WorldWideScience

Sample records for back pain

  1. Low back pain - chronic

    Science.gov (United States)

    Nonspecific back pain; Backache - chronic; Lumbar pain - chronic; Pain - back - chronic; Chronic back pain - low ... Low back pain is common. Almost everyone has back pain at some time in their life. Often, the exact cause of ...

  2. Back Pain During Pregnancy

    Science.gov (United States)

    ... Education & Events Advocacy For Patients About ACOG Back Pain During Pregnancy Home For Patients Search FAQs Back ... During Pregnancy FAQ115, January 2016 PDF Format Back Pain During Pregnancy Pregnancy What causes back pain during ...

  3. Back pain and low back pain

    International Nuclear Information System (INIS)

    In patients with back pain there is only a poor correlation between clinical and radiological symptoms. Therefore the interpretation of radiological findings is only possible with respect to the natural history of the disease. Indication for radiological examination is given for early diagnosis and treatment of malinformation of the spine; diagnosis and treatment of functional disturbances of the spine with back- and low back pain and diagnosis and treatment of diseases which affect the stability of the vertebrae. (orig.)

  4. Prevent Back Pain

    Science.gov (United States)

    ... Prevent Back Pain Print This Topic En español Prevent Back Pain Browse Sections The Basics Overview Am ... at Risk? 3 of 5 sections Take Action: Prevent Injuries Focus on good posture. Good posture can ...

  5. Back Pain in Children

    Directory of Open Access Journals (Sweden)

    Sadi Kayiran ; Sinan Mahir Kayiran;

    2011-02-01

    Full Text Available Contrary to popular knowledge, back pain is quite frequently seen in children. While very rare in the pre-school age group, frequency reaches 30% in the adolescent period. In many cases, the causes of back pain in childhood cannot be exactly determined and the pain disappears by itself in a short time. It should be remembered that back pain that persists for more than two weeks may be associated with organic causes. Whether or not there have been disruptions in neurological functions should be definitely probed in the medical history. Keeping in mind that back pain could be a part of a systemic disease, a systemic examination should be carried out in cases where there has been long-term back pain. The complaint of childhood back pain should be assessed with a thorough history, a careful physical examination and advanced testing tools. [TAF Prev Med Bull 2011; 10(1.000: 115-118

  6. What Is Back Pain?

    Science.gov (United States)

    ... component. Other diseases. Some types of arthritis and cancer can cause back pain. Your job. If you ... pain. Spinal stenosis. This condition causes the spinal canal to become ... or a nerve root problem called cauda equina syndrome, surgery is needed ...

  7. Epidural injections for back pain

    Science.gov (United States)

    ESI; Spinal injection for back pain; Back pain injection; Steroid injection - epidural; Steroid injection - back ... pillow under your stomach. If this position causes pain, you either sit up or lie on your ...

  8. Low Back Pain

    Science.gov (United States)

    ... body in numerous ways, including causing muscle tension. Backpack overload in children : Low back pain unrelated to ... is unusual in pre-teen children. However, a backpack overloaded with schoolbooks and supplies can strain the ...

  9. Low back pain - acute

    Science.gov (United States)

    ... Fracture of the spinal cord Muscle spasm (very tense muscles) Ruptured or herniated disk Sciatica Spinal stenosis ( ... as ice, mild painkillers, physical therapy, and proper exercises. Most of the time, back pain will get ...

  10. MRI and low back pain

    Science.gov (United States)

    Backache - MRI; Low back pain - MRI; Lumbar pain - MRI; Back strain - MRI; Lumbar radiculopathy - MRI; Herniated intervertebral disk - MRI; Prolapsed intervertebral disk - MRI; Slipped disk - MRI; Ruptured ...

  11. Back pain and parenthood.

    OpenAIRE

    Finkelstein, M M

    1995-01-01

    OBJECTIVE--To test the hypothesis that reports of back pain in a working population are associated with parenthood. METHODS--A questionnaire survey of back pain in municipal fire fighters and police officers in a municipality in Ontario, Canada. The questionnaire was distributed to current employees of fire and police departments. The survey was completed by 129 fire fighters (68% of the active force) and 346 police officers (74% of the force). RESULTS--36% of the respondents complained of a ...

  12. Radiographic Assessment for Back Pain

    Science.gov (United States)

    Radiographic Assessment for Back Pain What are Radiographic Assessments? When Should I get an X-ray for Low Back ... How Effective are X-rays? What are Radiographic Assessments? Radiographic assessments for low back pain involve the ...

  13. Radiology of back pain

    International Nuclear Information System (INIS)

    The authors give an overview of causes of back pain which may be detected by radiological examinations. They insist on practical points of view such as: main cause, accessory cause, problems arising by multiple causes, congenital malformation of the vertebral arch such as anisocoria, canalar stenosis, cheirolumbar dysostosis. They describe two new signs: the pedicular scalloping and the framed articular process. (orig.)

  14. BACK PAIN AND ITS TREATMENT

    Directory of Open Access Journals (Sweden)

    Ekaterina Vladimirovna Podchufarova

    2009-06-01

    source of pain and there is a great deal of treatments for this condition. Unlike chronic pain, acute musculoskeletal pain in the back is a benign and generally self-limited condition. To set off nonspecific back pain, i.e. pain associated with musculoskeletal disorders without signs of involvement of cervical, thoracic, lumbar, and sacral roots and specific spinal lesions (spondylolisthesis, osteoporosis, tumors, inflammatory spondyloarthropathies, etc. is convenient and warranted in most cases when a patient with acute back pain is examined by a general practitioner. The paper gives the data of the current guidelines for the management of patients with nonspecific back pain

  15. Trajectories of low back pain

    DEFF Research Database (Denmark)

    Axén, Iben; Leboeuf-Yde, Charlotte

    2013-01-01

    Low back pain is not a self-limiting problem, but rather a recurrent and sometimes persistent disorder. To understand the course over time, detailed investigation, preferably using repeated measurements over extended periods of time, is needed. New knowledge concerning short-term trajectories...... indicates that the low back pain 'episode' is short lived, at least in the primary care setting, with most patients improving. Nevertheless, in the long term, low back pain often runs a persistent course with around two-thirds of patients estimated to be in pain after 12 months. Some individuals never have...... low back pain, but most have it on and off or persistently. Thus, the low back pain 'condition' is usually a lifelong experience. However, subgroups of patients with different back pain trajectories have been identified and linked to clinical parameters. Further investigation is warranted to...

  16. Approach to lower back pain.

    Science.gov (United States)

    Moosajee, F; Kalla, A A

    2015-12-01

    Lower back pain is one of the most common symptoms–and the most common musculoskeletal problem–seen by general practitioners. Iti s also a common cause of disability and an expensive condition in terms of economic impact because of absenteeism. This article discusses an approach to this common symptom and how to distinguish the benign, mechanical type of back pain from the more sinister, but less frequently encountered, inflammatory back pain. PMID:26933725

  17. Preventive aspects regarding back pain.

    Science.gov (United States)

    Dorner, Thomas E; Crevenna, Richard

    2016-02-01

    Prevention, as the act of keeping from happening, aims to avert things that would occur if no intervention would be taken. From the epidemiology of back pain, consequences of the disease that are worth preventing can be derived. Biological, psychological, and social factors lead to back pain and chronification and ultimately to various adverse outcomes. The most important preventable consequences of back pain include loss of ability to function in daily life, loss of work productivity, sickness absence, and disability pension, excessive and inappropriate healthcare utilisation, impairments in quality of life, and disturbance of sexual life. The most important tools for prevention of back pain lie within rehabilitation after acute pain treatment and include exercise and physical training as well as health education and increasing health literacy. The bio-psycho-social nature of back pain must be taken into account in all preventive measures. PMID:26695480

  18. Back Pain and Neuraxial Anesthesia.

    Science.gov (United States)

    Benzon, Honorio T; Asher, Yogen G; Hartrick, Craig T

    2016-06-01

    The incidence of back pain after neuraxial anesthesia in the adult population is not different from that after general anesthesia. The pain is usually mild, localized in the low back, rarely radiates to the lower extremities, and has a duration of only a few days. The risk factors for development of back pain include the lithotomy position, multiple attempts at block placement, duration of surgery longer than 2.5 hours, body mass index ≥32 kg/m, and a history of back pain. However, there is no permanent worsening of preexisting back pain after neuraxial anesthesia. The back pain has been attributed to tears in the ligaments, fascia, or bone with localized bleeding; immobility of the spine; relaxation of the paraspinal muscles under anesthesia; flattening of the normal lumbar convexity; and stretching and straining of the lumbosacral ligaments and joint capsules. The addition of an anti-inflammatory drug to the local anesthetic used for skin infiltration may decrease the incidence and severity of back pain. The use of spinal or epidural anesthesia in the adult, non-obstetric and obstetric populations should depend on the advantages offered by the technique and not on the occurrence of back pain after the procedure. Additional studies are needed to confirm the efficacy of epidural dexamethasone, or other steroids, or the addition of an anti-inflammatory drug to the local anesthetic infiltration for the prevention of back pain after neuraxial anesthesia. Future studies should involve a physician with expertise in the evaluation of chronic low back pain to help identify the cause of the back pain and institute appropriate treatment(s). PMID:27195644

  19. Lumbar Disc Screening Using Back Pain Questionnaires: Oswestry Low Back Pain Score, Aberdeen Low Back Pain Scale, and Acute Low Back Pain Screening Questionnaire

    OpenAIRE

    Kim, Do Yeon; Oh, Chang Hyun; Yoon, Seung Hwan; Park, Hyung Chun; Park, Chong Oon

    2012-01-01

    Objective To evaluate the usefulness of back pain questionnaires for lumbar disc screening among Korean young males. Methods We carried out a survey for lumbar disc screening through back pain questionnaires among the volunteers with or without back pain. Three types of back pain questionnaire (Oswestry Low Back Pain Score, Aberdeen Low Back Pain Scale, and Acute Low Back Pain Screeing Questionnaire) were randomly assigned to the examinees. The authors reviewed lumbar imaging studies (simple ...

  20. Prevention of occupational Back Pain

    Directory of Open Access Journals (Sweden)

    Sultan T Al-Otaibi

    2015-01-01

    Full Text Available This paper reviews scientific research on occupational back pain and focuses on prevention of this problem. It discusses some of the challenges of translating the evidence of this multi-factorial condition into policy. Medical science is currently unable to clearly distinguish between back pain caused by work and that possibly due to other causes but which affects the individual′s capacity to work. Back pain affects the vast majority of people at some point in their lives and is very costly to both the health care system and the industry. Evidence suggests that heavy lifting, driving, and vibration of the whole body are linked to occupational back pain. Once the risk factors for occupational back pain are identified, an otherwise chronic and disabling condition can be prevented in the majority of patients. As explained in this article, three levels of prevention for occupational back pain have been reported as effective. Failure to implement preventive measures may lead to a high incidence of occupational back pain.

  1. Low Back Pain

    Science.gov (United States)

    ... and sleeping. Prevention What's the best way to sit? Sit in chairs with straight backs or low-back ... than by twisting at your waist. When driving, sit straight and move the seat forward. This helps ...

  2. Opioids for low back pain.

    Science.gov (United States)

    Deyo, Richard A; Von Korff, Michael; Duhrkoop, David

    2015-01-01

    Back pain affects most adults, causes disability for some, and is a common reason for seeking healthcare. In the United States, opioid prescription for low back pain has increased, and opioids are now the most commonly prescribed drug class. More than half of regular opioid users report back pain. Rates of opioid prescribing in the US and Canada are two to three times higher than in most European countries. The analgesic efficacy of opioids for acute back pain is inferred from evidence in other acute pain conditions. Opioids do not seem to expedite return to work in injured workers or improve functional outcomes of acute back pain in primary care. For chronic back pain, systematic reviews find scant evidence of efficacy. Randomized controlled trials have high dropout rates, brief duration (four months or less), and highly selected patients. Opioids seem to have short term analgesic efficacy for chronic back pain, but benefits for function are less clear. The magnitude of pain relief across chronic non-cancer pain conditions is about 30%. Given the brevity of randomized controlled trials, the long term effectiveness and safety of opioids are unknown. Loss of long term efficacy could result from drug tolerance and emergence of hyperalgesia. Complications of opioid use include addiction and overdose related mortality, which have risen in parallel with prescription rates. Common short term side effects are constipation, nausea, sedation, and increased risk of falls and fractures. Longer term side effects may include depression and sexual dysfunction. Screening for high risk patients, treatment agreements, and urine testing have not reduced overall rates of opioid prescribing, misuse, or overdose. Newer strategies for reducing risks include more selective prescription of opioids and lower doses; use of prescription monitoring programs; avoidance of co-prescription with sedative hypnotics; and reformulations that make drugs more difficult to snort, smoke, or inject. PMID

  3. Back Pain and Emotional Distress

    Science.gov (United States)

    ... have been successfully used in the management of pain and anxiety. These include stress management, relaxation training, biofeed- back, hypnosis and cognitive-behavioral therapy (a method to reduce ...

  4. Pregnancy and low back pain

    OpenAIRE

    Sabino, Jennifer; Grauer, Jonathan N.

    2008-01-01

    Back pain is ubiquitous in today’s society and is particularly common during pregnancy. There are multiple factors contributing to these symptoms during pregnancy including pelvic changes as well as alterations to loading. Potential imaging modalities are limited during pregnancy due to the desire to limit ionizing radiation exposure to the fetus. Treatments are generally conservative, exercise-based interventions and alternative modalities may also be considered. Low back pain associated wit...

  5. Low back pain - acute

    Science.gov (United States)

    ... narrowing of the spinal canal) Spine curvatures (like scoliosis or kyphosis), which may be inherited and seen ... TD Jr, eds. Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation . 3rd ed. Philadelphia, ...

  6. Back pain and sports

    Science.gov (United States)

    ... is called core strengthening. Ask your doctor or physical therapist about these strengthening exercises. If you had a ... the stress off your back include: Ask your physical therapist about the best posture and technique for your ...

  7. Low back pain - chronic

    Science.gov (United States)

    ... over time. If the spaces between the spinal nerves and spinal cord become narrowed, this can lead to spinal ... not improve with medicine and physical therapy include: Spinal surgery, only if you have nerve damage or the cause of your pain does ...

  8. Low Back Pain And Sexuality

    OpenAIRE

    KURU, Ö.; BEWYER, D.; KUTLU, Y.

    2010-01-01

    Sexual dysfunction in the patient with chronic low back pain is a frequently misunders¬tood and neglected aspect of this disease classification. Clinical experience and a review of the literature defines three causative factors: primary organic pathology interrupting nor¬mal nervous system function; side effects of medication prescribed for the condition, and psychological factors relating to anxiety over performance and fear of pain during sexual activity. The purpose of this article is to d...

  9. Coping with Low Back Pain.

    Science.gov (United States)

    Kindig, L. E.; Mrvos, S. R.

    Guidelines are offered for the prevention and relief of lower back pain. The structure of the spine is described, and the functions and composition of spinal disks are explained. A list is included of common causes of abnormalities of the spinal column, and injuries which may cause the fracture of the vertebrae are described. Factors causing low…

  10. Low back pain across the life course

    DEFF Research Database (Denmark)

    Dunn, Kate M; Hestbæk, Lise; Cassidy, J David

    2013-01-01

    Back pain episodes are traditionally regarded as individual events, but this model is currently being challenged in favour of treating back pain as a long-term or lifelong condition. Back pain can be present throughout life, from childhood to older age, and evidence is mounting that pain experience...... is maintained over long periods: for example, people with pain continue to have it on and off for years, and people without pain do not suddenly develop long-term pain. A number of factors predict back pain presence in epidemiological studies, and these are often present, and predictive, at different...... life stages. There are also factors present at particular life stages, such as childhood or adolescence, which predict back pain in adulthood. However, there are little published data on long-term pain patterns or predictors over the life course. Such studies could improve our understanding of the...

  11. Therapy for back pain syndrome

    Directory of Open Access Journals (Sweden)

    E Yu Solovyeva

    2012-01-01

    Full Text Available There is evidence that nonsteroidal anti-inflammatory drugs (NSAIDs may be used in combination with B group vitamins. A number of independent trials demonstrates that B group vitamins potentiate the analgesic effect of NSAIDs and contribute to a rapider regression of pain syndrome than their monotherapy. To reduce the risk of adverse reactions of NSAID therapy, to enhance its adherence, and to reduce its cost, it is reasonable to administer combination drugs that contain these components and allow the dose of active substances to be decreased due to their synergism. The new combination drug neurodiclovit contains slow-release enteric-coated granules and individual immediate-release granules of vitamins B 1, B 6, and B 12. Incorporation of neurodiclovit into treatment regimens for back pain syndromes will promote optimization of their therapy.

  12. How to prevent low back pain

    NARCIS (Netherlands)

    Burton, A.K.; Balague, F.; Cardon, G.; Eriksen, H.R.; Henrotin, Y.; Lahad, A.; Leclerc, A.; Muller, G.; Beek, van der A.J.

    2005-01-01

    This chapter summarizes the European Guidelines for Prevention in Low Back Pain, which consider the evidence in respect of the general population, workers and children. There is limited scope for preventing the incidence (first-time onset) of back pain and, overall, there is limited robust evidence

  13. Neuropathic pain, back to the patient

    NARCIS (Netherlands)

    R. van Seventer (Robert)

    2011-01-01

    markdownabstract__Abstract__ Pain can be classified in several ways. The International Association for the Study of Pain (IASP) recommends describing pain according to five categories or axes, namely its anatomical location (neck, lower back, etc.), the body system involved (gastrointestinal, nervo

  14. Investigational pharmacology for low back pain

    Directory of Open Access Journals (Sweden)

    Avinash K Bhandary

    2010-09-01

    Full Text Available Avinash K Bhandary1 , Gary P Chimes2, Gerard A Malanga3 1Department of Physical Medicine and Rehabilitation, 2Department of Physical Medicine and Rehabilitation, University of Pittsburgh Medical Center, Pittsburgh, PA, USA; 3New Jersey Sports Medicine Institute; Overlook Hospital; Mountainside Hospital; Rehabilitation Medicine and Electrodiagnosis, St Michael’s Medical Center; Horizon Healthcare Worker’s Compensation Services, Blue Cross and Blue Shield Worker’s Compensation, Summit, NJ, USAStudy design: Review and reinterpretation of existing literature.Objective: This review article summarizes the anatomy and pathogenesis of disease processes that contribute to low back pain, and discusses key issues in existing therapies for chronic low back pain. The article also explains the scientific rationale for investigational pharmacology and highlights emerging compounds in late development.Results/conclusion: While the diverse and complex nature of chronic low back pain continues to challenge clinicians, a growing understanding of chronic low back pain on a cellular level has refined our approach to managing chronic low back pain with pharmacology. Many emerging therapies with improved safety profiles are currently in the research pipeline and will contribute to a multimodal therapeutic algorithm in the near future. With the heterogeneity of the patient population suffering from chronic low back pain, the clinical challenge will be accurately stratifying the optimal pharmacologic approach for each patient.Keywords: low back pain, investigational, pharmacology, drugs

  15. Back school program for back pain: education or physical exercise?

    Directory of Open Access Journals (Sweden)

    Thayná Maria José Clemente da Silva

    2014-01-01

    Full Text Available Introduction: Back school consists in an educational program aimed at pre-venting back pain and rehabilitating individuals with degenerative disorders.Objective: To evaluate the effects of back school components (education and/or exercise therapy in relieving pain and improving quality of life in patientswith chronic back pain.Method: Forty-one patients were randomized and al-located into four groups: (i a back school group (educational lessons and physicalexercise; (ii an educational lessons group; (iii a physical exercise group and (iva waiting list control group.Patients were evaluated before and after treatmentwith a visual analogue scale, a short form quality-of-life questionnaire, a RolandMorris disability questionnaire and a finger-floor distance test.Results: The backschool group showed significant reduction in scores in the visual analogue scaleand the Roland Morris disability questionnaire and an increase in the short-form quality of life questionnaire. Conclusion: The effectiveness of back schoolprograms in chronic back pain patients seems to be due to the physical exercisecomponent and not on account of the educational lessons.

  16. Back pain: A puzzle in children.

    Science.gov (United States)

    Nahle, Imad S; Hamam, Mohamed S; Masrouha, Karim Z; Afeiche, Nadim E; Abdelnoor, Johnny

    2016-08-01

    Back pain in children is underdiagnosed and increases incidence in adolescence. A systematic approach can diagnose the most common causes: trauma, structural deformities, inflammatory diseases, infection and malignancy. PMID:27535879

  17. Mechanical therapy for low back pain.

    Science.gov (United States)

    Guild, Donald Grant

    2012-09-01

    Physical therapy and manual medicine for low back pain encompass many different treatment modalities. There is a vast variety of techniques that physical therapists commonly use in the treatment of low back pain. Some of the therapies include, but are certainly not limited to, education, exercise, lumbar traction, manual manipulation, application of heat, cryotherapy, and ultrasonography. Many of these approaches are discussed specifically in this article. PMID:22958560

  18. Postural balance in low back pain patients

    DEFF Research Database (Denmark)

    Maribo, Thomas; Schiøttz-Christensen, Berit; Jensen, Lone Donbæk; Andersen, Niels Trolle; Stengaard-Pedersen, Kristian

    2012-01-01

    INTRODUCTION: Altered postural control has been observed in low back pain (LBP) patients. They seem to be more dependent on vision when standing. The objective of the study was to determine concurrent and predictive validity of measures of postural stability in LBP patients. MATERIALS AND METHODS...... LBP patients were evaluated. The correlations between CoP measurements and pain, fear of pain, and physical function were poor. There were no significant differences in CoP measurements between patients with no change or deterioration and patients with improvement in pain and back-specific function......: Centre of Pressure (CoP) measurements were tested against pain, fear of pain, and physical function. Velocity, anterior-posterior displacement, and the Romberg Ratio obtained on a portable force platform were used as measures of postural stability. RESULTS: Baseline and 12-week follow-up results of 97...

  19. Managing low back pain second edition

    International Nuclear Information System (INIS)

    This book contains 26 chapters. Some of the titles are: Magnetic resonance imaging of the lumbar spine; Diagnostic techniques; The site and nature of the lesion; The anatomy of the lumbosacral spine; The perception of pain; Differential diagnosis of low back pain; and A comprehensive outline of treatment

  20. Imaging studies in chronic low back pain

    International Nuclear Information System (INIS)

    Imaging brings to difficult problems in chronic low back pain incomplete data showing that it will need a lot of time to find therapeutic solutions. Some comparisons are made between tomodensitometry, nuclear magnetic imaging, the disco-scanner, these technologies allow to find small lesions but the problem is complete when it is not possible to find anything with persistent pains. 125 refs

  1. Rehabilitation of Low Back Pain in Golfers

    OpenAIRE

    Finn, Christopher

    2013-01-01

    Context: Low back injuries are the most common injury in golf. Best practice guidelines for rehabilitation and prevention of these injuries are helpful for health care professionals and all golfers. Objective: To establish a best practice clinical model for low back pain in golfers from diagnosis through treatment and rehabilitation to return to golf. Evidence Acquisition: The PubMed database and Google Scholar were searched from 1993 to 2012 with the following keywords: golf and low back inj...

  2. Nordic walking and chronic low back pain

    DEFF Research Database (Denmark)

    Morsø, Lars; Hartvigsen, Jan; Puggaard, Lis;

    2006-01-01

    Low Back Pain is a major public health problem all over the western world. Active approaches including exercise in the treatment of low back pain results in better outcomes for patients, but it is not known exactly which types of back exercises are most beneficial or whether general physical...... activity provide similar benefits. Nordic Walking is a popular and fast growing type of exercise in Northern Europe. Initial studies have demonstrated that persons performing Nordic Walking are able to exercise longer and harder compared to normal walking thereby increasing their cardiovascular metabolism...

  3. Use of aceclofenac (aertal in back pain

    Directory of Open Access Journals (Sweden)

    Yuliya Leonidovna Korsakova

    2011-06-01

    Full Text Available Back pain is a generalized type of locomotor lesion that is caused by soft tissue pathology and degenerative changes in the vertebral column in most cases and by intervertebral disk herniation, spinal stenosis, compression fractures in osteoporosis, by injuries, congenital anomalies, vertebral displacement less frequently, as well as by infections, tumors, inflammatory processes in the vertebral column, and related pain. A number of rheumatic diseases, including seronegative spondylarthritis, Scheuermann-Mau' disease, Forestier's disease, osteoarthrosis, etc., are accompanied by back pain. The cause of back pain syndrome cannot be frequently identified. This abnormality is treated by nonsteroidal antiinflammatory drugs, among which aceclofenac (Aertal has acquired a reputation as an agent having a good tolerability.

  4. Use of aceclofenac (aertal in back pain

    Directory of Open Access Journals (Sweden)

    Yuliya Leonidovna Korsakova

    2011-01-01

    Full Text Available Back pain is a generalized type of locomotor lesion that is caused by soft tissue pathology and degenerative changes in the vertebral column in most cases and by intervertebral disk herniation, spinal stenosis, compression fractures in osteoporosis, by injuries, congenital anomalies, vertebral displacement less frequently, as well as by infections, tumors, inflammatory processes in the vertebral column, and related pain. A number of rheumatic diseases, including seronegative spondylarthritis, Scheuermann-Mau' disease, Forestier's disease, osteoarthrosis, etc., are accompanied by back pain. The cause of back pain syndrome cannot be frequently identified. This abnormality is treated by nonsteroidal antiinflammatory drugs, among which aceclofenac (Aertal has acquired a reputation as an agent having a good tolerability.

  5. Prevalence of chronic low back pain: systematic review

    OpenAIRE

    Rodrigo Dalke Meucci; Anaclaudia Gastal Fassa; Neice Muller Xavier Faria

    2015-01-01

    OBJECTIVE To estimate worldwide prevalence of chronic low back pain according to age and sex. METHODS We consulted Medline (PubMed), LILACS and EMBASE electronic databases. The search strategy used the following descriptors and combinations: back pain, prevalence, musculoskeletal diseases, chronic musculoskeletal pain, rheumatic, low back pain, musculoskeletal disorders and chronic low back pain. We selected cross-sectional population-based or cohort studies that assessed chronic low back pai...

  6. THE CURRENT PROBLEMS OF NONSPECIFIC BACK PAIN.

    Science.gov (United States)

    Seleznova, S; Zabara, A; Mamuladze, D

    2016-01-01

    The article deals with various aspects of pain in degenerative diseases of the spine and with the actual problems of non-specific back pain. The data on the mechanisms of pain and analgesic treatment algorithms of the patients with radicular syndrome, and pharmacological and non-pharmacological therapies is provided. The effect of structural-modifying drugs in relief of nonspecific back pain was investigated and compared with a traditional nonsteroidal anti-inflammatory drug (NSAID) therapy in combination with B vitamins, without chondroprotectors. The study population was composed of 85 patients (42 men and 43 women) aged 38 to 68 years (mean age - (46,3±2,6) years) with chronic vertebral pain syndromes (VPS). For objectification assessment of pain, severity of pain, and evaluate the effectiveness of therapy we used the visual analog scale (VAS).The majority (88%) of the patients included in the study, complained of a moderately severe pain (from 40 to 70 mm on the VAS). Patients were divided into two groups. The first (primary) group consisted of 55 patients (30 men and 25 women). The following treatment was applied: all patients of the first group, in addition to the NSAID administered with hondroprotektror arbitrarily - Struktum 1000 mg twice a day or 300 mg Piaskledin once a day for 40-60 days.The second (control) group consisted of 30 patients (14 men, 16 women). Patients in the control group administered with a traditional NSAID therapy in combination with B vitamins, without chondroprotectors. The results of the study on the influence of drugs Piaskledin 300, Struktum for the relief of nonspecific back pain revealed that in the treatment of vertebral pain, a combination of non-steroidal anti-inflammatory drugs with structure-modifying agents could achieve rapid rehabilitation of patients with locomotor activity and improve quality of life in general. PMID:26870977

  7. Use of aceclofenac (aertal) in back pain

    OpenAIRE

    Yuliya Leonidovna Korsakova; Yulia Leonidovna Korsakova

    2011-01-01

    Back pain is a generalized type of locomotor lesion that is caused by soft tissue pathology and degenerative changes in the vertebral column in most cases and by intervertebral disk herniation, spinal stenosis, compression fractures in osteoporosis, by injuries, congenital anomalies, vertebral displacement less frequently, as well as by infections, tumors, inflammatory processes in the vertebral column, and related pain. A number of rheumatic diseases, including seronegative spondylarthritis,...

  8. Rehabilitation of Low Back Pain in Golfers

    Science.gov (United States)

    Finn, Christopher

    2013-01-01

    Context: Low back injuries are the most common injury in golf. Best practice guidelines for rehabilitation and prevention of these injuries are helpful for health care professionals and all golfers. Objective: To establish a best practice clinical model for low back pain in golfers from diagnosis through treatment and rehabilitation to return to golf. Evidence Acquisition: The PubMed database and Google Scholar were searched from 1993 to 2012 with the following keywords: golf and low back injury, low back injury, golf and low back pain, golf injury prevention, golf modern swing, muscles in golf swing, low back rehabilitation, diaphragm, and core stability. All studies addressed in some manner the rehabilitation, prevention, or return to sport from low back injury, preferably in direct relation to golf, as well as muscle firing patterns used during the golf swing. Results: Best practice for rehabilitation and prevention of low back injury in golf appears to be through a multidisciplinary approach. Conclusion: Movement patterns, muscle imbalances, and type of swing utilized all have a direct effect on the forces applied to the spine during the golf swing and need to be assessed to prevent or rehabilitate injury. Understanding the golf swing and how the body works during the swing is necessary. PMID:24459546

  9. Low Back Pain: Current Surgical Approaches

    OpenAIRE

    Baliga, Santosh; Treon, Katrina; Craig, Niall John Angus

    2015-01-01

    Low back pain (LBP) is a worldwide phenomenon. The UK studies place LBP as the largest single cause of absence from work; up to 80% of the population will experience LBP at least once in their lifetime. Most individuals do not seek medical care and are not disabled by their pain once it is managed by nonoperative measures. However, around 10% of patients go on to develop chronic pain. This review outlines the basics of the traditional approach to spinal surgery for chronic LBP secondary to os...

  10. The natural course of low back pain

    DEFF Research Database (Denmark)

    Lemeunier, Nadège; Leboeuf-Yde, Charlotte; Gagey, Olivier

    2012-01-01

    Most patients in the secondary care sector consulting for low back pain (LBP) seem to have a more or less constant course of pain during the ensuing year. Fewer patients with LBP in the primary care sector report continual pain over a one-year period. However, not much is known about the long......-term course of LBP in the general population. A systematic critical literature review was undertaken in order to study the natural course of LBP over time in the general population....

  11. Hypnosis treatment for chronic low back pain.

    Science.gov (United States)

    Tan, Gabriel; Fukui, Tenley; Jensen, Mark P; Thornby, John; Waldman, Karen L

    2010-01-01

    Chronic low back pain (CLBP) is a significant healthcare problem, and many individuals with CLBP remain unresponsive to available interventions. Previous research suggests that hypnosis is effective for many chronic pain conditions; however, data to support its efficacy for CLBP are outdated and have been limited primarily to case studies. This pilot study indicated that a brief, 4-session standardized self-hypnosis protocol, combined with psycho-education, significantly and substantially reduced pain intensity and pain interference. Significant session-to-session improvements were also noted on pain ratings and mood states; however, follow-up data suggest that these benefits may not have been maintained across time in this sample. These findings need to be replicated and confirmed in a larger clinical trial, which could also assess the long-term effects of this treatment. PMID:20183738

  12. Is it all about a pain in the back?

    DEFF Research Database (Denmark)

    Hartvigsen, Jan; Natvig, Bard; Ferreira, Manuela

    2013-01-01

    treatment of low back pain and other musculoskeletal disorders such as neck pain and lower limb osteoarthritis are very similar. In this chapter, we discuss the prevalence, consequences, and implications of commonalities between low back pain, pain in other sites and co-occurring pain. In addition, we......Multisite musculoskeletal pain is common among people suffering from low back pain. Although the mechanisms behind co-occurrence of multiple somatic symptoms and musculoskeletal pain are still unknown, patients with co-morbidities and co-occurring musculoskeletal symptoms tend to have worse...... propose a conceptual framework for a common stepwise approach to the diagnosis and management of back and musculoskeletal pain....

  13. Occupational low back pain in nursing workers: massage versus pain

    OpenAIRE

    Talita Pavarini Borges; Leonice Fumiko Sato Kurebayashi; Maria Júlia Paes da Silva

    2014-01-01

    Objective: To assess the efficacy of massage for decreasing occupational low back pain in workers of a Nursing team in an Emergency Room. Method: A randomized controlled trial, using a socio-demographic/morbidity questionnaire and a Pain Numeric Scale. Forty-five subjects were randomly allocated for intervention (G1 – Massage by acupressure), placebo group (G2 – application of Garlium Arseneid Laser 904nm turned off) and control (G3 – no intervention). Results: The main triggering factor, as ...

  14. Emotional Disturbance and Chronic Low Back Pain.

    Science.gov (United States)

    McCreary, Charles P.; And Others

    1980-01-01

    Patients high in alientation and distrust may be poor compliers. Because only the somatic concern dimension predicted outcome, a single scale that measures this characteristic may be sufficient for effective identification of the potential good v poor responders to conservative treatment of low back pain. (Author)

  15. Low Back Pain in a Tennis Player.

    Science.gov (United States)

    Bracker, Mark; And Others

    1988-01-01

    A group of physicians meet to discuss a case in which a middle-aged tennis player suffers from low back pain. The diagnosis, treatment and management of the case are discussed. The article is one in an occasional series. (JL)

  16. Expectation of recovery from low back pain

    DEFF Research Database (Denmark)

    Kongsted, Alice; Vach, Werner; Axø, Marie; Bech, Rasmus Nørgaard; Hestbæk, Lise

    2014-01-01

    Study Design. A prospective cohort study conducted in general practice (GP) and chiropractic practice (CP).Objectives. To explore which patient characteristics were associated with recovery expectations in low back pain (LBP) patients, whether expectations predicted 3-month outcome, and to what...

  17. [Cryotherapy for low-back pain].

    Science.gov (United States)

    Shao, Z H

    1992-11-01

    In animal experiment, cryotherapy was used in 1997 adult patients with acute or chronic low-back pain of various causes. The posterior ramus of certain lumbar nerve was frozen to -140 degrees, -180 degrees C. Through a specially made freezing needle punctured into the place, 1902 patients were treated for 1 time and the rest 2 or 3 times. 1742 patients (87.2%) got immediate relief and resumed pain-free movement right after cryotherapy. After a period of 2.5 years on the average (range 0.5 to 4.5 years) 409 patients returned for re-examination. 371 of them got complete relief and resumed normal work, 15 experienced discomfort after exercise, 13 still had some degree of pain, 4 suffered from recurrence of low-back pain and 6 failed to response to the treatment. However, neither paresthesia over the related skin area nor muscular atrophy and paralysis of the corresponding muscles were found in any case. In brief, in dealing with low-back pain, cryotherapy is a simple, effective method. PMID:1535584

  18. [Back pain in the working age population].

    Science.gov (United States)

    Klipstein, Andreas; Nydegger, Alexander

    2013-09-01

    Back pain in the working age population can coincide with work-related activities and may lead to temporary or permanent work disability in the case of functional impairment that interacts with workplace demands. This can lead to economic if not existential problems for the affected individual. Although neurogenic or inflammatory back pain may be the cause, the big majority of all cases is caused by "common" low back pain with or without irradiating pain, the main problem being frequent recurrencies of acute pain episodes (periodic or relapsing course). After early exclusion of specific causes (i. e. "red flags": usually identified through history and simple laboratory findings!) repetitive examinations should be avoided. Structural changes and physical job demands should not be overestimated as causal factors. In the early phase of a work disability more emphasis should be laid however on appropriate information and medication and, in case of persistent impairment, active treatment (after 3 weeks or relapse). Longtime workplace absence has important individual and socioeconomic consequences. The risk for chronification can be estimated through evaluation of "yellow flags" and observation of characteristics of the course in the individual case. An early return to work and to activities of daily life is urgent. In cases at risk for chronification and/or with obstacles to reintegration at work an interdisciplinary work-oriented rehabilitation or social and occupational reintegration should be organised. PMID:23985149

  19. Occupational low back pain in nursing workers: massage versus pain

    Directory of Open Access Journals (Sweden)

    Talita Pavarini Borges

    2014-08-01

    Full Text Available Objective: To assess the efficacy of massage for decreasing occupational low back pain in workers of a Nursing team in an Emergency Room. Method: A randomized controlled trial, using a socio-demographic/morbidity questionnaire and a Pain Numeric Scale. Forty-five subjects were randomly allocated for intervention (G1 – Massage by acupressure, placebo group (G2 – application of Garlium Arseneid Laser 904nm turned off and control (G3 – no intervention. Results: The main triggering factor, as well as the worsening of pain, was the patient manipulation, both with a prevalence of 34.9%. The main treatment for low back pain before this research was the use of medication, with a prevalence of 44.2%. In accordance with a variance analysis, only G1 presented a significant statistical difference, with a better result after 12 sessions. Massage presented an enormous effect (d = 4.59, corresponding to 86% of reduction in the pain level. Conclusion: Massage was effective to decrease occupational low back pain of those Nursing workers.

  20. Lombalgia ocupacional Occupational low back pain

    Directory of Open Access Journals (Sweden)

    Milton Helfenstein Junior

    2010-01-01

    Full Text Available A lombalgia ocupacional apresenta etiologia multifatorial, elevada prevalência e incidência. Caracterizada por quadro de dor de variada duração e intensidade, a dor lombar pode levar à incapacidade laborativa e à invalidez. A lombalgia acarreta sofrimento aos trabalhadores, custos às empresas, aos sistemas previdenciário e assistencial de saúde. Os autores, pela relevância do tema, elaboraram este artigo de revisão bibliográfica dando ênfase ao embasamento teorico-conceitual e à experiência de especialistas.The occupational low back pain presents multifactorial aetiology, important prevalence and incidence. Characterized by pain of varying duration and intensity, low back pain may lead to disability. Low back pain causes suffering to workers, implies costs to companies, to the social security and health assistance system. Because of the theme's relevance, the authors have elaborated this review of literature with emphasis on a theoretical and conceptual basis, as well as experience of experts.

  1. [Physiotherapy and rehabilitation for low back pain].

    Science.gov (United States)

    Bachmann, Stefan; Oesch, Peter

    2013-09-01

    Low back pain (LBP) continues to be a major health problem causing personal suffering and enormous socioeconomic costs. Evidence suggests that more than 85 % of individuals with LBP suffer from non-specific low back pain. Physiotherapy for non-specific LBP includes educational, physical, manual and movement therapy measures. In the acute phase, it is very important to prevent chronicity by identifying barriers for a full recovery and a quick return to everyday activities. If there is a chronicity of symptoms, the treatment must focus on improvement of the general physical activity despite the pain and promote participation in the social and work context. These aims are more important than pain relief. Therefore in the acute phase educational and activity-promoting measures are the primary treatment options. In the sub-acute and chronic phase a multidimensional treatment approach including exercise therapy with the aim of improving function, including return to work, should be applied. By now, there is scientific evidence that physiotherapy can reduce pain and disability due to LBP, and that return to usual activities including work can be achieved. PMID:23985153

  2. A patient with back pain: therapy possibilities

    Directory of Open Access Journals (Sweden)

    P. R. Kamchatnov

    2015-02-01

    Full Text Available Low back pain (LBP is one of the most common clinical syndromes associated with the high rate of temporary disability and sizable material costs. The choice of adequate therapy for LBP requires that primary diseases that can be responsible for the occurrence of pain should be excluded. While choosing an analgesic, there must be a balance between its efficacy and the possible risk for undesirable side effects. One of the drugs that have proven effective in treating patients with LBP is ketoprofen (ketonal, the diversity of whose formulations allows maximally individualized therapy.

