Alexander Technique in Lewes - with Adele Gibson MSc MSTAT - Tel:  01273 473168
RSS

Recent Posts

New Alexander session at Phoenix centre
Re: antibiotics for back pain
Gardening with a little Alexander Technique know-how
Walking uphill and against the wind
First post - benefits of lying down in semi-supine

Categories

Antibiotics for back pain?
Everyday activities
Releasing tension and relieving back pain
Walking in an Alexander way
powered by

My Blog

Re: antibiotics for back pain


A recent study into the use of antibiotics as a cure for back pain was completed in Denmark and published in the European Spine Journal in early May.  A press conference was held to publicise the findings and newspapers widely reported the research.  The articles claimed that 40% of back pain could be cured by antibiotics, there was even mention that the research could be worthy of a Nobel Prize.  As an Alexander teacher with a particular interest in back pain, I was interested to take a closer look at the findings.

Firstly the BMJ take (14 May 2013):

The trial was a randomised double blind controlled trial of 162 patients with a history of at least six months of low back pain and previous disc herniation that was visible with magnetic resonance imaging (MRI).A few news reports urged caution. The Canadian Globe and Mail quoted a physician who said that there were “dozens of causes of back pain” that would not respond to antibiotics. The Independent reported from the press conference: “The examination can only be carried out by a practitioner trained to recognise the changes and distinguish pain caused by infection from that due to other causes.”Martin Underwood, professor of primary care research at Warwick Medical School and who has chaired National Institute for Health Care Excellence (NICE) guidelines on low back pain, told the BMJ, “These are promising preliminary findings, but it is too soon to start changing practice on their basis until they have been replicated in other studies and in other populations.” He went on, “These findings are only relevant to a small minority of people with chronic back pain who have both degenerative changes and evidence of modic changes.”

From BMJ responses: G Lorimer Moseley – Clinical Scientist – University of South Australia - replies

I believe that chronic back pain is a multifactorial problem. I believe that persistent pain is associated with changes in sensitivity throughout the nociceptive neuraxis, and with multiple system dysfunction. I believe that persistent pain is evidence that the brain still concludes that a body part needs protecting and working out why this is the case can be very very difficult. I believe the evidence in support of my position is very compelling. It is difficult for people in pain to accept this position because it implies that the journey to recovery will necessarily be a long and difficult one, rather than a short and easy one.This is not the first study to claim a simple cure for back pain – a recent example is that of an RCT of injecting blue dye into the disc, which had better outcomes than the antibiotic study, and was accompanied by an editorial raising the possibility that is was a ‘cure’1, but it didn’t get anything close to the hype that the antibiotic paper did (perhaps including ‘Nobel’ in the media release was the key). We must remember that patients probably don’t hear the qualifying statements that put the idea of ‘cure’ into context – they just have a new reason to hang on to an outdated model of their chronic pain.

From Rheumatology Update:

A widely publicised study which claimed antibiotics could relieve up to 40% of lower back pain failed to disclose its authors’ potential conflicts of interest, it has emerged.Three authors did not state they serve on the board of a UK company that receives money to certify doctors in antibiotic therapy.The publicly-listed Modic Antibiotic Spine Therapy Academy, or MAST Academy, charges £200 ($310) to certify doctors in how to identify and treat modic back pain with antibiotics. Clinicians can alternatively take an online course for £100 ($155).The authors claimed that the cause of up to 40% of lower-back pain was a common infection in the vertebrae that could be cured by antibiotics.The randomised double-blind trial concluded that 100 days of amoxicillin with clavulanic acid reduced disability and pain compared to a placebo in 162 patients with chronic lower back pain associated with vertebral bone edema.Dr Michael Vagg, a pain specialist at Deakin University, told Fairfax Media that while the link between bacterial infections and some back pain was plausible, the authors had not shown that the infection in question was the cause of the patients’ pain.“They don’t have the science to entitle them to make the sort of claims they’re making,” he said.

It would seem that the newspapers were guilty of hype and some of the writers were guilty of a lack of serious scientific investigation.  We know that back pain can be attributed to a number of causes and the most common cause is muscle spasm.  Disc related injuries are less common.   In our work as Alexander Teachers we work with correcting misuse – a term which covers how we use our bodies in all our daily activities and includes posture, movement and breathing.  Our own MRC sponsored trial showed that the incidence of back pain could be reduced by 86% by having Alexander lessons.    

