My Valentine’s Day Present from the American College of Physicians | Physical Therapy for everyBODY
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My Valentine’s Day Present from the American College of Physicians

Back Pain

American College of Physicians Issues Guideline for Treating Nonradicular Low Back Pain

Be still my heart! The America College of Physicians (ACP) decided to give Physical Therapists (and other “alternative” treatment options) a HUGE Valentine’s Day present by issuing new guidelines for the treatment of nonradicular low back pain.
Okay, did I lose you at “nonradicular”? That just means low back pain that is in your back and does NOT radiate down to your leg! Radicular low back pain is pain that begins in your back AND radiates down your leg. Radicular low back pain is caused by a pinched nerve in your lower back and there are different treatment recommendations for that!
The ACP did a comprehensive review of the literature and concluded that acute low back pain (lasting less than 4 weeks) and subacute low back pain (4-12 weeks) are best treated by heat, massage, acupuncture, or spinal manipulation. While heat can be done at home and acupuncture must be delivered by an acupuncturist, the terms “massage” and “spinal manipulation” as they are defined in this guideline are treatments delivered here at Physical Therapy for everyBODY. Two out of four options found in one location! For patients with chronic low back pain (longer than 12 weeks) the ACP recommended exercise, multidisciplinary rehabilitation, acupuncture, and mindfulness-based stress reduction. Again, “exercise” and part of the “multidisciplinary rehabilitation” are also treatments delivered here at Physical Therapy for everyBODY. You can receive the manual treatment and exercise treatment recommended by the ACP in one place by one person!
On the pharmacological side, acetaminophen was not effective versus placebo, NSAIDs are first line therapy drugs, tramadol or duloxetine are second line therapy drugs, and opioids are the last treatment option, which is only used for patients who have failed other therapies.
And surgery? Forget about it, says the ACP. There is no research to prove that surgery decreases low back pain.
So, if you have low back pain that does NOT radiate down to your leg, the ACP (which probably includes YOUR doctor) recommend that you see a Physical Therapist (or an acupuncturist if you prefer the non exercise route).

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Dr. Amy Konvalin

Dr. Amy Konvalin

Struggling with pain and dysfunction can impact every part of our lives — it drains our energy, distracts us from our goals, and keeps us from the people and activities we love. As an Orthopedic Clinical Specialist, Dr. Amy Konvalin understands how frustrating those limitations can be — and she knows how to help get you back to the life you want to live! Beginning with a focused evaluation, Dr. Amy works to determine the root causes of your pain, as well as understanding how it affects the way you move through your world. Dysfunctional patterns of movement often grow worse with time and cause further damage if left untreated — so it’s important to address these issues as soon as possible. Dr. Amy knows there is no one-size-fits-all plan for success, and she partners with patients to identify their unique treatment goals and personal values. Using these goals as a guide, Amy uses her doctorate training in manual (hands-on) therapy and exercise prescription to treat patients with a wide variety of medical challenges and histories throughout the Maple Valley, Black Diamond and Covington areas. Dr. Amy is also a wife to a Boeing superstar/former C-130 navigator. While they lived in Germany, Dr. Amy was able to volunteer with the US Army to treat military personnel and civilians on base. She has two beautiful teenage ballerinas who keep her on her toes and educate her on all things ballet! Bailey, the princess pup, is her running partner and her napping partner. In the spare moments in between, Amy enjoys reading, yoga, wine with friends, Pilates, and walking on the beach.
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