  3. Work-related risk factors for low back pain

    OpenAIRE

    Hoogendoorn, W.E.

    2001-01-01

    In this thesis work-related risk factors for low back pain are investigated. Low back pain is one of the most common work-related health problems. It has a considerable impact on sickness absence and work disability. Originally, the focus of most occupational research on low back pain was directed towards physical factors. Recently, however, the study of psychosocial work characteristics has also become an important aspect of epidemiological studies on low back pain in occupational settings. ...

  4. Low back pain and degenerative disc disease

    OpenAIRE

    Jandrić Slavica; Antić Branislav

    2006-01-01

    Introduction. Various clinical conditions can cause low back pain, and in most cases it is of a degenerative origin. Degenerative disc disease is a common condition which affects young to middle-aged men and women equally. Changes in the mechanical properties of the disc lead to degenerative arthritis in the intervertebral joints, osteophytes, and narrowing the intervertebral foramen or the spinal canal. Pathophysiology. Degenerative cascade, described by Kirkaldy-Willis, is the widely accept...

  5. Low back pain and comorbidity in women

    OpenAIRE

    Popov, A. A.; N. V. Ismozerova

    2008-01-01

    Objective. To assess association of low back pain (LBP) in women with hypertension (H), coronary heart disease (CHD), chronic heart failure (CHF), vascular incidents, carbohydrate metabolism disturbances, osteoarthritis (OA), osteoporosis (OP), digestive tract diseases, depression and anxiety. Material and methods. 1194 women aged 28 to 64 years (median 51 years |48;55] ) visited an outpatient department were included in the cross-sectional study. Diagnosis was done according to latest nation...

  6. [Drug treatment and interventional pain therapy in back pain patients].

    Science.gov (United States)

    Sprott, Haiko; Klauke, Wolfgang

    2013-09-01

    The treatment of chronic, non-malignant low-back pain is based on the patients' history and the clinical examination. It can be assumed that half of the cases present with a neuropathic pain component which needs to be treated with antidepressive and antiepileptic drugs instead of "pure" analgesics. Opioids should be considered with extreme caution because of their toxicity. Chronic non-malignant back pain is the prototype for interdisciplinary treatment approaches and multi-modal interdisciplinary settings, including pain programmes. However, a personalised strategy has to be preferred in most cases. A quick relief of pain is important in order to improve function as well as to re-integrate the patient into professional life. Spinal infiltrations can be of both diagnostic as well as therapeutic benefits. Their indication must be considered carefully, especially if the invasive diagnostic intervention has no therapeutic consequences. The interventional procedures should only be used as part of a multimodal approach in patients without any psychological problem. The sole use of interventions supports the purely somatic orientation of many patients and thus leads us in the wrong direction. PMID:23985154

  7. Low back pain and degenerative disc disease

    Directory of Open Access Journals (Sweden)

    Jandrić Slavica

    2006-01-01

    Full Text Available Introduction. Various clinical conditions can cause low back pain, and in most cases it is of a degenerative origin. Degenerative disc disease is a common condition which affects young to middle-aged men and women equally. Changes in the mechanical properties of the disc lead to degenerative arthritis in the intervertebral joints, osteophytes, and narrowing the intervertebral foramen or the spinal canal. Pathophysiology. Degenerative cascade, described by Kirkaldy-Willis, is the widely accepted pathophysiologic model describing the degenerative process as it affects the lumbar spine in 3 phases. Diagnosis. There are two forms of low back pain secondary to degenerative disc disease: a lumbalgia and b lumbar radiculopathy. Limitation of movement, problems with balance, pain, loss of reflexes in the extremities, muscle weakness, loss of sensation or other signs of neurological damage can be found on physical examination. For accurate diagnosis, it is often necessary to combine clinical examination and sophisticated technology. Treatment. Coservative treatment consists of rest, physical therapy, pharmacological therapy and injection therapy. Physical rehabilitation with active patient participation is a key approach to treatment of patients with discogenic pain. Physical therapy, occupational therapy and kinesitherapy are important for improving muscle strength, endurance, and flexibility. Disc surgery is performed if surgical intervention is required. .

  8. Potential Risk Factors of Persistent Low Back Pain Developing from Mild Low Back Pain in Urban Japanese Workers

    OpenAIRE

    Ko Matsudaira; Hiroaki Konishi; Kota Miyoshi; Tatsuya Isomura; Kyoko Inuzuka

    2014-01-01

    STUDY DESIGN: Two-year, prospective cohort data from the Japan epidemiological research of occupation-related back pain study in urban settings were used for this analysis. OBJECTIVE: To examine the association between aggravated low back pain and psychosocial factors among Japanese workers with mild low back pain. SUMMARY OF BACKGROUND DATA: Although psychosocial factors are strongly indicated as yellow flags of low back pain (LBP) leading to disability, the association between aggravated LB...

  9. Backing up the stories: The psychological and social costs of chronic low-back pain

    OpenAIRE

    Mathew, Justin; Singh, Samantha B.; Garis, Sally; Diwan, Ashish D.

    2013-01-01

    Background Chronic low-back pain is a widespread condition whose significance is overlooked. Previous studies have analyzed and evaluated the medical costs and physical symptoms of chronic low-back pain; however, few have looked beyond these factors. The purpose of this study was to analyze and evaluate the personal and psychosocial costs of chronic low-back pain. Methods To measure the various costs of chronic low-back pain, a questionnaire was generated using a visual analog scale, the Depr...

  10. Psychological Evaluation of Acute Low Back Pain in Hospital Workers

    OpenAIRE

    Lamontagne, Yves; Bousquet, Pierre; Elie, Robert; Courtois, Monique

    1983-01-01

    Personality, anxiety and depression were assessed in 62 hospital workers divided in three experimental groups: those with acute organic low back pain, those with acute functional low back pain, and asymptomatic control subjects. Results showed no statistical differences between groups in the evaluation of personality. Asymptomatic subjects had significantly lower scores for trait anxiety and depression than did patients suffering from low back pain. Patients with pain of organic origin were a...

  11. The discriminative value of inflammatory back pain in patients with persistent low back pain

    DEFF Research Database (Denmark)

    Arnbak, Bodil Al-Mashhadi; Hendricks, Oliver; Hørslev-Petersen, Kim;

    2016-01-01

    for > 3 months were selected from a cohort of secondary care patients aged 18-40 years. Data included information on SpA features, human leucocyte antigen (HLA)-B27 typing, C-reactive protein (CRP) level, magnetic resonance imaging (MRI) of the sacroiliac joints, and self-reported IBP questions......OBJECTIVES: To estimate the prevalence of inflammatory back pain (IBP) characteristics and analyse the discriminative value of IBP relative to axial spondyloarthritis (SpA) according to the Assessment of SpondyloArthritis international Society (ASAS) criteria. METHOD: Patients who had low back pain...

  12. [Low back pain during pregnancy. Multidisciplinary approach].

    Science.gov (United States)

    Gallo-Padilla, D; Gallo-Padilla, C; Gallo-Vallejo, F J; Gallo-Vallejo, J L

    2016-09-01

    After explaining that low back pain is considered the most common pregnancy complication, its pathogenesis, risk factors and the clinical characteristics of the very painful symptoms of this condition are described. As for its approach, it is stressed that it must be multidisciplinary, introducing very important preventive measures, including proper postural hygiene. For its treatment, the methods may be based on non-surgical or pharmacological interventions of a conservative non-invasive nature. Thus, physiotherapy, osteopathic manipulation, multimodal intervention (exercise and education), exercises performed in water environment, acupuncture, etc., have proven to be effective. Finally, it is emphasised that given the significant impact on their quality of life, different health professionals must be proactive and treat the lumbar disease in pregnant women. PMID:26239672

  13. MRI in patients with low back pain

    DEFF Research Database (Denmark)

    Jensen, Rikke Krüger; Manniche, Claus; Leboeuf-Yde, Charlotte

    MRI in LBP patients: good or bad? Background: The routine use of radiology is presently discouraged in patients with low back pain (LBP). MRI provides clinicians and patients with detailed knowledge of the spinal structures and has no known physical side effects. It is possible that detailed...... "old" group was 5 vs. 3 for the "new" group (p<0.03). Group exercise was a part of the treatment for 21% from the "old" group vs. 35% from the "new" group (p<0.03). There was no difference between the two approaches in relation to referral to primary care or back surgery. Conclusion: In our clinic, the...... to: 1) duration of treatment, 2) number of contacts with clinicians and participation in group exercise, and 3) admission to primary care or another hospital department.   Design: Retrospective inspection of patient files. Method: Files were retrieved from consecutive patients from the "old" and "new...

  14. Research methods for subgrouping low back pain

    DEFF Research Database (Denmark)

    Kent, Peter; Keating, Jennifer L; Leboeuf-Yde, Charlotte

    2010-01-01

    important distinctions in their treatment needs or prognoses. Due to a proliferation of research methods and variability in how subgrouping results are interpreted, it is timely to open discussion regarding a conceptual framework for the research designs and statistical methods available for subgrouping...... studies (a method framework). The aims of this debate article are: (1) to present a method framework to inform the design and evaluation of subgrouping research in low back pain, (2) to describe method options when investigating prognostic effects or subgroup treatment effects, and (3) to discuss...... the strengths and limitations of research methods suitable for the hypothesis-setting phase of subgroup studies....

  15. Low Back Pain in Port Machinery Operators

    Science.gov (United States)

    BOVENZI, M.; PINTO, I.; STACCHINI, N.

    2002-05-01

    The occurrence of several types of low back pain (LBP) was investigated by a standardized questionnaire in a group of 219 port machinery operators exposed to whole-body vibration (WBV) and postural load and in a control group of 85 maintenance workers employed at the same transport company. The group of port machinery operators included 85 straddle carrier drivers, 88 fork-lift truck drivers, and 46 crane operators. The vector sum of the frequency-weighted r.m.s. acceleration of vibration measured on the seatpan of port vehicles and machines averaged 0·90 m/s2 for fork-lift trucks, 0·48 m/s2 for straddle carriers, 0·53 m/s2 for mobile cranes, and 0·22 m/s2 for overhead cranes. The 12-month prevalence of low back symptoms (LBP, sciatic pain, treated LBP, sick leave due to LBP) was significantly greater in the fork-lift truck drivers than in the controls and the other two groups of port machinery operators. After adjusting for potential confounders, the prevalence of low back symptoms was found to increase with the increase of WBV exposure expressed as duration of exposure (driving years), equivalent vibration magnitude (m/s2), or cumulative vibration exposure (yr m2/s4). An excess risk for lumbar disc herniation was observed in the port machinery operators with prolonged driving experience. In both the controls and the port machinery operators, low back complaints were strongly associated with perceived postural load assessed in terms of frequency and/or duration of awkward postures at work. Multivariate analysis showed that vibration exposure and postural load were independent predictors of LBP. Even though the cross-sectional design of the present study does not permit firm conclusions on the relationship between WBV exposure and low back disorders, the findings of this investigation provide additional epidemiological evidence that seated WBV exposure combined with non-neutral trunk postures, as while driving, is associated with an increased risk of long

  16. The course of low back pain from adolescence to adulthood

    DEFF Research Database (Denmark)

    Hestbaek, Lise; Leboeuf-Yde, Charlotte; Kyvik, Kirsten Ohm; Manniche, Claus

    2006-01-01

    STUDY DESIGN: Prospective study with 8-year follow-up. OBJECTIVE: To describe the evolution of low back pain from adolescence into adulthood. SUMMARY OF BACKGROUND DATA: High prevalence rates of low back pain among children and adolescents have been demonstrated in several studies, and it has been...... theorized that low back pain in childhood may have important consequences for future low back pain. It is important to understand the nature of such a link if effective preventive programs are to be established. METHODS: Almost 10,000 Danish twins born between 1972 and 1982 were surveyed by means of postal...... questionnaires in 1994 and again in 2002. The questionnaires dealt with various aspects of general health, including the prevalence of low back pain, classified according to number of days affected (0, 1-7, 8-30, >30). RESULTS: Low back pain in adolescence was found to be a significant risk factor for low back...

  17. Electronic diary assessment of pain-related fear, attention to pain, and pain intensity in chronic low back pain patients.

    NARCIS (Netherlands)

    Roelofs, J.; Peters, M.L.; Patijn, J.; Schouten, E.G.; Vlaeyen, J.W.

    2004-01-01

    The present study investigated the relationships between pain-related fear, attention to pain, and pain intensity in daily life in patients with chronic low back pain. An experience sampling methodology was used in which electronic diary data were collected by means of palmtop computers from 40 chro

  18. Low back pain and comorbidity in women

    Directory of Open Access Journals (Sweden)

    A A Popov

    2008-08-01

    Full Text Available Objective. To assess association of low back pain (LBP in women with hypertension (H, coronary heart disease (CHD, chronic heart failure (CHF, vascular incidents, carbohydrate metabolism disturbances, osteoarthritis (OA, osteoporosis (OP, digestive tract diseases, depression and anxiety. Material and methods. 1194 women aged 28 to 64 years (median 51 years |48;55] visited an outpatient department were included in the cross-sectional study. Diagnosis was done according to latest national guidelines. Odds ratio (OR and 95% confidence intervals (Cl were calculated. Results. 671 cases of LBP were revealed, 523 women did not have back pain. Age and menopausal status did not differ between these groups. LBP group had significantly higher body mass, waist and hips circumferences and more severe menopausal symptoms. LBP was associated with higher frequency of H (OR 1,40; Cl 1,10-1,79, CHD (OR 2,03; Cl 1,373,03, CHF (OR 1,74; Cl 1,35-2,25, OA (OR 2,43; Cl 1,91-3,09, chronic cholecystitis (OR 1,87; Cl 1,46-2,39, depression (OR 1,83; Cl 1,42-2,36 and anxiety (OR 1,69; Cl 1, 33-2,14. No association of LBP with OP was found. Conclusion. LBP is a marker of increased risk of socially important diseases. Pts visited the doctor due to LBP need timely diagnosis and management of comorbidity.

  19. Prevalence of chronic low back pain: systematic review

    Directory of Open Access Journals (Sweden)

    Rodrigo Dalke Meucci

    2015-01-01

    Full Text Available OBJECTIVE To estimate worldwide prevalence of chronic low back pain according to age and sex.METHODS We consulted Medline (PubMed, LILACS and EMBASE electronic databases. The search strategy used the following descriptors and combinations: back pain, prevalence, musculoskeletal diseases, chronic musculoskeletal pain, rheumatic, low back pain, musculoskeletal disorders and chronic low back pain. We selected cross-sectional population-based or cohort studies that assessed chronic low back pain as an outcome. We also assessed the quality of the selected studies as well as the chronic low back pain prevalence according to age and sex.RESULTS The review included 28 studies. Based on our qualitative evaluation, around one third of the studies had low scores, mainly due to high non-response rates. Chronic low back pain prevalence was 4.2% in individuals aged between 24 and 39 years old and 19.6% in those aged between 20 and 59. Of nine studies with individuals aged 18 and above, six reported chronic low back pain between 3.9% and 10.2% and three, prevalence between 13.1% and 20.3%. In the Brazilian older population, chronic low back pain prevalence was 25.4%.CONCLUSIONS Chronic low back pain prevalence increases linearly from the third decade of life on, until the 60 years of age, being more prevalent in women. Methodological approaches aiming to reduce high heterogeneity in case definitions of chronic low back pain are essential to consistency and comparative analysis between studies. A standard chronic low back pain definition should include the precise description of the anatomical area, pain duration and limitation level.

  20. Low back pain and everyday activities : the influence of axial rotation on low back pain

    NARCIS (Netherlands)

    L.L.J.M. van Deursen (Leo)

    2003-01-01

    textabstractLow back pain (LBP) is a major problem in the industrialized world. The aetiology of LBP is multicausal: heavy physical workload, sedentary work, whole body vibration, smoking, as well as minimal influence over work conditions, poor social relations and psychological factors all play a d

  1. Medial branch neurotomy in low back pain

    International Nuclear Information System (INIS)

    This study aimed to assess the effectiveness of pulsed radiofrequency medial branch dorsal ramus neurotomy in patients with facet joint syndrome. From January 2008 to April 2010, 92 patients with facet joint syndrome diagnosed by strict inclusion criteria and controlled diagnostic blocks undergone medial branch neurotomy. We did not exclude patients with failed back surgery syndrome (FBSS). Electrodes (20G) with 5-mm active tip were placed under fluoroscopy guide parallel to medial branch. Patients were followed up by physical examination and by Visual Analog Scale and Oswestry Disability Index at 1, 6, and 12 months. In all cases, pain improvement was statistically significant and so quality of life. Three non-FBSS patients had to undergo a second neurotomy because of non-satisfactory pain decrease. Complications were reported in no case. Medial branch radiofrequency neurotomy has confirmed its well-established effectiveness in pain and quality of life improvement as long as strict inclusion criteria be fulfilled and nerve ablation be accomplished by parallel electrode positioning. This statement can be extended also to FBSS patients. (orig.)

  2. Medial branch neurotomy in low back pain

    Energy Technology Data Exchange (ETDEWEB)

    Masala, Salvatore; Mammucari, Matteo; Simonetti, Giovanni [Interventional Radiology and Radiotherapy University ' ' Tor Vergata' ' , Department of Diagnostic and Molecular Imaging, Rome (Italy); Nano, Giovanni [Interventional Radiology and Radiotherapy University ' ' Tor Vergata' ' , Department of Diagnostic and Molecular Imaging, Rome (Italy); University ' ' Tor Vergata' ' , Department of Radiology, Rome (Italy); Marcia, Stefano [S. Giovanni di Dio Hospital, Department of Diagnostic and Molecular Imaging, Cagliari (Italy)

    2012-07-15

    This study aimed to assess the effectiveness of pulsed radiofrequency medial branch dorsal ramus neurotomy in patients with facet joint syndrome. From January 2008 to April 2010, 92 patients with facet joint syndrome diagnosed by strict inclusion criteria and controlled diagnostic blocks undergone medial branch neurotomy. We did not exclude patients with failed back surgery syndrome (FBSS). Electrodes (20G) with 5-mm active tip were placed under fluoroscopy guide parallel to medial branch. Patients were followed up by physical examination and by Visual Analog Scale and Oswestry Disability Index at 1, 6, and 12 months. In all cases, pain improvement was statistically significant and so quality of life. Three non-FBSS patients had to undergo a second neurotomy because of non-satisfactory pain decrease. Complications were reported in no case. Medial branch radiofrequency neurotomy has confirmed its well-established effectiveness in pain and quality of life improvement as long as strict inclusion criteria be fulfilled and nerve ablation be accomplished by parallel electrode positioning. This statement can be extended also to FBSS patients. (orig.)

  3. Work-related back pain in nurses.

    Science.gov (United States)

    Hignett, S

    1996-06-01

    This summary draws together the findings form over 80 studies published over three decades. The studies reviewed are categorized into three groups: (a) epidemiological; (b) 'testing out'; and (c) exploratory. There has been agreement on a number of points, in particular that nursing is among the high risk occupations with respect to low back problems, with a point prevalence of approximately 17%, an annual (period) prevalence of 40-50% and a lifetime prevalence of 35-80%. When considering the contributory factors there is some divergence, but one of the popular notions is generally proven, that more frequent patient handling appears to correlate with increased incidence of low back pain. However, the traditional approach of training in lifting and handling techniques alone has been shown to be of little, or no, long-term benefit and the value of ergonomics remains to be seen. Much work has also been done by taking aspects of nursing work into the laboratory, using experimental studies which have mostly focused on specific sub-tasks (of the generic task of patient handling), looking at specific transfers and procedures (e.g. bed to chair) or transfer techniques ('stoop versus squat'). Although a level of quantification can be made about the different techniques, it is questionable whether this is of any practical use, especially when considering the wide variation of loads encountered during manual handling of patients. The limitations of using quantitative methodologies is revealed in the very small number of exploratory studies. All of the studies cited in this review used methodologies based in the positivist paradigm. There does not appear to be any published work using participative or interview methods to obtain qualitative data which might identify contributory factors in the onset of occupational low back pain in nursing staff. PMID:8796474

  4. Chronic Low Back Pain: Toward an Integrated Psychosocial Assessment Model.

    Science.gov (United States)

    Strong, Jenny; And Others

    1994-01-01

    Integrated six dimensions of chronic low back pain (pain intensity, functional disability, attitudes toward pain, pain coping strategies, depression, illness behavior) to provide multidimensional patient profile. Data from 100 patients revealed presence of three distinct patient groups: patients who were in control, patients who were depressed and…

  5. BREATHING PATTERNS IN PATIENTS WITH LOW BACK PAIN

    OpenAIRE

    Priyanka P. Ostwal; Wani S K

    2014-01-01

    Background: Low Back pain is common clinical condition encountered in a day to day Physiotherapy practice. Very few authors has so far documented changes in breathing patterns in low back pain while performing certain motor control tests. Purpose: The aim of the study was to observe the breathing pattern in individuals with low back pain (LBP) both at rest and during motor control tasks. Material and Method: 150 patients with LBP participated in this study and they were subcategorized ...

  6. [An overview of conservative treatment for low back pain].

    Science.gov (United States)

    Gnjidić, Zoja

    2011-01-01

    Low back pain is the most frequent musculoskeletal complaint worldwide and leading cause of chronic disability. In this review we discuss knowledge about the role of management of non-invasive, conservative therapy for the nonspecific low back pain. Initial therapy includes modification of activity, pharmacological analgesic therapy and education of patients. In patients with sub acute or chronic low back pain, multimodal and interdisciplinary treatment approach is necessary with personalized and individual healthcare combined with different modality of therapy. PMID:22232958

  7. Management of patients with low back pain

    DEFF Research Database (Denmark)

    Debarle, Michel; Aigron, Rémi; Depernet, Laure;

    2014-01-01

    strategies were identified for each scenario. Appropriateness of the chosen management strategy was assessed using predetermined "best practice" for each scenario. Consensus was arbitrarily defined as "moderate" when 50- 69% of respondents agreed on the same management choice for a scenario, and "excellent......" when 70% or more provided the same answer. RESULTS: Excellent consensus was achieved for only one scenario, and moderate consensus for two scenarios. For five of the nine scenarios, the most common answers were in agreement with the "best practice" management strategies. Consensus between the French......BACKGROUND: Little is known about the level of consensus within the French chiropractic profession regarding management of clinical issues. A previous Swedish study showed that chiropractors agreed relatively well on the management strategy for nine low back pain scenarios. We wished to investigate...

  8. Postural balance in low back pain patients

    DEFF Research Database (Denmark)

    Maribo, Thomas; Stengaard-Pedersen, Kristian; Jensen, Lone Donbæk;

    2011-01-01

    (Romberg Ratio) might be of clinical interest. This study aimed to assess postural balance in LBP patients by analyzing intra-session reliability of CoP parameters on a portable force platform, the Romberg Ratio, and the OLST. Furthermore, we aimed to determine whether CoP parameters and OLST measure......Low back pain (LBP) patients have poorer postural control compared to healthy controls, and the importance of assessing and addressing balance is a matter of debate. In the clinic, balance is often tested by means of the one leg stand test (OLST) while research often employs center of pressure (Co......P) on a force platform. Portable force platforms might be of clinical relevance, but their reliability for LBP patients in a clinical setting has not been demonstrated. As LBP patients are more dependent on vision compared to healthy controls, the ratio of tests performed with eyes open and eyes closed...

  9. Low back pain following a fall.

    Science.gov (United States)

    Williams, Michael J

    2013-08-01

    The patient was a 29-year-old man who presented to an emergency department with a chief complaint of low back pain. Symptom onset occurred 3 weeks earlier, following a fall off a roof. The physician ordered radiographs of the thoracic and lumbar spines, which were interpreted as normal. After receiving the results of the radiographs, the physician referred the patient to a physical therapist working in the emergency department. Because of the strong suspicion for a fracture and because radiographs are not considered to be sensitive to some of the bony changes associated with fractures,1 computed tomography imaging of the thoracic and lumbar spines was ordered. The computed tomography imaging revealed multilevel, small end-plate compression defects, most marked at T12-L1, with mild anterior wedging and retropulsion of a small bone fragment at L1. PMID:23902792

  10. Low Back Pain in Primary Care

    DEFF Research Database (Denmark)

    Hestbæk, Lise; Munck, Anders; Hartvigsen, Lisbeth;

    2014-01-01

    Study Design. Baseline description of a multicenter cohort study. Objective. To describe patients with low back pain (LBP) in both chiropractic and general practice in Denmark. Background. To optimize standards of care in the primary healthcare sector, detailed knowledge of the patient populations...... in different settings is needed. In Denmark, most LBP-patients access primary healthcare through chiropractic or general practice. Methods. Chiropractors and general practitioners recruited adult patients seeking care for LBP. Extensive baseline questionnaires were obtained and descriptive analyses presented...... separately for general and chiropractic practice patients, Mann-Whitney rank sum test and Pearson's chi-square test, were used to test for differences between the two populations. Results. Questionnaires were returned from 934 patients in chiropractic practice and 319 patients from general practice. Four out...

  11. Vertebroplasty in the treatment of back pain

    International Nuclear Information System (INIS)

    Purpose: The aim of this study is to show the utility of vertebroplasty in the treatment of some types of back pain. Vertebroplasty is a venous embolisation of the vertebral body performed under computed tomography (CT) or fluoroscopy guidance with transpedicular, anterolateral, intercostovertebral or posterolateral approach with acrylic element. Materials and methods: We report our experience in 85 patients suffering from low back and thoracic pain and treated with percutaneous vertebroplasty owing to osteoporotic vertebral compression fractures, vertebral haemangiomas or secondary lytic lesions of the spine. Patient selection was performed on the basis of physical examination, magnetic resonance or less frequently, with bone scan. CT has a minor role in selected cases to evaluate the integrity of the posterior wall. We treated 55 patients affected by acute osteoporotic vertebral compression fracture, 10 patients with vertebral haemangioma and 20 patients with metastatic lesions. The patients were placed in the prone position and the procedure was performed under fluoroscopy guidance in 80 patients and under CT guidance in 5 patients affected by metastatic lesions. In no case was phlebography performed before the treatment. The approach adopted was bilateral in 45 patients and unilateral in the remaining 30 cases. Injection with a low viscosity cement was performed under fluoroscopy guidance with extreme precision in all cases. The amount of cement injected ranged from 4 ml (thoracic level) up to 12 ml (lumbar level). Results: The results were better for osteoporotic cases (95%) and patients with vertebral haemangioma (90%) than with metastatic lesions (77%), with improvement within 24-72 hours after the treatment. We noted asymptomatic cement leakage in 39 cases but only in 2 cases was there an acute radiculopathy due to epidural cement leakage, which was treated and resolved medically in 1 month. At follow-up no cases were noted of fractures of vertebral bodies

  12. A systematic review of the prevalence of musculoskeletal pain, back and low back pain in people with spinal cord injury

    OpenAIRE

    Michailidou, C; Marston, L; Desouza, LH; Sutherland, I

    2014-01-01

    Purpose: To review and summarise the prevalence of chronic back pain (CBP), chronic low back pain (CLBP) and chronic musculoskeletal pain (CMSKP) in people with spinal cord injury (SCI) and evaluate how pain is assessed. Method: A systematic literature review between 1990 and 2012 in English language journals. Twelve databases were searched including CINAHL, Cochrane, Embase, PubMed and Science direct. Data were analysed using descriptive statistics and 95% confidence interval (CI). Results: ...

  13. Feldenkrais method empowers adults with chronic back pain.

    Science.gov (United States)

    Pugh, Judith Dianne; Williams, Anne M

    2014-01-01

    A phenomenological approach was used to explore the experiences of 11 adults attending Awareness Through Movement lessons in the Feldenkrais Method to manage chronic-episodic back pain. Semistructured interviews were analyzed. The results suggest improving self-efficacy through somatic education and awareness potentially offers a way forward given the back pain epidemic. PMID:24722612

  14. Back pain and backpacks in children : Biomedical or biopsychosocial model?

    NARCIS (Netherlands)

    Reneman, M.F.; Poels, B.J.J.; Geertzen, J.H.B.; Dijkstra, P.U.

    2006-01-01

    Public press, professional organisations and journals have been sending alarming messages about the rising prevalence of back pain in school age children. Carrying backpacks has been suggested as one of the key factors contributing to back pain in children. The basic assumption based on the biomedic

  15. Patients' interpretations of a counselling intervention for low back pain

    DEFF Research Database (Denmark)

    Angel, Sanne; Jensen, Lone Donbæk; Gonge, Birgitte Krøis;

    2012-01-01

    BACKGROUND: Low back pain often becomes a chronic condition and causes physical, psychological, social, and occupational impairment. Despite huge allocations of resources into the healthcare system and the labour market for treating and preventing low back pain, problems related to low back pain...... the intervention. If participants managed to change their health behaviour, it assisted them in transforming from being passive victims of pain into becoming active and in control. Participants who did not feel that they were sufficiently able to adhere to the treatment plan felt increasingly stigmatised, because...

  16. Catastrophizing, Functional Disability and Pain Reports in Adults with Chronic Low Back Pain

    OpenAIRE

    1999-01-01

    OBJECTIVE: To test the hypothesis that subjective reports of pain severity, pain intensity and functional disability correlate positively with catastrophizing.PATIENTS: Adults with chronic low back pain for six months or longer presenting to a tertiary care Pain Management Unit.METHODS: Catastrophizing was measured with the Pain Catastrophizing Scale (PCS) in 40 subjects (23 males, 17 females). Functional disability was measured with the Pain Disability Index and pain severity/intensity was q...

  17. Rehabilitation of the athlete with low back pain.

    Science.gov (United States)

    Standaert, Christopher J; Herring, Stanley A; Pratt, Todd W

    2004-02-01

    The rehabilitation of athletes with low back pain should be considered an essential component of their care. Comprehensive rehabilitation begins at the time of acute injury and encompasses the period of acute care through sport-specific training and return to competition. Rehabilitation of athletes with spinal pain should include a thorough psychosocial evaluation to identify potential barriers to clinical improvement. For athletes with low back pain, establishing effective core stability is central to optimizing the functional performance of the athlete. PMID:14728912

  18. Lower back pain and absenteeism among professional public transport drivers

    OpenAIRE

    Roblek, Vasja; Meško, Maja; Kresal, Friderika; Jerman, Andrej

    2015-01-01

    Drivers in public transport are subjected to lower back pain. The reason for the pain is associated with the characteristics of the physical position imposed on the worker while performing the job. Lower back pain is the main cause of absenteeism among drivers. The present study includes 145 public transport drivers employed as professional drivers for an average of 14.14 years. Analysis of the data obtained in the study includes the basic descriptive statistics, X2 test and multiple regressi...

  19. A case of severe low back pain after surgery.

    Science.gov (United States)

    Rhodin, Annica

    2014-06-01

    The etiology of chronic back pain is often unknown but can include failed spinal surgery. Pain can often be of mixed type and it is important to evaluate pain mechanisms. Comorbid factors often contribute to pain chronicity. Multimodal treatment, including opioid rotation where indicated, may offer a successful management approach. Other rehabilitative procedures such as physiotherapy, exercise therapy, and good sleep hygiene may have a profound impact on patient quality of life. Spinal cord stimulation may be an effective option for some patients with failed spinal surgery syndrome. A case of severe low back pain after surgery in a 45-year-old man is presented to illustrate this. PMID:24801975

  20. Influence of low back pain and prognostic value of MRI in sciatica patients in relation to back pain

    NARCIS (Netherlands)

    A. el Barzouhi (Abdelilah); C.L.A.M. Vleggeert-Lankamp (Carmen); G.J.L.A. Nijeholt (Geert J. Lycklama A); B.F.W. van der Kallen (Bas); W.B. van den Hout (Wilbert); B.W. Koes (Bart); W.C. Peul (Wilco)

    2014-01-01

    textabstractBackground: Patients with sciatica frequently complain about associated back pain. It is not known whether there are prognostic relevant differences in Magnetic Resonance Imaging (MRI) findings between sciatica patients with and without disabling back pain. Methods: The study population

  1. Physical performance, pain, pain behavior and subjective disability in patients with subacute low back pain.

    Science.gov (United States)

    Lindström, I; Ohlund, C; Nachemson, A

    1995-09-01

    The aim of this paper was to study the physical performance, pain, pain behavior and disability in patients with subacute low back pain (LBP). The patients were blue-collar workers and had been sick-listed for 8 weeks due to subacute low back pain. A total of 103 patients were randomized, 51 of them to the intervention group and the other to a control group. Recordings of physical performance and complaints of LBP were done before and after treatment in the intervention group. The proportion of patients with no complaints of LBP was significantly greater in the intervention group than in the control group at the one-year follow-up. The patients who intra-individually improved their physical performance also intra-individually decreased their complaints of LBP. The intra-individual improvements were suggested to be important for the individual return to work. PMID:8602477

  2. Evaluation and Diagnosis of Back Pain in Children and Adolescents.

    Science.gov (United States)

    Shah, Suken A; Saller, Jeremy

    2016-01-01

    Although traditionally it has been accepted that back pain in young children and adolescents most often has an organic etiology, nonorganic back pain in this population is becoming more common. The most common identifiable clinical entities responsible for such pain are spondylolysis, spondylolisthesis, Scheuermann kyphosis, overuse syndromes, disk herniation, apophyseal ring fracture, spondylodiscitis, vertebral osteomyelitis, and neoplasm. Appropriate clinical workup leads to earlier diagnosis and management of back pain and avoids unnecessary cost. Knowledge of the most common diagnoses associated with back pain in children and adolescents and the use of a systematic method to select the appropriate diagnostic tests can help the clinician to minimize costs and maximize the likelihood of making the correct diagnosis and providing appropriate treatment. PMID:26589458

  3. Lumbar CT findings of patients with low back pain

    International Nuclear Information System (INIS)

    Low back pain is probably the second most common disease entity to upper respiratory infection in developed country. We were missing at least 50% of the pathologic conditions by using conventional diagnostic modalities in low back pain. They did tell us nothing or little about facet abnormalities, lateral recesses, vertebral canal and soft tissue surrounding lumbar spines. High resolutional CT has been the biggest turning point in the diagnosis and management of low back pain. CT make a contribution to reducing the morbidity and probably the cost of evaluating patients with low back pain, and to increasing diagnostic accuracy. We observed 100 cases of lumbar CT using TCT 80A scanner for the evaluation of low back pain during the period from Apr. 1985 to Sept. 1985 at Chung-Ang University Hospital. Lumbar CT scan reveals high-positive findings (98%) in low back pain patients. Common low back disorders in CT are disc bulging (53%), herniated nucleus pulposus (32%), degenerative arthritis in posterior facet joints (27%), spinal stenosis (20%) and postoperative spines (15%). Uncommon low back disorders in CT are compression fracture of vertebral bodies, spondylolysis or spondylolisthesis, tropism, transitional vertebra, Scheueman's disease, limbic fracture, transverse process or articular process fracture, sacroiliac joint subluxation, conjoined nerve root and meningocele.

  4. Lumbar CT findings of patients with low back pain

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Yong Chul; Kim, Yang Soo; Kim, Kyun Sang [Chung-Ang University, Seoul (Korea, Republic of)

    1986-04-15

    Low back pain is probably the second most common disease entity to upper respiratory infection in developed country. We were missing at least 50% of the pathologic conditions by using conventional diagnostic modalities in low back pain. They did tell us nothing or little about facet abnormalities, lateral recesses, vertebral canal and soft tissue surrounding lumbar spines. High resolutional CT has been the biggest turning point in the diagnosis and management of low back pain. CT make a contribution to reducing the morbidity and probably the cost of evaluating patients with low back pain, and to increasing diagnostic accuracy. We observed 100 cases of lumbar CT using TCT 80A scanner for the evaluation of low back pain during the period from Apr. 1985 to Sept. 1985 at Chung-Ang University Hospital. Lumbar CT scan reveals high-positive findings (98%) in low back pain patients. Common low back disorders in CT are disc bulging (53%), herniated nucleus pulposus (32%), degenerative arthritis in posterior facet joints (27%), spinal stenosis (20%) and postoperative spines (15%). Uncommon low back disorders in CT are compression fracture of vertebral bodies, spondylolysis or spondylolisthesis, tropism, transitional vertebra, Scheueman's disease, limbic fracture, transverse process or articular process fracture, sacroiliac joint subluxation, conjoined nerve root and meningocele.

  5. Effect of Togu-exercise on Lumbar Back Strength of Women with Chronic Low Back Pain

    OpenAIRE

    Seo, Dong-Hyun; Park,

    2014-01-01

    [Purpose] The present study analyzed the effect of the Togu exercise program on the lumbar back strength of middle-aged women who did not perform regular exercise, and presents an effective exercise method for middle-aged women with chronic low back pain symptom. [Subjects] The subjects were 16 women with chronic low back pain attending N University, Chungcheong-do, Korea. [Methods] Height, weight, body fat, and body mass index (BMI) were measured using a body composition analyzer (Inbody 720...

  6. Effectiveness of cognitive behavioural therapy on pain of patients with low back pain

    OpenAIRE

    Banth, Sudha; Maryam Didehdar ARDEBiL

    2014-01-01

    Background: Chronic low back pain is a major health problem and has high comorbidity with psychological related disorders. As there is no consensus about the effectiveness of psychotherapy methods for chronic pain, so our target in this study was to assess the efficacy of cognitive behavioral therapy (CBT) as a psychological intervention on pain of female patients with nonspecific chronic low back pain (NSCLBP). Methods: 88 patients suffering from NSCLBP were randomly assigned ...

  7. Modifiable Risk Factors in Patients With Low Back Pain.

    Science.gov (United States)

    Shemory, Scott T; Pfefferle, Kiel J; Gradisar, Ian M

    2016-05-01

    Low back pain is one of the most common reasons for physician visits in the United States and is a chief complaint frequently seen by orthopedic surgeons. Patients with chronic low back pain can experience recurring debilitating pain and disability, decreasing their quality of life. A commercially available software platform, Explorys (Explorys, Inc, Cleveland, Ohio), was used to mine a pooled electronic health care database consisting of the medical records of more than 26 million patients. According to the available medical history data, 1.2 million patients had a diagnosis of low back pain (4.54%). The information was used to determine the incidence of low back pain in patients with a history of nicotine dependence, obesity (body mass index, >30 kg/m(2)), depressive disorders, and alcohol abuse. Relative risk was then calculated for the defined modifiable risk factors. Patients with nicotine dependence, obesity, depressive disorders, and alcohol abuse had a relative risk of 4.489, 6.007, 5.511, and 3.326 for low back pain, respectively, compared with patients without the defined risk factor. A statistically significant difference was found in the incidence of low back pain between all 4 groups with the risk factors evaluated and the general population (Prisk factors for low back pain, physicians can monitor at-risk patients and focus on prevention and control of debilitating disease. These approaches can decrease the number of patients with isolated low back pain who are seen by orthopedic surgeons. [Orthopedics. 2016; 39(3):e413-e416.]. PMID:27064774

  8. Prevalence and causes of back pain syndromes in children

    Directory of Open Access Journals (Sweden)

    A.A. Smirnova

    2014-05-01

    Full Text Available We present a review of literature devoted to epidemiology, and the nosological and syndromal structure of back pain in children. The data of our own study of school-aged children with back pain are presented. The structure of back pain syndromes in 105 children has been analyzed using the medical aid appealability data. The results of a comprehensive clinical and instrumental study demonstrated that the children mostly had lumbosacral pain (52.4% of cases; neck pain was observed in 29.5% of cases; while thoracic pain syndromes were observed in 18.1% of cases. Congenital defect of the connective tissue was diagnosed in 16.19% of children; congenital abnormalities of the spine, in 15.2%; scoliosis (idiopathic and secondary, in 8.6%; and Scheuermann-Mau's disease, in 5.71%. The conclusion has been made about the high prevalence of back pain in schoolchildren. Muscular tonic syndromes were prevailing in the clinical structure in children; radicular syndromes were less frequent. Musculoskeletal disorders were the main causes of back pain. Congenital defect of the connective tissue was often observed, which was revealed as functional instability of the vertebral motor segment, spondylolisthesis due to weak ligaments, and disc protrusions. Congenital abnormalities of the spine, scoliosis, and Scheuermann-Mau' disease were observed less often. 

