Is Rand Paul anti-spine specialist?

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http://www.beckersspine.com/spine/item/23973-is-rand-paul-anti-spine-specialist.html

Senator and likely presidential hopeful Rand Paul made comments minimizing back pain patients in a recent campaign speech, leading some to wonder whether he's "anti-spine."

Mr. Paul reportedly said, "What I tell people is, if you look like me and you hop out of your truck, you shouldn't be getting a disability check. Over half of the people on disability are either anxious or their back hurts — join the club. Who doesn't get a little anxious for work everyday and their back hurts? Everyone over 40 has back pain," according to a report in Salon.

Mr. Paul is correct in that spinal disorders are recognized as a major contributor to the $357 billion of U.S. public funds spent annually to support disabled people. But does that mean back pain shouldn't be treated? Or assistance shouldn't be given?

Back pain is a pervasive problem among all populations and spine-related disability outpaces diabetes, lung cancer, tuberculosis, preterm birth and malaria as the leading cause of suffering worldwide, according to a news release from the North American Spine Society.

Here are a few key facts on spinal issues:
• 20-year-olds have a 30 percent risk of becoming disabled before age 65, with spine disorders a major cause.
• 71 percent of disabled people are more likely to eventually reach poverty levels and need public assistance.
• Spine-related disability leads to a 23% decline in annual earnings; an 11 percent reduction after-tax income.
• Productivity loss for spine-related disability among United States employers reaches $28 billion annually.

The North American Spine Society launched the North American Spine Foundation, a non-profit organization established to end spine-related disability. Michael Reed, DPT, OCS, is executive director of the North American Spine Foundation.

The organization will fund research to help clarify back pain problems and identify how much disability has changed over the past 20 to 30 years. This includes identifying the industries and areas where spinal disability is most prevalent and understanding how that changes over time.

"We might find the medical aspect is really good, but other factors are really bad," says Mr. Reed. "When a person is injured at work, their outcome depends on who employers interact with them and their ultimate decision to return to work. We are going after that aggressively."

The research aims to help patients receive better care, but also achieve fair reimbursements.

"We have for years sat and complained about dropping reimbursements, less autonomy and more work to receive approvals for treatments," says Mr. Reed. "Now we are doing something about it and we hope to raise awareness for spinal disability issues. It's one of the biggest disease-related issues in our country."

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He specifically stated "back pain", and from the available data he is right.

Cochrane Reviews of Non-Operative Spine Care:


1. Exercise therapy: Eur Spine J. 2011 Jan;20(1):19-39. doi: 10.1007/s00586-010-1518-3. Epub 2010 Jul A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain.

2.Massage: 2008 Oct 8;(4):CD001929. doi: 10.1002/14651858.CD001929.pub2. Massage for low-back pain.Furlan AD Spine (Phila Pa 1976). 2009 Jul 15;34(16):1669-84. <http://www.ncbi.nlm.nih.gov/pubmed/19561560>


3.Acupuncture: Acupuncture and dry-needling for low back pain. Andrea D Furlan1,*, Maurits W van Tulder2,Dan Cherkin3, Hiroshi Tsukayama4, Lixing Lao5, Bart W Koes6, Brian M Berman7 Editorial Group: Cochrane Back Group Online: 24 JAN 2005

4.Behavioral treatments: Behavioural treatment for chronic low-back pain Nicholas Henschke1,*, Raymond WJG Ostelo2, Maurits W van Tulder3, Johan WS Vlaeyen4, Stephen Morley5, Willem JJ Assendelft6, Chris J. Main7 Editorial Group: Cochrane Back Group <http://onlinelibrary.wiley.com/o/cochrane/clabout/articles/BACK/frame.html> Published Online: 7 JUL 2010

5.Chiropractic : Spine (Phila Pa 1976). 2011 Feb 1;36(3):230-42. doi: 10.1097/BRS.0b013e318202ac73. A Cochrane review of combined chiropractic interventions for low-back pain.

6.Back schools: Back schools for non-specific low-back pain. Martijn W Heymans1,*, Maurits W van Tulder2, Rosmin Esmail3, Claire Bombardier4, Bart W Koes5 Editorial Group: Cochrane Back Group Online: 18 OCT 2004

7.Opioids: 2013 Aug 27;8:CD004959. doi: 10.1002/14651858.CD004959.pub4. Opioids compared to placebo or other treatments for chronic low-back pain.Spine (Phila Pa 1976). 2014 Apr 1;39(7):556-63.

