Cover image for Watch your back! : how the back pain industry is costing us more and giving us less, and what you can do to inform and empower yourself in seeking treatment
Watch your back! : how the back pain industry is costing us more and giving us less, and what you can do to inform and empower yourself in seeking treatment
Deyo, Richard A., author.
Personal Author:
Publication Information:
Ithaca : ILR Press, an imprint of Cornell University Press, 2014.
Physical Description:
xv, 212 pages ; 23 cm.
Back pain nation -- Even the best and brightest -- What's wrong? What's not? Can we tell the difference? -- Painkillers: easy solutions sometimes aren't -- Painkillers and the marketing of pain -- Pain management, now that's money -- Stabbed in the back -- Surgical gadgets and the explosion of fusion surgery -- The pointed search for relief: injections, ablations, and blocks, oh my! -- Why would you get better after useless therapy? -- Manipulating the pain: chiropractic and other alternative treatments -- Nobody takes it seriously! -- Boot camp -- Amplifying your voice -- Some policy implications.
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RD768 .D44 2014 Adult Non-Fiction Open Shelf
RD768 .D44 2014 Adult Non-Fiction Open Shelf
RD768 .D44 2014 Adult Non-Fiction Open Shelf

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Over the past twenty years, treatment of back pain has become ever more expensive and intensive. Use of MRI scans, narcotic painkillers, injections, and invasive spine surgery have all grown by several hundred percent. In some areas of medicine, newer treatments have improved quality and duration of life, but as back pain is treated more aggressively, annual surveys of people with back pain report steadily worse impairments. In Watch Your Back! , Richard A. Deyo, MD, proposes an approach to managing back pain, which most adults in the United States experience at some point, that empowers the individual and leads more directly to effective care.Though it may seem counterintuitive, fewer medical interventions may produce better results. Expecting a probe, a pill, or a procedure to cure back pain is usually unrealistic, yet entire industries promote the notion that someone else will "fix" you. Watch Your Back! exposes these flaws in the current approach to back pain, along with the profit motives and conflicts of interest behind many of them. The book dramatizes the problems with stories of prominent individuals who encountered high-tech pitfalls, then found low-tech solutions suited to their lifestyles and the nature of their back pain. Watch Your Back! will be useful not only for people with back pain but also for doctors and policy makers. Our health care system has a growing interest in reducing waste, overuse, and unnecessary care. There's a consensus that health care is too expensive and that we get too little for the money. Back pain exemplifies a problem for which we can simultaneously improve quality of care and reduce costs.

Reviews 1

Library Journal Review

Starred Review. If you haven't had back pain, chances are that your time is coming, since nearly two-thirds of all adults will eventually suffer from it in one form or another. However, as common as the problem is, there is still no consensus on the best treatment. While one study found more than 200 different suggested treatments (thank you, Internet), even medical professionals have been unable to narrow the field very effectively. Deyo (Oregon Health and Science Univ., Hope or Hype) methodically looks at the most frequently used methods of diagnosis and treatment and finds the evidence often lacking, negative, or distorted. With no stake in any particular treatment, the author cites numerous research studies, quotes experts he has interviewed, and provides anecdotes about sufferers, including President John F. Kennedy and Chair of Medicine at Harvard Medical School Jerome Groopman. The author's consistent message is that there is no magic bullet, that more isn't always better, and that patients should be informed partners in any decision. VERDICT Concise, clearly written, and evidence based, Deyo's work would be invaluable to those facing the onset of back pain and the dizzying range of treatment choices, as well as to practitioners and policy makers.-Richard Maxwell, Porter Adventist Hosp. Lib., Denver (c) Copyright 2014. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

Table of Contents

Prefacep. ix
Acknowledgmentsp. xiii
1 Back Pain Nationp. 1
2 Even the Best and Brightestp. 19
3 What's Wrong? What's Not? Can We Tell the Difference?p. 31
4 Painkillers: Easy Solutions Sometimes Aren'tp. 41
5 Painkillers and the Marketing of Painp. 51
6 Pain Management, Now That's Moneyp. 59
7 Stabbed in the Backp. 69
8 Surgical Gadgets and the Explosion of Fusion Surgeryp. 81
9 The Pointed Search for Relief: Injections, Ablations, and Blocks, Oh My!p. 93
10 Why Would You Get Better after Useless Therapy?p. 103
11 Manipulating the Pain: Chiropractic and Other "Alternative" Treatmentsp. 113
12 Nobody Takes It Seriously!p. 121
13 Boot Campp. 131
14 Amplifying Your Voicep. 143
15 Some Policy Implicationsp. 153
Notesp. 173
Indexp. 203