  9. Influence of low back pain and prognostic value of MRI in sciatica patients in relation to back pain.

    Directory of Open Access Journals (Sweden)

    Abdelilah el Barzouhi

    Full Text Available BACKGROUND: Patients with sciatica frequently complain about associated back pain. It is not known whether there are prognostic relevant differences in Magnetic Resonance Imaging (MRI findings between sciatica patients with and without disabling back pain. METHODS: The study population contained patients with sciatica who underwent a baseline MRI to assess eligibility for a randomized trial designed to compare the efficacy of early surgery with prolonged conservative care for sciatica. Two neuroradiologists and one neurosurgeon independently evaluated all MR images. The MRI readers were blinded to symptom status. The MRI findings were compared between sciatica patients with and without disabling back pain. The presence of disabling back pain at baseline was correlated with perceived recovery at one year. RESULTS: Of 379 included sciatica patients, 158 (42% had disabling back pain. Of the patients with both sciatica and disabling back pain 68% did reveal a herniated disc with nerve root compression on MRI, compared to 88% of patients with predominantly sciatica (P<0.001. The existence of disabling back pain in sciatica at baseline was negatively associated with perceived recovery at one year (Odds ratio [OR] 0.32, 95% Confidence Interval 0.18-0.56, P<0.001. Sciatica patients with disabling back pain in absence of nerve root compression on MRI at baseline reported less perceived recovery at one year compared to those with predominantly sciatica and nerve root compression on MRI (50% vs 91%, P<0.001. CONCLUSION: Sciatica patients with disabling low back pain reported an unfavorable outcome at one-year follow-up compared to those with predominantly sciatica. If additionally a clear herniated disc with nerve root compression on MRI was absent, the results were even worse.

  10. Meningoradiculitis due to borreliosis presenting as low back pain only

    International Nuclear Information System (INIS)

    We report a child with Borrelia burgdorferi meningoradiculitis. This entity, also known as Bannwarth syndrome, is rare and its presentation with low back pain only is even more unusual. The MRI findings can suggest the diagnosis. (orig.)

  11. Spinal Fusion Not Always Necessary for Back Pain, Studies Say

    Science.gov (United States)

    ... for low-back pain patients who have pinched nerves because a spinal bone slipped forward and out of place, a ... their trial focused solely on patients whose squeezed spinal nerves were caused by slipped vertebrae (spondylolisthesis). The researchers ...

  12. Back pain and backpacks in children: biomedical or biopsychosocial model?

    Science.gov (United States)

    Reneman, M F; Poels, B J J; Geertzen, J H B; Dijkstra, P U

    2006-10-30

    Public press, professional organisations and journals have been sending alarming messages about the rising prevalence of back pain in school age children. Carrying backpacks has been suggested as one of the key factors contributing to back pain in children. The basic assumption based on the biomedical model is that the maturing spine cannot handle the mechanical load of the backpack sufficiently. A review of the evidence in the professional literature, however, revealed very limited evidence to support this assumption. On the contrary, the literature does suggest that psychological and social factors may be of greater importance to explain back pain in children. We conclude this clinical commentary postulating that the public, children and their parents are better served with a more modest and balanced perspective of the professionals, and propose that back pain in children (as it is in adults) should be viewed from a biopsychosocial model. PMID:17023376

  13. 'Mindfulness' Might Help Older Adults with Back Pain

    Science.gov (United States)

    ... nlm.nih.gov/medlineplus/news/fullstory_157420.html 'Mindfulness' Might Help Older Adults With Back Pain Mind- ... assigned to a two-month mindful meditation course. "Mindfulness meditation is a method to learn how to ...

  14. MAGNETIC RESONANCE IMAGING OF BACK PAIN IN YOUNG POPULATION

    Directory of Open Access Journals (Sweden)

    Hiral

    2014-10-01

    Full Text Available BACKGROUND: Low back pain in young patients represents an area of particular challenge and importance to referring physicians. Although plain radiography remains initial imaging tool, MRI due to its inherent high quality soft tissue contrast resolution, lack of ionizing radiation and rare requirement of contrast media remains invaluable modality to evaluate back pain in young patients. AIMS: The role of MRI in evaluation of various lesions of spine, inter vertebral discs and spinal canal in young patients (3–17 years of age. MATERIALS & METHODS: This was a prospective study done from on young patients (total 35 patients who presented with back pain are evaluated with MRI. Patients advised MRI spine for complaints other than back pain and uncooperative patients were excluded from the study. The study was performed using GE 1.5T and Siemen’s 3.0T MRI machines. RESULTS: Although significant number of children and adolescents who presented with back pain did not show any significant abnormality on MRI, the most common etiology in this study was disc disease and herniation. This was immediately followed by second most common cause as sacroilitis and spondylolysis with or without listhesis. Scoliosis, spinal trauma and infective etiologies were third most common cause of back pain in this study. Neoplastic conditions and congenital anomalies were found among the rare causes of back pain in children and adolescents in our study. CONCLUSION: Back pain is common in children and adolescents and its incidence increases with age. MRI remains main stay of spinal imaging to evaluate various pathologies of vertebrae, bone marrow, discs, ligaments, spinal cord and sacroiliac joints.

  15. Trunk fatigue profile and low back pain in tennis players

    OpenAIRE

    Correia, José Pedro

    2013-01-01

    Mestrado em Ciências da Fisioterapia Introduction The trunk plays an important role in tennis strokes. Its asymmetric muscle activation, coupled with the high repeatability of the sport, places tennis players at risk for injuries such as low back pain. Objectives This study aimed to present a trunk fatigue profile in tennis players and verify its association with low back pain (LBP). Material and Methods 35 tennis players completed an isometric trunk endurance protocol co...

  16. Psychological aspects of acute low back pain in general practice

    OpenAIRE

    Gilchrist, Iain C.

    1983-01-01

    A prospective controlled study of acute low back pain in general practice was carried out. The presence of psychiatric illness was measured by use of the general health questionnaire (GHQ), by clinical assessment, and personality factors by use of the Eysenck personality inventory (EPI). It was found that overall the amount of psychiatric illness did not differ between patients with back pain and their controls at the time of presentation, although there was a higher prevalence of previous ps...

  17. Biopsychosocial functioning and pain self-efficacy in chronic low back pain patients

    OpenAIRE

    Alex L. Koenig, MS; Amy E. Kupper, MS; Jay R. Skidmore, PhD; Karly M. Murphy, BA

    2015-01-01

    The aim of this study was to examine the relationship between biopsychosocial functioning and pain severity and to evaluate whether pain self-efficacy (PSE) mediates this relationship. This study used archival data from a multidisciplinary pain management program. Participants were 99 individuals (69% female) with chronic low back pain who completed measures of biological, psychological, and social functioning; pain severity; and PSE at admission. They ranged in age from 18 to 72 yr (mean = 4...

  18. Risk factors for low back pain in nurses

    OpenAIRE

    MA. Mohseni-Bandpei; M. Fakhri; M. Ahmad-Shirvani; M. Bagheri-Nesami; A. Khalilian

    2006-01-01

    Background and purpose: Low back pain (LBP) is one of the most common and costly work-related conditions and nursing profession has one of the highest rates of back injuries (more than 50%) among all occupations. The purpose of the present study was to determine the prevalence and risk factors for back injuries in nursing personnel. Materials and methods : Following ethical approval, 1226 nurses were randomly recruited from 13 hospitals in North of Iran. Different questionnaires were designe...

  19. Patterns of Low Back Pain in children/adolescents

    DEFF Research Database (Denmark)

    Kjær, Per; Wedderkopp, Niels; Korsholm, Lars;

    as having had reported pain in the lower back within the past month. The prevalence estimates and the various patterns of LBP reporting over time are presented as percentages. Results: Of the 771 children sampled, 62%, 57%, and 58% participated in the three back surveys. The three prevalence......Background: It is generally acknowledged that low back pain (LBP) is a common condition already in childhood. However, not many studies have looked at the way LBP tracks over age and how common it is until early adulthood. Purposes: The purposes of this presentation are to show the prevalence...

  20. Low back pain post partum - A case report.

    LENUS (Irish Health Repository)

    2012-02-23

    Sacral stress fracture is an unusual source of low back pain and can be easily confused with a number of other clinical conditions seen in physiotherapy clinics. The purpose of this case report is to describe the case of a patient presenting with low back pain post partum illustrating pertinent aspects of differential diagnosis and issues of management. A 31 year old female presented complaining of low back pain since the birth of her second child 11 months earlier. Subjective and objective examination led the Therapist to consider a diagnosis of sacral stress fracture. This diagnosis was confirmed by MRI. Three months after presenting to physiotherapy the patient was pain free and had returned to all aspects of her daily life without any difficulties. Clinicians must be aware of the less common pathologies in any hypotheses development. A careful history and physical examination and broad hypotheses generation will ensure that patients are accurately diagnosed and receive appropriate and effective treatments.

  1. Imaging-guided hyperstimulation analgesia in low back pain

    Directory of Open Access Journals (Sweden)

    Gorenberg M

    2013-06-01

    Full Text Available Miguel Gorenberg,1,2 Kobi Schwartz31Department of Nuclear Medicine, B'nai Zion Medical Center, Haifa, Israel; 2The Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel; 3Department of Physical Therapy, B'nai Zion Medical Center, Haifa, IsraelAbstract: Low back pain in patients with myofascial pain syndrome is characterized by painful active myofascial trigger points (ATPs in muscles. This article reviews a novel, noninvasive modality that combines simultaneous imaging and treatment, thus taking advantage of the electrodermal information available from imaged ATPs to deliver localized neurostimulation, to stimulate peripheral nerve endings (Aδ fibers and in turn, to release endogenous endorphins. "Hyperstimulation analgesia" with localized, intense, low-rate electrical pulses applied to painful ATPs was found to be effective in 95% patients with chronic nonspecific low back pain, in a clinical validation study.Keywords: myofascial, noninvasive, electrical, impedance

  2. Self-reported pain and disability outcomes from an endogenous model of muscular back pain

    Directory of Open Access Journals (Sweden)

    George Steven Z

    2011-02-01

    Full Text Available Abstract Background Our purpose was to develop an induced musculoskeletal pain model of acute low back pain and examine the relationship among pain, disability and fear in this model. Methods Delayed onset muscle soreness was induced in 52 healthy volunteers (23 women, 17 men; average age 22.4 years; average BMI 24.3 using fatiguing trunk extension exercise. Measures of pain intensity, unpleasantness, and location, and disability, were tracked for one week after exercise. Results Pain intensity ranged from 0 to 68 with 57.5% of participants reporting peak pain at 24 hours and 32.5% reporting this at 48 hours. The majority of participants reported pain in the low back with 33% also reporting pain in the legs. The ratio of unpleasantness to intensity indicated that the sensation was considered more unpleasant than intense. Statistical differences were noted in levels of reported disability between participants with and without leg pain. Pain intensity at 24 hours was correlated with pain unpleasantness, pain area and disability. Also, fear of pain was associated with pain intensity and unpleasantness. Disability was predicted by sex, presence of leg pain, and pain intensity; however, the largest amount of variance was explained by pain intensity (27% of a total 40%. The second model, predicting pain intensity only included fear of pain and explained less than 10% of the variance in pain intensity. Conclusions Our results demonstrate a significant association between pain and disability in this model in young adults. However, the model is most applicable to patients with lower levels of pain and disability. Future work should include older adults to improve the external validity of this model.

  3. Determining the Optimal Number of Spinal Manipulation Sessions for Chronic Low-Back Pain

    Science.gov (United States)

    ... Number of Spinal Manipulation Sessions for Chronic Low-Back Pain Share: holding_lower_back_pain.jpg © Matthew Lester ... print. Additional Resources Spinal Manipulation for Low-Back Pain Low-Back Pain Information Publication Date: October 16, 2013 Sign ...

  4. Short-term outcomes of a back school program for chronic low back pain

    NARCIS (Netherlands)

    Hodselmans, AP; Jaegers, SM; Goeken, LN; Göeken, L.N.

    2001-01-01

    Objective: To assess the short-term outcome of a back school program for patients suffering from chronic, nonspecific low back pain (LBP). Design: Quasi-experimental cohort study with a waiting list control group. Setting: Dutch rehabilitation department. Participants: Experimental group (n = 14) pa

  5. [Episacral lipoma: a treatable cause of low back pain].

    Science.gov (United States)

    Erdem, Hatice Rana; Nacır, Barış; Özeri, Zuhal; Karagöz, Aynur

    2013-01-01

    Episacral lipoma is a small, tender subcutaneous nodule primarily occurring over the posterior iliac crest. Episacral lipoma is a significant and treatable cause of acute and chronic low back pain. Episacral lipoma occurs as a result of tears in the thoracodorsal fascia and subsequent herniation of a portion of the underlying dorsal fat pad through the tear. This clinical entity is common, and recognition is simple. The presence of a painful nodule with disappearance of pain after injection with anaesthetic, is diagnostic. Medication and physical therapy may not be effective. Local injection of the nodule with a solution of anaesthetic and steroid is effective in treating the episacral lipoma. Here we describe 2 patients with painful nodules over the posterior iliac crest. One patient complained of severe lower back pain radiating to the left lower extremity and this patient subsequently underwent disc operation. The other patient had been treated for greater trochanteric pain syndrome. In both patients, symptoms appeared to be relieved by local injection of anaesthetic and steroid. Episacral lipoma should be considered during diagnostic workup and in differential diagnosis of acute and chronic low back pain. PMID:23720083

  6. A clinician's approach to acute low back pain.

    Science.gov (United States)

    Borenstein, D G

    1997-01-27

    Two important goals in treating acute low back pain are to return the patient to regular activity as quickly as possible and to do so in a manner that is cost-effective. By following a logical treatment protocol, the clinician is often able to provide the treatment necessary to provide the patient with relief. Referral to an orthopedist or neurosurgeon may be appropriate in only a minority of cases. Thus, after the initial history and physical examination, ruling out (or in) conditions that require urgent or emergent care is essential. These conditions include cauda equina syndrome, circulatory collapse due to expanding abdominal aortic aneurysm, and tumor, infection, and other underlying disorders as a cause of low back pain. Patients without these conditions can be started on conservative therapy-without radiographic or laboratory tests-regardless of the specific diagnosis. Conservative therapy consists of passage of time, controlled physical activity, physical modalities (e.g., cryotherapy or thermotherapy), local injections, nonsteroidal anti-inflammatory drugs, and muscle relaxants. Because low back pain is so common, even the small proportion of patients who do not improve after 6 weeks of conservative therapy represents a sizable number. The location and radiation of pain are used as initial guides to classifying these patients into four groups: those with localized pain, sciatica, anterior thigh pain, or posterior thigh pain. Each follows a different diagnostic path, which will be described herein. PMID:9217555

  7. OSTEOPAThic Health outcomes In Chronic low back pain: The OSTEOPATHIC Trial

    OpenAIRE

    Licciardone, John C; King, Hollis H.; Hensel, Kendi L.; Williams, Daniel G.

    2008-01-01

    Background Osteopathic manipulative treatment (OMT) and ultrasound physical therapy (UPT) are commonly used for chronic low back pain. Although there is evidence from a systematic review and meta-analysis that OMT generally reduces low back pain, there are no large clinical trials that specifically assess OMT efficacy in chronic low back pain. Similarly, there is a lack of evidence involving UPT for chronic low back pain. Methods The OSTEOPAThic Health outcomes In Chronic low back pain (OSTEO...

  8. Recurrent acute low back pain secondary to lumbar epidural calcification

    International Nuclear Information System (INIS)

    Epidural calcification is a rare cause of back pain, and spontaneous epidural calcification has not been reported previously. We describe a patient with acute low back pain and signs of lumbar nerve root compression due to epidural calcification, as demonstrated by CT-scan and MRI. Radiological signs of spondylodiscitis led to a search for an infectious cause, which was negative, and her symptoms responded rapidly to NSAID treatment alone. Her symptoms recurred 18 months later, and further imaging studies again revealed epidural calcification, but with a changed distribution. Her symptoms were relieved once more by NSAID treatment alone. We propose that epidural calcification secondary to aseptic spondylodiscitis is the main cause of acute back pain in this patient. A possible mechanism may be the pro-inflammatory effects of calcium pyrophosphate or hydroxyapatite crystal deposition within the epidural space. (orig.)

  9. [Diagnostics and minimally invasive therapy for chronic low back pain].

    Science.gov (United States)

    Rauschmann, M A; Warzecha, J; Arabmotlagh, M; Mayer, A; V Stechow, D

    2004-12-01

    Chronic low back pain is one of the most frequent causes for seeking medical help in Germany. Many factors play a causal role in its pathogenesis. This is where the dilemma resides in narrowing down the diagnosis and deciding on subsequent therapeutic intervention. There is overall agreement on the concept of when it is expedient to initiate further diagnostic measures. With the exception of clear pathomorphological findings and the presence of cardinal symptoms or warning signs, so-called "red flags", primary back pain should not be subjected to any specific diagnostic tests and therapy during the first 3 months. We present well-established techniques for blockade, discography, and minimally invasive treatment options such as cryotherapy, procedures for thermal ablation, and intradiscal electrotherapy. Vertebroplasty, currently a frequently applied method, is also included in the discussion of minimally invasive treatment for chronic low back pain. PMID:15004745

  10. Reporting outcomes of back pain trials: A modified Delphi study

    DEFF Research Database (Denmark)

    Froud, Robert; Eldridge, Sandra; Kovacs, Francisco;

    2011-01-01

    trials. METHODS: We presented experts with clinicians' views on different reporting methods and asked them to rate and comment on the suitability reporting methods for inclusion in a standardized set. Panellists developed a statement of recommendation over three online rounds. We used a modified Delphi......BACKGROUND: Low back pain is a common and expensive health complaint. Many low back pain trials have been conducted, but these are reported in a variety of ways and are often difficult to interpret. AIM: To facilitate consensus on a statement recommending reporting methods for future low back pain...... process and the RAND/UCLA appropriateness method as a formal framework for establishing appropriateness and quantifying panel disagreement. RESULTS: A group of 63 experts from 14 countries participated. Consensus was reached on a statement recommending that the continuous patient-reported outcomes...

  11. The Continuing and Growing Epidemic of Chronic Low Back Pain

    Directory of Open Access Journals (Sweden)

    Robert J. Gatchel

    2015-09-01

    Full Text Available Because of the great prevalence of chronic pain, it is not surprising that there have been a number of influential reports by the Institute of Medicine, National Institutes of Health, and the World Health Organization that have documented the medical, social and economic problems caused by it, and the need for better pain-management programs. The present article briefly reviews these reports, and then focuses on three important areas that need to be considered when addressing the continuing and growing epidemic of one of the most prevalent types of chronic pain [chronic low back pain (CLBP]: the biopsychosocial model of chronic pain; the paradigm shift in medicine from a disease model to an illness model of CLBP; and a review of the treatment- and cost-effectiveness of interdisciplinary chronic pain management programs. This overview will serve as an important prelude to other topics related to low back pain included in this Special Issue of Healthcare. Topics covered will range from assessment and treatment approaches, to important psychosocial mediators/moderators such as coping and pain beliefs.

  12. Balneotherapy for chronic low back pain: a randomized, controlled study.

    Science.gov (United States)

    Kesiktas, Nur; Karakas, Sinem; Gun, Kerem; Gun, Nuran; Murat, Sadiye; Uludag, Murat

    2012-10-01

    A large number of treatments were used for patients with chronic low back pain. Frequent episodes have been reported very high. Although balneotherapy was found effective in this disease, there are not well-designed studies. We aimed to determine the effectiveness of balneotherapy versus physical therapy in patients with chronic low back pain. Exercise was added to both treatment programs. Sixty patients with chronic low back pain were randomly divided into two groups. Physical modalities plus exercise were applied to group 1, and group 2 was received balneotherapy plus exercise for ten sessions. The following parameters were measured: visual analogue scale at rest and movement for pain, paracetamol dose, manual muscle test for lumber muscles, modified Schoeber' test, Oswestry disability index, and Short-Form 36 at the beginning and end of the therapies and at the 3 months follow-up. The statistical analyses were performed using the SPSS 10.0 program. Both groups achieved significant improvements within themselves. But balneotherapy groups were improved at back extensor muscle test (P pain. PMID:21960048

  13. Low back pain in young athletes. A practical approach.

    Science.gov (United States)

    Harvey, J; Tanner, S

    1991-12-01

    Lumbar spine pain accounts for 5 to 8% of athletic injuries. Although back pain is not the most common injury, it is one of the most challenging for the sports physician to diagnose and treat. Factors predisposing the young athlete to back injury include the growth spurt, abrupt increases in training intensity or frequency, improper technique, unsuitable sports equipment, and leg-length inequality. Poor strength of the back extensor and abdominal musculature, and inflexibility of the lumbar spine, hamstrings and hip flexor muscles may contribute to chronic low back pain. Excessive lifting and twisting may produce sprains and strains, the most common cause of low back pain in adolescents. Blows to the spine may create contusions or fractures. Fractures in adolescents from severe trauma include compression fracture, comminuted fracture, fracture of the growth plate at the vertebral end plate, lumbar transverse process fracture, and a fracture of the spinous process. Athletes who participate in sports involving repeated and forceful hyperextension of the spine may suffer from lumbar facet syndrome, spondylolysis, or spondylolisthesis. The large sacroiliac joint is also prone to irritation. The signs and symptoms of disc herniation in adolescents may be more subtle than in adults. Disorders simulating athletic injury include tumours and inflammatory connective tissue disease. Often, however, a specific diagnosis cannot be made in the young athlete with a low back injury due to the lack of pain localisation and the anatomic complexity of the lumbar spine. A thorough history and physical examination are usually more productive in determining a diagnosis and guiding treatment than imaging techniques. Diagnostic tests may be considered, though, for the adolescent athlete whose back pain is severe, was caused by acute trauma, or fails to improve with conservative therapy after several weeks. Radiographs, bone scanning, computed tomography, and magnetic resonance imaging may

  14. DNA methylation of SPARC and chronic low back pain

    Directory of Open Access Journals (Sweden)

    Dashwood Thomas

    2011-08-01

    Full Text Available Abstract Background The extracellular matrix protein SPARC (Secreted Protein, Acidic, Rich in Cysteine has been linked to degeneration of the intervertebral discs and chronic low back pain (LBP. In humans, SPARC protein expression is decreased as a function of age and disc degeneration. In mice, inactivation of the SPARC gene results in the development of accelerated age-dependent disc degeneration concurrent with age-dependent behavioral signs of chronic LBP. DNA methylation is the covalent modification of DNA by addition of methyl moieties to cytosines in DNA. DNA methylation plays an important role in programming of gene expression, including in the dynamic regulation of changes in gene expression in response to aging and environmental signals. We tested the hypothesis that DNA methylation down-regulates SPARC expression in chronic LBP in pre-clinical models and in patients with chronic LBP. Results Our data shows that aging mice develop anatomical and behavioral signs of disc degeneration and back pain, decreased SPARC expression and increased methylation of the SPARC promoter. In parallel, we show that human subjects with back pain exhibit signs of disc degeneration and increased methylation of the SPARC promoter. Methylation of either the human or mouse SPARC promoter silences its activity in transient transfection assays. Conclusions This study provides the first evidence that DNA methylation of a single gene plays a role in chronic pain in humans and animal models. This has important implications for understanding the mechanisms involved in chronic pain and for pain therapy.

  15. Physiotherapy in early phase of low back pain

    Directory of Open Access Journals (Sweden)

    Markku Paatelma

    2011-03-01

    Full Text Available Markku PaatelmaDepartment of Education, Auron – OMT Center, Helsinki, FinlandAbstract: Low back pain (LBP is a substantial health problem and has subsequently attracted a considerable amount of research both in the early and chronic phases. Chronic, nonspecific LBP indicates limited effectiveness from most commonly applied interventions and approaches, but it seems to be opposite in the early phase. Intervention is more effective than advice on staying active in acute LBP, leading to more rapid improvement in function, mood, quality of life, and general health. We compared physiotherapy (PT that involved 3–7 treatment sessions based on subclassification in early phase LBP (acute and subacute LBP lasting <3 months to one session of PT that advised staying active, in 134 LBP patients. Low back and leg pain, disability, and days of sick-leave were evaluated. After 12 months, all groups had only minimal pain and disability. In the advice-only group, those patients who had radiating pain had less improvement compared with other groups, and increasing days of sick-leave because of LBP after 12 months. Compared with the advice-only group, orthopedic manual therapy and McKenzie methods seemed to be slightly more effective than one session of assessment in pain and disability.Keywords: OMT, advice, low back pain 

  16. Pregnancy Related Low Back and Pelvic Pain: a surgical approach

    OpenAIRE

    Zwienen, C.M.A.

    2005-01-01

    textabstractMore than half of all pregnant women experience low back and/or pelvic pain of whom one-third has severe complaints. In most cases the pelvic pain disap­pears within a few months after delivery, either spontaneously or after con­servative treatment. In a minority of patients the pain persists even after a multidisciplinary rehabilitation program and may cause severe disability. Some patients may even be wheelchair bound or bedridden. After failure of all con­servative treatment, s...

  17. Making Better Lives: Patient-Focused Care for Low Back Pain (LBP)

    Science.gov (United States)

    2016-03-04

    Chronic Low Back Pain; Hip Ostearthritis; Myofascial Pain Syndrome; Fibromyalgia; Depression; Maladaptive Coping; Lumbar Spinal Stenosis; Insomnia; Sacroiliac Joint Pain; Lateral Hip and Thigh Pain; Anxiety; Dementia; Recent Leg Length Discrepancy

  18. Prevalence and tracking of back pain from childhood to adolescence

    DEFF Research Database (Denmark)

    Kjær, Per; Wedderkopp, Niels; Korsholm, Lars;

    2011-01-01

    It is generally acknowledged that back pain (BP) is a common condition already in childhood. However, the development until early adulthood is not well understood and, in particular, not the individual tracking pattern. The objectives of this paper are to show the prevalence estimates of BP, low...

  19. BREATHING PATTERNS IN PATIENTS WITH LOW BACK PAIN

    Directory of Open Access Journals (Sweden)

    Priyanka P. Ostwal

    2014-02-01

    Full Text Available Background: Low Back pain is common clinical condition encountered in a day to day Physiotherapy practice. Very few authors has so far documented changes in breathing patterns in low back pain while performing certain motor control tests. Purpose: The aim of the study was to observe the breathing pattern in individuals with low back pain (LBP both at rest and during motor control tasks. Material and Method: 150 patients with LBP participated in this study and they were subcategorized further in acute, sub-acute and chronic low back pain patients. The breathing pattern was evaluated at rest (standing and supine position during both relaxed breathing and deep breathing and while performing clinical motor control tasks, i.e. bent knee fall out, knee lift abdominal test and active straight leg raise. Breathing patterns in patients with LBP were assessed by therapist both visually and via palpation and observational findings were noted. Costo-diaphragmatic breathing was considered as normal breathing pattern. Result: Observational findings of this study demonstrates altered breathing pattern in patients with LBP during motor control tasks. Conclusion: At rest, no significant differences were observed in breathing patterns of LBP patients, whereas around 71% patients revealed abnormal breathing pattern during motor control tests.

  20. Meningoradiculitis due to borreliosis presenting as low back pain only

    Energy Technology Data Exchange (ETDEWEB)

    Demaerel, P.; Crevits, I.; Baert, A.L. [Department of Radiology, University Hospitals, Leuven (Belgium); Casteels-Van Daele, M. [Department of Paediatrics, University Hospitals, Leuven (Belgium)

    1998-02-01

    We report a child with Borrelia burgdorferi meningoradiculitis. This entity, also known as Bannwarth syndrome, is rare and its presentation with low back pain only is even more unusual. The MRI findings can suggest the diagnosis. (orig.) With 1 fig., 3 refs.

  1. Minimally invasive spine surgery in chronic low back pain patients

    NARCIS (Netherlands)

    Spoor, A. B.; Oner, F. C.

    2013-01-01

    Low back pain (LBP) is a common disorder with a lifetime prevalence of 85%. The pathophysiology of LBP can be various depending on the underlying problem. Only in about 10% of the patients specific underlying disease processes can be identified. Patients with scoliosis, spondylolisthesis, herniated

  2. Does magnetic resonance imaging predict future low back pain?

    DEFF Research Database (Denmark)

    Steffens, D; Hancock, M J; Maher, C G;

    2014-01-01

    Magnetic resonance imaging (MRI) has the potential to identify pathology responsible for low back pain (LBP). However, the importance of findings on MRI remains controversial. We aimed to systematically review whether MRI findings of the lumbar spine predict future LBP in different samples with and...

  3. Core Strength: Implications for Fitness and Low Back Pain.

    Science.gov (United States)

    Liemohn, Wendell; Pariser, Gina

    2002-01-01

    Presents information to promote understanding of the concept of core strength and stability, explain why this concept is important to spine health, and evaluate trunk training activities with respect to their contribution to core strength and stability, noting implications for physical fitness and low back pain. The paper reviews the anatomy and…

  4. Sex Differences in the Presentation of Chronic Low Back Pain

    Science.gov (United States)

    Sheffer, Christine E.; Cassisi, Jeffrey E.; Ferraresi, Laurette M.; Lofland, Kenneth R.; McCracken, Lance M.

    2002-01-01

    Sex differences in 351 patients with chronic low back pain were examined. Biological, psychological, and psychosocial factors were considered. Sex differences in adaptive functioning were consistent with traditional gender roles. Significant interactions were found for sex and employment status, and sex and marital status. Retired women reported…

  5. Psychosocial Factors and Low Back Pain among College Students

    Science.gov (United States)

    Kennedy, Catherine; Kassab, Osama; Gilkey, David; Linnel, Sheri; Morris, Debra

    2008-01-01

    Objective and Participants: The authors evaluated psychosocial factors of stress and their effects on the prevalence of low back pain (LBP) among a population of college students in a major university in Colorado. Methods: This was a nested cross-sectional study of 973 respondents who completed the National College Health Assessment survey. The…

  6. Low back pain misdiagnosis or missed diagnosis: Core principles.

    Science.gov (United States)

    Monie, A P; Fazey, P J; Singer, K P

    2016-04-01

    Consensus guidelines for the management of low back pain recommend that the clinician use contemporary best practice for assessment and treatment, consider biopsychosocial factors and, if chronic, use a multimodal and multi-disciplinary approach. Where guidelines are not followed and basic assessment is inadequate the diagnosis may be compromised and the sequelae of errors compounded. Factors such as a lack of knowledge or recognition of the common structure specific pain referral patterns, poor clinical reasoning, inappropriate referral and predilection for popular management approaches also contribute to mis-diagnosis and mis-management. This report describes two cases of chronic low back pain with lengthy histories of multiple failed interventions to highlight the consequences of focussing on a singular approach to the exclusion of evidence based pathways and the resulting risk of a missed diagnosis. The eventual management to mitigate these problems is reported with the aid of low back pain outcome measures, computer-aided combined movement examination, disability and pain questionnaires and health quality of life surveys. PMID:26521215

  7. Stress and back pain: who can escape?

    CERN Multimedia

    2013-01-01

    On 28 April each year, the International Labour Organization and the World Health Organization organise a World Day for Safety and Health at Work.   For the third consecutive year, CERN will be celebrating the World Day through events and initiatives coordinated by the BE Safety Unit, the HSE Unit, the CERN Medical Service and finally the Fire Brigade. Two main themes that will be highlighted this year are: work stress and musculoskeletal disorders. These two frightening items actually refer to situations that we may all be experiencing. On the day of the event, you will be given information and tips on how to reduce daily stress. You will also be invited to follow a “back pain” course that will bring to light all the activities you can try out in order to fight this affliction and reduce its consequences. The Fire Brigade will also be present to show you how to use the “portoire” chair. Don’t know what a “portoire” chair ...

  8. [Physiotherapy in low back pain--indications and limits].

    Science.gov (United States)

    Seeger, D

    2001-12-01

    These times of changing paradigms raise the question of the indications for and limits of physical therapy in back pain management. At present, several national and international guidelines for the care of chronic back pain are available. Unfortunately, the guidelines are often inconsistent concerning physiotherapy. An encompassing framework for an effective, efficient, and appropriate physiotherapy treatment needs to be developed. Within the German national health system, the "Arzneimittelkommission" [2] issued guidelines for low back pain. These guidelines endeavour to distinguish between disease related specific back pain and non specific back pain of a more functional or mechanical origin. Furthermore, the "Bundesausschuss der Arzte und Krankenkassen" in Germany dispatched guidelines (Heilmittelrichtlinien) for the prescription of "Heilmittel" (remedies other than drugs) on October 16th, 2000. These guidelines seek to appropriately refer, assign and limit the physiotherapy treatment of back pain according to a set indications catalogue. On an international basis, the World Health Organisation (WHO) [21] offers well established guidelines for the "International Classification of Functioning and Disability", 2nd version (ICIDH-2). These guidelines describe the progressive health dysfunction over three major levels: 1) body functions and structures, 2) activities of an individual, and 3) participation of an individual in social and other essential aspects of life. National and international scientific studies support the use of ICIDH-2-categories and suggest that different back pain management is required at different levels of dysfunction. For example, there is a trend to prescribe increasingly active types of treatment instead of passive ones for increasing levels of dysfunction [54]. Multimodal treatment programs [17, 29], which include physical activity, training and psychological programs as well as training of activities of daily living (ADL) ("workhardening

  9. Baastrup's Disease: An Often Missed Etiology for Back Pain.

    Science.gov (United States)

    Philipp, Lucas R; Baum, Griffin R; Grossberg, Jonathan A; Ahmad, Faiz U

    2016-01-01

    Baastrup's disease is a relatively common disorder of the vertebral column, characterized by low back pain arising from the close approximation of adjacent posterior spinous processes and resultant degenerative changes, most commonly at L4-L5. Though fairly common, Baastrup's disease is overwhelmingly underdiagnosed and often missed due to a lack of knowledge and/or improper diagnostic techniques, leading to frequent mistreatment. We present a case of a 56-year-old man who presented with chronic, ongoing low back pain of several years duration. His pain was relieved by flexion of the spine, and aggravated by extension. Imaging studies revealed "kissing" posterior spinous processes, consistent with a diagnosis of Baastrup's Disease. He was treated with subcutaneous steroid injections and showed considerable clinical improvement. PMID:26929892

  10. [What helps in back pain? Guideline for symptomatic therapy].

    Science.gov (United States)

    Pongratz, D; Späth, M

    2001-05-01

    Both in acute and chronic, unspecific back pain, the myofascial pain syndrome resulting in muscular dysbalance is a major factor. For the differential diagnosis, however, consideration must always be given to concomitant symptoms (neurological deficits, general symptoms, signs of osteopathy). Pathophysiologically, the active trigger point corresponds to a contraction in the muscle fibers that forms in the region of the a neuromuscular endplate, and leads, via biochemical processes, to the stimulation of mesochymal nociceptors. Symptomatic treatment of acute and chronic back pain may be broken down into a) physical measures, b) local therapeutic regimens, c) systemic pharmacotherapy. As medication, non-steroidal antiinflammatory drugs, non-opioid analgesics, opioid analgesics, muscle relaxants and antidepressives are available, and are dose-matched to the severity and stage of the condition. The spectrum of therapeutic options is outlined. PMID:11387701

  11. Usefulness of the Pain Tracking Technique in Acute Mechanical Low Back Pain

    OpenAIRE

    Tania Bravo Acosta; Martín Cordero, Jorge E.; Solangel Hernández Tápanes; Isis Pedroso Morales; José Ignacio Fernández Cuesta; Maritza Leyva Serrano

    2015-01-01

    Objective. To evaluate the usefulness of the pain tracking technique in acute mechanical low back pain. Method. We performed an experimental prospective (longitudinal) explanatory study between January 2011 and September 2012. The sample was randomly divided into two groups. Patients were assessed at the start and end of the treatment using the visual analogue scale and the Waddell test. Treatment consisted in applying the pain tracking technique to the study group and interferential current ...

  12. Classification of patients with low back-related leg pain: a systematic review

    OpenAIRE

    Stynes, S; Konstantinou, K; Dunn, KM

    2016-01-01

    Background The identification of clinically relevant subgroups of low back pain (LBP) is considered the number one LBP research priority in primary care. One subgroup of LBP patients are those with back related leg pain. Leg pain frequently accompanies LBP and is associated with increased levels of disability and higher health costs than simple low back pain. Distinguishing between different types of low back-related leg pain (LBLP) is important for clinical management and research applicatio...

  13. The association between physical activity and neck and low back pain: a systematic review

    OpenAIRE

    Sitthipornvorakul, E.; Janwantanakul, P.; Purepong, N.; Pensri, P.; Beek, van de, A.

    2011-01-01

    The effect of physical activity on neck and low back pain is still controversial. No systematic review has been conducted on the association between daily physical activity and neck and low back pain. The objective of this study was to evaluate the association between physical activity and the incidence/prevalence of neck and low back pain. Publications were systematically searched from 1980 to June 2009 in several databases. The following key words were used: neck pain, back pain, physical a...

  14. Low Back Pain - Management Perspective Of A commonly Encountered Problem

    Directory of Open Access Journals (Sweden)

    Parharaj S S

    2004-01-01

    Full Text Available Low Back pain is a very common symptom affecting the general population, incurring a huge annual societal cost. In spite of this, it remains very commonly misdiagnosed and maltreated. The majority of benign chronic low back pain patients suffer from a combination of myofascial frozen back syndrome with or without an overly of psychosocioeconomic factors. Neural compression causes are less frequent. A though evaluation of the patient to select the most rational therapeutic approach is necessary. In majority of the patients, a well planned out rehabilitation programme is useful. Surgery is indicated in a minority with neural compression or spinal instability, motivation is essential as rehabilitation and surgery have a high failure rate in inadequately motivated patients with psychosocioeconomic dysfunction.

  15. Perspectives on physiotherapy guidelines for chronic low back pain

    Directory of Open Access Journals (Sweden)

    P. Berger

    2007-02-01

    Full Text Available The prevalence of chronic low back pain presents a world widedilemma to patients, physiotherapists and clinicians. There is scant evidence for prevention and treatment however it is now acknowledged that the use of  physiotherapy in a multidimensional context has proved the more appropriate model as a vital component of the collaborative approach required for effective pain management. The following article reviews the current literature, evaluates and combines the guidelines that have been proposed from various international studies to provide a practical approach to the management of chronic back pain. This approach recognizes a broad biopsychosocial model of health and the positive role of activity in health and healing with emphasis on function, rather than impairment. Therefore the development of a patient-centred rehabilitative approach has emerged that emphasizes the restoration of normal movement and function with the addition of physical modalities where appropriate. Recent advances in neurophysiology, the modulation of pain and its perception and the fact that biological systems are known to be greatly affected by electrical treatment provide a clearer rationale for the use of physical agents for rehabilitation of patients with pain and relateddisability. The modalities used in conjunction with active exercises include thermal, massage, electrical stimulation, traction, transcutaneous electrical nerve stimulation (Tens, myofascial release, dry needling, mobilization and acupuncture. An algorithm is provided with the intention of developing protocols for breaking the pain cycle in both nociceptive and neuropathic pain states and in reducing inflammation which is a component of both peripheral and central sensitization. Pain rehabilitation is a useful and cost-effective approach to chronic pain management and makes patients’ responsible partners in their own progress. It encourages planning, pacing of activities and activity related

  16. Combination treatment for acute non-specific low back pain

    Directory of Open Access Journals (Sweden)

    A. E. Barulin

    2014-10-01

    Full Text Available Spinal pain syndromes come to the forefront in the structure of referral rates for medical advice and considerably reduce quality of life in this category of patients. The paper considers the role of an edematous component in the development and chronization of pain. Occurring edema gives rise to local hemo- and lymphodynamic disorders, dysregulated vascular tone, activated thrombogenesis, and increased vascular permeability, eventually leading to the excessive irritation of nociceptors, the enhancement of a pain component, and the progression of tissue swelling.Objective: to study the efficacy of L-lysine escinate in the combination treatment of acute non-specific low back pain.Patients and methods. Sixty-two patients aged 21 to 53 patients (mean age 36.4±0.9 years with acute low back pain were examined. L-lysine escinate having venotonic and anti-inflammatory activities was chosen as an agent to correct edema syndrome. The results of clinical, neurological, and manual muscular testing and assessment of the biomechanics of the vertebral column, obtained using the original soft package “Visual optic analysis” developed by the authors, were analyzed. All the patients were found to have acute non-specific low back pain or radiculopathy (entrapment syndrome and considerable changes in the biomechanics of the vertebral column. The patients were treated in accordance with the standards of medical care for spinal pain. L-lysine escinate was additionally incorporated as an antiedema drug into the therapeuticcomplex of the patients in the study group.Results and discussion. The study patient group demonstrated a more pronounced trend towards reductions in pain syndrome and local muscle edema. It was noted that L-lysine escinate was effective in treating both acute pain syndromes and exacerbations of chronic low back pain and that additional non-drug programs should be included in order to correct an impaired motor stereotype.

  17. The reciprocal effect of pain catastrophizing and satisfaction with participation in the multidisciplinary treatment of patients with chronic back pain

    OpenAIRE

    Farin, Erik

    2015-01-01

    Background The aim of the study was to examine the reciprocity between pain catastrophizing, social participation and quality of life outcomes (pain intensity, pain disability, negative affectivity) in patients with low back pain in a multidisciplinary pain treatment. Methods Patients undergoing inpatient rehabilitation were surveyed at the beginning and two weeks after the end of rehabilitation. N = 262 low back pain patients participated (mean age: 52.2, 62.1 % female). A two-wave cross-lag...

  18. Back Pain in Poland and Germany: A Survey of Prevalence and Association with Demographic Characters

    Directory of Open Access Journals (Sweden)

    Lea Henn

    2014-01-01

    Full Text Available Background. Back pain is the most common form of pain and leads to high costs in all medical care systems. Objective. The present study examines the prevalence of back pain and its associations with some basic demographics. Methods. Two samples from Poland and Germany (about n=500 each were examined via Internet regarding back pain, gender, age, and body mass index (BMI. Results. Back pain is more common in women than in men (risk ratio about 1.7, and a high BMI constitutes an additional risk factor. Age was not related to back pain prevalence. Conclusion. Congruent results in two countries based on the same measure of back pain lead to the assumption that much of the variety found in estimates of back pain are due to inconsistent assessment. For future research, a definition of common criteria on how to assess back pain would be an asset.

  19. Does anterior trunk pain predict a different course of recovery in chronic low back pain?

    DEFF Research Database (Denmark)

    Panagopoulos, John; Hancock, Mark J; Kongsted, Alice; Hush, Julia; Kent, Peter

    2014-01-01

    Patient characteristics associated with the course and severity of low back pain (LBP) and disability have been the focus of extensive research, however, known characteristics do not explain much of the variance in outcomes. The relationship between anterior trunk pain (ATP) and LBP has not been...... explored, though mechanisms for visceral referred pain have been described. Study objectives were: (1) determine prevalence of ATP in chronic LBP patients, (2) determine whether ATP is associated with increased pain and disability in these patients, and (3) evaluate whether ATP predicts the course of pain...... and disability in these patients. In this study, spinal outpatient department patients mapped the distribution of their pain and patients describing pain in their chest, abdomen or groin were classified with ATP. Generalized estimating equations were performed to investigate the relationship between...

  20. Back pain was less explained than leg pain: a cross-sectional study using magnetic resonance imaging in low back pain patients with and without radiculopathy

    OpenAIRE

    Jensen, Ole Kudsk; Nielsen, Claus Vinther; Sørensen, Joan Solgaard; Stengaard-Pedersen, Kristian

    2015-01-01

    Background Cross-sectional studies have shown associations between lumbar degenerative manifestations on magnetic resonance imaging (MRI) and low back pain (LBP). Disc herniations and other degenerative manifestations, however, frequently occur in asymptomatic individuals. The purpose of this cross-sectional study was to analyze for associations between pain intensity and degenerative manifestations and other pain variables in patients for whom prognostic factors have been published previousl...

  1. Low pressure pain thresholds are associated with, but does not predispose for, low back pain

    DEFF Research Database (Denmark)

    O'Neill, Søren; Kjær, Per; Nielsen, Thomas Graven;

    2011-01-01

    Chronic pain is often associated with hyperalgesia in cross-sectional studies. In the present study, a random cohort of 40-year-old individuals (n = 264) from the general population was assessed for low back pain (LBP) status and pressure pain threshold (PPT), with follow-up assessment 4 and 8......-lasting LBP, those with a low PPT at baseline (lower 10% percentile) had no increased risk of developing LBP (p > 0.05). The findings indicate that PPT decreases as a consequence of long-lasting pain, whereas a low PPT seems not to constitute a separate risk factor for the development of LBP....

  2. A novel tool for the assessment of pain: validation in low back pain.

    Directory of Open Access Journals (Sweden)

    Joachim Scholz

    2009-04-01

    Full Text Available BACKGROUND: Adequate pain assessment is critical for evaluating the efficacy of analgesic treatment in clinical practice and during the development of new therapies. Yet the currently used scores of global pain intensity fail to reflect the diversity of pain manifestations and the complexity of underlying biological mechanisms. We have developed a tool for a standardized assessment of pain-related symptoms and signs that differentiates pain phenotypes independent of etiology. METHODS AND FINDINGS: Using a structured interview (16 questions and a standardized bedside examination (23 tests, we prospectively assessed symptoms and signs in 130 patients with peripheral neuropathic pain caused by diabetic polyneuropathy, postherpetic neuralgia, or radicular low back pain (LBP, and in 57 patients with non-neuropathic (axial LBP. A hierarchical cluster analysis revealed distinct association patterns of symptoms and signs (pain subtypes that characterized six subgroups of patients with neuropathic pain and two subgroups of patients with non-neuropathic pain. Using a classification tree analysis, we identified the most discriminatory assessment items for the identification of pain subtypes. We combined these six interview questions and ten physical tests in a pain assessment tool that we named Standardized Evaluation of Pain (StEP. We validated StEP for the distinction between radicular and axial LBP in an independent group of 137 patients. StEP identified patients with radicular pain with high sensitivity (92%; 95% confidence interval [CI] 83%-97% and specificity (97%; 95% CI 89%-100%. The diagnostic accuracy of StEP exceeded that of a dedicated screening tool for neuropathic pain and spinal magnetic resonance imaging. In addition, we were able to reproduce subtypes of radicular and axial LBP, underscoring the utility of StEP for discerning distinct constellations of symptoms and signs. CONCLUSIONS: We present a novel method of identifying pain subtypes

  3. Effects of neural mobilization on pain, straight leg raise test and disability in patients with radicular low back pain

    OpenAIRE

    Haris Čolaković; Dijana Avdić

    2013-01-01

    Introduction: Radicular low back pain is a disorder involving the dysfunction of the lumbosacral nerve roots. Clinical rehabilitation approaches for low back pain include kinesiotherapy, and physical therapyprocedures: ice , rest , heat, ultrasound, TENS, but evidences regarding their effectiveness are lacking. The purpose of this study was to determine if nerve mobilization brings better improvements in pain, SLR testand functional disability in patients with radicular low back pain compared...

  4. Special Section: Complementary and Alternative Medicine (CAM): Low Back Pain and CAM

    Science.gov (United States)

    ... Current Issue Past Issues Special Section CAM Low Back Pain and CAM Past Issues / Winter 2009 Table of ... from CAM treatment for conditions such as low back pain. Photo courtesy of Glenn Scimonelli "Oh, my aching ...

  5. Chronic Low-Back Pain and Complementary Health Approaches: What the Science Says

    Science.gov (United States)

    ... NCCIH Clinical Digest for health professionals Chronic Low-Back Pain and Complementary Health Approaches: What the Science Says ... Guidelines, Scientific Literature, Info for Patients: Chronic Low-Back Pain and Complementary Health Approaches Spinal Manipulation The term ...

  6. For Low-Back Pain, Yoga More Effective Than Self-Care But Not Stretching

    Science.gov (United States)

    ... U V W X Y Z For Low-Back Pain, Yoga More Effective Than Self-Care But Not ... improving function and reducing symptoms of chronic low-back pain, according to a study. Results from previous smaller ...

  7. Lumbar motion changes in chronic low back pain patients

    DEFF Research Database (Denmark)

    Mieritz, Rune M; Hartvigsen, Jan; Boyle, Eleanor;

    2014-01-01

    /SETTING: Secondary analysis of a subset of participants from a randomized clinical trial. PATIENT SAMPLE: 199 study participants with low back pain of more than six weeks' duration who had spinal motion measures obtained before and after the period of intervention. OUTCOME MEASURES: Lumbar region spinal kinematics...... sampled using a six-degree-of-freedom instrumented spatial linkage system. METHODS: Trained therapists collected regional lumbar spinal motion data at baseline and at 12 weeks follow up. The lumbar region spinal motion data were analyzed as a total cohort and relative to treatment modality (high...... half, the motion parameters included in the analysis. The spinal manipulation group changed to a smoother motion pattern (reduced jerk index) while the exercise groups did not. CONCLUSION: This study provides evidence that spinal motion changes can occur in chronic low back pain patients over a 12-week...

  8. Interventional radiological therapy of benign low back pain syndromes

    International Nuclear Information System (INIS)

    Spinal affections belong to the most widespread sources of back pain. Beside medical history and clinical examination, the radiological investigation plays an important rote in the clinical workup especially with the modern Cross sectional imaging methods such as computed and magnetic resonance tomography. After exclusion of a malignant disease usually a conservative therapeutic approach is the first line treatment option. If the conservative treatment approach falls a minimalinvasive image guided diagnostic or therapeutic infiltration may be considered. Thereby the interventional radiologist should be a member of the team which decides the clinical strategy. This article describes epidemiology and pathophysiology, common pre-interventional diagnostic strategies, drugs, indications, possible complications and the impact of diagnostic and therapeutic minimally invasive image guided techniques in low back pain. In this context facet joint blockade, periradicular and peridural therapy as well as sacroiliac joint blockades are discussed

  9. Initial approach to patients with acute lower back pain.

    Science.gov (United States)

    Joaquim, Andrei Fernandes

    2016-04-01

    Low back pain is in one of the most common reasons for seeking medical care in emergency care units, and also the second most common cause of work absenteeism. The recognition of red flags for serious diseases such as tumors and fractures, through proper history-taking and clinical examination, is essential for proper treatment and to rule out differential diagnoses. In the absence of suspected severe underlying disease, subsidiary radiological examinations are unnecessary. Analgesic and anti-inflammatory drugs are the treatment of choice and can be cautiously associated with muscle relaxants and opioids in more severe cases. Most patients will have complete improvement of symptoms after a few months, but a minority can develop chronic low back pain or present with recurrent episodes. The proper understanding of all of the above can optimize results and avoid diagnostic and therapeutic errors. PMID:27167551

  10. Prediction of low back pain with two expert systems.

    Science.gov (United States)

    Sari, Murat; Gulbandilar, Eyyup; Cimbiz, Ali

    2012-06-01

    Low back pain (LBP) is one of the common problems encountered in medical applications. This paper proposes two expert systems (artificial neural network and adaptive neuro-fuzzy inference system) for the assessment of the LBP level objectively. The skin resistance and visual analog scale (VAS) values have been accepted as the input variables for the developed systems. The results showed that the expert systems behave very similar to real data and that use of the expert systems can be used to successfully diagnose the back pain intensity. The suggested systems were found to be advantageous approaches in addition to existing unbiased approaches. So far as the authors are aware, this is the first attempt of using the two expert systems achieving very good performance in a real application. In light of some of the limitations of this study, we also identify and discuss several areas that need continued investigation. PMID:20978929

  11. Deployment-related risk factors of low back pain

    DEFF Research Database (Denmark)

    Nissen, Lars Ravnborg; Marott, Jacob Louis; Gyntelberg, Finn;

    2014-01-01

    Where much is known about the consequences of spinal and low back pain (LBP) during military deployments, there is lesser knowledge of risk factors for LBP among the deployed forces. The objective of this study was to identify deployment-related exposures associated with LBP. The study was a ques...... their subordinates and involve medical personnel, especially deployed physiotherapists, by giving advice to soldiers of different military occupational specialties on how to optimize ergonomics at work....

  12. Returning disability pensioners with back pain to work

    OpenAIRE

    Magnussen, Liv Heide

    2007-01-01

    The main purpose of this thesis was to investigate whether a group of disability pensioners with back pain would have a potential for a successful return to work. Perceived barriers against work, physical and mental functioning and the effect of a vocational- oriented intervention were evaluated. The thesis consists of three papers. The first paper deals with the pensioners’ perceived barriers against work and perceptions of their own health. This was considered likely to have an impact on th...

  13. Patterns of health care utilization for low back pain

    OpenAIRE

    Stewart WF; Yan X; Boscarino JA; Maeng DD; Mardekian J; Sanchez RJ; Von Korff MR

    2015-01-01

    Walter F Stewart,1 Xiaowei Yan,1 Joseph A Boscarino,1 Daniel D Maeng,1 Jack Mardekian,2 Robert J Sanchez,3 Michael R Von Korff41Geisinger Center for Health Research, 2Pfizer, Inc., 3Regeneron Pharmaceuticals, Inc., 4Group Health Research Institute, Seattle, WA, USABackground: The purpose of this study was to determine if primary care patients with low back pain (LBP) cluster into definable care utilization subgroups that can be explained by patient and provider characteristics.Materials and m...

  14. Subclassification of low back pain: a cross-country comparison

    OpenAIRE

    Billis, Evdokia V.; McCarthy, Christopher J.; Oldham, Jacqueline A

    2007-01-01

    Various health professionals have attempted to classify low back pain (LBP) subgroups and have developed several LBP classification systems. Knowing that culture has an effect on LBP symptomatology, assessment findings and clinical decision making, the aim of this review is to perform a cross-country comparative review amongst the published classification systems, addressing each country’s similarities and differences as well as exploring whether cultural factors have been incorporated into t...

  15. Core strength training for patients with chronic low back pain

    OpenAIRE

    Chang, Wen-Dien; Lin, Hung-Yu; Lai, Ping-Tung

    2015-01-01

    [Purpose] Through core strength training, patients with chronic low back pain can strengthen their deep trunk muscles. However, independent training remains challenging, despite the existence of numerous core strength training strategies. Currently, no standardized system has been established analyzing and comparing the results of core strength training and typical resistance training. Therefore, we conducted a systematic review of the results of previous studies to explore the effectiveness ...

  16. Low back pain among female nurses in Yemen

    OpenAIRE

    Khaled Ghilan; Abdulla Al-Taiar; Nuha Al Yousfi; Rania Al Zubaidi; Iman Awadh; Zaher Al-Obeyed

    2013-01-01

    Objectives: This study aimed to investigate the prevalence of Low Back Pain (LBP) among female nursing staff and explore the potential risk factors associated with LBP. Methods: An analytical cross-sectional study was conducted on randomly selected female nurses using payroll as a sampling frame in all public hospitals in Sana'a City, Yemen. Data was collected through face-to-face interview using a structured, pre-coded questionnaire that was available in Arabic and English. Weight and height...

  17. Back and neck pain : Epidemiological studies on some risk factors and treatments, including naprapathic manual therapy

    OpenAIRE

    Skillgate, Eva

    2007-01-01

    Introduction: Back and neck pain are common and constitute the main cause for persistent pain in the population. The knowledge about the etiology and about the effect of different treatments that are offered for back and neck pain is not fully understood, with a few exceptions. Objectives: The overall aim was to give epidemiological aspects of some potential risk factors for back and neck pain, as well as on manual treatment of such pain. Objectives in Studies I and II were...

  18. Lower back pain: clinical features and examination of patients

    Directory of Open Access Journals (Sweden)

    I.V. Damulin

    2014-05-01

    Full Text Available This article discusses the clinical and paraclinical aspects of pain syndromes of the lumbosacral localization. The past medical history (including the working conditions of the patient and the presence of constant stress, physical and paraclinical examination, and assessment of psychological condition are important for establishing the correct diagnosis. It should be noted that there is no strict parallelism between the presence of back pain and the results of paraclinical examination of the spine. Therefore, the comprehensive assessment of the patient's clinical status, including the state of the musculoskeletal system, has a leading value for correct diagnosis and selection of therapy. Increasing pain when coughing or sneezing is noted in patients with discogenic pain syndromes; the development of pain along the root innervation often occurs simultaneously with the reduction of localized pain in the lumbar region. The diagnostic value of the radiography and neuroimaging data is unquestioned; however, these methods allow one to evaluate mainly the anatomical rather than pathophysiological changes. The direct dependence between the anatomical changes and the clinical situation is not typical of back pain. Magnetic resonance imaging (MRI is when the injury level is unclear and the clinical examination data indicate pathology of the spinal cord or soft tissues. Moreover, MRI data help either to eliminate or confirm a tumor or the inflammatory nature of the pain syndrome. MRI is also an informative method in patients who have undergone surgery for vertebral pathology. Computed tomography is an effective diagnosis method only in those cases where the symptomatology clearly indicates the injury level and the bone changes are the pain cause with a high degree of probability. Electromyography (EMG is very informative in patients with radiculopathies; it allows one to evaluate the pathophysiological changes in such patients. However, there usually is

  19. Baastrup's Disease: a poorly recognised cause of back pain.

    Science.gov (United States)

    Farinha, F; Raínho, C; Cunha, I; Barcelos, A

    2015-01-01

    A 56-year-old male complained about progressive mechanical back pain for more than 10 years, which worsened with prolonged orthostatism and spine extension and improved in fetal position. His lumbar spine radiography revealed enlargement and sclerosis of the spinous processes which was confirmed by computed tomography, suggesting Baastrup's disease. This condition is characterized by enlargement, close approximation and impingement of one spinous process on another ("kissing spines"). There are few studies on Baastrup´s disease epidemiology and their results are inconsistent. Patients often complain of back pain, typically increased with extension and relieved by flexion. Radiographically, spinous process impingement leads to reactive sclerosis, enlargement, flattening, and remodeling of the involved vertebral spines. Physicians frequently miss it on radiographs due to lack of knowledge and overexposure of spinous processes in most X rays. Both conservative and surgical options are available for treatment. Baastrup's disease should be considered in differential diagnosis of back pain, although one must be aware the typical radiographic changes appear to be common with aging and may not be the cause of patient's symptoms. PMID:25782695

  20. Imaging Tests for Lower Back Pain: When You Need Them -- and When You Don't

    Science.gov (United States)

    ... 2012 ADVICE FROM CONSUMER REPORTS How to treat lower-back pain Many people get over lower-back pain in a few weeks by following these self- ... active . Walking is a good way to ease lower-back pain. If you stay in bed, it can take ...

  1. Is puberty a risk factor for back pain in the young? a systematic critical literature review

    DEFF Research Database (Denmark)

    Lardon, A.; Leboeuf-Yde, C.; Le Scanff, C.; Wedderkopp, N.

    2014-01-01

    BACKGROUND: Back pain is a common condition that starts early in life and seems to increase markedly during puberty. A systematic review was performed in order to investigate the link between puberty and back pain, using some Bradford Hill criteria for causality. OBJECTIVES: We sought to obtain a...... cross-sectional studies on back pain for subjects...

  2. Time to Talk: 4 Things to Know about Spinal Manipulation for Low-Back Pain

    Science.gov (United States)

    ... Things To Know About Spinal Manipulation for Low-Back Pain Share: Back pain is one of the most common health complaints, ... medical doctors with a goal of relieving low-back pain and improving physical functioning. These health professionals perform ...

  3. Usefulness of the Pain Tracking Technique in Acute Mechanical Low Back Pain

    Directory of Open Access Journals (Sweden)

    Tania Bravo Acosta

    2015-01-01

    Full Text Available Objective. To evaluate the usefulness of the pain tracking technique in acute mechanical low back pain. Method. We performed an experimental prospective (longitudinal explanatory study between January 2011 and September 2012. The sample was randomly divided into two groups. Patients were assessed at the start and end of the treatment using the visual analogue scale and the Waddell test. Treatment consisted in applying the pain tracking technique to the study group and interferential current therapy to the control group. At the end of treatment, cryotherapy was applied for 10 minutes. The Wilcoxon signed-rank test and the Mann Whitney test were used. They were performed with a predetermined significance level of p≤0.05. Results. Pain was triggered by prolonged static posture and intense physical labor and intensified through trunk movements and when sitting and standing. The greatest relief was reported in lateral decubitus position and in William’s position. The majority of the patients had contracture. Pain and disability were modified with the rehabilitation treatment in both groups. Conclusions. Both the pain tracking and interferential current techniques combined with cryotherapy are useful treatments for acute mechanical low back pain. The onset of analgesia is faster when using the pain tracking technique.

  4. Usefulness of the Pain Tracking Technique in Acute Mechanical Low Back Pain.

    Science.gov (United States)

    Bravo Acosta, Tania; Martín Cordero, Jorge E; Hernández Tápanes, Solangel; Pedroso Morales, Isis; Fernández Cuesta, José Ignacio; Leyva Serrano, Maritza

    2015-01-01

    Objective. To evaluate the usefulness of the pain tracking technique in acute mechanical low back pain. Method. We performed an experimental prospective (longitudinal) explanatory study between January 2011 and September 2012. The sample was randomly divided into two groups. Patients were assessed at the start and end of the treatment using the visual analogue scale and the Waddell test. Treatment consisted in applying the pain tracking technique to the study group and interferential current therapy to the control group. At the end of treatment, cryotherapy was applied for 10 minutes. The Wilcoxon signed-rank test and the Mann Whitney test were used. They were performed with a predetermined significance level of p ≤ 0.05. Results. Pain was triggered by prolonged static posture and intense physical labor and intensified through trunk movements and when sitting and standing. The greatest relief was reported in lateral decubitus position and in William's position. The majority of the patients had contracture. Pain and disability were modified with the rehabilitation treatment in both groups. Conclusions. Both the pain tracking and interferential current techniques combined with cryotherapy are useful treatments for acute mechanical low back pain. The onset of analgesia is faster when using the pain tracking technique. PMID:26240758

  5. Effectiveness of cognitive behavioural therapy on pain of patients with low back pain

    Directory of Open Access Journals (Sweden)

    Sudha BANTH

    2014-03-01

    Full Text Available Background: Chronic low back pain is a major health problem and has high comorbidity with psychological related disorders. As there is no consensus about the effectiveness of psychotherapy methods for chronic pain, so our target in this study was to assess the efficacy of cognitive behavioral therapy (CBT as a psychological intervention on pain of female patients with nonspecific chronic low back pain (NSCLBP. Methods: 88 patients suffering from NSCLBP were randomly assigned to experimental and control groups, CBT (CBT+ usual medical care and usual medical care, respectively. The subjects were referred from physiotherapy centres of Ardebil (northwest of Iran, assessed at three time frames; before, after and four weeks after intervention by pain Mac Gil Pain questionnaire. Data obtained from the final sample (N=48 analysed by SPSS software. Results: The results of ANCOVA revealed that subjects in the CBT group in comparison to control group indicated significant improvements in pain. Effect sizes were .72 and .78 for post test 1 and post test 2 of evaluation respectively. Conclusion: CBT as a psychotherapy including cognitive restructuring, relaxation and daily home works was effective on physical on several pain senses of female Iranian patients with NSCLBP

  6. Mediators of Yoga and Stretching for Chronic Low Back Pain

    Directory of Open Access Journals (Sweden)

    Karen J. Sherman

    2013-01-01

    Full Text Available Although yoga is an effective treatment for chronic low back pain, little is known about the mechanisms responsible for its benefits. In a trial comparing yoga to intensive stretching and self-care, we explored whether physical (hours of back exercise/week, cognitive (fear avoidance, body awareness, and self-efficacy, affective (psychological distress, perceived stress, positive states of mind, and sleep, and physiological factors (cortisol, DHEA mediated the effects of yoga or stretching on back-related dysfunction (Roland-Morris Disability Scale (RDQ. For yoga, 36% of the effect on 12-week RDQ was mediated by increased self-efficacy, 18% by sleep disturbance, 9% by hours of back exercise, and 61% by the best combination of all possible mediators (6 mediators. For stretching, 23% of the effect was mediated by increased self-efficacy, 14% by days of back exercise, and 50% by the best combination of all possible mediators (7 mediators. In open-ended questions, ≥20% of participants noted the following treatment benefits: learning new exercises (both groups, relaxation, increased awareness, and the benefits of breathing (yoga, benefits of regular practice (stretching. Although both self-efficacy and hours of back exercise were the strongest mediators for each intervention, compared to self-care, qualitative data suggest that they may exert their benefits through partially distinct mechanisms.

  7. Relationship of Psychological Distress with Pain, Disability and Recurrence of Low Back Pain

    OpenAIRE

    Chidozie Emmanuel Mbada; Oluwaseun Akinleye Fapojuwo; Olusola Ayanniyi

    2010-01-01

    AIM: Studies on psychological profile of patients with low back pain (LBP) in Nigeria is scarce. This study investigated the proportion of psychological distress, the relationship between psychological distress and each of pain intensity, functional disability and recurrence in Nigerian patients with LBP. METHOD: A total of 125 consecutive patients with LBP from selected out-patient physiotherapy departments participated in this study. The General Health Questionnaire (SF-12), Roland Morris l...

  8. Uncomplicated mechanically induced pelvic pain and organic dysfunction in low back pain patients

    OpenAIRE

    Browning, James E.

    1991-01-01

    Mechanical disorders of the lumbar spine have been given much attention in the literature. Short of an acute cauda equina syndrome, few reports exist detailing the findings and clinical course of patients with pelvic and disorders of bladder, bowel and gynecologic/sexual function of spinal origin. Two uncomplicated representative cases of mechanically induced pelvic pain and organic dysfunction (PPOD) in patients presenting with low back pain are detailed. These patients typically reveal a wi...

  9. The Efficacy of Thermotherapy and Cryotherapy on Pain Relief in Patients with Acute Low Back Pain, A Clinical Trial Study

    OpenAIRE

    Dehghan, Morteza; Farahbod, Farinaz

    2014-01-01

    Introduction: Acute low back pain is one of the most common health problems especially in industrialized countries where 75 per cent of the population develop it at least once during their life. This study examined the efficacy of thermotherapy and cryotherapy, alongside a routine pharmacologic treatment, on pain relief in patients with acute low back pain referring an orthopedic clinic in Shahrekord, Iran.

  10. Fear-avoidance beliefs and pain avoidance in low back pain--translating research into clinical practice

    DEFF Research Database (Denmark)

    Rainville, James; Smeets, Rob J E M; Bendix, Tom; Tveito, Torill H; Poiraudeau, Serge; Indahl, Aage J

    2011-01-01

    For patients with low back pain, fear-avoidance beliefs (FABs) represent cognitions and emotions that underpin concerns and fears about the potential for physical activities to produce pain and further harm to the spine. Excessive FABs result in heightened disability and are an obstacle for...... recovery from acute, subacute, and chronic low back pain....

  11. What is adolescent low back pain? Current definitions used to define the adolescent with low back pain

    OpenAIRE

    Milanese, Steve

    2010-01-01

    Steven Milanese, Karen Grimmer-SomersCentre for Allied Health Evidence, University of South Australia, Adelaide, South AustraliaAbstract: Adolescent low back pain (ALBP) is a common form of adolescent morbidity which remains poorly understood. When attempting a meta-analysis of observational studies into ALBP, in an effort to better understand associated risk factors, it is important that the studies involved are homogenic, particularly in terms of the dependent and independent variables. Our...

  12. The effect of low back exercise on the pain condition of sedentary women who Suffering from low back pain

    Directory of Open Access Journals (Sweden)

    Betül Arıkan

    2010-09-01

    Full Text Available 15 sedentary women were taken to study with the aim of to determine the effect of four week exercise at the middle aged women suffering from low back pain (age 27,933±3,104, height 163,266±5,573, body weight 59,466±9,905, BMI 21,933±3,127. Participants was informed about low back health and given exercise program. Exercises were put in to practice twice a day for four weeks. Exercise were started five times repeat in first week, ten times in second and it continued fifteen times in third and fourth weeks. Before and the after the exercise program Oswestry Each scale was applied to participants. First and the last tests were compared repeated t test, and the results were evaluated at the level of p<0,05. Decreasing the pain was determined after exercise program of ache, personal caring, heaving, walking, sitting, sleeping, wandering, sexual and social life. In conclusion the exercise program which was applied by the participants, were reduced their low back pain.

  13. [Frequency and manifestations of back pain in the dental profession].

    Science.gov (United States)

    Zitzmann, Nicola Ursula; Chen, Monika Danzkay; Zenhäusern, René

    2008-01-01

    Dentists, dental hygienists and dental assistants due to the nature of their work-related physical activity often have to deal with physical stress that will cause actual physical damage. The aim of the current survey was to analyse the frequency of job-related pain and associated impairment. The questionnaire for the cervical and lumbal region of the North American Spine Society was modified and used in the present investigation. Out of 6962 subjects, 2025 returned the questionnaire (response rate 34.5%). Between 20% and 36% of the participants suffered from pain in the cervical and lumbal region and were impaired in their daily activities, particularly during the lifting of objects, while standing or sleeping. Almost 40% of the dentists and 53% of the dental hygienists/dental assistants experienced problems related to perceived pain during or after dental treatments. More than half of the participants had already sought out medical help and/or physiotherapy due to job-related pain. The present data indicate that prophylactic and therapeutically based preventative measures should be encouraged in order to prevent cervical and back pain in this affected occupational group. PMID:18720645

  14. Chronic low back pain patients with accompanying leg pain : The relationship between pain extent and pain intensity, disability and health status

    NARCIS (Netherlands)

    Prins, Maarten R.; van der Wurff, Peter; Groen, Gerbrand J.

    2013-01-01

    Accompanying leg pain is commonly observed in patients with chronic low back pain (CLBP) and is assumed to be an indicator for the disorder severity. However, it is still unknown whether it is possible to estimate a patient's functional status by the extent of leg pain present. In a post rehabilitat

  15. Low back pain in military recruits in relation to social background and previous low back pain. A cross-sectional and prospective observational survey

    DEFF Research Database (Denmark)

    Hestbæk, L.; Larsen, K.; Weidich, F.;

    2005-01-01

    BACKGROUND: Traditionally, studies on the etiology of low back pain have been carried out in adult populations. However, since low back pain often appears early in life, more research on young populations is needed. This study focuses on the importance of social background factors and previous low...... back pain in the development of low back pain in military recruits. METHODS: During a three-month period, Danish military recruits with different social backgrounds live and work under the same conditions. Thus, there is an opportunity to investigate the influence of social background on the...... higher education increased the risk of low back pain during service (OR: 1.9;1.2-3.0, for the highest educated group), but not of the consequences (leg pain and exemption from duty), whereas high IQ decreased the risk of these consequences (odds ratios as low as 0.2;0.1-0.8 for exemption from duty in the...

  16. Low Back Pain and Related Factors Among Iranian Office Workers

    Directory of Open Access Journals (Sweden)

    Maryam Rezaee

    2011-01-01

    Full Text Available Low Back Pain (LBP is likely the most common medical disorder among work population. In this survey, prevalence of LBP and pain severity and the association of them with occupational and non-occupational risk factors were specified among office workers in Baqiyatallah University Of Medical Sciences, Tehran, Iran in 2006 In this way the point prevalence of LBP and pain severity among office workers, role of some personal and occupational factors, and self-reported pain severity were assessed. The instruments used included direct interview, a body discomfort assessment tool that consisted of a 10-centimeter color Visual Analogue Scale (VAS and a questionnaire. Face to face, interview was done for measuring of weight and height of subjects. Of 1580 volunteers, 1436 persons were participated. About 80% (79.8% of respondents were male. Mean age of responders was 35.08 years. More than 60% had at least one episode of LBP during their working life and 45.0% of pain sufferers' first attack was during their employment. Lifetime prevalence of LBP was 92.1% and this result for last 12 months was 37.3%. Increased age up to 40 years, increased weight, sitting work style more than 4 hours, computer use more than 5 hours a day also past history of LBP had a positive association with increased like hood of occurrence of LBP. LBP had a high prevalence in office workers. This study might help to estimate low back problems in office workers and emphasize healthy lifestyle, ergonomic measurement and control, good posture and holding educational programs.

  17. Low back pain in military recruits in relation to social background and previous low back pain. A cross-sectional and prospective observational survey

    Directory of Open Access Journals (Sweden)

    Weidick Flemming

    2005-05-01

    Full Text Available Abstract Background Traditionally, studies on the etiology of low back pain have been carried out in adult populations. However, since low back pain often appears early in life, more research on young populations is needed. This study focuses on the importance of social background factors and previous low back pain in the development of low back pain in military recruits. Methods During a three-month period, Danish military recruits with different social backgrounds live and work under the same conditions. Thus, there is an opportunity to investigate the influence of social background on the development of low back pain, when persons are removed from their usual environment and submitted to a number of new stressors. In addition, the importance of the recruits' previous low back pain history in relation to low back pain during military service was studied. This was done by means of questionnaires to 1,711 recruits before and after this three-month period. Results Sedentary occupation was negatively associated with long-lasting low back pain (>30 days during the past year at baseline with an odds ratios of 0.55 (95% CI: 0.33–0.90. This effect vanished during service. Having parents with higher education increased the risk of low back pain during service (OR: 1.9;1.2–3.0, for the highest educated group, but not of the consequences (leg pain and exemption from duty, whereas high IQ decreased the risk of these consequences (odds ratios as low as 0.2;0.1–0.8 for exemption from duty in the group with highest IQ. Long-lasting low back pain prior to service increased the risk of long-lasting low back pain (OR: 4.8;2.1–10.8, leg pain (OR: 3.3;1.3–8.3 and exemption from duty during service (OR: 5.9;2.4–14.8. Conclusion Sedentary occupation is negatively associated with low back pain at baseline. This protective effect disappears, when the person becomes physically active. For predicting trouble related to the low back during service, the

  18. Radiofrequency ablation for chronic low back pain: A systematic review of randomized controlled trials

    OpenAIRE

    Laura E Leggett; Lesley JJ Soril; Diane L Lorenzetti; Tom Noseworthy; Rodney Steadman; Simrandeep Tiwana; Fiona Clement

    2014-01-01

    BACKGROUND: Radiofrequency ablation (RFA), a procedure using heat to interrupt pain signals in spinal nerves, is an emerging treatment option for chronic low back pain. Its clinical efficacy has not yet been established. OBJECTIVE: To determine the efficacy of RFA for chronic low back pain associated with lumbar facet joints, sacroiliac joints, discogenic low back pain and the coccyx. METHODS: A systematic review was conducted. Medline, EMBASE, PubMed, SPORTDiscus, CINAHL and the Cochrane Lib...

  19. POSSIBILITIES OF LOCAL THERAPY FOR LOW BACK PAIN

    Directory of Open Access Journals (Sweden)

    A. V. Chugunov

    2014-11-01

    Full Text Available Low back pain (LBP is one of the most common pain syndromes caused by musculoarticular pathology. Analgesics, nonsteroidal antiinflammatory drugs (NSAIDs, myorelaxants, and non-drug therapies are used to treat patients with LBP. The sufficient efficiency of this type of therapy is strongly supported by the results of clinical trials; its fundamentals have been embodied in a number of regional and international guidelines for the management of patients with LBP. Alongside the sufficient efficacy of NSAIDs, their use, their long-term use in particular, is associated with a wide range of adverse reactions. The increased efficiency of treatment in patients with LBP is frequently achieved by the application of topical dosage forms. Whether the new Russian drug Nanoplast forte may be used to treat patients with LBP is considered.

  20. Clinical examination findings as prognostic factors in low back pain

    DEFF Research Database (Denmark)

    Hartvigsen, Lisbeth; Kongsted, Alice; Hestbaek, Lise

    2015-01-01

    BACKGROUND: There is a strong tradition of performing a clinical examination of low back pain (LBP) patients and this is generally recommended in guidelines. However, establishing a pathoanatomic diagnosis does not seem possible in most LBP patients and clinical tests may potentially be more...... relevant as prognostic factors. The aim of this review of the literature was to systematically assess the association between low-tech clinical tests commonly used in adult patients with acute, recurrent or chronic LBP and short- and long-term outcome. METHODS: MEDLINE, Embase, and MANTIS were searched...... from inception to June 2012. Prospective clinical studies of adult patients with LBP with or without leg pain and/or signs of nerve root involvement or spinal stenosis, receiving non-surgical or no treatment, which investigated the association between low-tech clinical tests and outcome were included...

  1. Sacral perineural cyst mimicking inflammatory low back pain.

    Science.gov (United States)

    Ostojic, P

    2015-02-01

    This case describes a 46-year-old woman with local pelvic and perineal pain, persisting for 2 years at presentation. The pain worsened during the night and morning and was alleviated during daily activities. Low back pain was associated with morning stiffness lasting longer than 2 h. Sometimes, she felt pain and numbness along her left S1 dermatome, without overt bladder or bowel incontinence. Lasegue's sign was negative. Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) were elevated (35 mm/h and 9.4, respectively) and Mennel's sign was present on both sides, indicating possible inflammation of the sacroiliac joints. However, radiographs of the lumbosacral spine and sacroiliac joints were normal. Magnetic resonance imaging (MRI) revealed a large spinal meningeal cyst in the sacrum (60 × 37 × 22 mm) consisting of multiple perineural cysts. The cyst eroded the surrounding sacral bone structures, narrowed several sacral foramina, and compressed neighboring nerve fibers. MRI findings on sacroiliac and hip joints were normal. PMID:25315123

  2. Fear-avoidance beliefs and pain avoidance in low back pain--translating research into clinical practice

    DEFF Research Database (Denmark)

    Rainville, James; Smeets, Rob J E M; Bendix, Tom; Tveito, Torill H; Poiraudeau, Serge; Indahl, Aage J

    2011-01-01

    For patients with low back pain, fear-avoidance beliefs (FABs) represent cognitions and emotions that underpin concerns and fears about the potential for physical activities to produce pain and further harm to the spine. Excessive FABs result in heightened disability and are an obstacle for recov...... recovery from acute, subacute, and chronic low back pain.......For patients with low back pain, fear-avoidance beliefs (FABs) represent cognitions and emotions that underpin concerns and fears about the potential for physical activities to produce pain and further harm to the spine. Excessive FABs result in heightened disability and are an obstacle for...

  3. Expectations about recovery from acute non-specific low back pain predict absence from usual work due to chronic low back pain : a systematic review

    NARCIS (Netherlands)

    Hallegraeff, J.M.; Krijnen, W.P.; van der Schans, C.P.; de Greef, M.H.G.

    2012-01-01

    Question: Do negative expectations in patients after the onset of acute low back pain increase the odds of absence from usual work due to progression to chronic low back pain? Design: Systematic review with meta-analysis of prospective inception cohort studies. Participants: Adults with acute or sub

  4. Biopsychosocial functioning and pain self-efficacy in chronic low back pain patients

    Directory of Open Access Journals (Sweden)

    Alex L. Koenig, MS

    2015-01-01

    Full Text Available The aim of this study was to examine the relationship between biopsychosocial functioning and pain severity and to evaluate whether pain self-efficacy (PSE mediates this relationship. This study used archival data from a multidisciplinary pain management program. Participants were 99 individuals (69% female with chronic low back pain who completed measures of biological, psychological, and social functioning; pain severity; and PSE at admission. They ranged in age from 18 to 72 yr (mean = 42.6, standard deviation = 12.1. Structural equation modeling and bootstrapping techniques were used to test the significance of the mediated model. As we predicted, lower biological functioning (beta = −0.011; 95% confidence interval [CI] = −0.019 to −0.004, p = 0.002 and social functioning (beta = −0.009; 95% CI = −0.016 to −0.003, p = 0.007 were found to significantly predict higher pain severity, and lower social functioning was found to significantly predict lower PSE (beta = 0.196; 95% CI = −0.130 to 0.273, p = 0.002. PSE did not mediate the relationship between biopsychosocial functioning and pain severity, and psychological functioning did not significantly predict pain severity or PSE. These findings suggest that social functioning is an important factor in predicting outcomes and has a number of treatment implications.

