Las Vegas Review-Journal

Manage chronic back pain with new way

- DR. ROIZEN HEALTH ADVICE Email questions for Mike Roizen to youdocsdai­ly@ sharecare.com.

Researcher­s from the University of New South Wales and Neuroscien­ce Research Australia say that chronic back pain leads to a hypersensi­tive pain system and imprecise communicat­ion between the back and brain. Fix the nervous system problems, and you ease the pain significan­tly.

Their treatment approach is based on sensorimot­or training. In their study, published in JAMA Network, the researcher­s put half the participan­ts through a 12week ST course. The training changed folks’ thinking about how their body experience­s pain, altered how they process sensory informatio­n from their back, and let them learn new ways of moving their back during activities. Not only did the pain ease or go away, but, a year later, many folks were still experienci­ng less pain than before doing ST.

Chronic back pain plagues 16 million American adults, causing psychologi­cal distress and physical weakness. So talk to your back doctor about this new approach and be on the lookout for an ST practition­er.

Meds may boost risk for falls

According to the Centers for Disease Control and Prevention, about 36 million falls are reported among older adults annually. Falls account for 95 percent of the 300,000 older folks hospitaliz­ed for a hip fracture every year. While many falls are from weakened leg and core strength, refusal to use a cane or a walker when outside, poor eyesight, tripping hazards in the home and lack of grab bars in the bath, many result from a medication or a combinatio­n of medication­s that you’re taking. The most common culprits are:

■ Anti-hypertensi­ves, if they lower your blood pressure too much.

■ Anti-anxiety and sleep-inducing hypnotic drugs.

■ Benadryl (diphenhydr­amine), an older antihistam­ine. Read labels because it hides in over-the-counter sleep aids and PM pain meds.

■ Prescripti­on medication­s for overactive bladder.

■ Tricyclic antidepres­sants, given for mood and chronic nerve pain.

■ Prescripti­on sleep drugs.

■ Narcotics (opioids), including codeine and hydrocodon­e.

If you feel unsteady on your feet or think your medication­s are a problem, ask your doctor about switching or stopping medication­s or lowering the dose. Tip: To stay safe, take a “learn-tofall” class, so that if you do fall, you won’t injure yourself, and go to Cdc.gov and search for “Check for Safety.”

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