical fascism - Recently, the New England Journal of Medicine devoted a good portion of an issue to chiropractic. The first study, which purported to examine whether...

Back pain: - Surgery doesn't help, but let's keep on doing it - One popular catchphrase that is often aimed at doctors in general, and at consultants in particular, is: 'If you have a hammer, everything looks like...

Steroid asthma treatment may be wrong - The idea of what asthma is and how it should be treated could be due for a rethink, if the findings of a new research study are to be believed. ...

Exercise gets back pain patients up and running - Patients with low back pain do better with an exercise programme than they do with their GP's advice, according to new research. ...

Back pain: no chosen treatment - Chiropractors are a popular choice for Americans suffering low back pain. But at least one study indicates that they are the most expensive option, be...

Steroids - The sleaziest of drugs - Doctors tell you that steroids only cause side effects after many years. But new research shows that permanent damage is immediate and devastating. He...

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