Riya Baibhawi

Your Penis Size Is Determined At Birth—No Testosterone Supplement Can Make It Bigger

Penis Size

<span>Testosterone</span> is a male sex hormone that plays a crucial role in their metabolism, influencing various aspects of health, including libido and sperm production. While testosterone is essential during puberty for <span>penis</span> growth and testicle development, its effects on size plateau once a man reaches sexual maturity.

During puberty, testosterone surges dramatically, driving the growth of male sexual organs. It is during this time that the characteristics like libido, penis and testicles develop. This "blast" of testosterone, typically ends by the mid to late teenage years. Dr Paul Turek, a reproductive urologist, speaking to <span>Men's Health</span>, said, "Fertility is achieved as the testicles and penis increase to adult size during this phase."

<h2>Does Penis Continue To Grow After Puberty?</h2>

The answer is no. Once testosterone levels stabilize after puberty, the sexual development of the penis is complete. The final size of the penis is primarily determined by genetics. That implies you are already born with a <span>penis size</span>. Even if testosterone levels rise later in life, they won't influence penis size. Studies, such as one from the University of Utah School of Medicine, confirm that stretched penile length in adult men is not linked to testosterone levels. Additionally, the Kinsey Institute highlights that the penis is made of spongy tissue, not muscle, which means it cannot be "built up" through exercises or external methods.

<h2>Beware Of Testosterone Supplements</h2>While testosterone is essential for sexual health, artificially increasing its levels through supplements can be harmful. Many products promising to enhance penis size are ineffective and potentially dangerous. According to data from Harvard Medical School, more than required levels of testosterones, can trigger health issues like low sperm count, heart damage, high blood pressure, mood swings, and more. 

<h2>Penis Size Has Increased Globally </h2>

Interestingly, a Stanford University study found that the average erect penis length has increased by 24% worldwide over the past three decades. However, researchers noted this change isn't due to rising testosterone levels—in fact, testosterone levels have declined in many populations. Instead, environmental factors like pollution may play a role, though more research is needed to understand this phenomenon.

It’s natural to be curious about size, but experts emphasize that function is far more important. Health experts advise men to seek medical attention if they notice changes in appearance, such as spots, bumps, or curvatures, or if there are functional concerns. Addressing issues early not only ensures appropriate treatment but also alleviates unnecessary stress about potential problems.

Many different things can affect penis health. And penis health includes: 

<ul><li>your ability to urinate comfortably</li><li>your ability to get or maintain an erection</li><li>your fertility</li></ul>In addition, having a good penis health also means not getting infected from sexually transmitted diseases and also being free from penile cancer. One of the main factors that influence penis is hygiene, besides, age, sexual practices amongst others. Threfore, practicing good hygiene is essential for your health. You must wash your penis and groin area frequency to keep it clean and free of diseases.

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Testosterone is a male sex hormone that plays a crucial role in their metabolism, influencing various aspects of health, including libido and sperm production. While testosterone is essential during puberty for penis growth and testicle development, its effects on size plateau once a man reaches sexual maturity.During puberty, testosterone surges dramatically, driving the growth of male sexual organs. It is during this time that the characteristics like libido, penis and testicles develop. This "blast" of testosterone, typically ends by the mid to late teenage years. Dr Paul Turek, a reproductive urologist, speaking to Men's Health, said, "Fertility is achieved as the testicles and penis increase to adult size during this phase."Does Penis Continue To Grow After Puberty?The answer is no. Once testosterone levels stabilize after puberty, the sexual development of the penis is complete. The final size of the penis is primarily determined by genetics. That implies you are already born with a penis size. Even if testosterone levels rise later in life, they won't influence penis size. Studies, such as one from the University of Utah School of Medicine, confirm that stretched penile length in adult men is not linked to testosterone levels. Additionally, the Kinsey Institute highlights that the penis is made of spongy tissue, not muscle, which means it cannot be "built up" through exercises or external methods.Beware Of Testosterone SupplementsWhile testosterone is essential for sexual health, artificially increasing its levels through supplements can be harmful. Many products promising to enhance penis size are ineffective and potentially dangerous. According to data from Harvard Medical School, more than required levels of testosterones, can trigger health issues like low sperm count, heart damage, high blood pressure, mood swings, and more. Penis Size Has Increased Globally Interestingly, a Stanford University study found that the average erect penis length has increased by 24% worldwide over the past three decades. However, researchers noted this change isn't due to rising testosterone levels—in fact, testosterone levels have declined in many populations. Instead, environmental factors like pollution may play a role, though more research is needed to understand this phenomenon.It’s natural to be curious about size, but experts emphasize that function is far more important. Health experts advise men to seek medical attention if they notice changes in appearance, such as spots, bumps, or curvatures, or if there are functional concerns. Addressing issues early not only ensures appropriate treatment but also alleviates unnecessary stress about potential problems.What Is Penis Health?Many different things can affect penis health. And penis health includes: your ability to urinate comfortablyyour ability to get or maintain an erectionyour fertilityIn addition, having a good penis health also means not getting infected from sexually transmitted diseases and also being free from penile cancer. One of the main factors that influence penis is hygiene, besides, age, sexual practices amongst others. Threfore, practicing good hygiene is essential for your health. You must wash your penis and groin area frequency to keep it clean and free of diseases.

