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Hydrotherapy improves strength and mobility in patients with osteoarthritis, research suggests. 
The study also says patients would benefit from much higher intensity exercise than currently recommended.Patients who used water therapy were able to walk better afterwards, and their muscle strength improved.The research, by a team from Flinders University, South Australia, is published in the journal Annals of the Rheumatic Diseases.

Jennifer Kendall, PharmD, is busy, so the sound of children's laughter in the pharmacy just barely registers. Her technician rifles through the prescription orders that have been faxed in and extracts a couple. "Ms. Healow is here, and maybe we could do these first so her children don't take the place apart, hmm?" she says. 

A medium-firm mattress improves pain and disability among patients with chronic nonspecific low-back pain, according to the results of a randomized, double-blind, controlled multicenter trial. The study was published in the Nov. 15 issue of The Lancet.

Fueling the raging debate over which alternative care is best for pain, results of a randomized, controlled trial reported in the May 21 issue of the Annals of Internal Medicine suggest that manual therapy is better than physical therapy or continued general practitioner care at relieving symptoms by 7-week follow-up. 

Study Design: A prospective, multicenter, cross-sectional analysis of data from the National Spine Network database.
Objectives: To compare the relative impact of radicular and axial symptoms associated with disease of the cervical spine on general health as measured by the SF-36 Health Survey, and to compare the impact of these symptoms among patients of varying age and symptom duration.

In this aromatic message, we will explore the use of essential oils in the treatment of fibromyalgia. The deep tissue work known to relieve spasms and pain actually can increase discomfort for those who suffer from FM and cause them to avoid further treatment. Clients who report this diagnosis frequently request a light massage touch. A gentle, noninvasive massage with essential oils providing relaxation, peace and comfort can offer great relief for the symptoms of this increasingly common complaint.

Lymphoedema is a fairly common problem. People with certain types of cancer such as women with breast cancer, are at risk of developing lymphoedema. It can occur as a result of radiotherapy, surgery to remove lymph nodes, or because the lymph nodes are blocked by cancer. Lymphoedema that is caused by a disease or the side effect of medical treatment is called secondary lymphoedema.

Lymphoedema may cause the following symptoms in the affected area:

• Swelling
• Heavy or full sensation
• Tightness and stretching of the skin

Are researchers on the verge of "solving" the back pain problem? This might be a stretch, but there was a notable sense of optimism about the management of low back pain and low back pain disability at this year's International Forum for Primary Care Research on Low Back Pain in Israel. 
As the discussions below indicate, many researchers are hopeful that the back pain crisis in Western societies will begin to abate, in response to rational, evidence-based management approaches.

A recent review has concluded that: "Initial studies have found massage to be effective for persistent back pain. Spinal manipulation has small clinical benefits that are equivalent to those of other commonly used therapies. The effectiveness of acupuncture remains unclear. All of these treatments seem to be relatively safe. Preliminary evidence suggests that massage, but not acupuncture or spinal manipulation, may reduce the costs of care after an initial course of therapy" (Cherkin et al., Ann. Int. Med. 138(11) (2003) 898).

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