Women's back pain is increasingly being taken seriously. But common spinal surgeries can be costly and risky.
Women’s back pain is increasingly being taken seriously. But common spinal surgeries can be costly and risky.The troubling paradox for women is this: while they suffer more chronic pain than men — they often find their reports of pain not taken seriously. receive less and less effective pain relief, are prescribed more antidepressants, get more mental health referrals and are perceived as emotional, complaining, not wanting to get better, and fabricating the pain.
Spinal cord stimulators are surgically implanted devices that deliver electric impulses to the spinal cord. Despite aggressive marketing regarding their effectiveness, of all the scientific trials on these devices has found that spinal cord stimulators probably do not “have sustained clinical benefits that would outweigh the costs and risks of this surgical intervention”.
While in the past, a woman with chronic back pain may have been referred by her GP for imaging and drugs or referred to an orthopaedic surgeon, a more appropriate pathway for many types of pain may now involve a GP and physiotherapist working with the patient in an individual way to apply biopsychosocial techniques for pain management.
Unfortunately, many people miss out on education. Sufferers should ask their health professionals for simple explanations as there is strong evidence people with chronic pain want to be heard and validated, and working with a health professional who is a good communicator is important for patient outcomes.
, a new treatment developed for lower back pain, which can be adapted for other musculoskeletal pain conditions — as long as serious causes of the pain are excluded. CFT is offered by some specially trained physiotherapists and other clinicians., the clinician works with the patient to identify and address their individual barriers to recovery, coaching them to self-manage their condition and reach their goals.
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