  5. Management of patients with acute nonspecific low back pain

    Directory of Open Access Journals (Sweden)

    A. I. Isaikin

    2015-01-01

    Full Text Available The paper describes an observation of a female patient with acute non-specific low back pain (LBP. It gives current recommendations for the treatment of acute LBP and evaluates the clinical efficiency of these methods. The management of patients with acute nonspecific LBP encompasses: 1 correct information about the nature and prognosis of the disease; 2 recommendations for daily activities; 3 a short-term rational therapy with paracetamol, nonsteroidal anti-inflammatory drugs (NSAIDs, and/or myorelaxants. The role of NSAIDs, ketorol in particular, in treating patients with acute nonspecific LBP is discussed.

  6. EFECTS OF PILATES ON LOW BACK PAIN AND URINE CATECHOLAMINE

    OpenAIRE

    MOHAMED AMIN ZEADA

    2012-01-01

    Abstract Purpose. The popularity of the Pilates method created by Joseph H. Pilates in the early 1920s has increased worldwide in the last decade, confirming the fact that Pilates is much more than a fitness fad. According to a survey conducted by American Sports Data Inc, more than 10.5 million Americans participated in a Pilate's class in 2004. The aim of this study was to determine effectiveness of Pilate's protocol in decreasing of low back pain and urine catecholamine levels. Methods. T...

  7. Generic Preference-based Measures for Low Back Pain

    OpenAIRE

    Finch, Aureliano Paolo; Melina DRITSAKI; Jommi, Claudio

    2016-01-01

    Study Design. Systematic review. Objective. This systematic review examines validity and responsiveness of three generic preference-based measures in patients with low back pain (LBP). Summary of Background Data. LBP is a very common incapacitating disease with a significant impact on health-related quality of life (HRQoL). Health state utility values can be derived from various preference-based HRQoL instruments, and among them the most widely ones are EuroQol 5 dimensions (EQ-5D), Short For...

  8. Low back pain prevention for nursing students: a kettlebell intervention

    OpenAIRE

    Peltoniemi, Gabriella

    2014-01-01

    The purpose of this thesis is to educate and provide information to promote nursing students to take action in Low Back Pain (LBP) prevention. LBP is a high risk in nursing and prevention measures are recommended prior to starting the work. LBP is a debilitating musculoskeletal condition which affects all parts of the world. Prevention measures are many and this thesis aims to promote the Kettlebell training as one of them. The Kettlebell is a cast-iron ball with a handle. It has become incre...

  9. Prognosis of acute low back pain: design of a prospective inception cohort study

    Directory of Open Access Journals (Sweden)

    York John

    2006-06-01

    Full Text Available Abstract Background Clinical guidelines generally portray acute low back pain as a benign and self-limiting condition. However, evidence about the clinical course of acute low back pain is contradictory and the risk of subsequently developing chronic low back pain remains uncertain. There are few high quality prognosis studies and none that have measured pain, disability and return to work over a 12 month period. This study aims to provide the first estimates of the one year prognosis of acute low back pain (pain of less than 2 weeks duration in patients consulting primary care practitioners. A secondary aim is to identify factors that are associated with the prognosis of low back pain. Methods/Design The study is a prospective inception cohort study. Consecutive patients consulting general medical practitioners, physiotherapists and chiropractors in the Sydney metropolitan region will complete a baseline questionnaire regarding their back pain. Subsequently these patients will be followed up by telephone 6 weeks, 3 months and 12 months after the initial consultation. Patients will be considered to have recovered from the episode of back pain if they have no pain and no limitation of activity, and have returned to pre-injury work status. Life tables will be generated to determine the one year prognosis of acute low back pain. Prognostic factors will be assessed using Cox regression. Discussion This study will provide the first estimates of the one year prognosis of acute low back pain in a representative sample of primary care patients.

  10. Mindfulness, functioning and catastrophizing after multidisciplinary pain management for chronic low back pain.

    Science.gov (United States)

    Cassidy, Emma Louise; Atherton, Rachel Jane; Robertson, Noelle; Walsh, David Andrew; Gillett, Raphael

    2012-03-01

    We examined mindfulness in people with chronic low back pain who were attending a multidisciplinary pain management programme. Participants completed questionnaires at baseline (n=116) and after a 3-month cognitive-behaviourally informed multidisciplinary intervention (n=87). Self-reported mindfulness was measured before and after the intervention, and relationships were explored between mindfulness, disability, affect and pain catastrophizing. Mindfulness increased following participation in the intervention, and greater mindfulness was predictive of lower levels of disability, anxiety, depression and catastrophizing, even when pain severity was controlled. Mediator analyses suggested that the relationship between mindfulness and disability was mediated by catastrophizing. It is possible that cognitive-behavioural interventions and processes can affect both catastrophizing and mindfulness. PMID:22240149

  11. Association between a composite score of pain sensitivity and clinical parameters in low-back pain

    DEFF Research Database (Denmark)

    O'Neill, Søren; Manniche, Claus; Graven-Nielsen, Thomas; Arendt-Nielsen, Lars

    2014-01-01

    A limited number of quantitative sensory pain tests (QST) were selected on the basis of ease of application and interpretation in a clinical setting. QST results were summarized as a composite score on a scale of zero to four which was deemed to facilitate clinical interpretation. The QST set was...... used to investigate differences in pain sensitivity between low-back pain (LBP) sub-groups and was correlated with important clinical parameters.......A limited number of quantitative sensory pain tests (QST) were selected on the basis of ease of application and interpretation in a clinical setting. QST results were summarized as a composite score on a scale of zero to four which was deemed to facilitate clinical interpretation. The QST set was...

  12. Incidence and prognosis of mid-back pain in the general population: A systematic review

    DEFF Research Database (Denmark)

    Johansson, Melker Staffan; Stochkendahl, Mette Jensen; Hartvigsen, Jan;

    2016-01-01

    BACKGROUND AND OBJECTIVE: Despite being common early in life and affecting individuals' quality of life to the same degree as neck and low back pain, research into epidemiological aspects of mid-back pain (MBP) has been scarce. The purpose of our systematic review was therefore to describe the...... prognosis of MBP in the general population is limited. The incidence of MBP in children and adolescents seems to be similar to the incidence of neck and low back pain; in adults, it is lower than that of neck and low back pain. Studies investigating recovery trajectories of MBP in adults and prognostic...... factors for MBP are lacking. WHAT DOES THIS STUDY ADD?: The incidence of mid-back pain (MBP) in young individuals is similar to that of neck and low back pain, and ≤50% report persistent pain; however, the evidence base is limited. Knowledge about adult trajectories and prognostic factors for MBP is...

  13. Incidence and prognosis of mid-back pain in the general population

    DEFF Research Database (Denmark)

    Johansson, M S; Jensen Stochkendahl, M; Hartvigsen, J;

    2016-01-01

    BACKGROUND AND OBJECTIVE: Despite being common early in life and affecting individuals' quality of life to the same degree as neck and low back pain, research into epidemiological aspects of mid-back pain (MBP) has been scarce. The purpose of our systematic review was therefore to describe the...... prognosis of MBP in the general population is limited. The incidence of MBP in children and adolescents seems to be similar to the incidence of neck and low back pain; in adults, it is lower than that of neck and low back pain. Studies investigating recovery trajectories of MBP in adults and prognostic...... factors for MBP are lacking. WHAT DOES THIS STUDY ADD?: The incidence of mid-back pain (MBP) in young individuals is similar to that of neck and low back pain, and ≤50% report persistent pain; however, the evidence base is limited. Knowledge about adult trajectories and prognostic factors for MBP is...

  14. Back Pain in Poland and Germany: A Survey of Prevalence and Association with Demographic Characters

    OpenAIRE

    Lea Henn; Katarzyna Schier; Tamara Brian; Jochen Hardt

    2014-01-01

    Background. Back pain is the most common form of pain and leads to high costs in all medical care systems. Objective. The present study examines the prevalence of back pain and its associations with some basic demographics. Methods. Two samples from Poland and Germany (about n = 500 each) were examined via Internet regarding back pain, gender, age, and body mass index (BMI). Results. Back pain is more common in women than in men (risk ratio about 1.7), and a high BMI constitutes an additional...

  15. Prognostic factors associated with low back pain outcomes

    Directory of Open Access Journals (Sweden)

    Gregg CD

    2014-03-01

    Full Text Available INTRODUCTION: An improved understanding of prognostic factors associated with low back pain (LBP outcomes will refine expectations for patients, clinicians and funders alike and improve allocation of health resources to treat the condition. AIM: To establish the link between a range of clinical and sociodemographic prognostic variables for LBP against three separate, clinically relevant outcome measures. METHODS: This was a retrospective, non-experimental study of 1076 consecutive LBP cases treated during a three-year period. Multivariate logistic regression analysis was used to determine the association between potential prognostic variables and outcome measures: clinically relevant reduction in pain, improvement in perceived function, and successful return to work six months after rehabilitation. RESULTS: Patients with clinically relevant improvements in LBP were more likely to have a shorter duration of pain (odds ratio [OR] 1.89, lower baseline pain (OR 1.19, a directional preference for extension activities (OR 1.45 and a history of spine surgery (OR 1.38. Clinically relevant gains in perceived function were observed in patients who were younger (OR 0.98 or those with shorter symptom duration (OR 1.74. Prognostic variables associated with a successful return to work included being female (OR 1.79, having a job available (OR 2.36, intermittent pain (OR 1.48 or a directional preference for extension activities (OR 1.78. DISCUSSION: This study demonstrated that there are a variety of prognostic variables to consider when determining outcome for an individual with LBP. The relative importance of each variable may differ depending on the outcome measured.

  16. What is adolescent low back pain? Current definitions used to define the adolescent with low back pain

    Directory of Open Access Journals (Sweden)

    Steven Milanese

    2010-05-01

    Full Text Available Steven Milanese, Karen Grimmer-SomersCentre for Allied Health Evidence, University of South Australia, Adelaide, South AustraliaAbstract: Adolescent low back pain (ALBP is a common form of adolescent morbidity which remains poorly understood. When attempting a meta-analysis of observational studies into ALBP, in an effort to better understand associated risk factors, it is important that the studies involved are homogenic, particularly in terms of the dependent and independent variables. Our preliminary reading highlighted the potential for lack of homogeneity in descriptors used for ALBP. This review identified 39 studies of ALBP prevalence which fulfilled the inclusion criteria, ie, English language, involving adolescents (aged 10 to 19 years, pain localized to lumbar region, and not involving specific subgroups such as athletes and dancers. Descriptions for ALBP used in the literature were categorized into three categories: general ALBP, chronic/recurrent ALBP, and severe/disabling ALBP. Whilst the comparison of period prevalence rates for each category suggest that the three represent different forms of ALBP, it remains unclear whether they represented different stages on a continuum, or represent separate entities. The optimal period prevalence for ALBP recollection depends on the category of ALBP. For general ALBP the optimal period prevalence appears to be up to 12 months, with average lifetime prevalence rates similar to 1-year prevalence rates, suggesting an influence of memory decay on pain recall.Keywords: lumbar pain, teenager, adolescent

  17. Sacral insufficiency fractures: an unsuspected cause of low back pain.

    Science.gov (United States)

    Dasgupta, B; Shah, N; Brown, H; Gordon, T E; Tanqueray, A B; Mellor, J A

    1998-07-01

    We describe 10 cases of sacral fractures diagnosed within the rheumatology department at Southend Hospital over the last 5 yr. All presented with sudden-onset low back pain. The majority were elderly, frail, with chronic inflammatory disease (six with rheumatoid arthritis, one with polymyalgia rheumatica, one with vasculitis) and had received steroids. Diagnosis was delayed by the inability of plain radiographs to show these fractures and was ultimately demonstrated by technetium scintigraphy/computed tomography scan. We feel that this diagnosis should be considered in elderly patients with rheumatoid arthritis or other risk factors for osteoporosis who present with low back pain and sacral tenderness. Further clues may be parasymphyseal tenderness (suggesting associated pubic ramus fracture), elevated alkaline phosphatase and plain radiograph showing pubic ramus fractures or parasymphyseal sclerosis. Patients with this complication generally have a poor prognosis and two of our patients have died. Seven required in-patient stay (mean 20 days; range 14-41). The mortality, morbidity and costs incurred in management may be comparable to those of femoral neck fractures. PMID:9714359

  18. Back pain reporting in young girls appears to be puberty-related

    Directory of Open Access Journals (Sweden)

    Froberg Karsten

    2005-11-01

    Full Text Available Abstract Background There is a large increase in back pain reporting in the early teens. In no previous study has the prevalence of low back pain been investigated in relation to the onset of puberty. The objective of this study was to establish whether the onset of puberty is associated with back pain reporting in young girls. Methods A subsample of 254 girls aged 8–10 years and 165 girls aged 14–16 years from a cross-sectional survey of 481 children aged 8–10 years and 325 adolescents aged 14–16 years of both sexes. Main outcome measures were back pain defined as low back pain, mid back pain, and/or neck pain in the past month. Other variables of interest were Puberty (five different stages, age, body mass index, and smoking. Independent information on onset of puberty was obtained through a physical examination and on back pain through an individual structured interview. The association was studied between onset of puberty and the outcome variable (the one month period prevalence of back pain, controlling for overweight, and smoking. Odds ratios with 95% confidence intervals were used to describe bivariate associations, logistic regression with robust standard errors was used for multivariate analyses. Results There is a highly significant trend for increased back pain reporting with increasing level of puberty until maturity is reached. The biggest leap appears between the second level (beginning of puberty and the third level (mid puberty and the findings remain after controlling for the covariates. These results emanate from the low back, whereas pain in the mid back and neck do not seem to be linked with pubertal stage. Conclusion In girls, the reporting of low back pain increases in frequency during puberty until maturity, regardless of age. Why some girls are susceptible to back pain in the early stage of puberty is unknown.

  19. Association between catastrophizing and self-rated pain and disability in patients with chronic low back pain

    OpenAIRE

    K. Meyer; Tschopp, A.; Sprott, H; Mannion, A. F.

    2009-01-01

    BACKGROUND: Catastrophizing plays an important role in models of pain chronicity, showing a consistent correlation with both pain intensity and disability. It is conceivable that these associations are mediated or confounded by other psychological attributes. OBJECTIVE: To examine the relative influence of catastrophizing and other psychological variables on pain and disability in patients with chronic low back pain. METHODS: Seventy-eight patients completed the Pain Catastrophizing Scale, Ro...

  20. Diagnosis and treatment of acute low back pain.

    Science.gov (United States)

    Casazza, Brian A

    2012-02-15

    Acute low back pain is one of the most common reasons for adults to see a family physician. Although most patients recover quickly with minimal treatment, proper evaluation is imperative to identify rare cases of serious underlying pathology. Certain red flags should prompt aggressive treatment or referral to a spine specialist, whereas others are less concerning. Serious red flags include significant trauma related to age (i.e., injury related to a fall from a height or motor vehicle crash in a young patient, or from a minor fall or heavy lifting in a patient with osteoporosis or possible osteoporosis), major or progressive motor or sensory deficit, new-onset bowel or bladder incontinence or urinary retention, loss of anal sphincter tone, saddle anesthesia, history of cancer metastatic to bone, and suspected spinal infection. Without clinical signs of serious pathology, diagnostic imaging and laboratory testing often are not required. Although there are numerous treatments for nonspecific acute low back pain, most have little evidence of benefit. Patient education and medications such as nonsteroidal anti-inflammatory drugs, acetaminophen, and muscle relaxants are beneficial. Bed rest should be avoided if possible. Exercises directed by a physical therapist, such as the McKenzie method and spine stabilization exercises, may decrease recurrent pain and need for health care services. Spinal manipulation and chiropractic techniques are no more effective than established medical treatments, and adding them to established treatments does not improve outcomes. No substantial benefit has been shown with oral steroids, acupuncture, massage, traction, lumbar supports, or regular exercise programs. PMID:22335313

  1. Stress and back pain: we’re all concerned!

    CERN Multimedia

    Anaïs Schaeffer

    2013-01-01

    Yesterday (18 April), CERN celebrated the World Day for Safety and Health at Work. This event was organised by the Safety Unit of the BE Department, the HSE Unit, the Medical Service and the Fire Brigade for the third year running.     The yellow mannequin demonstrates how different positions require different effort to carry the same load: the first by curving the back (which places more strain on the spine), and the other by bending the knees (a good technique to reduce strain). Information stands on the themes of stress and back pain were set up in each of CERN’s three restaurants and attracted more than 260 people, including CERN’s Director-General. Stress self-evaluation, anti-stress techniques, tips for avoiding and managing back pain… all aspects of these everyday afflictions were addressed. The participants, most of whom were directly affected by these problems, had their many questions answered at the stands....

  2. Does back and neck pain become more common as you get older? A systematic literature review

    Directory of Open Access Journals (Sweden)

    Fejer René

    2012-08-01

    Full Text Available Abstract Background It is generally believed that the prevalence of back pain increases with age and as the proportion of elderly will keep rising we may be facing serious public health concerns in the future. Aim The aim of this systematic literature review is to establish whether back pain (i.e. neck, mid-back and/or low back pain becomes increasingly common in the older population, specifically to study 1 whether there is a significant increase in the prevalence of back pain after middle age, and 2 whether there is a significant gradually increasing prevalence of back pain with continued old age. Methods A systematic literature search was conducted in Pubmed on articles in English, published between January 2000 and July 2011. Non-clinical studies from the developed countries with prevalence estimates on elderly people (60+ on any type of self-reported back pain and on different age groups with adequate sample sizes were included in the review. The included articles were extracted for information by two independent reviewers. Results A total of 12 articles were included covering the entire spine. Neck pain was studied nine times, low back pain eight times, back pain three times, upper back two times and neck/shoulders once. All studies showed no significant increase of back pain with age, neither when passing from middle age (i.e. 45+ years of age into the sixties, nor later in life. In contrast, most studies reported a decline for the oldest group. Conclusions Back pain is no more common in the elderly population (>60 years when compared to the middle age population. Back pain does not increase with increasing age, but seems to decline in the oldest people.

  3. Are self-reported pain characteristics, classified using the PainDETECT questionnaire, predictive of outcome in people with low back pain and associated leg pain?

    DEFF Research Database (Denmark)

    Morsø, Lars; Kent, Peter M; Albert, Hanne B

    2011-01-01

    This study was designed to investigate whether the PainDETECT Questionnaire (PDQ) classification was predictive of outcomes at 3 and 12 months follow-up in low back pain (LBP) patients with associated leg pain. Identification of clinically important subgroups and targeted treatment is believed to...... be important in LBP care. The PD-Q is designed to classify whether a person has neuropathic pain, based on their self-reported pain characteristics. However, it is unknown whether this classification is a prognostic factor or predicts treatment response....

  4. Long-term experience with implanted intrathecal drug administration systems for failed back syndrome and chronic mechanical low back pain

    Directory of Open Access Journals (Sweden)

    Treharne GJ

    2002-06-01

    Full Text Available Abstract Background Continuous intrathecal drug delivery has been shown in open studies to improve pain and quality of life in those with intractable back pain who have had spinal surgery. There is limited data on long term effects and and even less for patients with mechanical back pain without prior spinal surgery. Methods We have investigated spinal drug administration systems for patients with failed back syndrome and chronic mechanical low back pain by patient questionnaire study of the efficacy of this therapy and a case notes review. Results 36 patients (97% of 37 approached completed questionnaires, 24 with failed back syndrome and 12 with chronic mechanical low back pain. Recalled pre-treatment levels with current post-treatment levels of pain and a range of quality of life measures (recorded on 11-point numerical rating scales were compared. Pain improved significantly in both groups (Wilcoxan signed ranks test, p 0.005, Wilcoxan signed ranks test with Bonferroni correction. Diamorphine was used in all 37 patients, bupivacaine in 32, clonidine in 27 and baclofen in 3. The mean dose of diamorphine increased for the first 2 years but did not change 2–6 years post implant, averaging 4.5 mg/day. Revision surgery was required in 24% of cases, but reduced to 12% in the later years of our experience. Conclusions We conclude that spinal drug administration systems appear to be of benefit in alleviating pain in the failed back syndrome and chronic mechanical low back pain but need to be examined prospectively.

  5. Is active participation in specific sport activities linked with back pain?

    DEFF Research Database (Denmark)

    Mogensen, A.M.; Gausel, AM; Wedderkopp, Niels;

    2007-01-01

    A cross-sectional survey of 439 children/adolescents aged 12-13, living in Odense, Denmark, in the year 2001. To investigate (1) if there is any difference in back pain reporting among those practising specific sports as compared with non-performers and (2) if there is an association between...... specific kinds of sports and self-reported back problems. Back pain is a common complaint in young people and physical inactivity is generally thought to contribute to this. However, some specific sport activities may be detrimental or beneficial to the spine. Information was collected through a semi......-structured interview, a physical examination, and a questionnaire. Associations for back pain, low back pain, mid back pain and neck pain in the preceding month were investigated in relation to specific sports. Associations were controlled for body mass index, puberty stage and sex. There was no association between...

  6. Radiofrequency Ablation for Chronic Low Back Pain: A Systematic Review of Randomized Controlled Trials

    Directory of Open Access Journals (Sweden)

    Laura E Leggett

    2014-01-01

    Full Text Available BACKGROUND: Radiofrequency ablation (RFA, a procedure using heat to interrupt pain signals in spinal nerves, is an emerging treatment option for chronic low back pain. Its clinical efficacy has not yet been established.

  7. Pregnancy related back pain, is it related to aerobic fitness? A longitudinal cohort study

    Directory of Open Access Journals (Sweden)

    Thorell Eva

    2012-04-01

    Full Text Available Abstract Background Low back pain with onset during pregnancy is common and approximately one out of three women have disabling pain. The pathogenesis of the pain condition is uncertain and there is no information on the role of physical fitness. Whether poorer physical conditioning is a cause or effect of back pain is also disputed and information from prospective studies needed. Methods A cohort of pregnant women, recruited from maternal health care centers in central Sweden, were examined regarding estimated peak oxygen uptake by cycle ergometer test in early pregnancy, reported physical activity prior to pregnancy, basic characteristics, back pain during pregnancy and back pain postpartum. Results Back pain during the current pregnancy was reported by nearly 80% of the women. At the postpartum appointment this prevalence was 40%. No association was displayed between estimated peak oxygen uptake and incidence of back pain during and after pregnancy, adjusted for physical activity, back pain before present pregnancy, previous deliveries, age and weight. A significant inverse association was found between estimated peak oxygen uptake and back pain intensity during pregnancy and a direct association post partum, in a fully adjusted multiple linear regression analysis. Conclusions Estimated peak oxygen uptake and reported physical activity in early pregnancy displayed no influence on the onset of subsequent back pain during or after pregnancy, where the time sequence support the hypothesis that poorer physical deconditioning is not a cause but a consequence of the back pain condition. The mechanism for the attenuating effect of increased oxygen uptake on back pain intensity is uncertain.

  8. Prospective cohort study of predictors of incident low back pain in nurses.

    OpenAIRE

    Smedley, J.; Egger, P.; Cooper, C.; Coggon, D

    1997-01-01

    OBJECTIVE: To assess the impact of handling patients and indicators of individual susceptibility on risk of low back pain in nurses. DESIGN: Prospective cohort study with follow up by repeated self administered every three months over two years. SETTING: NHS university hospital trust. SUBJECTS: 961 female nurses who had been free from low back pain for at least one month at the time of completing a baseline questionnaire. MAIN OUTCOME MEASURES: Incidence of new low back pain during follow up ...

  9. A comparative study of efficacy and safety of flupirtine versus piroxicamin patients with low back pain

    OpenAIRE

    Ambrish Sharma; Manjunath SM; Nagesh Raju G; Dharmaraj B; MR, Nagendra Gowda

    2015-01-01

    Background: Low back pain is a common musculoskeletal symptom caused by a variety of disorders that affect the lumbar spine. The most frustrating aspect in the treatment of low back pain is that there is and ldquo;no magic bullets and rdquo;. The objective of the study was to compare the efficacy and safety of flupirtine versus piroxicam in patients with back pain. Methods: This was prospective, open labeled, randomized, comparative clinical study conducted by the Departments Orthopedics...

  10. Influence of saddle type upon the incidence of lower back pain in equestrian riders.

    OpenAIRE

    Quinn, S.; Bird, S

    1996-01-01

    OBJECTIVE: To investigate the possible influences of saddle type on the incidence of "lower back pain" in a cross section of equestrian riders. METHODS: 108 equestrian riders completed a questionnaire concerning their riding habits and whether they suffered from lower back pain. In particular they were asked whether they used a traditional style/general purpose saddle (GP) or a deep seated/Western style saddle (W). RESULTS: 48% of the riders reported suffering from lower back pain, the incide...

  11. Personality Type Influences Attentional Bias in Individuals with Chronic Back Pain

    OpenAIRE

    Franklin, Zoë C.; Holmes, Paul S.; Smith, Nickolas C.; Neil E Fowler

    2016-01-01

    Attentional biases reflect an individual's selective attention to salient stimuli within their environment, for example an experience of back pain. Eysenck suggests that different personality types show different attentional biases to threatening information. This study is the first to test Eysenck's theory within a chronic back pain population by investigating the attentional biases of four different personality types using a back pain specific dot-probe paradigm. Participants were 70 volunt...

  12. Effectiveness of massage therapy for subacute low-back pain: a randomized controlled trial

    OpenAIRE

    Preyde, M

    2000-01-01

    BACKGROUND: The effectiveness of massage therapy for low-back pain has not been documented. This randomized controlled trial compared comprehensive massage therapy (soft-tissue manipulation, remedial exercise and posture education), 2 components of massage therapy and placebo in the treatment of subacute (between 1 week and 8 months) low-back pain. METHODS: Subjects with subacute low-back pain were randomly assigned to 1 of 4 groups: comprehensive massage therapy (n = 25), soft-tissue manipul...

  13. Contributions of prognostic factors for poor outcome in primary care low back pain patients

    OpenAIRE

    Dunn, Kate M; Jordan, Kelvin P.; Croft, Peter R

    2011-01-01

    Background Back pain is common and some sufferers consult GPs, yet many sufferers develop persistent problems. Combining information on risk of persistence and prognostic indicator prevalence provides more information on potential intervention targets than risk estimates alone. Aims To determine the proportion of primary care back pain patients with persistent problems whose outcome is related to measurable prognostic factors. Methods Prospective cohort study of back pain patients (30–59 year...

  14. Could low grade bacterial infection contribute to low back pain? A systematic review

    OpenAIRE

    Urquhart, Donna M; Zheng, Yiliang; Allen C Cheng; Rosenfeld, Jeffrey V.; Chan, Patrick; Liew, Susan; Hussain, Sultana Monira; Cicuttini, Flavia M

    2015-01-01

    Background Recently, there has been both immense interest and controversy regarding a randomised, controlled trial which showed antibiotics to be effective in the treatment of chronic low back pain (disc herniation with Modic Type 1 change). While this research has the potential to result in a paradigm shift in the treatment of low back pain, several questions remain unanswered. This systematic review aims to address these questions by examining the role of bacteria in low back pain and the r...

  15. COMPARISON BETWEEN POSTERIOR TO ANTERIOR MOBILIZATION AND TRACTION SLR ON PAIN AND NEURODYNAMIC MOBILITY IN PATIENTS OF LOW BACK PAIN

    OpenAIRE

    Singh Varun; Malik Manoj; Malik Jaspreet; Ganer Naveen

    2014-01-01

    Background : Low back pain is one of the most prevalent condition . According to the American Association of Orthopaedic Surgeons about 80 percent of people will have at least one bout with back pain during their lifetime . Various treatments methods have been used like traction SLR , posterior to anterior mobilization etc, but no study was done to compare the effects of posterior to anterior mobilization and traction SLR technique in reducing pain and increasing neurodynamic mobility in p...

  16. Chiropractic or exercise for seniors with back pain or neck pain

    DEFF Research Database (Denmark)

    Maiers, Michele; Hartvigsen, Jan; Shulz, Craig;

    2007-01-01

    BACKGROUND: Low back pain (LBP) and neck pain (NP) are common conditions in old age, leading to impaired functional ability and decreased independence. Manual and exercise therapies are common and effective therapies for the general LBP and NP populations. However, these treatments have not been...... adequately researched in older LBP and NP sufferers.The primary aim of these studies is to assess the relative clinical effectiveness of 1) manual treatment plus home exercise, 2) supervised rehabilitative exercise plus home exercise, and 3) home exercise alone, in terms of patient-rated pain, for senior LBP......-effectiveness and cost-utility will also be assessed. Finally, using qualitative methods, older LBP and NP patient's perceptions of treatment will be explored and described. METHODS/DESIGN: This paper describes the design of two multi-methods clinical studies focusing on elderly patients with non-acute LBP and NP...

  17. Pregnancy related back pain, is it related to aerobic fitness? A longitudinal cohort study

    OpenAIRE

    Thorell Eva; Kristiansson Per

    2012-01-01

    Abstract Background Low back pain with onset during pregnancy is common and approximately one out of three women have disabling pain. The pathogenesis of the pain condition is uncertain and there is no information on the role of physical fitness. Whether poorer physical conditioning is a cause or effect of back pain is also disputed and information from prospective studies needed. Methods A cohort of pregnant women, recruited from maternal health care centers in central Sweden, were examined ...

  18. Mindfulness-based stress reduction for low back pain. A systematic review

    OpenAIRE

    Cramer Holger; Haller Heidemarie; Lauche Romy; Dobos Gustav

    2012-01-01

    Abstract Background Mindfulness-based stress reduction (MBSR) is frequently used for pain conditions. While systematic reviews on MBSR for chronic pain have been conducted, there are no reviews for specific pain conditions. Therefore a systematic review of the effectiveness of MBSR in low back pain was performed. Methods MEDLINE, the Cochrane Library, EMBASE, CAMBASE, and PsycInfo were screened through November 2011. The search strategy combined keywords for MBSR with keywords for low back pa...

  19. A systematic review of paracetamol for non-specific low back pain

    OpenAIRE

    Davies, Reece A.; Christopher G. Maher; Hancock, Mark J.

    2008-01-01

    The objective of this study was to assess the efficacy of paracetamol (acetaminophen) in the treatment of pain and disability in patients with non-specific low back pain. We conducted a systematic review of randomized controlled trials to assess the efficacy of paracetamol in the treatment of pain and disability in patients with non-specific low back pain. A search for randomized controlled trials was conducted using the Medline, Embase and CINAHL databases. Trials were eligible if they were ...

  20. Radiological imaging in patients with low back pain and sciatica

    International Nuclear Information System (INIS)

    Low back pain and sciatica are among the most common medical problems in Western countries, affecting up to 80% of the population at some time during their lives. Plain radiography is still a sensitive method in degenerative spinal disease and for the identification of spondylolysis and destructions as well as transitional vertebra and other anomalies in the lumbosacral region. In lumbar disk herniation CT and MR have higher sensitivity than lumbar myelography and should be used as the primary imaging methods. Myelography is still the method of choice in lumbar spinal stenosis. Myelography should also be considered in patients with poor consistency between CT and MR findings and the clinical presentation. Postoperatively MR is superior to CT and myelography for distinguishing between scar tissue and recurrent disk herniation

  1. Low back pain: Differential diagnosis, prognosis and treatment

    Directory of Open Access Journals (Sweden)

    Miličković S.

    2006-01-01

    Full Text Available From January 2002 to February 2003, 137 patients complaining of low back pain were treated at the Institute for Orthopedic Surgery "Banjica", Belgrade, Serbia. There were 89 male and 48 female patients aged 13 to 77, mean age 42.2. Their condition was diagnosed through use of radiography, CT, MRI, EMNG, standard battery of neurological tests, and laboratory analyses (urine and blood analysis. Surgical treatment was performed on 39 patients; all other patients received some form of non-surgical care (physical therapy, medication or corset. Treatment efficacy was evaluated by use of the visual analog scales (VAS and the Oswestry index, before and after treatment. The use Wilcoxon’s pair test revealed statistically significant difference between before and after treatment data on VAS and Oswestry index for all patients.

  2. Active lifestyle protects against incident low back pain in seniors

    DEFF Research Database (Denmark)

    Hartvigsen, Jan; Christensen, Kaare

    2007-01-01

    STUDY DESIGN: Prospective cohort study of twins. OBJECTIVES: To investigate associations between physical activity, physical function, and incident low back pain (LBP) in an elderly population. SUMMARY OF BACKGROUND DATA: The relationship between an active lifestyle and LBP in seniors is unknown....... METHODS: Participants in the population-based Longitudinal Study of Aging Danish Twins free from LBP at baseline (no LBP during the past month) were included, and interview data on physical activity, overall physical function, and LBP at baseline and follow-up were obtained. Associations between levels of...... or lower than average physical function at baseline. Absolute risk for LBP was also calculated for participants based on whether they remained active or inactive between baseline and follow-up or changed activity level. RESULTS: A total of 1387 persons aged 70-100 at baseline were included in the...

  3. Individual development in Low Back Pain during Childhood

    DEFF Research Database (Denmark)

    Korsholm, Lars; Kjær, Per; Leboeuf-Yde, Charlotte;

    indicated that LBP at the age of 10 did not seem to influence the LBP at 16 (OR=0.7 CI: 0.2-2.6, p=0.5806). Conclusion: This study confirmed a rapid increase in the prevalence of LBP from childhood to adolescence. There is tracking of LBP over the 3-year periods but no long term (6 years) predictability at......Background: It is generally acknowledged that low back pain (LBP) is a common condition already in childhood. However, not many studies have looked at the way LBP tracks over age and how common it is until early adulthood. The purposes of this presentation is to show how early LBP predicts later...

  4. Concepts of rehabilitation for the management of low back pain.

    Science.gov (United States)

    Waddell, Gordon; Burton, A Kim

    2005-08-01

    This chapter develops rehabilitation principles for the clinical and occupational management of non-specific low back pain (LBP). Rehabilitation has traditionally been a secondary intervention, which focused on permanent impairment, but this is inappropriate for LBP. Most patients with LBP do not have any irremediable impairment and long-term incapacity is not inevitable: given the right care, support and opportunity, most should be able to return to work. Rehabilitation should then address obstacles to recovery and barriers to (return to) work. Rehabilitation should not be a separate, second stage after 'treatment' is complete: rehabilitation principles should be integral to clinical and occupational management. It should be possible to reduce sickness absence and long-term incapacity due to LBP by at least 30-50%, but this will require a fundamental shift in management culture. PMID:15949782

  5. Motor skill acquisition strategies for rehabilitation of low back pain.

    Science.gov (United States)

    Stevans, J; Hall, K G

    1998-09-01

    Evidence supporting the early use of exercise for the treatment of low back pain continues to grow. We must keep in mind, however, that motor skill learning and exercise are not synonymous. If rehabilitation goals are limited to the improvement of physical parameters (ie., strength, flexibility, endurance), the opportunity to help patients improve the performance of functional activities will be missed. The motor learning literature suggests several strategies for facilitating the acquisition of a motor skill: transfer-appropriate processing, the contextual interference effect, and repetitive self-evaluation. These techniques will cognitively challenge patients, helping them gain skills more quickly and retain them longer. By incorporating these methods into the rehabilitation program, patients will better transfer what they have learned from the rehabilitation environment to their everyday functional activities. PMID:9742473

  6. ACR Appropriateness Criteria Low Back Pain.

    Science.gov (United States)

    Patel, Nandini D; Broderick, Daniel F; Burns, Judah; Deshmukh, Tejaswini K; Fries, Ian Blair; Harvey, H Benjamin; Holly, Langston; Hunt, Christopher H; Jagadeesan, Bharathi D; Kennedy, Tabassum A; O'Toole, John E; Perlmutter, Joel S; Policeni, Bruno; Rosenow, Joshua M; Schroeder, Jason W; Whitehead, Matthew T; Cornelius, Rebecca S; Corey, Amanda S

    2016-09-01

    Most patients presenting with uncomplicated acute low back pain (LBP) and/or radiculopathy do not require imaging. Imaging is considered in those patients who have had up to 6 weeks of medical management and physical therapy that resulted in little or no improvement in their back pain. It is also considered for those patients presenting with red flags raising suspicion for serious underlying conditions, such as cauda equina syndrome, malignancy, fracture, and infection. Many imaging modalities are available to clinicians and radiologists for evaluating LBP. Application of these modalities depends largely on the working diagnosis, the urgency of the clinical problem, and comorbidities of the patient. When there is concern for fracture of the lumbar spine, multidetector CT is recommended. Those deemed to be interventional candidates, with LBP lasting for > 6 weeks having completed conservative management with persistent radiculopathic symptoms, may seek MRI. Patients with severe or progressive neurologic deficit on presentation and red flags should be evaluated with MRI. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer-reviewed journals and the application of well-established methodologies (the RAND/UCLA Appropriateness Method and the Grading of Recommendations Assessment, Development, and Evaluation) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances in which evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. PMID:27496288

  7. Extending conceptual frameworks: life course epidemiology for the study of back pain

    Directory of Open Access Journals (Sweden)

    Dunn Kate M

    2010-02-01

    Full Text Available Abstract Background Epidemiological studies have identified important causal and prognostic factors for back pain, but these frequently only identify a proportion of the variance, and new factors add little to these models. Recently, interest has increased in studying diseases over the life course, stimulated by the 1997 book by Kuh and Ben-Shlomo, a move accompanied by important conceptual and methodological developments. This has resulted in improvements in the understanding of other conditions like cardiovascular and respiratory disease. This paper aims to examine how conceptual frameworks from life course epidemiology could enhance back pain research. Discussion Life course concepts can be divided into three categories. Concept 1: patterns over time, risk chains and accumulation. Simple 'chains of risk' have been studied - e.g. depression leading to back pain - but studies involving more risk factors in the chain are infrequent. Also, we have not examined how risk accumulation influences outcome, e.g. whether multiple episodes or duration of depression, throughout the life course, better predicts back pain. One-year back pain trajectories have been described, and show advantages for studying back pain, but there are few descriptions of longer-term patterns with associated transitions and turning points. Concept 2: influences and determinants of pathways. Analyses in back pain studies commonly adjust associations for potential confounders, but specific analysis of factors modifying risk, or related to the resilience or susceptibility to back pain, are rarely studied. Concept 3: timing of risk. Studies of critical or sensitive periods - crucial times of life which influence health later in life - are scarce in back pain research. Such analyses could help identify factors that influence the experience of pain throughout the life course. Summary Back pain researchers could usefully develop hypotheses and models of how risks from different stages

  8. Low-Back Pain in Microgravity: Causes and Countermeasures

    Science.gov (United States)

    Snijders, C. J.; Richardson, C. A.

    2005-06-01

    Low-back pain (LBP) is common not only on Earth, but also in space.This is remarkable because, on Earth, LBP is ascribed mostly to heavy spinal loading.The Topical Team was established by ESA to answer the question "What is the aetiology of LBP during flight and what countermeasures may be developed?" The starting point for the Team's activities is a biomechanical model developed at the Erasmus Medical Centre in Rotterdam (NL) that describes the function of a deep-muscle corset to stabilise lumbar and pelvic joints. For spaceflight, the hypothesis was formulated that muscle atrophy and neuroplasticity in the absence of gravity loading destabilises the lumbopelvic area. The outcome of the Team activities is the development of a theory for the source of pain in microgravity that identifies in particular the iliolumbar ligaments.To help verify the theory,Team members were involved in the Berlin Bedrest Study and the Dutch Soyuz Mission. Based on the results of these studies, countermeasures can be developed and implemented.