74 Comments to Re: antibiotics for back pain:

Comments RSS
Buy Cancer Drugs on 06 August 2013 07:16
That's the very nice post you have shared with us. I really liked it. Please keep sharing more and more information.
Reply to comment
 
Replica Watches on 25 October 2013 03:07
I enjoyed reading you post.Keep sharing your excellent work.


severe pain in neck and shoulder on 22 August 2013 16:16
Really, very information your writing about the back pain concerning issue. The new research and the antibiotics for the back pain conception and your knowledge thought is very handful one review to me.
Reply to comment


best yoga for back pain on 20 December 2013 07:19
Thanks for contributing your important time to post such an interesting & useful collection on Re: antibiotics for back pain.It would be knowledgeable & resources are always of great need to everyone. Please keep continue sharing.
Reply to comment


Car Backache relief on 07 January 2014 12:03
For those who have never suffered back pain, it is possible that they can sympathize with those who are regular sufferers, but it is unlikely that they can truly appreciate the amount of pain and suffering that back pain brings.
Reply to comment


lower back pain on 15 January 2014 14:11
I am promised in evolving your subscriber, so large great large delight comprise me changed. I find the thoughts and mind-set of this blogger, very inspiring and really worth following. guaranteeing work.
Reply to comment


Buy Roxithromycin Online on 10 April 2014 08:26
This information is really helpful as well as informative. Thanks for sharing your experience with us.
Reply to comment


Cervical traction on 14 April 2014 11:57
It is extremely helpful for me. Thank you for taking the time to discuss this blog Re: antibiotics for back pain, I feel strongly about it and love learning more on this topic. If possible, as you gain expertise, would you mind updating your blog with more information?
Reply to comment


teamadixxion on 28 May 2014 09:09
Great post, exactly what I was looking for, thank you for your blog
Reply to comment


Jobs in canada on 19 June 2014 01:51
Brilliant article at all! I just pleased to read about this total story at all. Really I was looking forward to read about it. Thanks for this allocation
Reply to comment


Kjell Alenius on 19 June 2014 09:20
Well the author is very much informative in his post.He have shared really great information for us.
Reply to comment


New line smile network on 20 June 2014 07:33
very nice post to read about.the author is very much informative in this post
Reply to comment


Lipozene on 15 July 2014 09:54
A very informative site. The way you have share this information is really very appreciative. Hope to see more on this topic here. Thanks for posting this information here.
Reply to comment


SlimQuick on 15 July 2014 11:09
thanks ..i have bookmarked it already
Reply to comment


Lipozene on 17 July 2014 07:57
I harmonize with your conclusions and will thirstily look forward to your approaching updates
Reply to comment


Hydroxycut on 23 July 2014 13:23
Always has really good posts and topics please keep it up! loads of blogs are going under lately from lack of new posts etc
Reply to comment


Diet Pills 2014 on 24 July 2014 13:50
Instantly amazed with all the useful information that is on it. Great post, just what i was looking for and i am looking forward to reading your other posts soon!
Reply to comment


SlimQuick on 26 July 2014 07:58
Thanks for the information. You provided food for thought. Thanks for sharing the information. All the best to you.
Reply to comment


Lipozene on 27 July 2014 15:11
Instantly amazed with all the useful information that is on it. Great post, just what i was looking for and i am looking forward to reading your other posts soon!
Reply to comment


Buy Lipozene on 28 July 2014 10:55
Online reading is not my thing. But after reading your blog I am really pleased. I don’t know about other blogs but this I will definitely keep coming back to.
Reply to comment


Lipozene on 21 August 2014 18:59
I am going to subscribe, so I can learn more. I can't wait to receive updates through e-mail.
Reply to comment


Weight Loss on 04 September 2014 12:36
Thanks for the information. You provided food for thought. Thanks for sharing the information. All the best to you.
Reply to comment


Lipozene Scam on 17 September 2014 15:53
I believe that you recognize how to construct people pay attention to what you have to pronounce, particularly with a concern that’s so vital. I am pleased to suggest this blog.
Reply to comment


Phentermine on 22 September 2014 11:42
Thanks for sharing
Reply to comment


Yahoo Review Lipozene on 16 October 2014 18:10
I am very much pleased with the contents you have mentioned.
Reply to comment


Logan Akhtar on 20 January 2016 11:45
I truthfully believe you'd have entirely offered everyone on the concept acquired people had time to be able to support the premis using a substantial bit more strong information.
Reply to comment


play Gmod Download on 06 June 2016 12:23
To score high grades students must present a good essay.They choosing the online academic writing services for that,
Reply to comment


Chronic Shoulder Pain Treatments on 09 June 2016 10:24
If you loved this write-up and you would such as to obtain additional details concerning site kindly check out our own web site.
Reply to comment


