Early physical therapy might help ease lower back pain

Starting physical therapy right after lower back pain begins may provide relief sooner compared to doing nothing, but makes little difference over the long term, a U.S.


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Researchers followed more than 200 patients with recent onset of lower back pain for a year, randomly assigning them to receive either physical therapy or no treatment for four weeks at the start of the study.

One shortcoming of the study is that more patients dropped out from the usual care group than the physical therapy group, the authors acknowledge.

Another problem with usual care is that it’s essentially not any care at all, noted Dr. Ryan Petering, a sports medicine researcher at Oregon Health and Sciences University in Portland who wasn’t involved in the study.

To get a more complete picture of the benefits of physical therapy, it would be helpful to compare people who got this intervention to another group of people who got instructions on how to do exercises on their own at home, Petering said by email.

“For many patients, dealing with chronic back pain (the category you’d be in if still experiencing it at one year) requires maintenance therapy – not exclusively with a therapist but doing a home exercise program, possibly one given by to you by a therapist,” Petering said.

It’s also possible that providing physical therapy over a longer period of time might have produced additional benefits, but it’s chiropractor dallas hard to determine that from the current study, said Steven George, a physical therapy researcher at the University of Florida who wasn’t involved in the study.

Even if the benefit is limited to the first three months after the onset of pain, however, patients may think physical therapy is worth the effort, George said by email.

“If patients knew that their symptom chiropractic treatment for headaches relief is not going to be complete, but it has a chance of placing them at a better recovery trajectory earlier, then patients would likely be in favor,” George said.


How Georgia Deputy’s Anonymous Good Deed Came Back to His Sheriff’s Office

A Georgia sheriff’s deputy was off-duty when he saw a struggling pregnant woman at a gas station, and he anonymously stepped in to help.

The woman was in line Thursday, June 18 at a gas station in Forsyth County, Georgia, about 40 miles north of Atlanta.

She was on the phone with her fiance, telling him how she was trying to scrounge up enough money to put $10 of gas in her tank, according to Forsyth County Sheriff’s Office spokesman Robin Regan.

“It was the day before pay day,” Regan told ABC News. “She was just trying to make it to the end of the week.”

A Forsyth County Sheriff’s deputy was in line in front of her and overheard her phone call. He was still in uniform, Regan said, but his shift was done for the day, and web design pricing was about to drive home.

The deputy quietly paid for her gas, later telling Regan it “seemed like she needed help.”

“He managed to sneak out before she realized what had happened,” Regan said.

Once the woman got off the phone and went to pay for her gas, the clerk told her the deputy already took care of it, Regan recounted. When searching for High Quality, Ecommerce Design search engine mobile and friendly friendly sites you have to take a look at employing the leading Tools Free site design Business in Traverse city.

The woman then ran out the door to try to thank him, but saw the officer driving away.

She sent a Facebook message to the sheriff’s office, describing the deputy and his car.

“We knew exactly who he was,” Regan said. The deputy tried to stay anonymous, “But we quickly realized that he was the one who had done it.”

Regan said the deputy later told him it “seemed like Web Page right thing to do.”

Natrona County teen commutes 2 hours each way to school

CASPER, Wyo. (AP) – Bus 107 emerges from the cold Wyoming night into the bright light of the Independence Rock rest area. It rumbles to a stop in front of a trailer nestled at the base of the historic monument, which is still hidden in darkness.

The door opens and a 15-year-old girl wearing a wide-brimmed cowboy hat, work boots and a camouflage jacket saunters onto the empty school bus. Victoria Nichols smiles at the driver, Shirley Robinson, then flops down in her seat, the second from the front.

Nichols mother, Bobbie Butler, is the rest areas caretaker. Standing in the chilly morning air, she clutches her chest against the wind and complains to Robinson about a cold she cant shake. They chat for a few minutes.

Theres no rush this early in the morning.