  9. Profile of sexuality in Moroccan chronic low back pain patients

    Science.gov (United States)

    2013-01-01

    Background Sexual life had an important role in preserving the good quality of life for patients and for their partner. Chronic Low Back Pain (CLBP) as other musculoskeletal diseases may affect all aspects of life including sexual functioning. The purpose of this study is to describe the impact of CLBP on the sexual life of patients and to identify the factors that affect their Sexual Quality of Life (SQOL). Methods One hundred CLBP sexually active patients were included. Patients and disease Characteristics were collected. Impact on sexual life (sexual intercourse and SQOL) was also assessed. Univariate and multivariate analysis were performed to analyze significant determinants associated with the SQOL disturbance. Results Eighty one percent of our patients complained about sexual difficulties related to CLBP. Libido decrease and painful intercourse position were reported respectively in 14.8 and 97.5% of cases. The most pain generating position was supine. Mean of sexual intercourse frequency decrease was at −10.4 ± 4.8 per month. SQOL score mean was at 44.6 ± 17.4%. Men suffered more than women from sexual problems (respectively 90% vs. 72%; p = 0.02). Men had worse SQOL than women (respectively 38.9 ± 17.2 vs. 50.3 ± 15.7%; p = 0.001). Univariate and multivariate analysis showed that advanced age (p = 0.009), poor functional status (p = 0.03), male gender (p = 0.03) and sexual intercourse frequency decrease (p = 0.005) were the independent variables associated with the SQOL disturbance. Conclusion Our study suggests that sexuality is profoundly disturbed in CLBP patients; both their sexual intercourse and SQOL were affected. This disturbance seems to be associated with patient and disease characteristics. Sexuality should be taken into account in managing CLBP patients. PMID:23413914

  10. Profile of sexuality in Moroccan chronic low back pain patients

    Directory of Open Access Journals (Sweden)

    Bahouq Hanane

    2013-02-01

    Full Text Available Abstract Background Sexual life had an important role in preserving the good quality of life for patients and for their partner. Chronic Low Back Pain (CLBP as other musculoskeletal diseases may affect all aspects of life including sexual functioning. The purpose of this study is to describe the impact of CLBP on the sexual life of patients and to identify the factors that affect their Sexual Quality of Life (SQOL. Methods One hundred CLBP sexually active patients were included. Patients and disease Characteristics were collected. Impact on sexual life (sexual intercourse and SQOL was also assessed. Univariate and multivariate analysis were performed to analyze significant determinants associated with the SQOL disturbance. Results Eighty one percent of our patients complained about sexual difficulties related to CLBP. Libido decrease and painful intercourse position were reported respectively in 14.8 and 97.5% of cases. The most pain generating position was supine. Mean of sexual intercourse frequency decrease was at −10.4 ± 4.8 per month. SQOL score mean was at 44.6 ± 17.4%. Men suffered more than women from sexual problems (respectively 90% vs. 72%; p = 0.02. Men had worse SQOL than women (respectively 38.9 ± 17.2 vs. 50.3 ± 15.7%; p = 0.001. Univariate and multivariate analysis showed that advanced age (p = 0.009, poor functional status (p = 0.03, male gender (p = 0.03 and sexual intercourse frequency decrease (p = 0.005 were the independent variables associated with the SQOL disturbance. Conclusion Our study suggests that sexuality is profoundly disturbed in CLBP patients; both their sexual intercourse and SQOL were affected. This disturbance seems to be associated with patient and disease characteristics. Sexuality should be taken into account in managing CLBP patients.

  11. Mindfulness-based stress reduction for low back pain. A systematic review

    Directory of Open Access Journals (Sweden)

    Cramer Holger

    2012-09-01

    Full Text Available Abstract Background Mindfulness-based stress reduction (MBSR is frequently used for pain conditions. While systematic reviews on MBSR for chronic pain have been conducted, there are no reviews for specific pain conditions. Therefore a systematic review of the effectiveness of MBSR in low back pain was performed. Methods MEDLINE, the Cochrane Library, EMBASE, CAMBASE, and PsycInfo were screened through November 2011. The search strategy combined keywords for MBSR with keywords for low back pain. Randomized controlled trials (RCTs comparing MBSR to control conditions in patients with low back pain were included. Two authors independently assessed risk of bias using the Cochrane risk of bias tool. Clinical importance of group differences was assessed for the main outcome measures pain intensity and back-specific disability. Results Three RCTs with a total of 117 chronic low back pain patients were included. One RCT on failed back surgery syndrome reported significant and clinically important short-term improvements in pain intensity and disability for MBSR compared to no treatment. Two RCTs on older adults (age ≥ 65 years with chronic specific or non-specific low back pain reported no short-term or long-term improvements in pain or disability for MBSR compared to no treatment or health education. Two RCTs reported larger short-term improvements of pain acceptance for MBSR compared to no treatment. Conclusion This review found inconclusive evidence of effectiveness of MBSR in improving pain intensity or disability in chronic low back pain patients. However, there is limited evidence that MBSR can improve pain acceptance. Further RCTs with larger sample sizes, adequate control interventions, and longer follow-ups are needed before firm conclusions can be drawn.

  12. Patterns of health care utilization for low back pain

    Directory of Open Access Journals (Sweden)

    Stewart WF

    2015-08-01

    Full Text Available Walter F Stewart,1 Xiaowei Yan,1 Joseph A Boscarino,1 Daniel D Maeng,1 Jack Mardekian,2 Robert J Sanchez,3 Michael R Von Korff41Geisinger Center for Health Research, 2Pfizer, Inc., 3Regeneron Pharmaceuticals, Inc., 4Group Health Research Institute, Seattle, WA, USABackground: The purpose of this study was to determine if primary care patients with low back pain (LBP cluster into definable care utilization subgroups that can be explained by patient and provider characteristics.Materials and methods: Adult primary care patients with an incident LBP encounter were identified from Geisinger Clinic electronic health records over 5 years. Two-thirds of the cohort had only one to two encounters. Principal component analysis was applied to the data from the remaining one-third on use of ambulatory, inpatient, emergency department, and surgery care and use of magnetic resonance imaging, injections, and opioids in 12 months following the incident encounter. Groups were compared on demographics, health behaviors, chronic and symptomatic disease burden, and a measure of physician efficiency.Results: Six factors with eigenvalues >1.5 explained 71% of the utilization variance. Patient subgroups were defined as: 1–2 LBP encounters; 2+ surgeries; one surgery; specialty care without primary care; 3+ opioid prescriptions; laboratory dominant care; and others. The surgery and 3+ opioid subgroups, while accounting for only 10.4% of the cohort, had used disproportionately more magnetic resonance imaging, emergency department, inpatient, and injectable resources. The specialty care subgroup was characterized by heavy use of inpatient care and the lowest use of injectables. Anxiety disorder and depression were not more prevalent among the surgery patients than in the others. Surgery patients had features in common with specialty care patients, but were older, had higher prevalence of Fibromyalgia, and were associated primary care physicians with worse efficiency

  13. Cross-cultural adaptation and validation of the Norwegian pain catastrophizing scale in patients with low back pain

    OpenAIRE

    Fernandes Linda; Storheim Kjersti; Lochting Ida; Grotle Margreth

    2012-01-01

    Background Pain catastrophizing has been found to be an important predictor of disability and days lost from work in patients with low back pain. The most commonly used outcome measure to identify pain catastrophizing is the Pain Catastrophizing Scale (PCS). To enable the use of the PCS in clinical settings and research in Norwegian speaking patients, the PCS had to be translated. The purpose of this study was therefore to translate and cross-culturally adapt the PCS into N...

  14. Pain relief is associated with decreasing postural sway in patients with non-specific low back pain

    DEFF Research Database (Denmark)

    Ruhe, A.; Fejer, René; Walker, B.

    2012-01-01

    Background: Increased postural sway is well documented in patients suffering from non-specific low back pain, whereby a linear relationship between higher pain intensities and increasing postural sway has been described. No investigation has been conducted to evaluate whether this relationship is...... maintained if pain levels change in adults with non-specific low back pain. Methods: Thirty-eight patients with non-specific low back pain and a matching number of healthy controls were enrolled. Postural sway was measured by three identical static bipedal standing tasks of 90 sec duration with eyes closed...... in narrow stance on a firm surface. The perceived pain intensity was assessed by a numeric rating scale (NRS 11). The patients received three manual interventions (e. g. manipulation, mobilization or soft tissue techniques) at 3-4 day intervals, postural sway measures were obtained at each occasion...

  15. Randomized controlled trials in industrial low back pain. Part 3. Subacute/chronic pain interventions.

    Science.gov (United States)

    Scheer, S J; Watanabe, T K; Radack, K L

    1997-04-01

    The most significant costs attributed to settlement of workplace back injury claims are related to chronic low back pain (LBP). Unfortunately, our knowledge of this fact has not led to a reduction of the considerable costs paid out annually by employers and insurers to deal with the chronic pain syndrome. This article is the third in a series of reviews on randomized controlled trials found in the English language medical literature between 1975 and 1993. Of more than 4,000 LBP citations, 35 studies met-the selection criteria of randomization, reasonable concurrent controls and work return comparisons. This review focuses on the 12 studies utilizing nonsurgical interventions for subacute and chronic LBP, including multidisciplinary pain clinics, exercise, cognitive-behavioral strategies, and others. A 26-point quality system was again used to compare the methodologic rigor of each study. The majority of prospective studies investigating return to work after chronic LBP have methodological limitations; additional research is clearly needed to more confidently answer the question of what interventions improve work capacity in patients with chronic LBP. PMID:9111463

  16. The Nordic back pain subpopulation program--individual patterns of low back pain established by means of text messaging: a longitudinal pilot study

    DEFF Research Database (Denmark)

    Kongsted, Alice; Leboeuf-Yde, Charlotte

    2009-01-01

    Non-specific low back pain (LBP) is known to be a fluctuating condition and there is a growing realisation that it consists of different subgroups of patients. The detailed course of pain is not known since traditional methods of data collection do not allow very frequent follow-ups. This is a li...

  17. Is there a relationship between pain intensity and postural sway in patients with non-specific low back pain?

    DEFF Research Database (Denmark)

    Ruhe, A.; Fejer, R.; Walker, B.

    2011-01-01

    pain intensity and postural sway in adults (aged 50 or less) with non-specific low back pain. Methods: Seventy-seven patients with non-specific low back pain and a matching number of healthy controls were enrolled. Center of pressure parameters were measured by three static bipedal standing tasks of 90...... reached with an incremental change in NRS scores of two to three points. Conclusions: COP mean velocity and sway area are closely related to self-reported pain scores. This relationship may be of clinical use as an objective monitoring tool for patients under treatment or rehabilitation....

  18. Clinical approaches to low back pain. Part 1. Epidemiology, diagnosis, and prevention.

    OpenAIRE

    R. W. Teasell; White, K.

    1994-01-01

    The epidemiology and difficulties in diagnosing low back pain are discussed. Clinical investigations should be limited to those tests that will provide useful information for effective management. Prevention is the best strategy for avoiding low back pain but is realistically hard to practise because the disorder has many environmental and intrinsic risk factors.

  19. Back pain during different sequential treatment regimens of teriparatide: results from EUROFORS

    DEFF Research Database (Denmark)

    Lyritis, G; Marin, F; Barker, C; Pfeifer, M; Farrerons, J; Brixen, K; del Pino, J; Keen, R; Nickelsen, T N; Langdahl, Bente Lomholt

    2010-01-01

    To investigate changes in back pain in postmenopausal women with severe osteoporosis who received teriparatide for 24 months or switched at 12 months to raloxifene or no active treatment.......To investigate changes in back pain in postmenopausal women with severe osteoporosis who received teriparatide for 24 months or switched at 12 months to raloxifene or no active treatment....

  20. Foot posture, foot function and low back pain: the Framingham Foot Study

    OpenAIRE

    Menz, Hylton B.; Alyssa B Dufour; RISKOWSKI, JODY L.; Hillstrom, Howard J; Hannan, Marian T

    2013-01-01

    Objective. Abnormal foot posture and function have been proposed as possible risk factors for low back pain, but this has not been examined in detail. The objective of this study was to explore the associations of foot posture and foot function with low back pain in 1930 members of the Framingham Study (2002–05).

  1. Cross sectional study of low back pain among merchant seafarers at a medical centre in Singapore

    DEFF Research Database (Denmark)

    Nair, Ravindran; Jensen, Olaf Chresten; Gómez Muñiz, Fernando

    2011-01-01

    Background: Low back pain [LBP] either acute or chronic is the most common musculoskeletal complaint seen in a clinic. Majority of them are involved with manual handling of heavy objects. Objectives: To explore prevalence characteristics of low back pain syndrome among seafarers from merchant shi...

  2. The association between physical activity and neck and low back pain: A systematic review

    NARCIS (Netherlands)

    Sitthipornvorakul, E.; Janwantanakul, P.; Purepong, N.; Pensri, P.; Beek, A.J. van der

    2011-01-01

    The effect of physical activity on neck and low back pain is still controversial. No systematic review has been conducted on the association between daily physical activity and neck and low back pain. The objective of this study was to evaluate the association between physical activity and the incid

  3. Systematic review of psychosocial factors at work and private life as risk factors for back pain

    NARCIS (Netherlands)

    Hoogendoorn, W.E.; Poppel, M.N.M. van; Bongers, P.M.; Koes, B.W.; Bouter, L.M.; Hoogendoorn, L.

    2000-01-01

    Study Design. A systematic review of observational studies. Objectives. To assess whether psychosocial factors at work and in private life are risk factors for the occurrence of back pain. Summary of Background Data. Several reviews on risk factors for back pain have paid attention to psychosocial f

  4. [A comparison of multimodal programmes of patient education in the rehabilitation of chronic low back pain].

    Science.gov (United States)

    Morfeld, M; Küch, D; Greitemann, B; Dibbelt, S; Salewski, C; Franke, G H; Liebenau, A

    2010-04-01

    There is growing evidence for the effectiveness of multimodal intervention concepts for chronic low back pain in the international literature, and accordingly several German rehabilitation programmes for the treatment of chronic low back pain patients have been developed. Focus of this paper is to describe and compare frequently used German multimodal intervention programmes for in- and outpatient rehabilitation of patients with chronic low back pain. Programmes were chosen by searching the most relevant online resources as well as the online pages of Deutsche Rentenversicherung and Zentrum Patientenschulung during September 2008. Keywords guiding the search were: Patientenschulung, Rückenschmerzen, Manual, psychologische multimodale Interventionskonzepte, Rehabilitationsprogramm, psychology, intervention, low back pain, manual and therapy. By this means, six manually supported multimodal rehabilitation programmes for the in- and outpatient therapy of patients with chronic back pain could be identified: Göttinger Rücken-Intensiv-Programm (GRIP), the psychological programme for chronic head- and low back pain, the Münchner Rücken-Intensiv-Programm (MRIP), Back to Balance, Arbeiten und Leben--Back to Balance (ALEBABA) und Rückenfit: Lebenslust statt Krankheitsfrust. These programmes are depicted and compared with regard to their potentials and limitations in supporting the rehabilitation process of patients with chronic low back pain. While comparing the programmes, a number of similarities between them can be detected, as well as pronounced differences, e. g., regarding settings and complexity. In most programmes, lack of appropriate evaluation studies and lack of aftercare turn out to be critical aspects. PMID:20446189

  5. Low back pain in car drivers: A review of studies published 1975 to 2005

    Science.gov (United States)

    Gallais, Lenka; Griffin, Michael J.

    2006-12-01

    This review investigates whether there is evidence of an association between car driving and low back pain, and evidence that whole-body vibration contributes to low back pain in car drivers. The evidence of an association between various physical, psychosocial and individual factors and low back pain in car drivers was also investigated. From 23 epidemiological studies of low back problems in groups that reported car driving, nine studies fulfilled simple criteria for detailed review: four cross-sectional studies, three case-control studies and two longitudinal studies. The definition of low back pain was often unclear and, mostly, the physiological mechanisms causing low back pain were not considered. Eight of the nine studies concluded that there was an increase in low back pain among car drivers but there was little consideration of the influence of the many physical factors, individual factors and psychosocial factors that might be associated with an increase in low back pain. Consequently, there is insufficient evidence to form a conclusion on whether whole-body vibration, postural stressors or other factors, specific or not specific to driving, are common causes of low back problems in car drivers.

  6. Minimally-invasive Ultrasound Devices for Treating Low Back Pain

    Science.gov (United States)

    Nau, William; Diederich, C.; Shu, R.; Kinsey, A.; Lotz, J.; Ferrier, W.; Sutton, J.; Pellegrino, R.

    2006-05-01

    Catheter-based ultrasound is being investigated for the potential to deliver heat to disc tissue for the treatment of discogenic low back pain. Two ultrasound applicator design configurations were tested: an intradiscal (IDUS) applicator which can be implanted directly within the disc, and an extradiscal (EDUS) applicator which is placed adjacent to the disc. In vitro heating trials were performed in human lumbar cadaveric disc segments instrumented with 24 thermocouples to obtain detailed maps of the temperature distributions. A low temperature elevation heating protocol in which the maximum temperature measured 5 mm away from the applicator is controlled to 52° C for the treatment period, and a high temperature elevation protocol (maximum temperature controlled to >70° C) were evaluated in this study. In vivo experiments were performed in sheep cervical spine using both applicator configurations, and both heating protocols. Steady-state temperature maps, and thermal doses (t43) calculated from the transient temperature data were used to assess regions of thermal damage within the disc. During the in vitro human disc studies using the high temperature protocol, temperatures were maintained at 71.5° ± 0.4°C 5 mm from an IDUS applicator implanted within the annular wall, with a maximum temperature (Tmax) of 78.6°C (t43 > 4.85 × 1010 min) measured 2 mm from the applicator. For the EDUS applicator, the temperature was maintained at 78.7° °C 5 mm from the applicator, with a Tmax of 86.3°C within 1 mm of the applicator surface. In the in vivo sheep studies, steady-state temperatures were maintained at 49.4° ± 0.3°C (t43 = 8.74 × 102 min) and 73.2° ± 0.6°C (t43 = 1.34 × 1010 min) with the IDUS applicator for the low and high temperature protocols, respectively. Using the EDUS applicator, temperatures were maintained at 54.4° ± 3.2°C (t43 = 4.11 × 104 min) and 69.4° ± 2.8°C (t43 = 2.81 × 109 min) for the two protocols. Directional heating was

  7. POSSIBLE INFLUENCES OF A HEAVY BACKPACK ON A PAINFUL BACK PAIN SYNDROME IN ELEMENTARY SCHOOL CHILDREN

    OpenAIRE

    Paušić, Jelena; Kujundžić, Hrvoje; Penjak, Ana

    2013-01-01

    As they grow, children go through different phases of growth and development, and very often due to various unspecified outside influences, they are overloaded with weight. Heavy backpacks and its correlation to different types of bad posture, as well as pain in particular parts of the back, has been an important issue in the past several years. The aim of this research was to determine average backpack weight in correlation to children’s weight in primary school. Also, the aim was to determi...

  8. Is low back pain in youth associated with weight at birth?

    DEFF Research Database (Denmark)

    Hestbæk, Lise; Leboeuf-Yde, Charlotte; Kyvik, Kirsten Ohm; Manniche, Claus

    2003-01-01

    INTRODUCTION: Low back pain has been associated with an increased risk of several diseases and with poor general health. Also low birth weight has been associated with an increased susceptibility to various diseases as well as with poor general health. Thus, low birth weight could be a common...... factor--indicating a general frailty with an increased risk of both low back pain and overall morbidity. To our knowledge, the association between low back pain and birth weight has not previously been investigated. This study investigates the correlation between birth characteristics and low back pain...... in adolescence. MATERIAL AND METHODS: Analyses are based on data from The Danish Twin Registry. Information about low back pain is from a postal survey, and information about birth characteristics are from The Danish Medical Birth Register. Analyses include 8278 individuals aged 12-22 years--an age...

  9. Is back pain during childhood or adolescence associated with muscle strength, muscle endurance or aerobic capacity

    DEFF Research Database (Denmark)

    Lardon, Arnaud; Leboeuf-Yde, Charlotte; Le Scanff, Christine

    2015-01-01

    BACKGROUND: Back pain is a common condition during childhood and adolescence. The causes of back pain are largely unknown but it seems plausible that some physical factors such as back muscle strength, back muscle endurance and aerobic capacity may play a role in its development, in particular in...... back pain. DESIGN: Three systematic critical literature reviews with one meta-analysis. METHODS: Systematic searches were made in June 2014 in PubMed, Embase and SportDiscus including longitudinal, retrospective or cross-sectional studies on back pain for subjects <20 years. Articles were accepted if...... they were written in French or English. The review process followed the AMSTAR recommendations. The possibility of conducting a meta-analysis was assessed for each research question. RESULTS: Four articles were included for the first objective, four for the second and three for the last. None of the...

  10. Does going to an amusement park alleviate low back pain? A preliminary study

    Directory of Open Access Journals (Sweden)

    Sakakibara T

    2012-10-01

    Full Text Available Toshihiko Sakakibara, Zhuo Wang, Yuichi KasaiDepartment of Spinal Surgery and Medical Engineering, Mie University Graduate School of Medicine, Tsu City, Mie Prefecture, JapanBackground: Low back pain is often called nonspecific pain. In this type of low back pain, various emotions and stress are known to strongly affect pain perception. The purpose of this study is to investigate how the degree of low back pain changes in people with chronic mild low back pain when they are inside and outside of an amusement park where people are supposed to have physical and psychological enjoyment.Methods: The subjects were 23 volunteers (13 males and 10 females aged 18 to 46 years old with a mean age of 24.0 years who had chronic low back pain. Visual analog scale (VAS scores of low back pain and salivary amylase levels (kIU/L of all subjects were measured at five time points: immediately after getting on the bus heading for the amusement park; 10 minutes, 1 hour (immediately after boarding the roller coaster, and 3 hours (immediately after exiting the haunted house after arriving at the amusement park; and immediately before getting off the bus returning from the park.Results: The three VAS values in the amusement park (10 minutes, 1 hour, and 3 hours after arriving at the amusement park measured were significantly lower (P < 0.05 when compared with the other two values measured immediately after getting on the bus heading for the amusement park and immediately before getting off the return bus. In salivary amylase levels, there were no statistically significant differences among the values measured at the five time points.Conclusion: Low back pain was significantly alleviated when the subjects were in the amusement park, which demonstrated that enjoyable activities, though temporarily, alleviated their low back pain.Keywords: low back pain, emotion, salivary alpha-amylase activity, enjoyment activities, psychological stress

  11. Relationships Between Weight, Physical Activity, and Back Pain in Young Adult Women.

    Science.gov (United States)

    Brady, Sharmayne R E; Hussain, Sultana Monira; Brown, Wendy J; Heritier, Stephane; Billah, Baki; Wang, Yuanyuan; Teede, Helena; Urquhart, Donna M; Cicuttini, Flavia M

    2016-05-01

    Back pain causes enormous financial and disability burden worldwide, which could potentially be reduced by understanding its determinants to develop effective prevention strategies. Our aim was to identify whether modifiable risk factors, weight and physical activity, are predictive of back pain in young adult women.Women born between 1973 and 1978 were randomly selected from the national health insurance scheme database to participate in The Australian Longitudinal Study of Women's Health. Self-reported data on back pain in the last 12 months, weight, height, age, education status, physical activity, and depression were collected in 2000, 2003, 2006, 2009, and 2012. In 2000, 9688 women completed the questionnaire and 83% completed follow-up 12 years later.At baseline, median age was 24.6 years and 41% had self-reported back pain. For every 5 kg higher weight at baseline, there was a 5% (95% confidence interval [CI] 4%-6%) increased risk of back pain over the next 12 years. Higher weight at each survey also predicted back pain risk 3 years later (P depression were independent predictors of back pain over the following 12 years (both P women. Higher weight, inadequate levels of physical activity, and depression were all independent predictors of back pain over the following decade. Furthermore, the adverse effects of weight on back pain were not mitigated by physical activity. Our findings highlight the role of both higher weight and physical inactivity in back pain among young women and suggest potential opportunities for future prevention. PMID:27175634

  12. Mobile-Web App to Self-Manage Low Back Pain: Randomized Controlled Trial

    OpenAIRE

    Irvine, A Blair; Russell, Holly; Manocchia, Michael; Mino, David E; Cox Glassen, Terri; Morgan, Rebecca; Gau, Jeff M.; Birney, Amelia J; Ary, Dennis V

    2015-01-01

    Background Nonspecific low back pain (NLBP) is the diagnosis for individuals with back pain that has no underlying medical cause (eg, tumor, infection, fracture, herniated disc, spinal stenosis). The American College of Physicians (ACP) and American Pain Society (APS) recommend multidisciplinary treatments for NLBP that lasts more than 4 weeks. This approach, however, is impractical for many physicians to implement, and relatively few providers offer NLBP treatment that meets the joint ACP-AP...

  13. Classification of Low Back-Related Leg Pain: Do Subgroups Differ in Disability and Psychosocial Factors?

    OpenAIRE

    Walsh, Jeremy; Hall, Toby

    2009-01-01

    It has been proposed that patients with low back-related leg pain can be classified according to pain mechanisms into four distinct subgroups: Central Sensitization (CS), Denervation (D), Peripheral Nerve Sensitization (PNS), and Musculoskeletal (M). The purpose of this study was to determine whether there were any differences in terms of disability and psychosocial factors between these four subgroups. Forty-five subjects with low back-related leg pain completed the Oswestry Disability Index...

  14. Osteopathic manipulative treatment for nonspecific low back pain: a systematic review and meta-analysis

    OpenAIRE

    Franke, Helge; Franke, Jan-David; Fryer, Gary

    2014-01-01

    Background Nonspecific back pain is common, disabling, and costly. Therefore, we assessed effectiveness of osteopathic manipulative treatment (OMT) in the management of nonspecific low back pain (LBP) regarding pain and functional status. Methods A systematic literature search unrestricted by language was performed in October 2013 in electronic and ongoing trials databases. Searches of reference lists and personal communications identified additional studies. Only randomized clinical trials w...

  15. The relationship between physical activity and low back pain outcomes: a systematic review of observational studies

    OpenAIRE

    Hendrick, Paul; Milosavljevic, S.; Hale, L; Hurley, D. A.; McDonough, S; Ryan, B; Baxter, G. D.

    2010-01-01

    Although clinical guidelines advocate exercise and activity in the management of non-specific low back pain (NSLBP), the link between levels of physical activity and outcomes is unclear. This systematic review investigated the relationships between free living activity levels after onset of low back pain (LBP) and measures of pain, and disability in patients with NSLBP. Cohort and cross-sectional studies were located using OVID, CINAHL, Medline, AMED, Embase, Biomed, PubMed-National Library o...

  16. Modifying patterns of movement in people with low back pain -does it help? A systematic review

    OpenAIRE

    Laird Robert A; Kent Peter; Keating Jennifer L

    2012-01-01

    Abstract Background Physiotherapy for people with low back pain frequently includes assessment and modification of lumbo-pelvic movement. Interventions commonly aim to restore normal movement and thereby reduce pain and improve activity limitation. The objective of this systematic review was to investigate: (i) the effect of movement-based interventions on movement patterns (muscle activation, lumbo-pelvic kinematics or postural patterns) of people with low back pain (LBP), and (ii) the relat...

  17. Fear avoidance beliefs in back pain-free subjects are reflected by amygdala-cingulate responses

    OpenAIRE

    Michael Lukas Meier; Philipp eStämpfli; Andrea eVrana; Kim Barry Humphreys; Erich eSeifritz; Sabina eHotz

    2015-01-01

    In most individuals suffering from chronic low back pain, psychosocial factors, specifically fear avoidance beliefs, play central roles in the absence of identifiable organic pathology. On a neurobiological level, encouraging research has shown brain system correlates of somatic and psychological factors during the transition from (sub) acute to chronic low back pain. The characterisation of brain imaging signatures in pain-free individuals before any injury will be of high importance regardi...

  18. Fear avoidance beliefs in back pain-free subjects are reflected by amygdala-cingulate responses

    OpenAIRE

    Meier, Michael L.; Stämpfli, Phillipp; Vrana, Andrea; Humphreys, Barry K; Seifritz, Erich; Hotz-Boendermaker, Sabina

    2015-01-01

    In most individuals suffering from chronic low back pain, psychosocial factors, specifically fear avoidance beliefs (FABs), play central roles in the absence of identifiable organic pathology. On a neurobiological level, encouraging research has shown brain system correlates of somatic and psychological factors during the transition from (sub) acute to chronic low back pain. The characterization of brain imaging signatures in pain-free individuals before any injury will be of high importance ...

  19. Prognostic implications of the Quebec Task Force classification of back-related leg pain

    DEFF Research Database (Denmark)

    Kongsted, Alice; Kent, Peter; Jensen, Tue Secher; Albert, Hanne; Manniche, Claus

    2013-01-01

    BACKGROUND: Low back pain (LBP) patients with related leg pain have a more severe profile than those with local LBP and a worse prognosis. Pain location above or below the knee and the presence of neurological signs differentiate patients with different profiles, but knowledge about the prognosti...

  20. Back pain - a feeling of being mistrusted and lack of recognition: A qualitative study

    DEFF Research Database (Denmark)

    Damsgaard, Janne Brammer; Norlyk, Annelise; Jørgensen, Lene Bastrup; Birkelund, Regner

    2016-01-01

    interpretation. Findings Before the spinal fusion surgery, back pain had a great negative influence on the patients’ everyday lives. Insinuations of being a hypochondriac and having to hide their pain to avoid becoming a burden caused insecurity. Several patients experienced pain relieving effect when talking...

  1. Managing Low-Back Pain: Steps To Optimize Function and Hasten Return to Activity.

    Science.gov (United States)

    Drezner, Jonathan A.; Herring, Stanley A.

    2001-01-01

    Low-back pain (LBP) in active people is common and recurrent. This paper describes: the natural history and clinical course of LBP; anatomy and biomechanics of LBP; what causes pain; diagnosis; initial treatment (e.g., pain and inflammation control, bed rest, and exercises); rehabilitation (e.g., lumbar stabilization exercises, conditioning, and…

  2. Back pain: Prevention and management in the workplace.

    Science.gov (United States)

    Schaafsma, Frederieke G; Anema, Johannes R; van der Beek, Allard J

    2015-06-01

    Despite all the efforts in studying work-related risk factors for low back pain (LBP), interventions targeting these risk factors to prevent LBP have no proven cost-effectiveness. Even with adequate implementation strategies for these interventions on group level, these did not result in the reduction of incident LBP. Physical exercise, however, does have a primary preventive effect on LBP. For secondary prevention, it seems that there are more opportunities to cost-effectively intervene in reducing the risk of long-term sickness absence due to LBP. Starting at the earliest moment possible with proper assessment of risk factors for long-term sickness absence related to the individual, the underlying mechanisms of the LBP, and also factors related to the workplace by a well-trained clinician, may increase the potential of effective return to work (RTW) management. More research on how to overcome barriers in the uptake of these effective interventions in relation to policy-specific environments, and with regard to proper financing of RTW management is necessary. PMID:26612243

  3. The intensity of work recovery in low back pain.

    Science.gov (United States)

    Andersson, G B; Svensson, H O; Odén, A

    1983-01-01

    The intensity of work recovery in LBP has been studied using the National Health Register. Nine hundred forty men, 40-47 years old, were selected randomly from the census register of the city of Göteborg, Sweden. Sickness absence data were obtained from the Health Register, in which all sickness absence from age 16 is recorded. The rate of return to work decreases as expected with an increase in absence period. Different rates were found for different diagnoses, however, with low return intensities in patients with sciatica compared with those with back pain, ie, return to work was slower in patients with sciatica. Men with manual work had a significantly longer average sickness absence than white-collar workers. The intensity of work recovery was lower in blue-collar workers during the first 20 days of absence, while the reverse was true after 20 days of sickness absence, ie, the white-collar workers who were absent more than 20 days had a slower rate of recovery than blue-collar workers who had been absent for 20 days. Data as presented here can be used to study the effect of intervention (for example, manual therapy) on the natural course of work recovery. It also can be used, as above, to study differences in sickness absence patterns between different diagnoses and work groups. PMID:6230742

  4. Entrapment of middle cluneal nerves as an unknown cause of low back pain

    OpenAIRE

    Aota, Yoichi

    2016-01-01

    Entrapment of middle cluneal nerves induces low back pain and leg symptoms. The middle cluneal nerves can become spontaneously entrapped where this nerve pass under the long posterior sacroiliac ligament. A case of severe low back pain, which was completely treated by release of the middle cluneal nerve, was presented. Entrapment of middle cluneal nerves is possibly underdiagnosed cause of low-back and/or leg symptoms. Spinal surgeons should be aware of this clinical entity and avoid unnecess...

  5. Manual handling activities and risk of low back pain in nurses.

    OpenAIRE

    Smedley, J.; Egger, P.; Cooper, C.; Coggon, D

    1995-01-01

    OBJECTIVE--To investigate the risk factors for low back pain in hospital nurses, with particular emphasis on the role of specific nursing activities. METHODS--A cross sectional survey of 2405 nurses employed by a group of teaching hospitals was carried out. Self administered questionnaires were used to collect information about occupational activities, non-occupational risk factors for back symptoms, and history of low back pain. RESULTS--The overall response rate was 69%. Among 1616 women, t...

  6. Back pain prevalence and associated factors in children and adolescents: an epidemiological population study

    Science.gov (United States)

    Noll, Matias; Candotti, Cláudia Tarragô; da Rosa, Bruna Nichele; Loss, Jefferson Fagundes

    2016-01-01

    ABSTRACT OBJECTIVE To identify the prevalence of back pain among Brazilian school children and the factors associated with this pain. METHODS All 1,720 schoolchildren from the fifth to the eight grade attending schools from the city of Teutonia, RS, Southern Brazil, were invited to participate in the study. From these, 1,597 children participated. We applied the Back Pain and Body Posture Evaluation Instrument. The dependent variable was back pain, while the independent one were demographic, socioeconomic, behavior and heredity data. The prevalence ratio was estimated by multivariate analysis using the Poisson regression model (α = 0.05). RESULTS The prevalence of back pain in the last three months was 55.7% (n = 802). The multivariate analysis showed that back pain is associated with the variables: sex, parents with back pain, weekly frequency of physical activity, daily time spent watching television, studying in bed, sitting posture to write and use the computer, and way of carrying the backpack. CONCLUSIONS The prevalence of back pain in schoolchildren is high and it is associated with demographic, behavior and heredity aspects. PMID:27305406

  7. Back pain prevalence and associated factors in children and adolescents: an epidemiological population study

    Directory of Open Access Journals (Sweden)

    Matias Noll

    2016-01-01

    Full Text Available ABSTRACT OBJECTIVE To identify the prevalence of back pain among Brazilian school children and the factors associated with this pain. METHODS All 1,720 schoolchildren from the fifth to the eight grade attending schools from the city of Teutonia, RS, Southern Brazil, were invited to participate in the study. From these, 1,597 children participated. We applied the Back Pain and Body Posture Evaluation Instrument. The dependent variable was back pain, while the independent one were demographic, socioeconomic, behavior and heredity data. The prevalence ratio was estimated by multivariate analysis using the Poisson regression model (α = 0.05. RESULTS The prevalence of back pain in the last three months was 55.7% (n = 802. The multivariate analysis showed that back pain is associated with the variables: sex, parents with back pain, weekly frequency of physical activity, daily time spent watching television, studying in bed, sitting posture to write and use the computer, and way of carrying the backpack. CONCLUSIONS The prevalence of back pain in schoolchildren is high and it is associated with demographic, behavior and heredity aspects.

  8. COMPARISON BETWEEN POSTERIOR TO ANTERIOR MOBILIZATION AND TRACTION SLR ON PAIN AND NEURODYNAMIC MOBILITY IN PATIENTS OF LOW BACK PAIN

    Directory of Open Access Journals (Sweden)

    Singh Varun

    2014-02-01

    Full Text Available Background : Low back pain is one of the most prevalent condition . According to the American Association of Orthopaedic Surgeons about 80 percent of people will have at least one bout with back pain during their lifetime . Various treatments methods have been used like traction SLR , posterior to anterior mobilization etc, but no study was done to compare the effects of posterior to anterior mobilization and traction SLR technique in reducing pain and increasing neurodynamic mobility in patients of low back pain. Purpose of study : To find out the effectiveness of traction SLR and posterior to Anterior mobilization in decreasing pain and increasing neurodynamic mobility of low back pain patients. Method : 20 subjects were taken as per selection criteria which included both male and female between the age of 25 to 45 years. They were randomly divided into two groups, group A (n=10 subjects received traction SLR and group B (n=10 received posterior to anterior mobilization. Range Of Motion and VAS were taken as outcome measurement parameters. Result: Comparison was made between pre and post reading within group using related t – test and between groups by using unrelated t-test for statistical analysis. Result showed statistically significant improvement between pre and post intervention VAS score for both group A and B. Result showed a statistically significant improvement between pre and post intervention ROM in for both Group A and B. Result shows statistically non significant difference between Group A and B in ROM and VAS scores. Conclusion: Traction SLR and posterior to anterior mobilization are effective in improving ROM and pain in patients suffering from low back pain. However there was no statistically significant difference between Traction SLR and posterior to anterior mobilization in improving Pain and ROM in patients suffering from low back pain.

  9. Predictive factors for the outcome of multidisciplinary treatments in chronic low back pain at the first multidisciplinary pain center of Japan

    OpenAIRE

    Hayashi, Kazuhiro; Arai, Young-Chang P.; Ikemoto, Tatsunori; Nishihara, Makoto; Suzuki, Shigeyuki; Hirakawa, Tomoe; Matsuo, Shingo; Kobayashi, Mami; Haruta, Midori; Kawabata, Yuka; Togo, Hiroki; Noguchi, Taiji; Hase, Toshiyuki; Hatano, Genki; Ushida, Takahiro

    2015-01-01

    [Purpose] Multidisciplinary treatments are recommended for treatment of chronic low back pain. The aim of this study was to show the associations among multidisciplinary treatment outcomes, pretreatment psychological factors, self-reported pain levels, and history of pain in chronic low back pain patients. [Subjects and Methods] A total of 221 chronic low back pain patients were chosen for the study. The pretreatment scores for the 10-cm Visual Analogue Scale, Hospital Anxiety and Depression ...

  10. The Effectiveness of Mindfulness-based Cognitive Therapy (MBCT) and Cognitive Behavior Therapy (CBT) on Decreasing Pain, Depression and Anxiety of Patients with Chronic Low Back Pain

    OpenAIRE

    M Abdolghadery; M Kafee; A Saberi; S Aryapouran

    2014-01-01

    Introduction: Within chronic pains, back pain has the highest percentage. Psychological factors play an important role in the establishment and continuation of physical disability as well as in functional limitation in patients with chronic low back pain. Therefore, the purpose of this study was to compare the effectiveness of Mindfulness Based Cognitive Therapy (MBCT) and Cognitive Behavior Therapy (CBT) on decreasing the pain, depression and anxiety of patients with chronic low back pain. ...

  11. Effect of yogic colon cleansing (Laghu Sankhaprakshalana Kriya) on pain, spinal flexibility, disability and state anxiety in chronic low back pain

    OpenAIRE

    Richa Vivek Haldavnekar; Padmini Tekur; Raghuram Nagarathna; Hongasandra Ramarao Nagendra

    2014-01-01

    Background: Studies have shown that Integrated Yoga reduces pain, disability, anxiety and depression and increases spinal flexibility and quality-of-life in chronic low back pain (CLBP) patients. Objective: The objective of this study was to compare the effect of two yoga practices namely laghu shankha prakshalana (LSP) kriya, a yogic colon cleansing technique and back pain specific asanas (Back pain special technique [BST]) on pain, disability, spinal flexibility and state anxiety in pat...

