For Back Pain, Acetaminophen Is No Better than Placebo

Low-back pain is the leading cause of disability worldwide.  Guidelines for acute low-back pain universally recommend ‘paracetamol’ or acetaminophen (Tylenol) as the first-line medical pain reliever.  Although universally recommended, recently, the highest quality evidence (systematic review) noted no evidence to support the use of paracetamol for low-back pain.  To further explore this issue, a study just published in The Lancet investigated… Read More »

Water Fluoridation For Tooth Decay?

Recently, some experts have questioned the need for water fluoridation for tooth decay and suggested the need to assess the possible health risks associated with this practice. For instance, a 2007 analysis from the British Medical Journal makes the following points: 1) water fluoridation is highly controversial; 2) evidence is often misused or misinterpreted and uncertainties glossed over… Read More »

Zinc deficiency in children and adults

Adequate zinc nutrition is essential for human health because of zinc’s critical structural and functional roles in multiple enzyme systems that are involved in gene expression, cell division and growth, and immunologic and reproductive functions. Zinc deficiency is an important driver of undernutrition in children under 5 years of age and is associated with growth stunting, lower respiratory infections and diarrhea. It is known that even a… Read More »

Lifestyle as Prevention and Treatment

‘Lifestyle interventions such as maintaining an ideal body weight to prevent obesity, regular exercises, avoidance of smoking and alcohol abuse, intake of a balanced diet and nutrients to include adequate calcium and vitamin D, modification of the work environment and avoidance of certain repetitive activities will prevent or ameliorate disorders such as osteoarthritis, osteoporosis, rheumatoid arthritis, gout and… Read More »

Emphasizing Physical Activity for Expectant Moms and Children

A rapidly developing evidence base demonstrates a link between academic performance and physical fitness (closely linked to physical activity) for children of all ages and socioeconomic groups. There is also an inverse association between physical fitness and reported violent and antisocial incidents in school. Physical education, games and sport for children have demonstrated positive impact on physical health,… Read More »

Sleep Problems and Risk of Chronic Pain

A new study using data from 26 896 women and men investigated the relationship between sleep problems and risk of chronic pain in the low back and neck/shoulders, and whether physical exercise and body mass index (BMI) alter this association.  Results showed that persons with sleep problems ‘sometimes’ and who exercised ≥1 hour per week had lower risk of chronic pain in the low back and neck/shoulders than inactive persons with a similar… Read More »

Chiropractic Improves Neck Pain in Seniors

Neck pain is a considerable healthcare problem for individuals of all ages. About 20% of individuals 70 years of age and older experience neck pain at least once a month. Neck pain is also associated with other health complaints and poorer self-rated health. A new study investigated the effectiveness of chiropractic care (consisting of manipulation, mobilization, light soft… Read More »

Manual Therapy Improves Standing Balance

Dynamic standing balance is fundamental to perform daily activities. Balance impairment occurs in up to 75% of people aged 70 years and older and is common in people with neurological and musculoskeletal disorders such as stroke and arthritis. Given the high prevalence of balance impairments and their potential impact on function, interventions to improve balance are an important public health… Read More »

Is Acetaminophen Really Safe During Pregnancy?

Counter-intuitively, over-the-counter medication is commonly taken by pregnant women. In this context, acetaminophen (APAP, e.g. Paracetamol, Tylenol) is generally recommended by physicians to treat fever and pain during pregnancy. Thus, acetaminophen ranks at the top of the list of medications taken prenatally. Insights on an increased risk for pregnancy complications such as miscarriage, stillbirth, preterm birth or fetal malformations… Read More »