Navigation Links
Narcotics and diagnostics overused in treatment of chronic neck pain
Date:10/27/2010

Duke University and University of North Carolina (UNC) researchers report in the November issue of Arthritis Care & Research that narcotics and diagnostic testing are overused in treating chronic neck pain. Their findings indicate clinicians may overlook more effective treatments for neck pain, such as therapeutic exercise. According to reviews cited in the study, evidence to support the effectiveness of therapeutic exercise in treating chronic neck pain is good, yet only 53% of subjects were prescribed such exercise. This information was based upon reported data from a representative sample of North Carolina residents.

Prior studies point out that neck pain affects 30%-50% of adults in the general population in any given year, and roughly 50%-85% of those patients do not find their symptoms completely resolve, with some experiencing chronic, impairing pain. Chronic neck pain, like lower back pain, often does not respond to the treatment provided and can have similar economic impact in terms of lost work time and higher healthcare costs.

For the current study, Adam Goode, PT, DPT, and colleagues from the UNC Cecil G. Sheps Center for Health Services Research used data from a 2006 telephone survey of 5,357 North Carolina households. The researchers analyzed responses from 135 non-institutionalized adults over 21 years of age who had chronic neck pain, which was defined as pain and activity limitations nearly every day for the prior three months, or greater than 24 episodes of pain the previous year that limited activity for one or more days. More than half the participants were women (56%) and most were non-Hispanic white (81%).

Results indicate that the prevalence of chronic, impairing neck pain weighted to the North Carolina population was 2.2%. The researchers reported the average duration of chronic pain was 6.9 years, with subjects seeing roughly five different types of healthcare providers and 21 ambulatory care visits.

The study reported that participants received 1.6 diagnostic tests such as spinal radiographs (45%), magnetic resonance imaging (MRI-30%), and computed tomography (CT-24%) scans. In the prior year, subjects who received X-rays of the spine had an average of two different sets taken which the authors noted to be inconsistent with clinical decision-making guidelines for diagnostic imaging. "For patients with such a long disease duration, the likelihood that imaging techniques would offer clinically important inferences may decrease," explained Dr. Goode.

More than 56% of subjects in the study used over-the-counter medications (non-steroidal anti-inflammatory drugs), 29% reported taking strong narcotics (MS contin, oxycodone), and 23% used weak narcotics (codeine, propoxyphene) for their chronic neck pain. The authors reported that medical evidence on the effectiveness of medications in the treatment of chronic neck pain is quite limited, based on systematic reviews published in The Cochrane Library and The Bone and Joint Decade (BJD) 2000 2010 Task Force on Neck Pain and Its Associated Disorders: Noninvasive Interventions for Neck Pain.

"Rehabilitation conditioning and acupuncture studies have shown to be effective treatments that were less frequently used by patients with chronic neck pain," Dr. Goode said.

The most commonly used treatments by study participants were superficial heat (57%), prescribed exercise (53%), cold (47%), spinal manipulation (36%), and therapeutic massage (28%). "Our sample population had a high degree of disability, despite using a number of diagnostics and treatments. Based on current evidence, several treatments were over-used, and some effective treatments were under-used," concluded Dr. Goode.


'/>"/>

Contact: Dawn Peters
healthnews@wiley.com
781-388-8408
Wiley-Blackwell
Source:Eurekalert

Related medicine news :

1. Flagship Biosciences Partners with a Leading IHC CLIA Laboratory for Companion Diagnostics Service
2. Stroma may provide key to better cancer treatment
3. Adding radiation to hormone therapy for prostate cancer treatment will increase survival chances
4. Highly targeted radiation technique minimizes side effects of prostate cancer treatment
5. Study suggests sensitivity to bodily symptoms of anxiety may make a difference in treatment
6. Quebec City researchers pave the way for novel treatment of pulmonary hypertension
7. Personalized treatment may help some liver cancer patients
8. Cedars-Sinai awarded $1.9 million from CIRM to develop stem cell treatments for osteoporosis
9. Parent-only treatment may be equally effective for children who are obese
10. UCLA gets $4.6M grant to study HIV treatment, prevention among men from L.A. jails
11. Conventional, annual Pap smear cost-effective follow-up after cervical lesion treatment
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... Apple ... care services, staged a mock evacuation of the facility as part of a disaster ... Fire Department, Echo Hose EMS and Shelton City Emergency Manager, as well as the ...
(Date:10/13/2017)... , ... October 13, 2017 , ... Global Healthcare Management’s ... Alexandria Park in Milford, NJ. This free event, sponsored by Global Healthcare Management’s ... The fun run is geared towards children of all ages; it is a ...
(Date:10/13/2017)... ... October 13, 2017 , ... “The Journey: From the ... danger possible to save lost souls in the Philippines. “The Journey: From the Mountains ... a dedicated teacher of the Bible. She has taught all ages and currently teaches ...
(Date:10/12/2017)... ... October 12, 2017 , ... Planet Fitness, one of the largest and ... plans to open a flagship location in Covington, LA at 401 N. U.S. Highway ... store next to Office Depot in the Holiday Square shopping center. Its location allows ...
(Date:10/12/2017)... ... 2017 , ... Asante, a nationally recognized health system in ... existing home health joint venture through an agreement, effective October 1, 2017, to ... home health company with Asante, delivering clinically integrated care, for the past eight ...
Breaking Medicine News(10 mins):
(Date:10/10/2017)... -- NDS received FDA 510(k) clearance in May 2017 for its highly ... designed for endoscopy environments. An innovative secondary monitor solution, ZeroWire ... support the improvement of patient outcomes, procedural efficiency, and the lowering ... ... ...
(Date:10/4/2017)... 4, 2017  South Korean-based healthcare product Development Company ... "cprCUBE" on Kickstarter. The device will educate the user ... with better efficiency compared to the dated and pricey ... on efficacy of the compression for a more informed ... goal to raise $5,000. ...
(Date:10/2/2017)... 2017  Eli Lilly and Company (NYSE: ... third quarter of 2017 on Tuesday, October 24, 2017. ... day with the investment community and media to further ... call will begin at 9 a.m. Eastern time. Investors, ... webcast of the conference call through a link that ...
Breaking Medicine Technology: