Research shows that not getting enough sleep can lead to changes in how people process pain & can make chronic pain worse. A study by Simpson et al showed that 25 days of interrupted sleep led to clear changes in how people processed their pain. Continue reading
A recent clinical trial suggests that a new kind of treatment for post-traumatic stress disorder (PTSD) called written exposure therapy (WET) may deliver the same results in less time than traditional therapies. WET involves writing about traumatic experiences. Continue reading
CBT is a useful treatment option for patients with non-cancer pain, according to new research. The authors discuss a growing evidence base that includes studies, reviews & randomized trials of CBT in the treatment of chronic pain. Continue reading
In a study published in August 2017, researchers measured the association between low back pain (LBP) & muscle-strengthening activity (MSA) in adults. They found that engaging in MSA at least 2 times per week was associated with having lower odds of having LBP. However, they found that this association did not hold in male smokers. Continue reading
In a new albeit small study, scientists measured the effects of intense training in short spurts versus moderate training over a longer period. They found that the former, called “High Intensity Interval Training” (HIT), improved migraine symptoms more than the latter, called “Moderate Continuous Exercise” (MCT). Continue reading
Many people consider PTSD (post-traumatic stress disorder) to be purely a psychological condition but a new study at UC San Diego Health shows that PTSD may have an underlying physical basis.
The UC researchers observed that the brain emotional control centre called the amygdala was larger in head injured individuals who develop PTSD after mild traumatic brain injury (mTBI) than in those with mTBI who did not develop PTSD. Continue reading
A radio-frequency rhizotomy (or denervation) is a procedure many medical specialists in the field of pain management use to treat patients with chronic back or neck pain caused by proven damage to one or more of their facet joints. These very small joints serve to stabilize between & behind adjacent vertebrae & they can be damaged in vehicle accidents.
Clinical trials with 681 patients with chronic low back pain showed….. Continue reading
Yoga can be as likely to be effective as physical therapy in relieving moderate & persistent low back pain according to a recent study of 320 people published in the Annals of Internal Medicine. Researchers assigned 320 people ages 18 to 64 to one of three groups. Each group did one of: Continue reading
Many people suffer from anxiety when driving after their car accident. Often their physicians prescribe medication & psychotherapy.
An article on May 18, 2017 in Medscape Psychiatry reviewed the scientific literature on whether certain foods can also be beneficial in lowering people’s level of anxiety. Continue reading
Many people injured in car accidents have difficulty sleeping due to pain. New research suggests that even mildly insufficient sleep duration can have an adverse effect on people. Continue reading
Many injured people suffer a great deal of psychological stress after their accident. They are often on tight budgets because they are unable to work. Thus they may buy less fruits & vegetables to reduce their grocery bills.
A recent large study involving more than 60,000 Australian participants showed that injured people may unknowingly increase their risk of suffering from post-accident mental stress by eating less fruits & vegetables.
The study also found a surprising difference between men & women. Continue reading
Many people injured in vehicle accidents develop depression. Sometimes this is so severe that a physician or psychologist diagnoses the patient as having “clinical depression”. Often this is a result of people realising that their recovery will not be as rapid as they had hoped.
A recent study showed that if people follow a very healthy diet they may be able to:
- lower their risk of developing clinical depression or
- recover from their clinical depression more quickly.
People injured or insured in BC who suffer PTSD as a result of an mva are entitled to ICBC Accident Benefits. These include funding for psychological treatments & reimbursement for prescribed medications.
There are a few psychotherapy treatments & medications that are shown to be effective in the treatment of PTSD including:
- prolonged-exposure therapy,
- cognitive processing therapy,
- eye movement desensitization & reprocessing (EMDR) &
- a couple of selective serotonin re-uptake inhibitors (SSRI’s).
Many injured people who do not have a speedy recovery from their injuries are tempted to consider treatment by injections of Botox (Botulinum Toxin).
A pain management physician at the U. of Colorado Health Sciences Centre* wrote an article in Medcape on March 9, 2016 in which she referred to a review of botulinum toxin studies performed by the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology… Continue reading
In 2007 the American College of Physicians and the American Pain Society published an article entitled “Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guidline”.
Part of the guidelines dealt with the treatment of low back pain. The subcommittee wrote the following recommendations for each of acute (duration less than 4 weeks), subacute (duration 4 to 8 weeks) and chronic low back pain: Continue reading
The study randomly assigned participants to one of three groups, those in:
- weekly yoga classes over 12 weeks, which taught breathing exercises, postures and deep relaxation;
- weekly stretching classes which taught aerobic exercises, deep stretches & strengthening exercises focused on the lower body; &
- “self-care”. This was the control group. They only received a book with advice on back exercises & how to reduce pain.
A recent medical study shows the ineffectiveness of acetaminophen (Tylenol) in reducing pain & disability for patients with spinal pain or osteoarthritis. It also found that it may have harmful effects on the liver.
The findings from this study emphasize a shift away from pharmacological treatment to non-pharmacological ones. Continue reading
American & Canadian PTSD experts conducted a new study that revealed that treating post-traumatic stress disorder is more effective for “patients in committed relationships when their partners are deeply involved in the care”. Continue reading
Dr. David Camarillo is a bioengineering professor at Stanford University & a brain injury expert. His lab has designed a new very large helmet to greatly reduce the risk of brain injury. It provides more space & therefore more time for the head to slow down so that the brain is not bruised by hitting the inside of the skull. Continue reading
The New York Times wrote: “the scientists concentrated on all Swedes born between 1973 and 1985 and looked for those who had experienced a head injury of some kind before the age of 25. More than 104,000 people qualified.
A new study published in the Pediatrics medical journal shows that those who experienced a concussion and did not rest immediately afterwards took nearly twice as long to recover as those who rested immediately.
In a series of guidelines, medical agencies including the Centers for Disease Control and Prevention (“CDC”) in the USA are warning doctors about the dangers of prescribing opiates for chronic pain. They point to strong evidence suggesting that drug and opioid related deaths have sharply increased each year since 2000.