your penis size is determined at birth—no testosterone supplement can make it bigger

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It’s easy to assume that serious health risks are a concern for later in life. For most young men in their 20s and 30s, long-term health is something they discuss in relation to staying fit, maintaining a balance between job and life, and remaining active. But behind the scenes, there's a silent danger brewing that doesn't carry vehement warning signs or agonizing symptoms, yet is increasing amongst this demographic. And shockingly, nearly 90% of young men don't even know they might be impacted. The truth is, being attuned to your body now might save your life down the road. Here's why medical professionals are urging young men to listen up.

Roughly 10,000 new instances of testicular cancer are diagnosed annually in the United States, according to the American Cancer Society, with an average age of diagnosis of only 33. Unlike the majority of the other cancers that occur later in life, this cancer comes early—most commonly between 20 and 40 years of age.

However, only 13% of the American adults polled recognized that testicular cancer is more frequent among young men and thus ranks as one of the most underappreciated dangers in young adult male health.

Testicular cancer is not only uncommon; it's not well understood. "From my experience, many men are surprised testicular cancer is most prevalent among young men," adds Dr. Shawn Dason, an Ohio State urologist and lead author of the study. "You're just not expecting it in your thirties or twenties."

In contrast to certain types of cancer with sets of initial warning signs, testicular cancer tends to be painless and thus more difficult to notice through sheer habit. The consequence? Late-stage diagnoses that lower survival rates.

Though survival after five years is 95% if caught early, this drops to 73% if the condition becomes widespread beyond the testicle. Despite the high cure rate, however, just 35% of survey respondents thought screening under age 40 is required.

Adding to the threat is that the symptoms—if any—are insidious:

<ul><li>A bulge or lump in the scrotum</li><li>Heaviness or discomfort</li><li>Change in size or firmness of a testicle</li><li>Pain or tenderness not caused by injury</li></ul>

Far too frequently, these symptoms are overlooked, dismissed, or go unnoticed because of the lack of overall awareness.

<h2>Why Testicular Cancer Affects Younger Men?</h2>

The reason why testicular cancer so heavily strikes younger men is still being researched, but it is thought to be attributed to germ cell activity, which is greater at a man's reproductive prime. These germ cells, used to make sperm, can become mutated and give rise to tumors.

<ul><li>Family history of testicular cancer</li><li>White ethnicity</li><li>Being tall (according to some research)</li><li>Having undescended testicles (cryptorchidism)</li></ul>

And, for some reason, being overweight hasn't proved to be a major risk factor—despite its link with so many other cancers.

A 2024 study from California found testicular cancer rates in men under 39 increased by 10% over two decades, climbing from 6 to 7.3 cases per 100,000 people. According to the CDC, national figures mirrored the trend, with an increase from 6.3 to 6.8 cases per 100,000 men aged 0–39 between 1999 and 2021.