With a whoosh of air brakes, Bus 107 lumbers forward. Its 6:15 a.m., and Victorias 12-hour school day has just begun. The sophomore at Kelly Walsh High School has one of the longest commutes in the Natrona County School District bus system.

The bus begins to carve a path through the frigid darkness of Wyoming Highway 220, squeaking and grumbling in protest.

Victoria is one of 6,280 students who ride the school bus each day. Not counting the Midwest and Powder River routes, or field trips and sporting events, district buses traveled more than a million miles last year.

She stretches out her right leg and rubs her knee. Years earlier, she tore a ligament inside the joint.

I was told I could be in pain for the rest of my life, she says. If I had listened to my physical therapist the first time, it wouldnt be like this.

Victoria broke a rib riding a steer when she was 10. Shes a boxer, a cowhand, a bronc rider, and unlike most 15-year-olds, shes pretty sure about the life ahead of her. Next semester shell spend part of her day at the districts new high school, Pathways Academies. The schools shop classes will help Victoria toward certification as a mechanic.

I was going to go into the agriculture part of it, but I figured I already know it all.

Victoria was raised near a ranch in Meeteetse. Shes happiest corralling cattle, training horses and setting fence posts. Anything physical, she says.

It was hard leaving Meeteetse. She grew up there with her dad, siblings, stepbrothers and sisters. Shes made the move twice now. The first time she didnt have that many friends in Meeteetse. But when she went back, she made friends, only to leave again.

Most of the kids at school either hate me or are scared of me, she said. That might be because she likes a good fight, she says. But shes made some close friends, too. Mainly boys, rednecks like her.

None of Victorias friends rides the early bus. Mostly she keeps to herself and sleeps.

In a few years, Victoria will turn 17. She wants to go into the Army National Guard like her sister. Shes even considered joining the Marines. Eventually, shell be a rancher. Theres no question of that, she says.

Its early in the commute, but the sky has turned a misty blue-pink. Each day, the teen watches the sun rise and set from the windows of Bus 107.

The bus pulls up to a small store to pick up two more students.

Robinson has a soft spot for the rural kids on her route, so she lets Victoria hop out to buy a Danish for breakfast. As the bus pulls back onto the highway, Robinson and the two newcomers discuss a giant elk, hit by a semi. The conversation peters into silence until the next stop, a barren dirt road off the highway, Clarks Corner.

The trip is only halfway over.

Victoria transfers to the 113 bus, driven by Joshua Pantier. It idles on the side of the highway for 15 minutes, waiting for the elementary school kids to arrive.

Weighted down by backpacks, their faces obscured by scarves and hats, the little ones clamber aboard, and the volume on the bus doubles.

In the old days, tablets were called Gameboys, a little boy said. Thats why Im gonna get one.

Someone comments on the sunrise.

Would you call that peach? Peach-colored colored pencils are what I use for skin color.

Victoria has curled up on her bench seat. She sets her cowboy hat aside as the bus rolls out and checks her phone. She begins to text her friends.

Because of the long commute, Victoria isnt involved in after-school activities like sports or clubs. She hopes to have her drivers license soon.

//platform.twitter.com/widgets.jsShell work at a neighboring ranch in the summer to save money for a truck.

Patience is what a ranch kid has that other kids dont, she says, her face illuminated by the blue light of her phone as she taps out the texts.

Its like training a horse, she explains.

It takes forever. You have to have patience growing up on a ranch, she says. You got to have patience or youre going to ruin the horse.

The bus makes stops at a handful of schools. Students who got on the bus after Victoria depart. She remains in her seat.

The sun is glittering overhead when the bus approaches Kelly Walsh – the farthest of Caspers three high schools from her home – at 8:15 a.m.

The remaining students press their foreheads to the glass and discuss the kids on the sidewalk.

With a smile and a wave, Victoria hops off the bus. Classes will begin soon. About seven hours will pass before she boards the bus again and heads back toward Independence Rock. The sun will set before she arrives home.


Information from: Casper (Wyo.) Star-Tribune, http://www.trib.com