Low back pain (LBP) has become one of the most significant medical and socioeconomic problems in today’s world. The statistics on the magnitude of the problem are overwhelming and the number of chronic back cases continues to grow each day. In fact, low back pain that is related to work is the most common complaint presented to primary care physicians and workers compensation. Medicine in the United States is widely regarded as the best in the world. Still, patient dissatisfaction with current treatments has rarely been more acute. Patients are becoming more educated about their own conditions, and they are seeking out non-invasive treatments such as VAX-D. In the majority of patients, acute back pain symptoms resolve on their own in one to two months. Those that fail to resolve are then routinely referred to orthopedists or neurosurgeons. Treating a patient with chronic low back pain can often be one of the most challenging situations for the physician. Back pain is frequently treated in an episodic manner, with a multitude of treatments such as drugs, heat and cold, bed-rest, chiropractic/ manipulation, physical therapy, exercises, acupuncture, TENS, epidural injections, prolotherapy, IDET (Intradiscal Electrothermal Therapy or heat cauterization with an electrothermal catheter) and the various types of surgery. Many of these are simply aimed at providing temporary reduction of symptoms without altering the underlying disease process or addressing the pathophysiology associated with lumbar discogenic disorders. Physicians are faced with the fact that there is no universally accepted algorithm for the care of such patients. |