Back pain treatment on 04 October 2016 09:59
Hello I have to admit that I tried to find this information for a long time and I am so happy now finding it in your website. As I see this site looks really respectful so I will definitely bookmark it.
Reply to comment


rolex replica on 26 September 2017 02:57
Hello I have to admit that I tried to find this information for a long time and I am so happy now finding it in your website. As I see this site looks really respectful so I will definitely bookmark it.
Reply to comment


invoice forms on 25 April 2018 12:58
we must know about the infrared massage. You have shared very good post about infrared massage. Thank you very much for it and carry on it.invoice form hard copy
Reply to comment


Replica Watches on 04 June 2018 04:06
very informative article. I love your site so much. you have shared an informative post.
Reply to comment


printinggood on 23 June 2018 07:53
You made my day! I am very happy and relaxed too that I find this blog. I was looking for the matter discussed in blog post. If you have some more blogs on the material please share those as well. Thanks a lot and keep sharing such useful information. Comfortable Asset Tags
Reply to comment


Dwayne on 11 July 2018 07:21
Useful post.Thank you very much sharing a very good post antibiotics for back pain. I am very happy to read this post. Carry on it. Garage Racking Supplier in UK
Reply to comment


henry on 13 July 2018 06:53
You have provided good information. I would love to read more on such topics. Thank you very much for it and carry on it. Report Forms
Reply to comment


sound proofing co on 16 July 2018 14:14
Inspiring info you have shared with us. I Really thank you from the core of my heart.Thanks for sharing such information with us.
Reply to comment


garage racking co on 18 July 2018 11:28
I have back pain and i was just searching for something cure. I would like to say your post is really beneficial for me and also for others. Keep posting valuable info.
Reply to comment


london brick company on 18 July 2018 13:29
Thank you for creating an article that has amazing substance and is well formed and even I am revived by your composed style as well.
Reply to comment


peter on 13 November 2018 07:51
You have provided good information. I would love to read more on such topics. Thank you very much for it and carry on it. Printing of General Contractor Forms
Reply to comment


http://www.ncrformsco.co.uk/flower-shop-forms-printing/3-part-flower-shop-forms.html on 16 January 2019 13:34
This blog was really great, never seen a great blog like this before. i think i am gonna share this to my friends.
Reply to comment


sammy on 21 February 2019 06:29
Thank you for all your efforts that you have put in this. Very interesting information I like this site very much so much superb information. http://www.customstickers.us/Custom-Car-Stickers/Car-Vinyl-Decals
Reply to comment


Domi Jon on 30 March 2019 11:33
It is interesting to read your blog post and I am going to share it with my friends. Herbew Fentos
Reply to comment


Jason Bravo on 03 April 2019 09:38
I am glad to read about your blog where you have described outstanding information.
Reply to comment


Alfred Mason on 08 May 2019 09:03
This blog is really cool and great. i really appreciate your working on that blog. Here on this blog you have provided a lot of valuable information. Thank you ): Best quality imperial yellow bricks
Reply to comment


UK Discount code on 12 November 2019 16:19
Thanks,for such a great post. I have tried and found it really helpful. I always prefer to read the quality content and this thing I found in you post.
Reply to comment


jimmi on 18 November 2019 09:51
I am pleased to be on this website,you have shared content which is unique and easy to understand.I will come back to read more similar stuff. Best quality heavy duty casters
Reply to comment


Mike on 18 November 2019 12:09
Just found this website while searching over the internet.You have shared content which i like reading.Keep sharing more similar articles. Purchase Garage Racking
Reply to comment


best driving schools Birmingham UK on 29 November 2019 07:08
Pretty cool post you have shared with everyone. It’s really very nice and useful post. I have been reading many articles on the same issue but found this one uniquely written.
Reply to comment


telescope for beginners on 02 December 2019 14:57
I was on your website and reading your blog. You have shared very informative blog for everyone. Please keep update from your more blogs. Thanks for sharing this with me.
Reply to comment


https://www.bulksoccer.com/goalie/ on 03 December 2019 12:43
Wonderful article with well-written content, Thanks a lot for the kind of perfect topic I have not a lot of information about it.
Reply to comment


kraft packaging boxes on 03 December 2019 13:14
Your post is really lovely and different then others, I am truly impressed your work and like your writing skills.
Reply to comment


Martin on 07 December 2019 07:54
I read your excellent post. After reading this post, i really appreciate your effort and my request is to please share us more post in future. Keep it up. phlebotomy one to one training
Reply to comment


Stuart Broad on 13 December 2019 07:40
Your way of working is very interesting and amazing. I really like it very much. I want more similar topics about this post to increase our knowledge. Thanks for sharing and keep sharing. Different sizes pvc tarpaulin
Reply to comment


Jacob on 13 December 2019 08:01
I am glad to know that the article is really very good. I see in the blog and over car valeting for here. I am appreciate in the work. Buy Gym Mats
Reply to comment


