Wednesday March 20, 2019

Researchers Examine Patterns of Back Pain

The bad news is that one in five experienced persistent back pain, said Canizares

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Researchers study patterns of back pain. IANS

Researchers have examined the patterns of back pain over time and patient characteristics in relation to the disability.

In addition, they have identified the extent of healthcare and medication use (including opioids) associated with different patterns.

Back pain is among the most frequently reported health problems in the world.

For the study, researchers from the University Health Network’s Krembil Research Institute in Toronto, Canada studied 12,782 participants for 16 years.

They provided data on factors including comorbidities, pain, disability, opioid and other medication use, and healthcare visits.

The results showed that almost half (45.6 per cent) of the participants reported back pain at least once.

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The study included four groups of pain: persistent (18 per cent), developing (28.1 per cent), recovery (20.5 per cent), and occasional (33.4 per cent).

The findings, published in Arthritis Care and Research, showed that the persistent and developing groups tended to have more pain and disability, as well as more healthcare visits and medication use than those in the recovery and occasional trajectory groups.

In addition, the recovery trajectory group increased the use of opioids and antidepressants over time.

“The good news is that one in five people with back pain recovered. However, they continued to use opioids and antidepressants, suggesting that people recovering from back pain need ongoing monitoring,” said lead author Mayilee Canizares, postdoctoral candidate from the varsity.

The bad news is that one in five experienced persistent back pain, said Canizares.

People with back pain are a heterogeneous group that may benefit from different approaches to management rather than a traditional one size fits all approach. The distinct groups identified in the study may represent opportunities for more individualised treatment and preventative strategies, Canizares noted. (IANS)

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Researchers Suggest Childbirth at The Age of 50 Safe

Besides pregnancy complications, the team also examined if the newborn suffered from poor physical condition, mortality or distress during labour

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Pregnant Women
Lady with her baby. Pixabay

It is as safe to give birth at the age of 50 as at 40 and it would not endanger the mother or the baby, suggest Israeli researchers.

The study, led by a team from Israel’s Ben-Gurion University of the Negev (BGU) and Soroka University Medical Centre, found that owing to medical and technological advancements – including extracellular fertilisation and egg donation – the age at which a woman can give birth has gradually increased.

“It turns out that 50 is the new 40 when it comes to childbirth,” according to Eyal Sheiner, Director at the Department of Obstetrics and Gynecology in Soroka.

“There is no doubt that medical teams will need to handle increasing numbers of birth for women over the age of 50,” Sheiner added.

Complications, such as premature births, gestational diabetes, hypertension and cesarean sections, were found higher among women over 40 who gave birth to children compared to those who gave birth below that age.

Epilepsy is likely due to the higher doses of topiramate when used for controlling seizures. Wikimedia Commons
Childbirth at 50 could be safe: Study. Wikimedia Commons

However, there was no escalation of these complications in women over the age of 50, compared to women who gave birth between the age of 40 and 50, according to the study presented at the Society for Maternal-Fetal Medicine (SMFM) 39th Annual Meeting on Pregnancy.

But Sheiner still advised to treat the pregnancies of women over the age of 40 as high-risk ones, even more so in case of pregnancies of women over the age of 50.

Special emphasis should be placed on tracking fasting glucose and pregnant blood pressure for early detection of complications, he said.

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The study included 242,771 deliveries at Soroka, of which 234,824 (96.7 per cent) occurred in women younger than 40 years and the rest occurred in women between the age group of 40 and 50 and older.

Besides pregnancy complications, the team also examined if the newborn suffered from poor physical condition, mortality or distress during labour. (IANS)