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New evidence on back pain

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Tashanie
(@tashanie)
Posts: 1924
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Topic starter
 

[url]Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): a double-blind randomized clinical controlled trial of efficacy - Springer[/url]

This paper gives the results of a trial of giving simple antibiotics to certain people with back pain. 40% of them responded and did not need surgery.

I thought it might interest some people on here. It won;t become common practice immediately but some centres may well try this out if they have a patent who fits the criteria used in the trial


 
Posted : 09/05/2013 1:51 pm
CarolineN
(@carolinen)
Posts: 4760
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Yes, I saw this in the paper yesterday and thought it was very interesting. Makes you think - inflammation is usually caused by SOMETHING being wrong. Did it never occur to anyone it might be an infection???

Well, I hope some of those who are struggling with their backs here on HP might benefit from this treatment.

Wouldn't it be wonderful if it did work? :nature-smiley-008::dance: 😀 😀


 
Posted : 09/05/2013 7:22 pm
Tashanie
(@tashanie)
Posts: 1924
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Topic starter
 

Yes, I saw this in the paper yesterday and thought it was very interesting. Makes you think - inflammation is usually caused by SOMETHING being wrong. Did it never occur to anyone it might be an infection???

Well, I hope some of those who are struggling with their backs here on HP might benefit from this treatment.

Wouldn't it be wonderful if it did work? :nature-smiley-008::dance: 😀 😀

I worked in 40% of those in the trial - but they were a VERY specific group so it won't cover everyone with back pain

BUT taking antibiotics for anything from 3 months to a year will have its own drawbacks 🙁


 
Posted : 09/05/2013 10:40 pm
CarolineN
(@carolinen)
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I worked in 40% of those in the trial - but they were a VERY specific group so it won't cover everyone with back pain

BUT taking antibiotics for anything from 3 months to a year will have its own drawbacks 🙁

I didn't read the details and didn't realise antibiotics had to be taken for so long - so, yes, quite a serious drawback.

A good on-going probiotic is essential too - in fact I'd suggest the probiotic in the first place. Yes, I know the spine is not the gut ;), but as 80% of one's immune system is in the gut, providing protection for the rest of the body - then there IS a connection. But how many people will see that?


 
Posted : 11/05/2013 3:37 pm
Tashanie
(@tashanie)
Posts: 1924
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Topic starter
 

I didn't read the details and didn't realise antibiotics had to be taken for so long - so, yes, quite a serious drawback.

A good on-going probiotic is essential too - in fact I'd suggest the probiotic in the first place. Yes, I know the spine is not the gut ;), but as 80% of one's immune system is in the gut, providing protection for the rest of the body - then there IS a connection. But how many people will see that?

The pro-biotic (or maybe even pre-bitoic?) could help prevent the infection - and the maybe the pain - in the first place. . Once it is established I think the anti- bionics would be needed


 
Posted : 11/05/2013 6:07 pm
(@crackerjack)
Posts: 5
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[url]How back pain can be beaten with antibiotics: Breakthrough could cure 40% of sufferers | Mail Online[/url]


 
Posted : 12/05/2013 11:04 pm
CarolineN
(@carolinen)
Posts: 4760
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There is also some advice on prevention and treatment of back pain here.


 
Posted : 13/05/2013 12:04 am
(@hopehasgone)
Posts: 130
Estimable Member
 

Hi,

If the disc is pushing on the nerves, surgery will still probably be the main option.
I do hope this works for whoever tries it though.
I actually met a taxi driver recently who told me he had a slipped disc and his GP gave him antibiotics and he was better. At the time I thought 'whatever, this guy probably has some other problem'. Now, reading this study I do wonder if it is true. However, on the flip side it may become a cost cutting thing for the NHS. Surgery is expensive and this is probably going to work out cheaper. I hope they give this treatment to the right people.


 
Posted : 22/05/2013 9:15 pm
Tashanie
(@tashanie)
Posts: 1924
Noble Member
Topic starter
 

Hi,

If the disc is pushing on the nerves, surgery will still probably be the main option.
I do hope this works for whoever tries it though.
I actually met a taxi driver recently who told me he had a slipped disc and his GP gave him antibiotics and he was better. At the time I thought 'whatever, this guy probably has some other problem'. Now, reading this study I do wonder if it is true. However, on the flip side it may become a cost cutting thing for the NHS. Surgery is expensive and this is probably going to work out cheaper. I hope they give this treatment to the right people.

It is ALAYS best to avoid surgery if possible. Antibiotics would be cheaper-but the risks to the patient if it works are much less than with surgery, it doesn't need a hospital bed, can be treated as an outpatient .......... it is better for both patient and NHS on SO many levels.. For the 40% who will benefit its a no brainer .

So yes it WILL save costs - but it will be done because it is much safer for the patient than surgery even tho taking antibiotics for up to a year has its own down side Thise who do not respond will still be offered surgery.


 
Posted : 22/05/2013 10:59 pm
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