Kevin Steve on 14 December 2019 09:34
Your way of working is very interesting and amazing. I really like it very much. I want more similar topics about this post to increase our knowledge. Thanks for sharing and keep sharing. Click to visit phlebotomy training program
Reply to comment


Tiara on 14 December 2019 13:07
This blog is very helpful for me. I am glad to know that the article is really very good. Pest control Service
Reply to comment


Harry on 15 December 2019 20:40
I really appreciate your blog. your blog is really informative me and cool. your blog is awesome and cool. thanks for sharing the nice and cool Mercosur
Reply to comment


jake on 16 December 2019 11:39
Inspirational and valuable website you have provided to us. I would like to appreciate you for much interesting and useful website. buy mobile on installments
Reply to comment


Fiz on 16 December 2019 23:41
This article is very interesting and amazing. I am really impressed with your work. I want more similar topics about this post to increase our knowledge. Thanks for sharing and keep sharing wedding party dresses
Reply to comment


Instagram viewer on 08 January 2020 09:28
This is additionally a generally excellent post which I truly appreciate perusing. It isn't regular that I have the likelihood to see something like this. Explore photo and video images on Instagram, latest posts and popular posts about Pikdo.
Reply to comment


stem cell procedure for knees on 25 January 2020 10:27
I’m extremely impressed with your writing skills and also with the layout of your weblog. Is this a paid theme or did you modify it yourself? Anyway keep up the nice quality writing, it is rare to see a great blog like this one nowadays.Thanks a lot.
Reply to comment


Phantom Pain Frankfort on 25 January 2020 11:28
What a fantastic publish! Other than the seriously helpful ideas, it really is just really ! Thanks a great deal in your strategies!!
Reply to comment


natural treatment for dystonia on 25 January 2020 12:22
I like your blog post. Keep on writing this type of great stuff. I'll make sure to follow up on your blog in the future.
Reply to comment


Logo Designing on 31 January 2020 21:22
Thank you so much for the informative and interesting post I like your points which you have discussed over here, great job.
Reply to comment


Harry on 08 February 2020 12:09
Your blog is very effective and valuable. I really like it very much. I hope you will soon share your next post about this discussion. Thanks for sharing and keep sharing. Learn riving lessons in Birmingham
Reply to comment


Jigulina on 11 March 2020 18:14
Your blog is really great and cool. I have read your blog. This blog is very informative for a lot of people. I am really impressed with your work wedding limo service rental
Reply to comment


Eyal Nachum on 17 March 2020 14:43
Developed financial institution products locate themselves increasingly displaced as well as for both companies and consumers banking has mainly come to be more practical, efficient and easy of access. Unlike conventional financial institutions, FinTech startups run versatile and quickly when it involves implement brand-new services based on altering demands. Eyal Nachum is a fintech guru and a director at Bruc Bond. Eyal is the architect of the software that SMEs use to do cross-border payments.
Reply to comment


potential profits on 23 March 2020 16:34
The market is significant. According to CB Insights, there are "41 VC-backed fintech unicorns worth a mixed $154.1 B." One driving variable is that lots of standard banks are advocates and adopters of the innovation, proactively spending in, acquiring or partnering with fintech startups since it is simpler to offer digitally-minded clients what they desire, while likewise moving the market forward and staying pertinent.
Reply to comment


Noah on 09 May 2020 13:40
I am absolutely taking pleasure in your publish and anticipate new posts. You shared such a informative things. Your blog is very informative and i appreciate your effort. Thanks for sharing this. more info
Reply to comment


David on 06 June 2020 11:50
Lots of great information and inspiration, both of which we all need. your blog and detailed information. You did a great job here and thanks for shearing such a blog. Get appointment for facial aesthetics in turnersville
Reply to comment


Adken on 12 June 2020 11:23
This site is full of valuable ideas and significant information which we can share to our family and friends, thanks to the site administrator you really did a great job. Visit us now to purchase caster wheels uk
Reply to comment


Burton on 17 July 2020 15:14
It is one of the best information which you are providing. I love your blog because it totally full of informative posts. You are nice one and thanks for sharing. tablet for kids
Reply to comment


Alivina on 21 July 2020 03:34
It is very nice and informative blog through which we gain a lot information for our some purpose. you did a great job and i appreciate your effort. Very nice shear and keep on sharing. How to learn Automatic driving lesson Birmingham
Reply to comment


Charli on 10 August 2020 06:05
I have read your blog. Your is very great and cool. I want more similar topics about this post to increase our knowledge. Thanks for sharing and keep sharing. Wide range of self adhesive magnets
Reply to comment

Add a Comment

Your Name:
Email Address: (Required)
Website:
Comment:
Make your text bigger, bold, italic and more with HTML tags. We'll show you how.
Post Comment
Website Builder provided by  Vistaprint