THE DOCTOR NOTES

Enough very much my patients who came to take medicine with the pain complaint to the waist that never will recover although trying to take medicine to various doctors, also could have been ascertained by 90% medicating to the expert massaged that in Indonesia still really was believed in could treat various illnesses, especially the muscle and bones.

Painfully this underside back, for some practitioners, this illness was regarded as the normal matter & natural, so as enough that at once diagnosed “NPB” (Nyeri Punggung Bawah) or “LBP” (Low Back Pain) and gave the medicine yan usually consist of analgetic drugs and non steroid anti inflamation drugs (NSAID), without looking for his problem root, what his cause and the body part what was affected as a result so as to produce this pain.

In fact if this dragged on, will cause disablement.

According to me, the mechanism of this pain was caused by various factor sorts, that is mechanics, non-mechanics and psichogenik. As for the structure of the low back that was the main source of pain was the muscle, the facet of the foundation, and nerves. The three of them were linked to one another, so as the deviation could to one of them cause the disturbance to the other structure.

80% of the case of LBP was not known by his certain cause. Whereas 20% could be known because of him. From various because, is expected generally resulting from the burden of mechanics to the structure musculoskeletal.

The LBP treatment was based on the mechanism of the occurrence (mechanism based) and his sign (symptom based). If being known definitely his cause, apart from corrected/eliminated the cause factor also could be overcome with analgetics. First line medicine generally is analgetics and the inflammation like: paracetamol, non steroid anti inflamation drugs (NSAID).

Moreover also could be used by physical therapy and massage.

But also the education to avoid the NPB cause factor also really was recommended. That important was to immediately handle LBP.

Actually according to me, who was most ideal the inspection for this case apart from anamnese and the physical inspection that was thorough, was to be accompanied by him the additional inspection took the form of the inspection x-rayed 2 or 3 positions and CT-SCAN MRI. With this inspection, apart from a doctor will know definitely the affected part of the sufferer’s body the injury, also could consider weighing what the injury that was experienced by the sufferer. The sufferer then also more will find it easy understood would his illness during the doctor explained. But also the doctor apart from facilitated in prose therapy, also will have the foundation that was strong in upholding the diagnosis.

However remembered the condition for the Indonesian community, definitely for most Indonesian inhabitants, the inspection was mentioned by me above, really not ideal and incriminating in the matter of finance and did not yet go well the insurance system like in developed countries, as well as still the strength of the traditional medical treatment impression in the everyday life that without being supported by knowledge would the most basic health even.

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Related Notes:

• SEKILAS KEGAWAT-DARURATAN ORTHOPAEDI
• 3 HAL