In the Media
In the United States, about 100 million people suffer from back pain. The good news is 50% of back pain resolves in 1-2 weeks and 90% of back pain resolves in 6-12 weeks. The bad news is if you are suffering from back pain, you don’t care about the statistics, all you want is relief from the pain and to continue living the active life that you want. What is worse, 85% of back pain recurs within 1-2 years. If you suffer from back pain there may be help for you.
The St. Cloud Regional Medical Center had been looking for a pain management physician starting in 2016 due to the dire need for expert pain care both in the hospital and in the community. There was no full-time pain management physician in St. Cloud for many years. As a result, residents of St. Cloud needing pain care were travelling over an hour or waiting over 6 weeks to see pain physicians in Kissimmee and Orlando. During the time the hospital was actively searching for a pain physician, Dr. Song was also looking to start his own practice with a vision to provide cutting edge pain care delivered with compassion and empathy. Dr. Song said, “It was literally a right time – right place moment.” So, with the full support of the hospital, he officially opened his doors and started seeing patient on March 13, 2017.
A 29-year-old man presented with a 4-year history of headache and severe neck pain. The neck pain, which is constant, dull, and achy, radiates up to the posterior scalp and down both shoulders and is sometimes accompanied by occipital headaches. He noted that the headaches and neck pain increase in intensity with coughing, lifting, or exercising. On the visual analog scale, the patient reported a pain level of 6 on a scale of 0 to 10. He denied weakness, ataxia, radicular symptoms, and loss of bladder or bowel control. He stated that cough syrup helped relieve pain by decreasing his cough but acetaminophen, NSAIDs, and acetaminophen/oxycodone provided very limited pain relief. His pain did not improve with physical therapy and chiropractic manipulation.
Systematic Review and Meta-analysis on the Use of Honey to Protect from the Effects of Radiation-Induced Oral Mucositis
Recently, 4 separate human controlled trials reported that honey appeared to protect from the effects of radiation-induced oral mucositis formation, a complication of radiation therapy that is responsible for pain and overall reduction in quality of life. In this systematic review and meta-analysis, the authors examined 3 of these controlled trials (n = 120) that met the inclusion and exclusion criteria to determine whether honey had protective effects against radiation-induced oral mucositis. The meta-analysis demonstrated an overall relative risk reduction of 80% in the honey treatment group compared with the control. Although favorable, the data must be approached with caution because of lack of description of the method of randomization and potential bias in all 3 of the individual studies included in the meta-analysis. The results are promising, and further studies are needed to strengthen the current evidence prior to a firm clinical recommendation being given.