Experts credit this increase to enhanced screening and environmental or lifestyle factors possibly impacting the development of germ cell tumors in young men.

Early detection is a good thing—and it starts at home. The Testicular Cancer Foundation advises a monthly self-exam, preferably after a warm shower when scrotal skin is soft.

<h2>How to Do a Testicular Self-Exam</h2>

STEP 1- Visually check for swelling, asymmetry, or change.

STEP 2- Gently explore each testicle with thumb and fingers.

STEP 3- Check for lumps, hard spots, or rapid change in size, weight, or texture.

STEP 4- Check for pain, heaviness, or tenderness.

If you find anything abnormal, consult a doctor at once—ideally a urologist. You might be sent for an ultrasound or blood test.

Even with this easy and possibly life-saving measure, only 54% of men were aware they need to perform monthly self-exams, according to the Ohio State study—and the number that actually do so is probably much less.

The majority of testicular cancers are treated successfully, particularly if diagnosed early. The initial course of treatment is surgery, where the cancerous testicle is surgically removed. This surgery, an orchiectomy, is usually followed by:

<ul><li>Surveillance (routine check-ups if detected early)</li><li>Radiation or chemotherapy (for late stages)</li><li>Lymph node removal if cancer spreads</li></ul>

Most men continue to have healthy, active lives after treatment, such as professional athletes Nathan Adrian, an Olympic swimmer, and cyclist Lance Armstrong. Both were diagnosed in their 20s and underwent successful treatment following early detection.

<h2>Why It is Important to Prioritize Men's Preventive Health?</h2>

The larger concern is not testicular cancer—but men's overall attitude towards their health. Men under age 40 typically avoid preventive care, letting career pressure and everyday life interfere.

Dr. Dason places a premium on mindset change: "We need to make health check-ups and being aware of one's body 'normal' among men in their 20s and 30s. Waiting for symptoms is waiting too long."

Awareness is your most powerful ally in the fight against testicular cancer. If you’re a young man—or know one—start talking about this. Normalize self-exams, reduce stigma, and encourage open conversations with healthcare providers because when caught early, testicular cancer is not just treatable—it’s beatable.

