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E-Articles - Neck Pain - Lower Back Pain - Should Treatments Be Focused Only To The Area That Hurts?
If a person has neck pain or lower back pain and treatments are directed only to the area involved, although the symptoms may get better,
According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
that person is a candidate for further injuries with resultant neck pain and lower back pain again.
When treatments are applied only to t
When treatments are applied only to t
; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.
Examples of combination products may in
Examples of combination products may in
e area that hurts, the treatments are symptom directed and not treating the root cause of the problem. Treating the root cause of the prob
lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.
em is more effective in treating the pain symptoms as well as in preventing further recurrences.
In nerve related muscle pain, treatment
here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
are best directed toward muscles in the painful region and the connections of these muscles to other muscles through the fascial envelope
d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.
Combination pro
Combination pro
Additionally, muscles sharing the same nerve root supply as the nerves supplying the painful muscles also need to be treated.
In the ca
In the ca
ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
e of the muscles beside the spine known as the paraspinal muscles, they arise from the lower back and attach to the middle back and the ne
easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
k and skull. In the lower back region, these muscles are continuous through the fascia, with the origin of the buttock muscle (gluteus max
nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
mus). Therefore, neck pain treatments cannot be complete without treating the entire spine including the gluteus maximus muscle as a min
and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
mum.
Similarly, low back pain treatments must involve treating the entire low back, mid-back and neck muscles and large powerful muscles
Similarly, low back pain treatments must involve treating the entire low back, mid-back and neck muscles and large powerful muscles
ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
uch as the latissimus dorsi supplied by the neck nerve roots.
On using this concept to treat patients with pain, pain symptom improvement
ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.
Following aspects would a
Following aspects would a
will be accompanied by increase in mobility and function that cannot be achieved in treating just the painful area.
In treating such pati
In treating such pati
dd to the challenges in developing combination products:
Which markets to tap where the combination products can do fairly well?
Which combination prod
Which markets to tap where the combination products can do fairly well?
Which combination prod
nts, selective activation of individual muscles is best achieved through eToims Twitch Relief Method.
Therefore treatments for neck pain
Therefore treatments for neck pain
cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin
ust include the entire paraspinal muscles from the neck to the base of the spine and the muscles supplied by the commonly injured nerve ro
tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen
What would be the developing cost?
How to tackle the risks encountered during combination product developmen
ts such as C5 through C7 nerve roots from the neck spine and the L4 through S1 nerve roots from the lower back spine. Similarly, treatmen
t?
As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
s for lower back pain must include these same muscles. In this fashion, patient's pain improvement will be accompanied by increase mobili
ping new procedures for reviewing their safety, efficacy and quality.
Professional from academic institutions, pharmaceutical industries, health care indust
Professional from academic institutions, pharmaceutical industries, health care indust
y and quality of life.
In treatments that involve only pain suppression, although patients may have relief of pain for the duration of ac
In treatments that involve only pain suppression, although patients may have relief of pain for the duration of ac
y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
ion of the medications, the functional improvement is not significant enough especially for those who are in chronic pain. These patients
.
As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
often need many medications including narcotics for pain management and continue to have many functional impairments since they remain in
elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.
Companies that provide selfless information through particip
Companies that provide selfless information through particip
tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products
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