  12. Persistence of pain in patients with chronic low back pain reported via weekly automated text messages over one year

    DEFF Research Database (Denmark)

    Leboeuf-Yde, Charlotte; Krüger Jensen, Rikke; Wedderkopp, Niels

    2015-01-01

    BACKGROUND: A previous study has suggested that it is uncommon for patients with chronic bothersome low back pain (LBP), who consult the secondary health care sector, to report at least four consecutive weeks without such bothersome pain in 1 year. It is not yet known, however, how many days of the...... week they experience pain throughout the year. METHOD: The current study analyzed data collected in two randomized clinical studies conducted in 2007-9 on patients with back pain (Study 1 and 2). Study participants were patients with LBP for more than 2 months, one group with MRI-defined Modic changes...... symptoms during 1 year in patients from the secondary care sector with chronic LBP. The results range from bothersome pain each day of the week, every week of the year, to no weeks at all with 7 days of pain. Interestingly, this pattern is near-identical in the two study samples; those with non...

  13. Do work-related factors affect care-seeking in general practice for back pain or upper extremity pain?

    DEFF Research Database (Denmark)

    Jensen, Jens Christian; Haahr, Jens Peder; Frost, Poul; Andersen, JH

    2013-01-01

    OBJECTIVES: Musculoskeletal pain conditions remain a major cause of care-seeking in general practice. Not all patients with musculoskeletal pain (MP) seek care at their general practitioner (GP), but for those who do, the GP's knowledge of what work-related factors might have influenced the patient......'s decision to seek care could be important in order to give more well-founded advice to our patients. The objective of this study was to elucidate the effects of workloads on care-seeking for back pain or upper extremity pain during an eighteen-month follow-up period. METHODS: This is a prospective study...... among females. Repetitive work and psychosocial factors did not have any statistically significant impact on care-seeking for neither back pain nor upper extremity pain. CONCLUSION: Work-related factors such as heavy lifting do, to some extent, contribute to care-seeking with MP. We suggest that asking...

  14. Increased insomnia symptoms predict the onset of back pain among employed adults.

    Directory of Open Access Journals (Sweden)

    Maayan Agmon

    Full Text Available BACKGROUND: Back pain is among the most prevalent pain disorders causing chronic disability among adults, and insomnia is a common co-morbidity. However, whether insomnia precedes back pain or vice versa remains unclear. The current study tested the temporal association between insomnia and back pain. METHODS: A longitudinal design was used to investigate whether changes in insomnia over time predict the onset of back pain and vice versa. The study was conducted on a cohort of active healthy working adults (N = 2,131, 34% women at three time points (T1, T2, and T3 over a period of 3.7 years (range = 2.2-5.12 years. Logistic regression analysis was used to test whether increased insomnia symptoms from T1 to T2 predicted the onset of new back pain. Ordinary least squares regression was used to test whether the existence of back pain at T2 predicted an increase in insomnia from T2 to T3. RESULTS: The results indicated that after controlling for socioeconomic variables, self-reported health, lifestyle behaviors, and anthropometrics, a T1-T2 increase in insomnia symptoms was associated with a 1.40-fold increased risk of back pain at T3 (OR = 1.40; 95% CI = 1.10-1.71. No support was found for reverse causation; i.e., that back pain predicts subsequent increase in insomnia. CONCLUSIONS: Insomnia appears to be a risk factor in the development of back pain in healthy individuals. However, no evidence of reverse causation was found.

  15. The effectiveness of physical and organisational ergonomic interventions on low back pain and neck pain: a systematic review

    NARCIS (Netherlands)

    M.T. Driessen; K.I. Proper; M.W. van Tulder; J.R. Anema; P.M. Bongers; A.J. van der Beek

    2010-01-01

    Ergonomic interventions (physical and organisational) are used to prevent or reduce low back pain (LBP) and neck pain among workers. We conducted a systematic review of randomised controlled trials (RCTs) on the effectiveness of ergonomic interventions. A total of 10 RCTs met the inclusion criteria.

  16. The effectiveness of physical and organisational ergonomic interventions on low back pain and neck pain: A systematic review

    NARCIS (Netherlands)

    Driessen, M.T.; Proper, K.I.; Tulder, M.W. van; Anema, J.R.; Bongers, P.M.; Beek, A.J. van der

    2010-01-01

    Ergonomic interventions (physical and organisational) areused to prevent or reduce low back pain (LBP) and neck pain among workers. We conducted a systematic review of randomised controlled trials (RCTs) on the effectiveness of ergonomic interventions. A total of 10 RCTs met the inclusion criteria.

  17. Pain Expectancies, Pain, and Functional Self-Efficacy Expectancies as Determinants of Disability in Patients with Chronic Low Back Disorders.

    Science.gov (United States)

    Lackner, Jeffrey M.; And Others

    1996-01-01

    Tested the predictive power of self-efficacy expectations of physical capabilities, expectations of pain, and expectations of reinjury on physical function in chronic back pain patients. Before assessment of function, patients rated their abilities to perform essential job tasks--functional self-efficacy (FSE)--and the likelihood working would…

  18. Catastrophizing and internal pain control as mediators of outcome in the multidisciplinary treatment of chronic low back pain.

    OpenAIRE

    Spinhoven, P.; Kuile, M. ter; Kole-Snijders, A.M.J.; Hutten Mansfeld, M.; Ouden, D.J. den; Vlaeyen, J. W. S.

    2004-01-01

    The aim of the present study was to examine (a) whether a cognitive-behavioral treatment (differentially) affects pain coping and cognition; and (b) whether changes in pain coping and cognition during treatment mediate treatment outcome. Participants in this randomized clinical trial were 148 patients with chronic low back pain attending a multidisciplinary treatment program consisting of operant-behavioral treatment plus cognitive coping skills training (N = 59) or group discussion (N = 58) ...

  19. Traditional Chinese Medicine for Neck Pain and Low Back Pain: A Systematic Review and Meta-Analysis

    OpenAIRE

    Qi-ling Yuan; Tuan-mao Guo; Liang Liu; Fu Sun; Yin-gang Zhang

    2015-01-01

    Background Neck pain (NP) and low back pain (LBP) are common symptoms bothering people in daily life. Traditional Chinese medicine (TCM) has been used to treat various symptoms and diseases in China and has been demonstrated to be effective. The objective of the present study was to review and analyze the existing data about pain and disability in TCM treatments for NP and LBP. Methods Studies were identified by a comprehensive search of databases, such as MEDLINE, EMBASE, and Cochrane Librar...

  20. The effectiveness of physical and organisational ergonomic interventions on low back pain and neck pain: a systematic review

    OpenAIRE

    Driessen, M.T.; Proper, K.I.; Tulder, van, R.J.M.; Anema, J.R.; Bongers, P.M.; Beek, van de, A.

    2010-01-01

    Ergonomic interventions (physical and organisational) are used to prevent or reduce low back pain (LBP) and neck pain among workers. We conducted a systematic review of randomised controlled trials (RCTs) on the effectiveness of ergonomic interventions. A total of 10 RCTs met the inclusion criteria. There was low to moderate quality evidence that physical and organisational ergonomic interventions were not more effective than no ergonomic intervention on short and long term LBP and neck pain ...

  1. Effects of proprioceptive exercises on pain and function in chronic neck- and low back pain rehabilitation: a systematic literature review

    OpenAIRE

    McCaskey, Michael A.; Schuster-Amft, Corina; Wirth, Brigitte; Suica, Zorica; de Bruin, Eling D

    2014-01-01

    Background Proprioceptive training (PrT) is popularly applied as preventive or rehabilitative exercise method in various sports and rehabilitation settings. Its effect on pain and function is only poorly evaluated. The aim of this systematic review was to summarise and analyse the existing data on the effects of PrT on pain alleviation and functional restoration in patients with chronic (≥3 months) neck- or back pain. Methods Relevant electronic databases were searched from their respective i...

  2. Randomized controlled trials in industrial low back pain relating to return to work. Part 2. Discogenic low back pain.

    Science.gov (United States)

    Scheer, S J; Radack, K L; O'Brien, D R

    1996-11-01

    The purpose of this review was to determine the efficacy of treatments for discogenic low back pain (LBP) by examining all randomized controlled trials (RCTs) of discogenic LBP published in the English language literature between 1975 and 1993 with "return to work" (RTW) as the end point. From more than 4,000 LBP citations, nearly 600 articles were initially reviewed; 35 studies met our selection criteria. Twenty-two studies were discussed in Part 1 (Acute Interventions) or will be discussed in Part 3 (Chronic Interventions). In this review, of 13 RCTs assessing interventions for LBP with sciatica, 9 were appropriate for their focus on, and radiologic confirmation of, discogenic LBP. The treatments assessed included chemonucleolysis, surgical discectomy, and epidural steroid injection. A 26-point system to assess the quality of methodologic rigor was used for each article. Our literature survey found a need for additional studies comparing surgery, conservative care, epidural steroids, traction, and other approaches to determine their individual effects for RTW after discogenic disease. PMID:8931535

  3. Role of Psoas Compartment Block in Lower Back Pain

    International Nuclear Information System (INIS)

    Objective: To compare the clinical and cost effectiveness of Psoas compartment block (PCB) and lumbar epidural over a period of one month in patients suffering from low back pain and radiclupathy. Methods: This study was conducted at Railway Hospital Rawalpindi over a period of one year from September 2011 to September 2012. Patients of either sex between 30 to 80 years of age, full filling the study diagnostic criteria were selected by non probability purposive sampling. Patients were divided into two treatment groups. One received epidural analgesia and other received psoas compartment block. Relevant history was recorded on proforma. Pre and post treatment pain scores were recorded using VAS and Pakistan Coin Scale (PCS) at day 1, week 1, and at the end of 1 month. In group 1 PCB was administered and in group 2 lumbar epidural was given under strict aseptic measures. In each group dose of depomedrol with lignocaine was injected according to patient's weight. Data Analysis and Result: At baseline, average VAS for group-I was 7.209 (SD=0.640) while in group-II it was 7.310 (SD=0.680). Both the groups had similar VAS at baseline with insignificant difference (p=0.438). At day 1, average VAS was significantly lower (p<0.001) in group-I as compared to group-II i.e. 2.030+-0.491 vs. 3.357+-1.008. After one week, average VAS for group-I was 2.851(SD=0.609) while in group-II it was 3.810 (SD=1.087). Group-II had significantly higher VAS as compared to group-I (p<0.001). After one month, average VAS for group-I was 3.060 (SD=0.625) while in group-II it was 4.333 (SD=1.004). VAS of group-II was significantly higher as compared to group-I(p<0.001). Conclusion: Patients who were given Psoas compartment block were more satisfied as compared to epidural. Their VAS was significantly lower, at day one, but after one week and at the end of one month VAS/PCS was still lower in group I and it was significant. So PCB is easy to apply and it is cost effective as compare to lumbar

  4. An epidemiological study of low back pain in professional drivers

    Science.gov (United States)

    Bovenzi, Massimo; Rui, Francesca; Negro, Corrado; D'Agostin, Flavia; Angotzi, Giuliano; Bianchi, Sandra; Bramanti, Lucia; Festa, GianLuca; Gatti, Silvana; Pinto, Iole; Rondina, Livia; Stacchini, Nicola

    2006-12-01

    The prevalence of low back pain (LBP) was investigated in 598 Italian professional drivers exposed to whole-body vibration (WBV) and ergonomic risk factors (drivers of earth moving machines, fork-lift truck drivers, truck drivers, bus drivers). The control group consisted of a small sample of 30 fire inspectors not exposed to WBV. Personal, occupational and health histories were collected by means of a structured questionnaire. Vibration measurements were performed on representative samples of the machines and vehicles used by the driver groups. From the vibration magnitudes and exposure durations, alternative measures of vibration dose were estimated for each subject. Daily vibration exposure, expressed in terms of 8-h energy-equivalent frequency-weighted acceleration, A(8), averaged 0.28-0.61 (range 0.10-1.18) m s -2 rms in the driver groups. Duration of exposure to WBV ranged between 1 and 41 years. The 7-day and 12-month prevalence of LBP was greater in the driver groups than in the controls. In the professional drivers, the occurrence of 12-month LBP, high intensity of LBP (Von Korff pain scale score ⩾5), and LBP disability (Roland & Morris disability scale score ⩾12) significantly increased with increasing cumulative vibration exposure. Even though several alternative measures of vibration exposure were associated with LBP outcomes, nevertheless a more regular trend of association with LBP was found for vibration dose expressed as ∑ a vit i (m s -2 h), in which the frequency-weighted acceleration, a v, and lifetime exposure duration, t, were given equal weight. In multivariate data analysis, individual characteristics (e.g. age, body mass index) and a physical load index (derived from combining manual materials handling and awkward postures) were significantly associated with LBP outcomes, while psychosocial work factors (e.g. job decision, job support) showed a marginal relation to LBP. This study tends to confirm that professional driving in industry

  5. Is there a relationship between pain intensity and postural sway in patients with non-specific low back pain?

    Directory of Open Access Journals (Sweden)

    Fejer René

    2011-07-01

    Full Text Available Abstract Background Increased center of pressure excursions are well documented in patients suffering from non-specific low back pain, whereby the altered postural sway includes both higher mean sway velocities and larger sway area. No investigation has been conducted to evaluate a relationship between pain intensity and postural sway in adults (aged 50 or less with non-specific low back pain. Methods Seventy-seven patients with non-specific low back pain and a matching number of healthy controls were enrolled. Center of pressure parameters were measured by three static bipedal standing tasks of 90 sec duration with eyes closed in narrow stance on a firm surface. The perceived pain intensity was assessed by a numeric rating scale (NRS-11, an equal number of patients (n = 11 was enrolled per pain score. Results Generally, our results confirmed increased postural instability in pain sufferers compared to healthy controls. In addition, regression analysis revealed a significant and linear increase in postural sway with higher pain ratings for all included COP parameters. Statistically significant changes in mean sway velocity in antero-posterior and medio-lateral direction and sway area were reached with an incremental change in NRS scores of two to three points. Conclusions COP mean velocity and sway area are closely related to self-reported pain scores. This relationship may be of clinical use as an objective monitoring tool for patients under treatment or rehabilitation.

  6. Short-term prospective memory deficits in chronic back pain patients

    OpenAIRE

    Ling, Jonathan; Heffernan, Tom; Campbell, Carol; Greenough, Charles G.

    2007-01-01

    Objective: Chronic pain, particularly low back pain, is widespread. Although a great deal is known about the impact that this has on quality of life and physical activity, relatively little has been established regarding the more cognitive effects of pain. This study aims to find out whether individuals with chronic pain experience memory deficits in prospective memory (PM), the process of remembering to do things at some future point in time. Examples of PM include remembering to keep an app...

  7. AMELOTEX IN THE TREATMENT OF CHRONIC BACK PAIN SYNDROMES

    Directory of Open Access Journals (Sweden)

    Irina Yuryevna Suvorova

    2010-01-01

    Full Text Available Recently there has been a considerable increase in the number of patients with lingering recurrent and chronic pain syndromes of various origin. Forty-one patients with dorsopathies were examined. Two types of pain were identified; these were vertebrogenic and nonvertebrogenic pains. The appropriateness of this identification was confirmed by instrumental studies. Treatment was performed using a selective nonsteroidal antiinflammatory drug (Amelotex. Pain syndrome relief was noted during the therapy

  8. AMELOTEX IN THE TREATMENT OF CHRONIC BACK PAIN SYNDROMES

    Directory of Open Access Journals (Sweden)

    Irina Yuryevna Suvorova

    2010-09-01

    Full Text Available Recently there has been a considerable increase in the number of patients with lingering recurrent and chronic pain syndromes of various origin. Forty-one patients with dorsopathies were examined. Two types of pain were identified; these were vertebrogenic and nonvertebrogenic pains. The appropriateness of this identification was confirmed by instrumental studies. Treatment was performed using a selective nonsteroidal antiinflammatory drug (Amelotex. Pain syndrome relief was noted during the therapy

  9. Prevalence of Low Back Pain and its Risk Factors among School Teachers

    Directory of Open Access Journals (Sweden)

    Nurul I.A. Samad

    2010-01-01

    Full Text Available Problem statement: The objective of this study was to determine the prevalence of low back pain and the associated risk factors among primary school teachers in the Klang Valley, Malaysia. Approach: A cross sectional study was conducted in nine primary schools in the Klang Valley. The schools were selected randomly from a list obtained from the Ministry of Education. Two hundred and seventy two respondents who fulfilled the study criteria volunteered to participate in the study. A questionnaire was used to determine the demographic and occupational information. Information on low back pain was assessed using a Nordic Questionnaire, while the General Health Questionnaire was used to determine the mental health status. Results: The prevalence of low back pain was 40.4% among respondents. Lifting load (28.0% was ranked as the main factor which contributed to low back pain, followed by prolonged sitting (25.2%. Poor mental health (OR 1.11, 95% CI 1.06-1.15 was the risk factor to low back pain. Conclusion: The prevalence of low back pain was 40.4% among primary school teachers in Klang Valley. Teachers with poor mental health status had higher risk of developing low back pain.

  10. The Effects of Catastrophic Thinking about Pain on Attentional Interference by Pain: No Mediation of Negative Affectivity in Healthy Volunteers and in Patients with Low Back Pain

    OpenAIRE

    Crombez, G.; C Eccleston; Van den Broeck, A.; Van Houdenhove, B.; Goubert, L.

    2002-01-01

    BACKGROUND: Previous studies have shown that catastrophic thinking about pain enhances attentional interference in healthy volunteers.OBJECTIVE: To investigate whether the attentional effects of pain catastrophizing can be accounted for by the more general predisposition of negative affectivity.METHODS: Sixty-seven pain-free students participated in the first experiment, and 33 patients with chronic low back pain participated in the second experiment. In both experiments, participants perform...

  11. Acupuncture for Chronic Non-Specific Low Back Pain: A Case Series Study

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Objective: To evaluate the efficacy of acupuncture in treating chronic non-specific low back pain. Methods: Ten patients with chronic low back pain were selected to receive 9 acupuncture treatments over a three-week period with point selection based on syndrome differentiation in Chinese medicine. The BROM Instrument for assessment of back range of motion; subjective evaluation with Visual Analog Scale of Pain (VASP) ratings, Oswestry Disability ratings, objective measurements including Algometry, and Flexion and Extension ratings to investigate the range of motion were used for comparing the large, medium and small effect sizes of baseline, treatment and follow-up phases. Results: Clinical significance of pain relief was shown in all parameters assessed. A large effect size was detected in VASP, Oswestry and Algometry. A small effect size was demonstrated in Flexion/Extension. Needling over short period time (3 weeks) could relieve the pain, but the muscular-skeletal function measured by BROM persists. To treat patients exclusively by needling for statistical purposes can not be justified, because by merely relieving pain, permanent improvement in function may not be achieved. Conclusion: Acupuncture offers an effective alternative for the clinical management of chronic low back pain, significant improvement in most of the parameters evaluated, but the functional improvement was not as satisfactory as pain relieving. Further study with larger sample size focuses on long-term efficacy and functional improvement for chronic low back pain is recommended.

  12. State-of-the-art management of low back pain in athletes: Instructional lecture.

    Science.gov (United States)

    Sairyo, Koichi; Nagamachi, Akihiro

    2016-05-01

    In this paper, we describe "state of the art" on the diagnosis and treatment for low back pain in athletes. Lumbar motion that induces specific pain would be a clue to the exact diagnosis. In the flexion pain group, lumbar herniated nucleus pulposus is the most common disorder. Discogenic pain and type 1 Modic endplate inflammation may also cause flexion pain; however, the diagnosis is sometimes difficult. In children and adolescents, apophyseal ring fracture is prevalent. In the extension pain group, lumbar spondylolysis is very common, especially in pediatric athletes. In adults, facet pain due to overloading would be the pathology, while low back pain with trunk rotation is not common. However, throwing athletes, such as pitchers and hammer throwers, may experience this kind of pain; facet arthritis contralateral to the throwing arm would be the origin of the pain. Low back pain on lumbar lateral bending is rare, but we experienced some cases in golfers in whom type 1 Modic change at the lateral corner was the source of pain. In this article, we explained strategies for state-of-the-art diagnosis and minimally invasive treatment. PMID:26850924

  13. Low back pain predict sickness absence among power plant workers

    Science.gov (United States)

    Murtezani, Ardiana; Hundozi, Hajrije; Orovcanec, Nikola; Berisha, Merita; Meka, Vjollca

    2010-01-01

    Background: Low back pain (LBP) remains the predominant occupational health problem in most industrialized countries and low-income countries. Both work characteristics and individual factors have been identified as risk factors. More knowledge about the predictors of sickness absence from LBP in the industry will be valuable in determining strategies for prevention. Objectives: The aim of this longitudinal study was to investigate whether individual, work-related physical risk factors were involved in the occurrence of LBP sickness absence. Methods: A follow-up study was conducted among 489 workers, aged 18–65 years, at Kosovo Energetic Corporation in Kosovo. This cross-sectional study used a self-administered questionnaire to collect data on individual and work-related risk factors and the occurrence of LBP sickness absence. Logistic regression models were used to determine associations between risk factors and the occurrence of sickness absence due to LBP. Results: Individual factors did not influence sickness absence, whereas work-related physical factors showed strong associations with sickness absence. The main risk factors for sickness absence due to LBP among production workers were extreme trunk flexion (OR = 1.71, 95% CI = 1.05–2.78) as well as very extreme trunk flexion (OR = 6.04, 95% CI = 1.12–32.49) and exposure to whole-body vibration (OR = 1.75, 95% CI = 1.04–2.95). Conclusion: Reducing sickness absence from LBP among power plant workers requires focusing on the working conditions of blue-collar workers and risk factors for LBP. Increasing social support in the work environment may have effects in reducing sickness absence from LBP. PMID:21120081

  14. Low back pain predict sickness absence among power plant workers

    Directory of Open Access Journals (Sweden)

    Murtezani Ardiana

    2010-01-01

    Full Text Available Background: Low back pain (LBP remains the predominant occupational health problem in most industrialized countries and low-income countries. Both work characteristics and individual factors have been identified as risk factors. More knowledge about the predictors of sickness absence from LBP in the industry will be valuable in determining strategies for prevention. Objectives: The aim of this longitudinal study was to investigate whether individual, work-related physical risk factors were involved in the occurrence of LBP sickness absence. Methods: A follow-up study was conducted among 489 workers, aged 18-65 years, at Kosovo Energetic Corporation in Kosovo. This cross-sectional study used a self-administered questionnaire to collect data on individual and work-related risk factors and the occurrence of LBP sickness absence. Logistic regression models were used to determine associations between risk factors and the occurrence of sickness absence due to LBP. Results: Individual factors did not influence sickness absence, whereas work-related physical factors showed strong associations with sickness absence. The main risk factors for sickness absence due to LBP among production workers were extreme trunk flexion (OR = 1.71, 95% CI = 1.05-2.78 as well as very extreme trunk flexion (OR = 6.04, 95% CI = 1.12-32.49 and exposure to whole-body vibration (OR = 1.75, 95% CI = 1.04-2.95. Conclusion: Reducing sickness absence from LBP among power plant workers requires focusing on the working conditions of blue-collar workers and risk factors for LBP. Increasing social support in the work environment may have effects in reducing sickness absence from LBP.

  15. Generic Preference-based Measures for Low Back Pain

    Science.gov (United States)

    Finch, Aureliano Paolo; Dritsaki, Melina; Jommi, Claudio

    2016-01-01

    Study Design. Systematic review. Objective. This systematic review examines validity and responsiveness of three generic preference-based measures in patients with low back pain (LBP). Summary of Background Data. LBP is a very common incapacitating disease with a significant impact on health-related quality of life (HRQoL). Health state utility values can be derived from various preference-based HRQoL instruments, and among them the most widely ones are EuroQol 5 dimensions (EQ-5D), Short Form 6 Dimensions (SF-6D), and Health Utilities Index 3 (HUI III). The ability of these instruments to reflect HRQoL has been tested in various contexts, but never for LBP populations. Methods. A systematic search on electronic literature databases was undertaken to identify studies of patients with LBP where health state utility values were reported. Records were screened using a set of predefined eligibility criteria. Data on validity (correlations and known group methods) and responsiveness (effect sizes, standardized response means, tests of statistical significance) of instruments were extracted using a customized extraction template, and assessed using predefined criteria. Results. There were substantial variations in the 37 included papers identified in relation to study design and outcome measures used. EQ-5D demonstrated good convergent validity, as it was able to distinguish between known groups. EQ-5D was also able to capture changes of health states as results of different interventions. Evidence for SF-6D and HUI III was limited to allow an appropriate evaluation. Conclusion. EQ-5D performs well in LBP population and its scores seem to be suitable for economic evaluation of LBP interventions. However, the paucity of information on the other instruments makes it impossible to determine its relative validity and responsiveness compared with them. Level of Evidence: 2 PMID:26583478

  16. Low back pain among female nurses in Yemen

    Directory of Open Access Journals (Sweden)

    Khaled Ghilan

    2013-08-01

    Full Text Available Objectives: This study aimed to investigate the prevalence of Low Back Pain (LBP among female nursing staff and explore the potential risk factors associated with LBP. Methods: An analytical cross-sectional study was conducted on randomly selected female nurses using payroll as a sampling frame in all public hospitals in Sana'a City, Yemen. Data was collected through face-to-face interview using a structured, pre-coded questionnaire that was available in Arabic and English. Weight and height of the nurses were measured using weight and height scales and body mass index was calculated. Multiple logistic regression was used to identify the factors associated with LBP. Results: Out of 696 female nurses selected, 687 (98.7% responded. The life-time, the 12-month and one-week prevalence rates of LBP among female nurses were 512 (74.5%; 95% CI: 71.1-77.7%, 411 (59.8%; 95% CI: 56.0-63.5% and 249 (36.2%; 95% CI: 32.6-39.9%, respectively. The prevalence was significantly lower in Indian nurses compared to other nurses. Three out of every 10 nurses with LBP had sick leave because of LBP in the last 12 months. Factors that showed significant association with LBP among nursing staff in the multivariate analysis were age, nationality, menstrual disorders and stress level at work. Conclusion: LBP is common among female nurses in Yemen. The role of menstrual disorders in developing LBP among female nurses seems to be important. Although sharing the same working conditions, Indian nurses were less likely to report LBP, which highlight the importance of cultural differences in willingness to report LBP.

  17. Are chronic low back pain outcomes improved with co-management of concurrent depression?

    Directory of Open Access Journals (Sweden)

    Pollard Henry

    2005-06-01

    Full Text Available Abstract Objective To discuss the role of depression in chronic lower back pain and comment on appropriate methods of screening and co-management. Data Sources The current scientific literature was investigated using the online web databases CINAHL, Medline/PUBMED, Proquest, Meditext and from manual library searches. Data Extraction Databases were searched from 1980 to the present (2005. Articles were searched with the key words "depression" and "low back pain". Over three hundred articles were sourced and articles were then selected on their relevance to the chronic spinal pain states that present to manual therapy practitioners. Data synthesis Pain is a subjective awareness of peripheral nociceptive stimulation, projected from the thalamus to the cerebral cortex with each individual's pain experience being mediated by his or her psychological state. Thus a psychological component will often be associated with any painful experience. A number of studies suggest (among other things that the incidence of depression predicts chronicity in lower back pain syndromes but that chronic lower back pain does not have the reciprocal action to predict depression. Conclusion The aetiology of chronic pain is multifactorial. There is sufficient evidence in the literature to demonstrate a requirement to draw treatment options from many sources in order to achieve a favourable pain relief outcome. The treatment should be multimodal, including mental and emotional support, counseling and herbal advice. While a strong correlation between depression and chronic low back pain can be demonstrated, an apparent paucity of literature that specifically addresses the patient response to chiropractic treatment and concurrent psychotherapy identifies the need for prospective studies of this nature to be undertaken. It is likely that multimodal/multidisciplinary treatment approaches should be encouraged to deal with these chronic lower back pain syndromes.

  18. Entrapment of middle cluneal nerves as an unknown cause of low back pain.

    Science.gov (United States)

    Aota, Yoichi

    2016-03-18

    Entrapment of middle cluneal nerves induces low back pain and leg symptoms. The middle cluneal nerves can become spontaneously entrapped where this nerve pass under the long posterior sacroiliac ligament. A case of severe low back pain, which was completely treated by release of the middle cluneal nerve, was presented. Entrapment of middle cluneal nerves is possibly underdiagnosed cause of low-back and/or leg symptoms. Spinal surgeons should be aware of this clinical entity and avoid unnecessary spinal surgeries and sacroiliac fusion. This paper is to draw attention by pain clinicians in this unrecognized etiology. PMID:27004164

  19. Post-Flight Back Pain Following International Space Station Missions: Evaluation of Spaceflight Risk Factors

    Science.gov (United States)

    Laughlin, Mitzi S.; Murray, Jocelyn D.; Wear, Mary L.; Van Baalen, Mary

    2016-01-01

    Back pain during spaceflight has often been attributed to the lengthening of the spinal column due to the absence of gravity during both short and long-duration missions. Upon landing and re-adaptation to gravity, the spinal column reverts back to its original length thereby causing some individuals to experience pain and muscular spasms, while others experience no ill effects. With International Space Station (ISS) missions, cases of back pain and injury are more common post-flight, but little is known about the potential risk factors.

  20. Psychosocial risks for low back pain: are these related to work?

    OpenAIRE

    Papageorgiou, A.; Croft, P.; Thomas, E.; Silman, A.; Macfarlane, G

    1998-01-01

    OBJECTIVES—To examine whether psychosocial risks for low back pain, reported in previous studies, are specific to the working population or are more widely relevant.
METHODS—A large population-based survey identified subjects free of low back pain, and obtained information on the degree of satisfaction with work (or not working) and the adequacy of income for their family's needs. New episodes of consulting and non-consulting low back pain were identified prospectively over 12 months. The psy...

  1. Cost-effectiveness of general practice care for low back pain: a systematic review

    OpenAIRE

    Lin, C.; De Haas, M; Maher, C. G.; Machado, L.A.C.; Tulder, van, R.J.M.

    2011-01-01

    Care from a general practitioner (GP) is one of the most frequently utilised healthcare services for people with low back pain and only a small proportion of those with low back pain who seek care from a GP are referred to other services. The aim of this systematic review was to evaluate the evidence on cost-effectiveness of GP care in non-specific low back pain. We searched clinical and economic electronic databases, and the reference list of relevant systematic reviews and included studies ...

  2. Effect of back school protocol on the referral rate of patients with low back pain to an industrial physiotherapy clinic

    Directory of Open Access Journals (Sweden)

    D. O. Odebiyi

    2006-02-01

    Full Text Available Back schools are educational programmes originally developed in a work place (Volvo factory in Sweden for patients with back pain, to enable them to manage their own back problems better. ‘Back school’ was originally aimed at modifying the behaviours of patients with low back pain (LBP, with the view to prevent relapses. In an effort to encourage and stimulate the use of ‘back school’ among health workers in Nigeria, this study was designed to evaluate the efficacy of a back school protocol in a Soap Making Industry in Lagos, Nigeria. One hundred and ten (110 workers of a Soap Making Industry in Lagos, Nigeria,  participated in this study. A pre-test, post-test experimental design was employed. The participants were divided into two groups - office workers and factory workers for the purpose of the training in the content of the back school protocol. The ‘back school’ consisted of classroom teaching and the use of two videotapes titled “lifting technique” and “back pain”. Data on demographic information, knowledge of back structures and back care were collected using a questionnaire with closed ended questions, which was completed before, immediately after and 8 weeks after the administrations of the contents of the back school protocol (Akinpelu and Odebiyi, 2004. The records of the factory’s clinic were also reviewed for the 12-months before and 12 months after the study. The mean values of the participants’ age, height, weight and body mass index (BMI were 36.60 ± 9.10 years, 1.65 ± 0.10 m,69.13 ± 7.70 kg and 25.40 ± 3.30 kg/m2 respectively. The results showed that the 12-months prevalence of low back pain (LBP among the workers was 71%. The result also showed that over 50% of the participants never had any  information or lesson on back care, and those that had some form of information obtained it by chance. There was 23% reduction in referral for care of back pain 12 months after the administration of the back

  3. The Efficacy of a Perceptive Rehabilitation on Postural Control in Patients with Chronic Nonspecific Low Back Pain

    Science.gov (United States)

    Paolucci, Teresa; Fusco, Augusto; Iosa, Marco; Grasso, Maria R.; Spadini, Ennio; Paolucci, Stefano; Saraceni, Vincenzo M.; Morone, Giovanni

    2012-01-01

    Patients with chronic low back pain have a worse posture, probably related to poor control of the back muscles and altered perception of the trunk midline. The aim of this study was to evaluate the efficacy of a perceptive rehabilitation in terms of stability and pain relief in patients with chronic nonspecific low back pain. Thirty patients were…

  4. Time to Talk: 5 Things To Know About Chronic Low-Back Pain and Complementary Health Practices

    Science.gov (United States)

    ... Z 5 Things To Know About Chronic Low-Back Pain and Complementary Health Practices Share: Low-back pain is a very common condition, but often the cause is unknown. Most people have significant acute back pain at least once in their lives. Usually it ...

  5. Radiofrequency denervation of lumbar facet joints in the treatment of chronic low back pain

    OpenAIRE

    Radoš, Ivan; Elezović, Neven

    2015-01-01

    Low back pain is the most common pain syndrome and a global health burden. The etiology in most cases is multifactorial and the facet joints can be a source of low back pain. The facet joint is innervated by the medial branch of the dorsal ramus of the spinal nerve. Facet joint disturbances can be responsible for 10% to 50% of all cases of chronic lumbar pain. In the absence of predictive clinical or radiologic findings, nerve blocks are considered to be the best way of diagnosing presumed...

  6. Yoga attitudes in chronic low back pain: Roles of catastrophizing and fear of movement.

    Science.gov (United States)

    Combs, Martha A; Thorn, Beverly E

    2015-08-01

    Chronic low back pain is a significant public health problem and, although underused, yoga may be an effective complementary treatment. The current study examined associations of pain catastrophizing and fear of movement with attitudes toward yoga in adults with chronic low back pain. Participants completed three quantitative questionnaires assessing specific constructs: beliefs about yoga, fear of movement, and pain catastrophizing. A semi-structured in-person interview was then conducted to obtain specific pain-related information. Hierarchical regression and mediational analyses were used to test hypotheses. Consistent with the fear-avoidance model of chronic pain, catastrophizing and fear of movement were negatively associated with yoga attitudes. Specifically, fear of movement was a mediator between catastrophizing and attitudes toward yoga. Individuals with higher levels of catastrophizing and fear of movement may be less likely to consider a pain treatment involving physical movement. PMID:26256134

  7. Neck and Back Pain Prevalence in Workers of Iranian Steel industries at 2015

    Directory of Open Access Journals (Sweden)

    Mohammad Hassan Nassir- Kashani

    2016-02-01

    Full Text Available Work related musculoskeletal disorders (WMSDs are considered as the main cause of occupational complications and disability in developing countries. In Iranian steel companies, workers commonly are directly involved in the production process and physical activities such as manual material handling and awkward postures. Present study was performed for assessment of neck and back pain prevalence among workers of four Iranian steel industries. Study participants in our cross sectional study, were randomly selected from workers of four Iranian steel industries. Data of neck and back pain were gathered by Nordic questionnaire. Logistic regression was used for controlling confounding variables and determining independent predictors of neck and back pain among study workers. Among study workers, prevalence of neck and back pain in a recent year were 18.40% and 13.90% respectively. Age (p≤0.02 and job experience (p≤0.00 had significant association with neck pain. Age, sex, BMI, and job duration were not known as an independent predictor of neck or back pain. Neck and back pain prevalence in steel industries were happened whit higher rate compared to most of other countries. Next studies will suggest for determining work related risk factors of WMSDs in workers and designing preventive strategies.

  8. Mechanisms of low back pain: a guide for diagnosis and therapy

    Science.gov (United States)

    Allegri, Massimo; Montella, Silvana; Salici, Fabiana; Valente, Adriana; Marchesini, Maurizio; Compagnone, Christian; Baciarello, Marco; Manferdini, Maria Elena; Fanelli, Guido

    2016-01-01

    Chronic low back pain (CLBP) is a chronic pain syndrome in the lower back region, lasting for at least 3 months. CLBP represents the second leading cause of disability worldwide being a major welfare and economic problem. The prevalence of CLBP in adults has increased more than 100% in the last decade and continues to increase dramatically in the aging population, affecting both men and women in all ethnic groups, with a significant impact on functional capacity and occupational activities. It can also be influenced by psychological factors, such as stress, depression and/or anxiety. Given this complexity, the diagnostic evaluation of patients with CLBP can be very challenging and requires complex clinical decision-making. Answering the question “what is the pain generator” among the several structures potentially involved in CLBP is a key factor in the management of these patients, since a mis-diagnosis can generate therapeutical mistakes. Traditionally, the notion that the etiology of 80% to 90% of LBP cases is unknown has been mistaken perpetuated across decades. In most cases, low back pain can be attributed to specific pain generator, with its own characteristics and with different therapeutical opportunity. Here we discuss about radicular pain, facet Joint pain, sacro-iliac pain, pain related to lumbar stenosis, discogenic pain. Our article aims to offer to the clinicians a simple guidance to identify pain generators in a safer and faster way, relying a correct diagnosis and further therapeutical approach.

  9. Mechanisms-based classifications of musculoskeletal pain: part 2 of 3: symptoms and signs of peripheral neuropathic pain in patients with low back (± leg) pain.

    LENUS (Irish Health Repository)

    Smart, Keith M

    2012-08-01

    As a mechanisms-based classification of pain \\'peripheral neuropathic pain\\' (PNP) refers to pain arising from a primary lesion or dysfunction in the peripheral nervous system. Symptoms and signs associated with an assumed dominance of PNP in patients attending for physiotherapy have not been extensively studied. The purpose of this study was to identify symptoms and signs associated with a clinical classification of PNP in patients with low back (± leg) pain. Using a cross-sectional, between-subjects design; four hundred and sixty-four patients with low back (± leg) pain were assessed using a standardised assessment protocol. Patients\\' pain was assigned a mechanisms-based classification based on experienced clinical judgement. Clinicians then completed a clinical criteria checklist specifying the presence or absence of various clinical criteria. A binary logistic regression analysis with Bayesian model averaging identified a cluster of two symptoms and one sign predictive of PNP, including: \\'Pain referred in a dermatomal or cutaneous distribution\\

  10. Mechanisms-based classifications of musculoskeletal pain: part 3 of 3: symptoms and signs of nociceptive pain in patients with low back (± leg) pain.

    LENUS (Irish Health Repository)

    Smart, Keith M

    2012-08-01

    As a mechanisms-based classification of pain \\'nociceptive pain\\' (NP) refers to pain attributable to the activation of the peripheral receptive terminals of primary afferent neurones in response to noxious chemical, mechanical or thermal stimuli. The symptoms and signs associated with clinical classifications of NP have not been extensively studied. The purpose of this study was to identify symptoms and signs associated with a clinical classification of NP in patients with low back (± leg) pain. Using a cross-sectional, between-subjects design; four hundred and sixty-four patients with low back (± leg) pain were assessed using a standardised assessment protocol after which their pain was assigned a mechanisms-based classification based on experienced clinical judgement. Clinicians then completed a clinical criteria checklist indicating the presence\\/absence of various symptoms and signs. A regression analysis identified a cluster of seven clinical criteria predictive of NP, including: \\'Pain localised to the area of injury\\/dysfunction\\

  11. Back pain in adults living in quilombola territories of Bahia, Northeastern Brazil

    Directory of Open Access Journals (Sweden)

    Luis Rogério Cosme Silva Santos

    2014-10-01

    Full Text Available OBJECTIVE To analyze the factors associated with back pain in adults who live in quilombola territories. METHODS A population-based survey was performed on quilombola communities of Vitória da Conquista, state of Bahia, Northeastern Brazil. The sample (n = 750 was established via a raffle of residences. Semi-structured interviews were conducted to investigate sociodemographics and employment characteristics, lifestyle, and health conditions. The outcome was analyzed as a dichotomous variable (Poisson regression. RESULTS The prevalence of back pain was of 39.3%. Age ≥ 30 years and being a smoker were associated with the outcome. The employment status was not related to back pain. CONCLUSIONS The survey identified a high prevalence of back pain in adults. It is suggested to support the restructuring of the local public service in order to outline programs and access to healthy practices, assistance, diagnosis, and treatment of spine problems.