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It’s easy to assume that serious health risks are a concern for later in life. For most young men in their 20s and 30s, long-term health is something they discuss in relation to staying fit, maintaining a balance between job and life, and remaining active. But behind the scenes, there's a silent danger brewing that doesn't carry vehement warning signs or agonizing symptoms, yet is increasing amongst this demographic. And shockingly, nearly 90% of young men don't even know they might be impacted. The truth is, being attuned to your body now might save your life down the road. Here's why medical professionals are urging young men to listen up.Roughly 10,000 new instances of testicular cancer are diagnosed annually in the United States, according to the American Cancer Society, with an average age of diagnosis of only 33. Unlike the majority of the other cancers that occur later in life, this cancer comes early—most commonly between 20 and 40 years of age.However, only 13% of the American adults polled recognized that testicular cancer is more frequent among young men and thus ranks as one of the most underappreciated dangers in young adult male health.Testicular cancer is not only uncommon; it's not well understood. "From my experience, many men are surprised testicular cancer is most prevalent among young men," adds Dr. Shawn Dason, an Ohio State urologist and lead author of the study. "You're just not expecting it in your thirties or twenties."In contrast to certain types of cancer with sets of initial warning signs, testicular cancer tends to be painless and thus more difficult to notice through sheer habit. The consequence? Late-stage diagnoses that lower survival rates.Symptoms of Testicular CancerThough survival after five years is 95% if caught early, this drops to 73% if the condition becomes widespread beyond the testicle. Despite the high cure rate, however, just 35% of survey respondents thought screening under age 40 is required.Adding to the threat is that the symptoms—if any—are insidious:A bulge or lump in the scrotumHeaviness or discomfortChange in size or firmness of a testiclePain or tenderness not caused by injuryFar too frequently, these symptoms are overlooked, dismissed, or go unnoticed because of the lack of overall awareness.Why Testicular Cancer Affects Younger Men?The reason why testicular cancer so heavily strikes younger men is still being researched, but it is thought to be attributed to germ cell activity, which is greater at a man's reproductive prime. These germ cells, used to make sperm, can become mutated and give rise to tumors.Some of the risk factors are:Family history of testicular cancerWhite ethnicityBeing tall (according to some research)Having undescended testicles (cryptorchidism)And, for some reason, being overweight hasn't proved to be a major risk factor—despite its link with so many other cancers.A 2024 study from California found testicular cancer rates in men under 39 increased by 10% over two decades, climbing from 6 to 7.3 cases per 100,000 people. According to the CDC, national figures mirrored the trend, with an increase from 6.3 to 6.8 cases per 100,000 men aged 0–39 between 1999 and 2021.Experts credit this increase to enhanced screening and environmental or lifestyle factors possibly impacting the development of germ cell tumors in young men.Early detection is a good thing—and it starts at home. The Testicular Cancer Foundation advises a monthly self-exam, preferably after a warm shower when scrotal skin is soft.How to Do a Testicular Self-ExamSTEP 1- Visually check for swelling, asymmetry, or change.STEP 2- Gently explore each testicle with thumb and fingers.STEP 3- Check for lumps, hard spots, or rapid change in size, weight, or texture.STEP 4- Check for pain, heaviness, or tenderness.If you find anything abnormal, consult a doctor at once—ideally a urologist. You might be sent for an ultrasound or blood test.Even with this easy and possibly life-saving measure, only 54% of men were aware they need to perform monthly self-exams, according to the Ohio State study—and the number that actually do so is probably much less.What Happens After Diagnosis?The majority of testicular cancers are treated successfully, particularly if diagnosed early. The initial course of treatment is surgery, where the cancerous testicle is surgically removed. This surgery, an orchiectomy, is usually followed by:Surveillance (routine check-ups if detected early)Radiation or chemotherapy (for late stages)Lymph node removal if cancer spreadsMost men continue to have healthy, active lives after treatment, such as professional athletes Nathan Adrian, an Olympic swimmer, and cyclist Lance Armstrong. Both were diagnosed in their 20s and underwent successful treatment following early detection.Why It is Important to Prioritize Men's Preventive Health?The larger concern is not testicular cancer—but men's overall attitude towards their health. Men under age 40 typically avoid preventive care, letting career pressure and everyday life interfere.Dr. Dason places a premium on mindset change: "We need to make health check-ups and being aware of one's body 'normal' among men in their 20s and 30s. Waiting for symptoms is waiting too long."Awareness is your most powerful ally in the fight against testicular cancer. If you’re a young man—or know one—start talking about this. Normalize self-exams, reduce stigma, and encourage open conversations with healthcare providers because when caught early, testicular cancer is not just treatable—it’s beatable.

90% of young men in their 20s and 30s are unaware of this fast-rising cancer threat

Ishita Roy

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Cervical cancer, though almost entirely preventable, continues to claim over 350,000 lives each year — most of them women in developing countries. India carries one of the heaviest burdens. But it doesn’t have to be this way. Science has handed us the tools — vaccines, DNA-based screening, and effective treatments. The real hurdle? Making sure these solutions reach everyone, regardless of gender, geography, or income.

<h4>Understanding <span rel="noindex">HPV</span>: The Root Cause</h4>

At the heart of the cervical cancer crisis is the <span>Human Papillomavirus</span> (HPV), one of the most common sexually transmitted infections worldwide. Most HPV infections resolve on their own. But when certain high-risk genotypes persist, they can lead to various cancers — not just cervical, but also anal, penile, vulvar, vaginal, and oropharyngeal.

According to the World Health Organization (WHO), virtually all cervical cancer cases are caused by HPV. Every eight minutes, a woman in India dies of this disease — a stark statistic for something that could be prevented with timely vaccination and screening.

<h4>HPV Affects Men Too — And We’re Ignoring It</h4>

While cervical cancer has gained some attention, HPV-related cancers in men remain dangerously underdiagnosed. In 2019 alone, over 70,000 cancer cases in men were caused by HPV — a number many experts say is underestimated.

