Medicine progress and LBP patients?

[bernard]

Hi Somasimplers,

Technology is making progress.
Surgery is making progress.
Medicine is making progress.

But LBP patients remain almost stable!

1/ Medicine does not reply correctly to LPB?
2/ Medicine is not making progress?
3/ LBP is not in the field of Medicine?
4/ Your thoughts?

[oljoha]

Atleast bedrest isn't advocated anymore...

[bernard]

Hi all,

A chiro, not friend of mine, argues with these papers that DDD (and lumbar problems) are genetically originated???

I did not agree!

Battie MC, et al. "1995 Volvo Award: Determinants of lumbar disc degeneration. A study relating lifetime exposures and MRI findings in identical twins." Spine 1995; 20:2601-2612
Ala- Kokko L, "Genetic risk factors for lumbar disc disease." Ann Med 2002; 34:42-47
Annunen S, et al. "An allele of COL9A2 associated with intervertebral disc disease." Science - 1999; 285:409-12
Paassilta P, et al. "Identification of a novel common genetic risk factor for lumbar disc disease." JAMA 2001 ;285:1843 -9
Kawaguchi Y, et al. "Association between an aggrecan gene polymorphism and lumbar disc degeneration." Spine - 1999; 24:2456-60
Takahashi M, et al. "The association of degeneration of the intervertebral disc with 5a/6a polymorphism in the promoter of the human matrix metalloproteinase-3 gene." J Bone Joint Surg [Br] 2001; 83-B :491 -5
Kawaguchi Y, et al. "The association of lumbar disc disease with vitamin-D receptor gene polymorphism. J Bone Joint Surg Am 2002; 84-A :2022 -2028
Videman T, et al. "The relative roles of intragenic polymorphisms of the vitamin D receptor gene in lumbar spine degeneration and bone density." Spine 2001, 26:E7-E12
Videman T, et al. "1998 Volvo Award winner: Intragenic polymorphisms of the vitamin D receptor gene associated with intervertebral disc degeneration." Spine - 1998; 23:2477-85
Videman T, et al. "Iatrogenic polymorphisms of the Vitamin D Receptor Gene Associated with intervertebral disc degeneration." Presented to the International Society for the study of the lumbar spine, Brussels , June 9-13, 1998
Jones G, et al. "Allelic variation in the vitamin D receptor, lifestyle factors and lumbar spinal degenerative disease." Ann Rheum Dis 1998, 57:94-99
Sambrook PN, et al. "Genetic influences on cervical and lumbar disc degeneration: a MRI study in twins." Arthritis Rheum 1999, 42:366-372

What are your thoughts, there?

[emad]

Hi Bernard:

May be LBP is NOT within medicine framework !

cheers
emad

[bernard]

Emad,

I'm lost with your words there. What do you mean in that way?

[emad]

Hi Bernard:

LBP is not in the field of Medicine= LBP is NOT within medicine framework.

cheers
emad

[bernard]

Emad,

But Medicine sends us these patients. LBP is around 50% of my patients!

[emad]

So we are NOT part of Medicine field.


cheers
emad

[bernard]

Emad,

You're going to make me mad with that one? Explain!

[fapt]

Why?? :?:
PT is a part of medical professionals, isn't it?
Dr sees a LBP patient and PT is also too.
They can't go to PT without Dr referr.

[emad]

Sorry my dear friend Bernard:

I was just questioning about your view , regardless of my argument/opinion.

So , what is your view are we medical professionals .

Well , after I read your post well , you consider physiotherapists medical professionals .

However , i think our main profession of physiotherapy does not take the route of medicine in dealing with consumers , however we depend as medicine on research and experince.

Bernard , Sometimes i feel i do NOT get the main idea very well ,as well as my memory begin to detirorate early , i am still 29 years.

i hope to find ways and methods to rehabilitate my memory , particularly with patient s names.

cheers
emad