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HEALTHBEAT SHOW NOTES .... Episode #159 - Recorded July 25, 2008  

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast, and Proud to be the #1 Search Result for Chiropractic Podcasts in the iTunes Podcast Directory.

In this week’s news:  We’ll Look At –

  • Validity of self-reported history in patients with acute back or neck pain after motor vehicle accidents

  • Strokes and NSAIDS

  • Pain in Patellofemoral Pain Syndrome

  • Cholesterol Drugs for Kids

  • And Finally, Health Corner looks at the new Pediatric Guidelines for Children at risk for High Cholesterol

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #159, recorded July 25, 2008.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

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Validity of self-reported history in patients with acute back or neck pain after motor vehicle accidents

A study in the March-April 2008 issue of The Spine Journal, looked at the Validity of self-reported history in patients with acute back or neck pain after motor vehicle accidents.

Determining the presence of comorbid conditions in patients with persistent axial pain after motor vehicle accident (MVA) is important to direct appropriate care and as a public health measure against future traffic injuries.

 In the clinical care of patients after MVA, they are usually asked about previous axial pain problems and relevant comorbid conditions (psychological distress and drug and alcohol abuse). The accuracy of self-reported previous axial pain history and comorbid conditions after MVA has not been systematically evaluated but has been assumed to be high.

In patients being seen for continued pain related to an MVA, the validity of self-reported previous axial pain and comorbid conditions appeared poor. The self-reported prevalence of previous axial pain and drug, alcohol, and psychological problems is much less than the documented prevalence in prior medical records. These rates were also markedly below the expected prevalence in age- and sex-matched populations. This effect was seen most prominently in patients perceiving the accident to be another party's fault and in those filing compensation claims. The failure to appreciate previous axial pain problems and drug, alcohol, and psychological problems may compromise patient care and public health opportunities.

Surf to our Show Notes for a link to this study - http://www.thespinejournalonline.com/article/S1529-9430(07)00127-1/abstract

 

 

Strokes and NSAIDS

A study in the June 9, 2008 issue of the Archives of Internal Medicine, looked at the risk of stroke in individuals taking (COX)-2-selective nonsteroidal anti-inflammatory drugs (NSAIDs).

In clinical trials, cyclooxygenase (COX)-2-selective nonsteroidal anti-inflammatory drugs (NSAIDs) were associated with an increased risk of thromboembolic events. The authors studied the association between NSAID use and risk of stroke in the prospective, population-based Rotterdam Study.

The study concluded that in the general population, the authors found a greater risk of stroke with current use of nonselective and COX-2-selective NSAIDs. The risk of stroke was not limited to the use of COX-2-selective NSAIDs.

Surf to our Show Notes for more information - http://archinte.ama-assn.org/cgi/content/abstract/168/11/1219

 


Pain in Patellofemoral Pain Syndrome

A study in the June 2008 issue of the Clinical Journal of Pain, had its aim to assess whether a subgroup of patients with unilateral patellofemoral pain syndrome - PFPS have neuropathic pain related to the painful knee.

There is no consensus among experts regarding the etiology or management of patellofemoral pain syndrome (PFPS). Observations indicating dysfunction of the peripheral nervous system around the patellae have been reported.

A total of 91 patients with unilateral PFPS, between 18 and 40 years of age, and a comparable group of 23 healthy participants aged 18 to 44 years were included.

Level of knee function, pain intensity, and qualities were assessed. Somatosensory assessments were carried out by bedside neurologic tests and quantitative sensory testing, assessing thermal, tactile, and vibration thresholds.

This study hypothesizes that the observed sensory aberrations may cause neuropathic pain in patients with PFPS. There is no validated method for sub-grouping patients with possible neuropathic pain and in this study considerable heterogeneity and overlap regarding signs and symptoms of neuropathic pain made sub-grouping even more difficult.

A mechanism-based understanding of the pain is, however, essential for the selection of adequate treatment strategies in painful musculoskeletal disorders.

Surf to our Show Notes for a link to this study - http://www.clinicalpain.com/pt/re/clnjpain/abstract.00002508-200806000-00004.htm;jsessionid=LxLDL42MjJwL4CJpnk2L8gyvjGf0P43Rk3Cn0fCTztGhb6DgSrX2!1475522543!181195628!8091!-1

 

 

Cholesterol Drugs for Kids

According to the NY Times, the US nation’s pediatricians are recommending wider cholesterol screening for children and more aggressive use of cholesterol-lowering drugs starting as early as the age of 8 in hopes of preventing adult heart problems.

The new guidelines were to be issued by the American Academy of Pediatrics on Monday July 7, 2008. The push to aggressively screen and medicate for high cholesterol in children is certain to create controversy amid a continuing debate about the use of prescription drugs in children as well as the best approaches to ward off heart disease in adults.

But proponents say there is growing evidence that the first signs of heart disease show up in childhood, and with 30 percent of the nation’s children overweight or obese, many doctors fear that a rash of early heart attacks and diabetes is on the horizon as these children grow up.

Previously, the academy had said cholesterol drugs should be considered in children older than 10 if they fail to lose weight after a 6- to 12-month effort. The academy estimated that under the current guidelines, 30 percent to 60 percent of children with high cholesterol were being missed.

The guidelines give no guidance on how long a child should stay on drug treatment. But they do say the first goal should be to lower bad cholesterol levels to less than 160 milligrams or possibly as low as 110 milligrams in children with a strong family history of heart disease or other risk factors like obesity.

As always, COT’s HealthBeat always recommends discussing all treatment and prevention options with a qualified healthcare professional.

For more information about these new recommendations, surf to - http://well.blogs.nytimes.com/2008/07/07/cholesterol-drugs-for-kids/

http://aappolicy.aappublications.org/cgi/content/abstract/pediatrics;122/1/198

 

 

Health Corner – In this week’s Health Corner, we continue our discussion of Cholesterol reducing drugs for children.  New Guidelines by the American Academy of Pediatrics.

As always, COTs HealthBeat recommends discussing pediatric and nutritional issues with a qualified healthcare professional.

Surf to our Show Notes for more information about this story - http://www.pbs.org/newshour/bb/health/july-dec08/childrenldl_07-07.html

 

 

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Finally, I leave you with the following quote:

"Anyone who isn't confused really doesn't understand the situation."
– Edward R. Murrow

For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.

 

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