This was underscored by a recent study presented at the 10th Asia Pacific AIDS and Co-Infections Conference in Japan. Conducted by Dr Prapti Gilada-Toshinwal at a Mumbai clinic, it screened 105 men who have sex with men. The findings were worrying — 62% had anal HPV infections, rising to nearly 69% among those living with HIV. Many were also battling other sexually transmitted infections, pointing to an urgent need for integrated sexual health services.

<h4>Why DNA Screening is a Gamechanger</h4>

Globally, experts agree that the best way to detect HPV is through DNA-based molecular tests. Traditional screening methods like Pap smears or VIA (Visual Inspection with Acetic Acid) are no longer considered scientifically adequate.

Yet, India’s most recent National Family Health Survey revealed that only 1.2% of women aged 15–49 had ever been screened for cervical cancer. WHO recommends that 70% of eligible women should be screened — a target India is far from achieving.

In a promising development, April 2025 saw the validation of Truenat HPV-HR Plus, India’s first indigenous point-of-care HPV DNA test. Developed by Molbio Diagnostics and approved by leading institutions like AIIMS Delhi and ICMR’s research bodies, Truenat can detect eight high-risk HPV genotypes responsible for most cervical cancers. It’s fast, affordable, and adaptable for rural clinics — exactly the kind of innovation needed to scale up screening access.

<h4>The Vaccine That Works — Even in a Single Dose</h4>

Vaccination remains our most powerful tool. A WHO-IARC study, led in part by Indian researcher Dr Smita Joshi, revealed that even one dose of the HPV vaccine offers strong protection. This has led to WHO recommending a single-dose vaccine schedule for young girls.

India’s own vaccine, Ceravac, developed by the Serum Institute, is approved for boys as well. Yet, a national rollout remains pending, even as a few states like Delhi and Punjab have begun pilot programs.

Activists like Vijay Nair of Udaan Trust stress the need to include men in both vaccination and screening programs. Anal cancers are often missed or misdiagnosed in men, especially those from marginalized communities. Without proper diagnostic facilities like anoscopy centres and broader awareness, many are left untreated — or worse, undiagnosed.

The WHO has set ambitious targets to eliminate cervical cancer: vaccinate 90% of girls by age 15, screen 70% of women by 35 and 45, and treat 90% of cases. But meeting these goals demands more than science — it needs political will, public funding, and sustained awareness.