8.Injections: Spine (Phila Pa 1976). 2009 Jan 1;34(1):49-59. Injection therapy for subacute and chronic low back pain: an updated Cochrane review.


Meta-Analyses of Fusion Surgery for low back pain:

1. Randomized clinical trial of lumbar instrumented fusion and cognitive intervention and exercises in patients with chronic low back pain and disc degeneration. Brox JI, Sørensen R, Friis A, Nygaard Ø, Indahl A, Keller A, Ingebrigtsen T, Eriksen HR, Holm I, Koller AK, Riise R, Reikerås O. Spine (Phila Pa 1976). 2003 Sep 1;28(17):1913-21.

2. Surgical stabilisation of the spine compared with a programme of intensive rehabilitation for the management of patients with chronic low back pain: cost utility analysis based on a randomised controlled trial.
Rivero-Arias O, Campbell H, Gray A, Fairbank J, Frost H, Wilson-MacDonald J.
BMJ. 2005 May 28;330(7502):1239. Epub 2005 May 23.

3. Randomised controlled trial to compare surgical stabilisation of the lumbar spine with an intensive rehabilitation programme for patients with chronic low back pain: the MRC spine stabilisation trial.
Fairbank J, Frost H, Wilson-MacDonald J, Yu LM, Barker K, Collins R; Spine Stabilisation Trial Group.
BMJ. 2005 May 28;330(7502):1233. Epub 2005 May 23. Erratum in: BMJ. 2005 Jun 25;330(7506):1485.

4. Meta-analysis of randomized trials comparing fusion surgery to non-surgical treatment for discogenic chronic low back pain.Wang X, Wanyan P, Tian JH, Hu L. J Back Musculoskelet Rehabil. 2014 Dec 2.
 
Members don't see this ad :)
http://www.beckersspine.com/spine/item/23973-is-rand-paul-anti-spine-specialist.html

Senator and likely presidential hopeful Rand Paul made comments minimizing back pain patients in a recent campaign speech, leading some to wonder whether he's "anti-spine."

Mr. Paul reportedly said, "What I tell people is, if you look like me and you hop out of your truck, you shouldn't be getting a disability check. Over half of the people on disability are either anxious or their back hurts — join the club. Who doesn't get a little anxious for work everyday and their back hurts? Everyone over 40 has back pain," according to a report in Salon.

Mr. Paul is correct in that spinal disorders are recognized as a major contributor to the $357 billion of U.S. public funds spent annually to support disabled people. But does that mean back pain shouldn't be treated? Or assistance shouldn't be given?

Back pain is a pervasive problem among all populations and spine-related disability outpaces diabetes, lung cancer, tuberculosis, preterm birth and malaria as the leading cause of suffering worldwide, according to a news release from the North American Spine Society.

Here are a few key facts on spinal issues:
• 20-year-olds have a 30 percent risk of becoming disabled before age 65, with spine disorders a major cause.
• 71 percent of disabled people are more likely to eventually reach poverty levels and need public assistance.
• Spine-related disability leads to a 23% decline in annual earnings; an 11 percent reduction after-tax income.
• Productivity loss for spine-related disability among United States employers reaches $28 billion annually.

The North American Spine Society launched the North American Spine Foundation, a non-profit organization established to end spine-related disability. Michael Reed, DPT, OCS, is executive director of the North American Spine Foundation.

The organization will fund research to help clarify back pain problems and identify how much disability has changed over the past 20 to 30 years. This includes identifying the industries and areas where spinal disability is most prevalent and understanding how that changes over time.

"We might find the medical aspect is really good, but other factors are really bad," says Mr. Reed. "When a person is injured at work, their outcome depends on who employers interact with them and their ultimate decision to return to work. We are going after that aggressively."

The research aims to help patients receive better care, but also achieve fair reimbursements.

"We have for years sat and complained about dropping reimbursements, less autonomy and more work to receive approvals for treatments," says Mr. Reed. "Now we are doing something about it and we hope to raise awareness for spinal disability issues. It's one of the biggest disease-related issues in our country."

"Disability" is a cancerous sickness that is spreading in this country and someone has to put a stop to it
 
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I might care if he had ANY chance to win.

I like his candor, though
 
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