To: melinda abplanalp who wrote (12873 ) 9/27/1998 7:12:00 PM From: Lady Lurksalot Read Replies (2) | Respond to of 71178
Yo Melinda, I was pretty young too when that show was on the air. <g> Here's something I pulled off a Listserv a while back for you and Jfred to ruminate and cogitate over re one person's rather unorthodox answer to his back pain. And yes, it is for real: Holly From the New England Journal of Medicine, March 7, 1991 (Volume 324 Number 10): To the Editor: I wish to report the serendipitous discovery of a symptomatic treatment for low back pain that, until now, has been underutilized. Six months ago I evaluated a 48-year-old retired airline pilot with a two-month history of ... [unrelated complaint deleted]. ... he had ... and responded quickly to ... On a follow-up visit at six months, he reported continued control of the facial pain but described an exacerbation of his chronic, intermittent low-grade lumbar back pain. On examination, he had a mild restriction of forward bending, mild paraspinous muscle spasm, and no neurologic defects. When asked about factors that aggravated or relieved his pain, he related that the only maneuver that attenuated the symptom was flying upside down in his rebuilt open- cockpit biplane, suspended by the seat belt and shoulder harness. This treatment had to be administered in repeated brief bursts, since the aircraft operated on a gravity-dependent fuel-injection system; after 10 seconds upside down, the engine would stall and need to be restarted during a dive. On the other hand, his back pain was aggravated by prolonged flying in the usual (right-side-up) position. In fact, the current exacerbation was attributed to a recent flying trip with his wife, during which she would not permit him to fly upside down. This case raises a number of interesting questions, not least among them being issues of risk-benefit ratios, cost effectiveness, and even utilization review, assuming that fuel costs may be reimbursable by the patient's third-party insurance carrier... In any case, the time is ripe for a study comparing this approach with the use of gravity-inversion boots. Robert S. Hoffman, M.D. Daly City, CA 94015 Peninsula Neurological Associates