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Cervical cancer, though almost entirely preventable, continues to claim over 350,000 lives each year — most of them women in developing countries. India carries one of the heaviest burdens. But it doesn’t have to be this way. Science has handed us the tools — vaccines, DNA-based screening, and effective treatments. The real hurdle? Making sure these solutions reach everyone, regardless of gender, geography, or income.Understanding HPV: The Root CauseAt the heart of the cervical cancer crisis is the Human Papillomavirus (HPV), one of the most common sexually transmitted infections worldwide. Most HPV infections resolve on their own. But when certain high-risk genotypes persist, they can lead to various cancers — not just cervical, but also anal, penile, vulvar, vaginal, and oropharyngeal.According to the World Health Organization (WHO), virtually all cervical cancer cases are caused by HPV. Every eight minutes, a woman in India dies of this disease — a stark statistic for something that could be prevented with timely vaccination and screening.HPV Affects Men Too — And We’re Ignoring ItWhile cervical cancer has gained some attention, HPV-related cancers in men remain dangerously underdiagnosed. In 2019 alone, over 70,000 cancer cases in men were caused by HPV — a number many experts say is underestimated.This was underscored by a recent study presented at the 10th Asia Pacific AIDS and Co-Infections Conference in Japan. Conducted by Dr Prapti Gilada-Toshinwal at a Mumbai clinic, it screened 105 men who have sex with men. The findings were worrying — 62% had anal HPV infections, rising to nearly 69% among those living with HIV. Many were also battling other sexually transmitted infections, pointing to an urgent need for integrated sexual health services.Why DNA Screening is a GamechangerGlobally, experts agree that the best way to detect HPV is through DNA-based molecular tests. Traditional screening methods like Pap smears or VIA (Visual Inspection with Acetic Acid) are no longer considered scientifically adequate.Yet, India’s most recent National Family Health Survey revealed that only 1.2% of women aged 15–49 had ever been screened for cervical cancer. WHO recommends that 70% of eligible women should be screened — a target India is far from achieving.A Made-in-India BreakthroughIn a promising development, April 2025 saw the validation of Truenat HPV-HR Plus, India’s first indigenous point-of-care HPV DNA test. Developed by Molbio Diagnostics and approved by leading institutions like AIIMS Delhi and ICMR’s research bodies, Truenat can detect eight high-risk HPV genotypes responsible for most cervical cancers. It’s fast, affordable, and adaptable for rural clinics — exactly the kind of innovation needed to scale up screening access.The Vaccine That Works — Even in a Single DoseVaccination remains our most powerful tool. A WHO-IARC study, led in part by Indian researcher Dr Smita Joshi, revealed that even one dose of the HPV vaccine offers strong protection. This has led to WHO recommending a single-dose vaccine schedule for young girls.India’s own vaccine, Ceravac, developed by the Serum Institute, is approved for boys as well. Yet, a national rollout remains pending, even as a few states like Delhi and Punjab have begun pilot programs.Prevention Must Be InclusiveActivists like Vijay Nair of Udaan Trust stress the need to include men in both vaccination and screening programs. Anal cancers are often missed or misdiagnosed in men, especially those from marginalized communities. Without proper diagnostic facilities like anoscopy centres and broader awareness, many are left untreated — or worse, undiagnosed.The WHO has set ambitious targets to eliminate cervical cancer: vaccinate 90% of girls by age 15, screen 70% of women by 35 and 45, and treat 90% of cases. But meeting these goals demands more than science — it needs political will, public funding, and sustained awareness.

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Lower back pain is a constant issue for many people. While it may seem like a minor inconvenience to some, it can severely impact their quality of life. For people who are suffering from ongoing back pain, finding relief can be incredibly challenging. 

While there are medications available, there are side-effects one must consider. However, new research suggests that two types of therapy might offer a promising solution, especially for those who have been relying on opioid medications. 

<h2>Therapies Show Promise for Opioid Users </h2>

A study published April 7 in JAMA Network Open found that mindfulness-based therapy (MBT) and cognitive behavioral therapy (CBT) significantly improved the quality of life for people managing chronic low back pain with opioids. Participants reported less pain and were able to reduce their opioid dosages in the months following the start of these therapies. 

Researchers noted that the participants had lived with moderate to severe back pain for a long time, most for over five years, and had tried many other treatments without success. The improvements seen were therefore even more significant. 

<h2>Addressing a Common and Stubborn Problem </h2>

Chronic low back pain affects a large number of people; data suggests that as many as 28% of Americans experience it. Despite its prevalence, effective treatments are often hard to come by. One study in March found that only 10% of non-surgical treatments for lower back pain actually work. This led researchers to explore whether CBT and MBT could offer a better approach. 

<strong>Cognitive Behavioral Therapy (CBT) </strong>helps patients identify negative thoughts and behaviors, then uses problem-solving and self-reflection to change those patterns. 

<strong>Mindfulness-Based Therapy (MBT) </strong>teaches people to observe their bodily sensations, feelings, and thoughts without reacting to them, often through meditation to focus on the present moment. 

<h2>Promising Results from the Study </h2>

The study involved 770 adults who were using opioids for their chronic low back pain. On average, participants were about 58 years old and experienced moderate-to-severe pain, limitations in their daily activities, and a reduced quality of life.

Half of the participants received CBT, and the other half received MBT. They attended weekly two-hour group sessions for eight weeks. After this, they were encouraged to practice what they learned for 30 minutes daily, six days a week, for the remainder of the 12-month study. Although about 30% of participants dropped out by the six-month mark, those who continued reported: 

<ul><li>Less pain.</li><li>Reduced daily opioid use.</li><li>Better daily function.</li><li>Improved quality of life.</li></ul>

These benefits lasted throughout the year, with over 65% of participants still reporting progress at the 12-month mark. Dr. Zgierska highlighted that chronic back pain usually doesn't get better on its own, often worsening over time, which makes these lasting improvements particularly striking. Since both therapies showed similar positive results, people can confidently choose the approach that best suits them, whether it's the structured nature of CBT or the mindfulness focus of MBT. Both in-person and online formats were found to be effective. 

<h2>Supporting Evidence and Future Needs </h2>

While this JAMA Network Open study didn't include a control group or have much racial and ethnic diversity among its participants, its findings align with other research suggesting that behavioral therapies can help adults using opioids for chronic pain. 

It's important to note that this area still needs more research. Only 17 studies have looked at MBT for chronic low back pain, and only three have directly compared it to CBT. However, previous studies have shown that both MBT and CBT are generally effective for pain relief, even if they haven't always included people on opioids for chronic back pain. The fact that this new research shows they help in more severe cases (with opioid use) further strengthens these findings. 

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can you fix Chronic Lower Back Pain

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Lower back pain is a constant issue for many people. While it may seem like a minor inconvenience to some, it can severely impact their quality of life. For people who are suffering from ongoing back pain, finding relief can be incredibly challenging. While there are medications available, there are side-effects one must consider. However, new research suggests that two types of therapy might offer a promising solution, especially for those who have been relying on opioid medications. Therapies Show Promise for Opioid Users A study published April 7 in JAMA Network Open found that mindfulness-based therapy (MBT) and cognitive behavioral therapy (CBT) significantly improved the quality of life for people managing chronic low back pain with opioids. Participants reported less pain and were able to reduce their opioid dosages in the months following the start of these therapies. Researchers noted that the participants had lived with moderate to severe back pain for a long time, most for over five years, and had tried many other treatments without success. The improvements seen were therefore even more significant. Addressing a Common and Stubborn Problem Chronic low back pain affects a large number of people; data suggests that as many as 28% of Americans experience it. Despite its prevalence, effective treatments are often hard to come by. One study in March found that only 10% of non-surgical treatments for lower back pain actually work. This led researchers to explore whether CBT and MBT could offer a better approach. Cognitive Behavioral Therapy (CBT) helps patients identify negative thoughts and behaviors, then uses problem-solving and self-reflection to change those patterns. Mindfulness-Based Therapy (MBT) teaches people to observe their bodily sensations, feelings, and thoughts without reacting to them, often through meditation to focus on the present moment. Promising Results from the Study The study involved 770 adults who were using opioids for their chronic low back pain. On average, participants were about 58 years old and experienced moderate-to-severe pain, limitations in their daily activities, and a reduced quality of life.Half of the participants received CBT, and the other half received MBT. They attended weekly two-hour group sessions for eight weeks. After this, they were encouraged to practice what they learned for 30 minutes daily, six days a week, for the remainder of the 12-month study. Although about 30% of participants dropped out by the six-month mark, those who continued reported: Less pain.Reduced daily opioid use.Better daily function.Improved quality of life.These benefits lasted throughout the year, with over 65% of participants still reporting progress at the 12-month mark. Dr. Zgierska highlighted that chronic back pain usually doesn't get better on its own, often worsening over time, which makes these lasting improvements particularly striking. Since both therapies showed similar positive results, people can confidently choose the approach that best suits them, whether it's the structured nature of CBT or the mindfulness focus of MBT. Both in-person and online formats were found to be effective. Supporting Evidence and Future Needs While this JAMA Network Open study didn't include a control group or have much racial and ethnic diversity among its participants, its findings align with other research suggesting that behavioral therapies can help adults using opioids for chronic pain. It's important to note that this area still needs more research. Only 17 studies have looked at MBT for chronic low back pain, and only three have directly compared it to CBT. However, previous studies have shown that both MBT and CBT are generally effective for pain relief, even if they haven't always included people on opioids for chronic back pain. The fact that this new research shows they help in more severe cases (with opioid use) further strengthens these findings. 

easing chronic lower back pain and painkiller usage with 2 therapies

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