  12. Psychological Disturbance and Life Event Differences Among Patients With Low Back Pain.

    Science.gov (United States)

    Leavitt, Frank; And Others

    1980-01-01

    Results of this study emphasized the importance of considering psychological disturbance in assessing functional components of low back pain. Psychologically disturbed patients had higher life-event scores regardless of organic pathology. (Author/BEF)

  13. Prevalence of low back pain among peasant farmers in a rural community in South West Nigeria.

    Science.gov (United States)

    Fabunmi, A A; Aba, S O; Odunaiya, N A

    2005-09-01

    This study is a survey conducted in Iju-Odo rural community of Ondo State in South West Nigeria to determine the prevalence and risk factors for low back pain amongst peasant farmers. Five hundred peasant farmers were selected using a multi-stage sampling technique. A questionnaire was administered which sought information on demographic characteristics, presence of low back pain in the last 12 months prior to the time of the study and the duration, severity of low back pain and its effect on farming activity. The five hundred peasant farmers that participated in this study were 276 men (55.2%) and 224 women (44.8%). Three hundred and sixty two peasant farmers (72.4% of the population) had low back pain in the last 12 months prior to the time of this study, of which two hundred and three (73.5%) were males and one hundred and fifty nine (71.0%) were females peasant farmers having low back pain. The nature of onset of low back pain was that of gradual onset in 57.5%. One hundred and eighty-eight (51.9%) respondents indicated that low back pain reduced their farming workload, while one hundred and twenty four (34.3%) respondents were prevented from going to farm because they could not walk, resulting in 675 work days being lost by one hundred and twenty one (24.2%) peasant farmers in the last one-year with a mean of 5.6 days lost. This study concluded that low back pain prevalence is high among peasant farmers, with higher prevalence in males compared with females (P<0.05). The prevalence also increased with age (P<0.05). Years of farming was found to have a significant influence on the prevalence of low back pain (P<0.05) with prevalence of low back pain increasing as years of farming increases. Low back pain was found to be a cause of work absenteeism in this working population. PMID:16749358

  14. Back pain in Duchenne muscular dystrophy: steroids are not always the culprit.

    Science.gov (United States)

    Segal, Lee S; Odgers, Ryan; Carpentieri, David; Shrader, M Wade

    2016-01-01

    We report on a child with Duchenne muscular dystrophy on prolonged corticosteroid treatment who presented with back pain and was subsequently found to have a monostotic fibrous dysplasia lesion of the spine. It is the intent of this case report to emphasize the need to maintain a high index of suspicion for other potential causes of back pain in Duchenne muscular dystrophy besides vertebral compression fractures. PMID:25714938

  15. The association between isoinertial trunk muscle performance and low back pain in male adolescents

    OpenAIRE

    Balagué, Federico; Bibbo, Evelyne; Mélot, Christian; Szpalski, Marek; Gunzburg, Robert; Keller, Tony S.

    2009-01-01

    The literature reports inconsistent findings regarding the association between low back pain (LBP) and trunk muscle function, in both adults and children. The strength of the relationship appears to be influenced by how LBP is qualified and the means by which muscle function is measured. The aim of this study was to examine the association between isoinertial trunk muscle performance and consequential (non-trivial) low back pain (LBP) in male adolescents. Healthy male adolescents underwent an...

  16. Documentation of Red Flags by Physical Therapists for Patients with Low Back Pain

    OpenAIRE

    Leerar, Pamela J.; Boissonnault, William; Domholdt, Elizabeth; Roddey, Toni

    2007-01-01

    The comprehensiveness of physical therapists' adherence to the guidelines for red flag documentation for patients with low back pain has not previously been described. Therefore, the purpose of this study was to describe that comprehensiveness. Red flags are warning signs that suggest that physician referral may be warranted. Clinic charts for 160 patients with low back pain seen at 6 outpatient physical therapy clinics were retrospectively reviewed, noting the presence or absence of 11 red f...

  17. Static and dynamic postural stability in subjects with and without chronic low back pain

    OpenAIRE

    Heta Haresh Thakkar; Senthil Kumar E

    2015-01-01

    Background: The present study were undertaken to compare the static and dynamic postural stability among chronic low back pain and normal subjects. Most of the studies have been conducted on sports professionals. The present study focuses on recreationally active population, for which the activity levels are comparatively lesser. Methods: Thirty subjects (15 Chronic Low back Pain and 15 Normal subjects) were recruited randomly who's demographic are not varied. The static and dynamic postur...

  18. Comparison between Epidural Block vs. High Intensity Laser Therapy for Controlling Chronic Low Back Pain

    OpenAIRE

    Badiozaman Radpay; Mahtab Poorzamany Nejat Kermany; Mastneh Dahi-Taleghani

    2016-01-01

    Background: Chronic low back pain is among a wide spread musculoskeletal conditions that is related to disability with high economy cost. There are several treatment modalities for controlling chronic low back pain (CLBP), among them high intensity laser therapy (HILT) and epidural blocks (EB) use more commonly. This study aimed to evaluate the benefits and hazards of each of these two methods.Materials and Methods: We designed a randomized controlled double blind study during 24 months.101 p...

  19. Motor control or graded activity exercises for chronic low back pain? A randomised controlled trial

    OpenAIRE

    McAuley James H; Tonkin Lois; Nicholas Michael; Hodges Paul W; Maher Chris G; Latimer Jane; Macedo Luciana G; Stafford Ryan

    2008-01-01

    Abstract Background Chronic low back pain remains a major health problem in Australia and around the world. Unfortunately the majority of treatments for this condition produce small effects because not all patients respond to each treatment. It appears that only 25–50% of patients respond to exercise. The two most popular types of exercise for low back pain are graded activity and motor control exercises. At present however, there are no guidelines to help clinicians select the best treatment...

  20. Development of disease-specific quality indicators for danish chiropractic patients with low back pain

    DEFF Research Database (Denmark)

    Sorensen, Line P; Krog, Birgitte R; Kongsted, Alice; Bronfort, Gert; Hartvigsen, Jan

    2011-01-01

    The purpose of this study is to develop disease-specific quality indicators for Danish chiropractic patients with low back pain (LBP) as an initial effort to include chiropractors in the Danish Health Care Quality Programme.......The purpose of this study is to develop disease-specific quality indicators for Danish chiropractic patients with low back pain (LBP) as an initial effort to include chiropractors in the Danish Health Care Quality Programme....

  1. Effect of changing the saddle angle on the incidence of low back pain in recreational bicyclists

    OpenAIRE

    Salai, M; Brosh, T.; Blankstein, A.; Oran, A.; Chechik, A.

    1999-01-01

    OBJECTIVE: According to the literature, 30-70% of cyclists suffer from cervical, dorsal, or lumbar back pain. This study was conducted to evaluate one of the possible causes of low back pain and to suggest a solution by appropriate adjustments to the bicycle. METHODS: Serial fluoroscopic studies were performed while cyclists sat on different types of bicycle (sports, mountain, and city). Pelvic/spine angles were measured at different seat angles, and the related force vectors analysed. ...

  2. Physiotherapy for sleep disturbance in chronic low back pain: a feasibility randomised controlled trial

    OpenAIRE

    van Mechelen Willem; Tully Mark A; Guerin Suzanne; Lonsdale Chris; Kelly Clare; O'Donoghue Grainne; Eadie Jennifer; Hurley Deirdre A; McDonough Suzanne M; Boreham Colin AG; Heneghan Conor; Daly Leslie

    2010-01-01

    Abstract Background Sleep disturbance is becoming increasingly recognised as a clinically important symptom in people with chronic low back pain (CLBP, low back pain >12 weeks), associated with physical inactivity and depression. Current research and international clinical guidelines recommend people with CLBP assume a physically active role in their recovery to prevent chronicity, but the high prevalence of sleep disturbance in this population may be unknowingly limiting their ability to par...

  3. Mesotherapy versus Systemic Therapy in the Treatment of Acute Low Back Pain: A Randomized Trial

    OpenAIRE

    Gabriella Coruzzi; Emilio Marangio; Cosimo Costantino

    2010-01-01

    Pharmacological therapy of back pain with analgesics and anti-inflammatory drugs is frequently associated with adverse effects, particularly in the elderly. Aim of this study was to compare mesotherapic versus conventional systemic administration of nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids in patients with acute low back pain. Eighty-four patients were randomized to receive anti-inflammatory therapy according to the following protocols: (a) mesotherapy group received ...

  4. Systematic reviews of bed rest and advice to stay active for acute low back pain.

    OpenAIRE

    Waddell, G; Feder, G; Lewis, M.

    1997-01-01

    BACKGROUND: In the United Kingdom (UK), 9% of adults consult their doctor annually with back pain. The treatment recommendations are based on orthopaedic teaching, but the current management is causing increasing dissatisfaction. Many general practitioners (GPs) are confused about what constitutes effective advice. AIM: To review all randomized controlled trials of bed rest and of medical advice to stay active for acute back pain. METHOD: A systematic review based on a search of MEDLINE and E...

  5. Screening for malignancy in low back pain patients: a systematic review

    OpenAIRE

    Henschke, Nicholas; Christopher G. Maher; Refshauge, Kathryn M

    2007-01-01

    To describe the accuracy of clinical features and tests used to screen for malignancy in patients with low back pain. A systematic review was performed on all available records on MEDLINE, EMBASE, and CINAHL electronic databases. Studies were considered eligible if they investigated a cohort of low back pain patients, used an appropriate reference standard, and reported sufficient data on the diagnostic accuracy of tests. Two authors independently assessed methodological quality and extracted...

  6. Imperfect placebos are common in low back pain trials: a systematic review of the literature

    OpenAIRE

    Machado, L.A.C.; Kamper, S. J.; Herbert, R. D.; Maher, C. G.; McAuley, J. H.

    2008-01-01

    The placebo is an important tool to blind patients to treatment allocation and therefore minimise some sources of bias in clinical trials. However, placebos that are improperly designed or implemented may introduce bias into trials. The purpose of this systematic review was to evaluate the adequacy of placebo interventions used in low back pain trials. Electronic databases were searched systematically for randomised placebo-controlled trials of conservative interventions for low back pain. Tr...

  7. Low back pain in cycling: does it matter how you sit?

    OpenAIRE

    Van Hoof, Wannes; Volkaerts, Koen; O'Sullivan, Kieran; Malfait, Bart; Verschueren, Sabine; Dankaerts, Wim

    2014-01-01

    BACKGROUND: Low Back Pain (LBP) is a common problem among cyclists, although studies investigating LBP during cycling are scarce. Most studies have focused on LBP and geometric bike-related variables. Until now no cycling field studies have investigated the relationship between maladaptive lumbar kinematics and LBP during cycling. OBJECTIVE: To examine lower lumbar kinematics in cyclists with and without non-specific chronic low back pain (NSCLBP). DESIGN: Cross-sectional cycling field study....

  8. Low Back Pain Prevalence and Associated Factors in Iranian Population: Findings from the National Health Survey

    OpenAIRE

    Akbar Biglarian; Behjat Seifi; Enayatollah Bakhshi; Kazem Mohammad; Mehdi Rahgozar; Masoud Karimlou; Sara Serahati

    2012-01-01

    Background. There are very few studies that had a sample size sufficient to explore the association between factors related to low back pain in a representative sample of the Iranian population. Objective. To examine the relationship between sociodemographic factors, smoking, obesity, and low back pain in Iranian people. Methods. We used Iranian adults respondents (n = 25307) from the National Health Survey. Adjusted odds ratios and 95% confidence intervals were estimated by using logistic re...

  9. Differences in the Association between Depression and Opioid Misuse in Chronic Low Back Pain versus Chronic Pain at Other Locations.

    Science.gov (United States)

    Jaiswal, Arpana; Scherrer, Jeffrey F; Salas, Joanne; van den Berk-Clark, Carissa; Fernando, Sheran; Herndon, Christopher M

    2016-01-01

    Patients with chronic pain and depression are more likely to develop opioid abuse compared to patients without depression. It is not known if this association differs by pain location. We compared the strength of association between depression and opioid misuse in patients with chronic low back pain (CLBP) vs. chronic pain of other location (CPOL). Chart abstracted data was obtained from 166 patients seeking care in a family medicine clinic. Depression was measured by the PHQ-9 and opioid misuse was measured using the Current Opioid Misuse Measure. Pain severity and interference questions came from the Brief Pain Inventory. Cross-tabulations were computed to measure the association between depression and opioid misuse stratified on pain location. Exploratory logistic regression modeled the association between depression and opioid misuse after adjusting for pain location and pain severity and interference. Depression was significantly associated with opioid misuse in CPOL but not in CLBP. Regression results indicate pain interference partly accounts for the depression-opioid misuse association. These preliminary results from a small patient sample suggest depression may co-occur with opioid misuse more often in CPOL than in CLBP. Further research is needed to compare this comorbidity in specific pain diagnoses such as arthritis, fibromyalgia and CLBP. PMID:27417622

  10. Differences in the Association between Depression and Opioid Misuse in Chronic Low Back Pain versus Chronic Pain at Other Locations

    Directory of Open Access Journals (Sweden)

    Arpana Jaiswal

    2016-06-01

    Full Text Available Patients with chronic pain and depression are more likely to develop opioid abuse compared to patients without depression. It is not known if this association differs by pain location. We compared the strength of association between depression and opioid misuse in patients with chronic low back pain (CLBP vs. chronic pain of other location (CPOL. Chart abstracted data was obtained from 166 patients seeking care in a family medicine clinic. Depression was measured by the PHQ-9 and opioid misuse was measured using the Current Opioid Misuse Measure. Pain severity and interference questions came from the Brief Pain Inventory. Cross-tabulations were computed to measure the association between depression and opioid misuse stratified on pain location. Exploratory logistic regression modeled the association between depression and opioid misuse after adjusting for pain location and pain severity and interference. Depression was significantly associated with opioid misuse in CPOL but not in CLBP. Regression results indicate pain interference partly accounts for the depression–opioid misuse association. These preliminary results from a small patient sample suggest depression may co-occur with opioid misuse more often in CPOL than in CLBP. Further research is needed to compare this comorbidity in specific pain diagnoses such as arthritis, fibromyalgia and CLBP.

  11. Work Posture and Back Pain Evaluation in a Malaysian Food Manufacturing Company

    Directory of Open Access Journals (Sweden)

    Baba M. Deros

    2010-01-01

    Full Text Available Problem statement: A cross-sectional study was conducted among workers at a processed food manufacturer in Malaysia. The main objective of the study was to determine the prevalence of back pain among workers who perform manual material handling. In addition, the study also investigated the effectiveness of the interventions provided by the employer to reduce the risk of back pain. Approach: A total of 60 workers had participated in the study. Socio-demographic information and back pain symptoms were obtained using Standardized Nordic Questionnaire (SNQ for analysis of musculoskeletal Symptoms. WinOWAS software was used to identify the respondent's working posture. Results: Study results showed that lifting posture contributed the highest percentage of upper extremities back pain (45% and lower extremities back pain (80%. There was a significant relationship at level p≤0.05 for posture working repeatedly and lifting weight above head level. The interventions provided by the employer showed 82% of the respondents gave a positive feedback for training provided. As for personal protective equipment and mechanical aid, both showed positive results at 84.61 and 100% respectively. Chi-square analysis results showed, respondents' age has significant effect on standing posture for 10 min (pConclusion: The study suggested that all manual handling activities should be replaced with mechanical aids to reduce prevalence of back pain.

  12. Improvement in chronic low back pain in an obese patient with topiramate use.

    Science.gov (United States)

    Gupta, Anita; Kulkarni, Archana; Ramanujam, Vendhan; Zheng, Lu; Treacy, Erin

    2015-06-01

    The objective of this study was to demonstrate efficacy, benefit, and potential use of topiramate in treating obese patients with chronic low back pain. This is a case report from an outpatient academic pain multidisciplinary clinical center. The patient was a 30-year-old morbidly obese (body mass index [BMI]: 61.4 kg/m(2)) female suffering from chronic low back pain. With a known association between obesity and chronic low back pain, and a possible role of topiramate in treating both simultaneously, the patient was started on a therapeutic trial of topiramate. Over a period of a 12-week topiramate therapy, the patient experienced clinically meaningful and significant weight loss as well as improvement in her chronic low back pain and functionality. With more substantial evidence, pain physicians may start considering using topiramate in the multimodal management of obesity-related chronic low back pain based on their thoughtful consideration of the drug's efficacy and side effects and the patient's comorbidities and preferences. PMID:26095484

  13. Systematic reviews of bed rest and advice to stay active for acute low back pain.

    Science.gov (United States)

    Waddell, G; Feder, G; Lewis, M

    1997-01-01

    BACKGROUND: In the United Kingdom (UK), 9% of adults consult their doctor annually with back pain. The treatment recommendations are based on orthopaedic teaching, but the current management is causing increasing dissatisfaction. Many general practitioners (GPs) are confused about what constitutes effective advice. AIM: To review all randomized controlled trials of bed rest and of medical advice to stay active for acute back pain. METHOD: A systematic review based on a search of MEDLINE and EMBASE from 1966 to April 1996 with complete citation tracking for randomized controlled trials of bed rest or medical advice to stay active and continue ordinary daily activities. The inclusion criteria were: primary care setting, patients with low back pain of up to 3 months duration, and patient-centred outcomes (rate of recovery from the acute attack, relief of pain, restoration of function, satisfaction with treatment, days off work and return to work, development of chronic pain and disability, recurrent attacks, and further health care use). RESULTS: Ten trials of bed rest and eight trials of advice to stay active were identified. Consistent findings showed that bed rest is not an effective treatment for acute low back pain but may delay recovery. Advice to stay active and to continue ordinary activities results in a faster return to work, less chronic disability, and fewer recurrent problems. CONCLUSION: A simple but fundamental change from the traditional prescription of bed rest to positive advice about staying active could improve clinical outcomes and reduce the personal and social impact of back pain. PMID:9474831

  14. Lumbar facet syndrome - Lumbar facet joint injection and low back pain

    International Nuclear Information System (INIS)

    The authors conducted a retrospective study lo evaluate the effectiveness of injection therapy in the lumbar zygapophysial joints with anesthetics and steroids in patients with persisting low back pain and lumbar facer syndrome. Thirty-seven patients with low back pain who reported immediate relief of their pain after controlled blocks into the facet joints between the fourth and fifth lumbar vertebrae and the fifth lumbar and first sacral vertebrae were evaluated. Outcome was evaluated using the visual analog pain scales. All outcome measures were repeated at eight days and six weeks alter controlled injection. At six-week follow-up examination 83,7% of thirty-seven patients experienced a good response to controlled blocks of the lumbar zygaphyseal (facet) joints. Good result is the pain relief of 50% or more. Fifteen patients experienced a good response with pain relief of eight points or more in the VAS

  15. Minimally Invasive Microendoscopic Resection of the Transverse Process for Treatment of Low Back Pain with Bertolotti’s Syndrome

    Directory of Open Access Journals (Sweden)

    Yoichiro Takata

    2014-01-01

    Full Text Available Bertolotti’s syndrome is characterized by anomalous enlargement of the transverse process of the most caudal lumbar segment, causing chronic and persistent low back pain or sciatica. We describe the case of a 45-year-old woman who presented with left sciatic pain and low back pain due to a recurrent lumbar disc herniation at L4-5 with Bertolotti’s syndrome. Selective L5 nerve root block and local injection of lidocaine into the articulation between the transverse process and sacral ala temporarily relieved the left sciatic pain and low back pain, respectively. To confirm the effect of local injection on low back pain, we gave a second local injection, which once again relieved the low back pain. Microendoscopic resection of the pseudoarticulation region and discectomy successfully relieved all symptoms. This report illustrates the effectiveness of minimally invasive resection of the transverse process for the treatment of low back pain with Bertolotti’s syndrome.

  16. National survey of back & neck pain amongst consultant ophthalmologists in the United Kingdom.

    Science.gov (United States)

    Hyer, Jonathan N; Lee, Richard M; Chowdhury, Haziq R; Smith, Henry B; Dhital, Anish; Khandwala, Mona

    2015-12-01

    Repetitive tasks, awkward or prolonged working postures, and high cognitive load are risk factors for occupational musculoskeletal disorders. Ophthalmologists may be vulnerable given that they are exposed to a combination of these factors. This national study assesses the prevalence, severity and associations of back and neck pain amongst UK consultant ophthalmologists. A postal survey was conducted using addresses supplied by the Royal College of Ophthalmologists. Statistical analysis was performed using Pearson correlation coefficient, two-tailed probability testing, analysis of variance (ANOVA) and Dunn's multiple comparison test. 518 responses were received (50.3 % response rate). Back and neck pain were reported by 50.6 % (262/518) and 31.8 % (165/518) of respondents, respectively, with 62.4 % (323/518) reporting one or both. 33.6 % (174/518) reported pain whilst operating, of whom 78.7 % (137/174) found operating exacerbated their pain. 31.7 % (164/518) reported pain when using the slit lamp, of whom 71.3 % (117/164) found it exacerbated their pain. Individual subspecialties showed a significant relative risk of back or neck pain in some circumstances, when compared to ophthalmologists as a whole. Occupational back and neck pain remains a problem amongst ophthalmologists. Recommendations are made for modifications to the working environment, and consideration should be given to improving education for trainees. PMID:25609503

  17. Physical examination for lumbar radiculopathy due to disc herniation in patients with low-back pain.

    NARCIS (Netherlands)

    Windt, D.A.W.M. van der; Simons, E.; Riphagen, I.I.; Ammendolia, C.; Verhangen, A.P.; Laslett, M.; Devillé, W.; Deyo, R.A.; Bouter, L.M.; Vet, H.C.W. de; Aertgeerts, B.

    2010-01-01

    Background: Low-back pain with leg pain (sciatica) may be caused by a herniated intervertebral disc exerting pressure on the nerve root. Most patients will respond to conservative treatment, but in carefully selected patients, surgical discectomy may provide faster relief of symptoms. Primary care c

  18. Physical examination for lumbar radiculopathy due to disc herniation in patients with low-back pain

    NARCIS (Netherlands)

    D.A.W.M. van der Windt; E. Simons; I.I. Riphagen; C. Ammendolia; A.P. Verhagen; M. Laslett; W. Devillé; R.A. Deyo; L.M. Bouter; H.C.W. de Vet; B. Aertgeerts

    2010-01-01

    Background Low-back pain with leg pain (sciatica) may be caused by a herniated intervertebral disc exerting pressure on the nerve root. Most patients will respond to conservative treatment, but in carefully selected patients, surgical discectomy may provide faster relief of symptoms. Primary care cl

  19. Effectiveness of Behavioral Therapy for Chronic Low Back Pain: A Component Analysis.

    Science.gov (United States)

    Turner, Judith A.; And Others

    1990-01-01

    Evaluated effects of group behavioral therapy including aerobic exercise, behavioral therapy alone, and aerobic exercise alone on pain and physical and psychological disability among mildly disabled chronic low-back-pain patients (n=96). The combined behavioral therapy and exercise group improved significantly more pretreatment to posttreatment…

  20. Fear of Movement Is Related to Trunk Stiffness in Low Back Pain.

    NARCIS (Netherlands)

    Karayannis, N.V.; Smeets, R.J.P.; Hoorn, W. van den; Hodges, P.W.

    2013-01-01

    BACKGROUND: Psychological features have been related to trunk muscle activation patterns in low back pain (LBP). We hypothesised higher pain-related fear would relate to changes in trunk mechanical properties, such as higher trunk stiffness. OBJECTIVES: To evaluate the relationship between trunk mec

  1. Value of Consensual Ratings in Differentiating Organic and Functional Low Back Pain.

    Science.gov (United States)

    Donham, Greg W.; And Others

    1984-01-01

    Evaluated 40 low back pain patients by a multidisciplinary team to identify the behavioral characteristics associated with functional and organic determinants of pain. Results indicated that behavioral observations of the orthopedists and the nursing staff revealed contrasting patterns of behavior for those patients classified as organic or…

  2. Attribution of Responsibility and Hiring Recommendations for Job Applicants with Low Back Pain.

    Science.gov (United States)

    Bordieri, James E.; And Others

    1988-01-01

    Supervisors and managers (N=108) reviewed cover letter and resume of job applicant with low back pain (source of which was systematically manipulated) and job description for simulated position. Found that, regardless of qualifications and source of injury, participants made more negative hiring recommendations for applicants with pain than for…

  3. Back pain and social isolation: Cross-sectional validation of the Friendship Scale for use in studies of low back pain

    DEFF Research Database (Denmark)

    Hawthorne, G.; de Morton, N.; Kent, P.

    2013-01-01

    Background: Low back pain (LBP) is common, and social isolation is both a risk factor for poor recovery and a consequence. However, no studies seem to have validated social isolation measures in LBP populations. Aims: This study assessed the validity of the Friendship Scale (FS), a brief measure ...

  4. The Nordic back pain subpopulation program: can low back pain patterns be predicted from the first consultation with a chiropractor? A longitudinal pilot study

    DEFF Research Database (Denmark)

    Kongsted, Alice; Leboeuf-Yde, Charlotte

    2010-01-01

    It is widely believed that non-specific low back pain (LBP) consists of a number of subgroups which should be identified in order to improve treatment effects. In order to identify subgroups, patient characteristics that relate to different outcomes are searched for. However, LBP is often fluctua...

  5. A Systematic Review of the Effects of Exercise and Physical Activity on Non-Specific Chronic Low Back Pain

    Science.gov (United States)

    Gordon, Rebecca; Bloxham, Saul

    2016-01-01

    Back pain is a major health issue in Western countries and 60%–80% of adults are likely to experience low back pain. This paper explores the impact of back pain on society and the role of physical activity for treatment of non-specific low back pain. A review of the literature was carried out using the databases SPORTDiscuss, Medline and Google Scholar. A general exercise programme that combines muscular strength, flexibility and aerobic fitness is beneficial for rehabilitation of non-specific chronic low back pain. Increasing core muscular strength can assist in supporting the lumbar spine. Improving the flexibility of the muscle-tendons and ligaments in the back increases the range of motion and assists with the patient’s functional movement. Aerobic exercise increases the blood flow and nutrients to the soft tissues in the back, improving the healing process and reducing stiffness that can result in back pain. PMID:27417610

  6. A Systematic Review of the Effects of Exercise and Physical Activity on Non-Specific Chronic Low Back Pain

    Directory of Open Access Journals (Sweden)

    Rebecca Gordon

    2016-04-01

    Full Text Available Back pain is a major health issue in Western countries and 60%–80% of adults are likely to experience low back pain. This paper explores the impact of back pain on society and the role of physical activity for treatment of non-specific low back pain. A review of the literature was carried out using the databases SPORTDiscuss, Medline and Google Scholar. A general exercise programme that combines muscular strength, flexibility and aerobic fitness is beneficial for rehabilitation of non-specific chronic low back pain. Increasing core muscular strength can assist in supporting the lumbar spine. Improving the flexibility of the muscle-tendons and ligaments in the back increases the range of motion and assists with the patient’s functional movement. Aerobic exercise increases the blood flow and nutrients to the soft tissues in the back, improving the healing process and reducing stiffness that can result in back pain.

  7. Immediate effect of Fu's subcutaneous needling for low back pain

    Institute of Scientific and Technical Information of China (English)

    FU Zhong-hua; CHEN Xin-yuan; LU Li-juan; LIN Jian; XU Jian-guo

    2006-01-01

    @@ The traditional Chinese acupuncture has been reported to alleviate pain and is widely accepted as a complement therapy for pain relief in the world.1In 1996, a novel acupuncture strategy, Fu's subcutaneous needling (FSN), was developed from the traditional Chinese acupuncture, but quite different from it.2 In FSN, needles are penetrated and swayed in the subcutaneous layer, but not the muscular layer. The choosing of its insertion points doesn't obey the principles of traditional Chinese medicine. To date, FSN has been widely used by clinicians in China for its good job in pain management though the systemic and rigorous studies are still lack.

  8. The Anti-Inflammatory Actions of Auricular Point Acupressure for Chronic Low Back Pain

    OpenAIRE

    Wei-Chun Lin; Chao Hsing Yeh; Lung-Chang Chien; Morone, Natalia E.; Glick, Ronald M.; Albers, Kathryn M.

    2015-01-01

    Background. Auricular point acupressure (APA) is a promising treatment for pain management. Few studies have investigated the physiological mechanisms of APA analgesics. Method. In this pilot randomized clinical trial (RCT), a 4-week APA treatment was used to manage chronic low back pain (CLBP). Sixty-one participants were randomized into a real APA group (n = 32) or a sham APA group (n = 29). Blood samples, pain intensity, and physical function were collected at baseline and after 4 weeks of...

  9. Effects of attention on the control of locomotion in individuals with chronic low back pain

    OpenAIRE

    Kerckhoff Frederick; Pont Menno; Stins John F; Lamoth Claudine JC; Beek Peter J

    2008-01-01

    Abstract Background People who suffer from low back pain (LBP) exhibit an abnormal gait pattern, characterized by shorter stride length, greater step width, and an impaired thorax-pelvis coordination which may undermine functional walking. As a result, gait in LBP may require stronger cognitive regulation compared to pain free subjects thereby affecting the degree of automaticity of gait control. Conversely, because chronic pain has a strong attentional component, diverting attention away fro...

  10. Harpgophytum procumbens for osteoarthritis and low back pain: A systematic review

    OpenAIRE

    Chrubasik Sigrun; Gagnier Joel J; Manheimer Eric

    2004-01-01

    Abstract Background The objective of this review is to determine the effectiveness of Harpagophytum procumbens preparations in the treatment of various forms of musculoskeletal pain. Methods Several databases and other sources were searched to identify randomized controlled trials, quasi-randomized controlled trials, and controlled clinical trials testing Harpagophytum preparations in adults suffering from pain due to osteoarthritis or low back pain. Results Given the clinical heterogeneity a...

  11. What is the effect of sensory discrimination training on chronic low back pain? A systematic review

    OpenAIRE

    Kälin, Samuel; Rausch-Osthoff, Anne-Kathrin; Bauer, Christoph Michael

    2016-01-01

    Background Sensory discrimination training (SDT) for people with chronic low back pain (CLBP) is a novel approach based on theories of the cortical reorganization of the neural system. SDT aims to reverse cortical reorganization, which is observed in chronic pain patients. SDT is still a developing therapeutic approach and its effects have not been systematically reviewed. The aim of this systematic review was to evaluate if SDT decreases pain and improves function in people with CLBP. Method...

  12. Segmental stabilizing exercises and low back pain: What is the evidence?

    OpenAIRE

    Rackwitz, Berid; Bie, Rob de; Limm, Heribert; Garnier, Katharina von; Ewert, Thomas; Stucki, Gerold

    2006-01-01

    Study design: A systematic review of randomized controlled trials. Objectives: To evaluate the effectiveness of segmental stabilizing exercises for acute, subacute and chronic low back pain with regard to pain, recurrence of pain, disability and return to work. Methods: MEDLINE, EMBASE, CINAHL, Cochrane Controlled Trials Register, PEDro and article reference lists were searched from 1988 onward. Randomized controlled trials with segmental stabilizing exercises for adult low ...

  13. Fear of Movement Is Related to Trunk Stiffness in Low Back Pain.

    OpenAIRE

    Karayannis, Nicholas V.; Smeets, Rob J. E. M.; Wolbert van den Hoorn; Paul W Hodges

    2013-01-01

    BACKGROUND: Psychological features have been related to trunk muscle activation patterns in low back pain (LBP). We hypothesised higher pain-related fear would relate to changes in trunk mechanical properties, such as higher trunk stiffness. OBJECTIVES: To evaluate the relationship between trunk mechanical properties and psychological features in people with recurrent LBP. METHODS: The relationship between pain-related fear (Tampa Scale for Kinesiophobia, TSK; Photograph Series of Daily Activ...

  14. Effectiveness of mindfulness meditation (Vipassana) in the management of chronic low back pain

    OpenAIRE

    Patil, Sangram G

    2009-01-01

    Summary Chronic low back pain (CLBP) is challenging to treat with its significant psychological and cognitive behavioural element involved. Mindfulness meditation helps alter the behavioural response in chronic pain situations. Significant body of research in the filed of mindfulness meditation comes from the work of Dr Kabat-Zinn. The current evidence in the field, though not grade one, shows that there is a place for mindfulness meditation in managing chronic pain conditions including CLBP....

  15. Physical capacity in relation to low back, neck, or shoulder pain in a working population

    NARCIS (Netherlands)

    Hamberg - Reenen, H.H. van; Ariëns, G.A.M.; Blatter, B.M.; Twisk, J.W.R.; Mechelen, W. van; Bongers, P.M.

    2006-01-01

    Aims: To investigate the longitudinal relation between physical capacity (isokinetic lifting strength, static endurance of the back, neck, and shoulder muscles, and mobility of the spine) and low back, neck, and shoulder pain. Methods: In this prospective cohort study, 1789 Dutch workers participate

  16. Process evaluation of a participatory ergonomics programme to prevent low back pain and neck pain among workers

    OpenAIRE

    Driessen Maurice T; Proper Karin I; Anema Johannes R; Bongers Paulien M; van der Beek Allard J

    2010-01-01

    Abstract Background Both low back pain (LBP) and neck pain (NP) are major occupational health problems. In the workplace, participatory ergonomics (PE) is frequently used on musculoskeletal disorders. However, evidence on the effectiveness of PE to prevent LBP and NP obtained from randomised controlled trials (RCTs) is scarce. This study evaluates the process of the Stay@Work participatory ergonomics programme, including the perceived implementation of the prioritised ergonomic measures. Meth...

  17. Influence of Pilates Mat and Apparatus Exercises on Pain and Balance of Businesswomen with Chronic Low Back Pain

    OpenAIRE

    Lee, Chae-Woo; Hyun, Ju; Kim, Seong Gil

    2014-01-01

    [Purpose] The purpose of this study was to examine the influence of mat Pilates and apparatus Pilates on pain and static balance of businesswomen with chronic back pain. [Subjects and Methods] Participants were randomly allocated to Pilates mat exercises (PME) or Pilates apparatus exercise (PAE), and performed the appropriate Pilates exercises 3 days per week for 8 weeks. In order to measure the improvement in the participants’ static balance ability as a result of the exercise, the sway leng...

  18. An evidence-based guideline on yoga in reducing pain among adult patients with chronic low back pain

    OpenAIRE

    林德; Lam, Tak

    2013-01-01

    Low back pain (LBP) is a common complaint and health problem in Hong Kong, particularly among middle-aged individuals. LBP is the main cause of chronic disability which significantly affects the daily life activities of patients. Pain might result in repeated hospital admissions and subsequently increase the burden on health care providers in Hong Kong. LBP has an enormous effect on quality of life and therefore deserves research attention. Growing evidence shows that yoga may help reduce...

  19. Strategies for Coping with Chronic Lower Back Pain in Patients with Long Physiotherapy Wait Time

    Science.gov (United States)

    Cabak, Anna; Dąbrowska-Zimakowska, Anna; Truszczyńska, Aleksandra; Rogala, Patryk; Laprus, Katarzyna; Tomaszewski, Wiesław

    2015-01-01

    Background Treatment efficacy for the increasing prevalence of back pain is a great challenge for both health care providers and individuals coping with this problem. This study aimed to evaluate pain coping strategies used by primary care patients with chronic lower back pain (CLBP) as a supplementation of medical diagnosis before a physiotherapy programme. Material/Methods A total of 88 people were divided into 3 age groups: young adults (21–40 years old), middle-aged adults (41–60 years old), and the elderly (over 60 years old). Data was gathered from rehabilitation centers and primary medical care facilities. A cross-sectional design was used. The Coping Strategies Questionnaire (CSQ) was completed before the physiotherapy course. Results Patients complained of CLBP for 11.32±6.81 years on average. The most common strategies to cope with back pain included declaring that the pain is manageable, praying and hoping, as well as increased behavioral activity. Statistically significant differences in coping strategies were found between age groups. The elderly patients were more likely to “declare coping with pain” in comparison to the younger age groups (ppain, while young people reported catastrophizing. Conclusions Patients in different age groups had various difficulties in pain coping. Most of them required support in self-management of pain in addition to physiotherapy. The basic assessment of pain coping strategies should be consistently taken into account and included in rehabilitation protocols in chronic pain treatment. PMID:26670743

  20. Bipolar Radiofrequency Neurotomy to Treat Neck and Back Pain in Patients with Automatic Implantable Cardioverter Defibrillator.

    Science.gov (United States)

    Bautista, Alexander; Dadabayev, Alisher; Rosenquist, Ellen; Cheng, Jianguo

    2016-03-01

    We report 2 cases of successful treatment of neck and back pain with bipolar radiofrequency ablation (RFA) of the cervical and lumbar facet joints in patients with an automatic implantable cardioverter defibrillator (AICD).Two patients with complex cardiac histories and AICD devices were treated with bipolar RFA of the facet joints. One presented with axial neck pain and the other with axial back pain. The histories and physical examinations were consistent with facetogenic pain. Diagnostic medial branch block resulted in more than 70% pain relief lasting for several days, allowing patients to perform routine daily activities without significant pain. However, we were concerned about the use of conventional RFA of the medial branches of nerves for the fear of interference with the function of AICD by the RF currents and energy. We took advantage of the localized and limited current of bipolar RFA to perform this procedure for the cervical or lumbar facet joints avoiding any interference with the function of AICD. The procedures provided long-term pain relief to the patients, and marked improvement in their functional status without any evident complications related to the function of their AICD.This case report describes the safe and successful completion of bipolar RFA of the medial branch nerves to treat cervical and lumbar facetogenic pain in patients with AICD. This modality of treatment may be considered in patients with AICD. We are finding it to be increasingly common that patients who present with chronic neck and back pain have AICDs in place. PMID:27008309

  1. The Continuing and Growing Epidemic of Chronic Low Back Pain

    OpenAIRE

    Gatchel, Robert J.

    2015-01-01

    Because of the great prevalence of chronic pain, it is not surprising that there have been a number of influential reports by the Institute of Medicine, National Institutes of Health, and the World Health Organization that have documented the medical, social and economic problems caused by it, and the need for better pain-management programs. The present article briefly reviews these reports, and then focuses on three important areas that need to be considered when addressing the continuing a...

  2. Effectiveness of Iyengar yoga in treating spinal (back and neck pain: A systematic review

    Directory of Open Access Journals (Sweden)

    Edith Meszaros Crow

    2015-01-01

    Full Text Available Considerable amount of money spent in health care is used for treatments of lifestyle related, chronic health conditions, which come from behaviors that contribute to morbidity and mortality of the population. Back and neck pain are two of the most common musculoskeletal problems in modern society that have significant cost in health care. Yoga, as a branch of complementary alternative medicine, has emerged and is showing to be an effective treatment against nonspecific spinal pain. Recent studies have shown positive outcome of yoga in general on reducing pain and functional disability of the spine. The objective of this study is to conduct a systematic review of the existing research within Iyengar yoga method and its effectiveness on relieving back and neck pain (defined as spinal pain. Database research form the following sources (Cochrane library, NCBI PubMed, the Clinical Trial Registry of the Indian Council of Medical Research, Google Scholar, EMBASE, CINAHL, and PsychINFO demonstrated inclusion and exclusion criteria that selected only Iyengar yoga interventions, which in turn, identified six randomized control trials dedicated to compare the effectiveness of yoga for back and neck pain versus other care. The difference between the groups on the postintervention pain or functional disability intensity assessment was, in all six studies, favoring the yoga group, which projected a decrease in back and neck pain. Overall six studies with 570 patients showed, that Iyengar yoga is an effective means for both back and neck pain in comparison to control groups. This systematic review found strong evidence for short-term effectiveness, but little evidence for long-term effectiveness of yoga for chronic spine pain in the patient-centered outcomes.

  3. Generalized deep-tissue hyperalgesia in patients with chronic low-back pain

    DEFF Research Database (Denmark)

    O'Neill, Søren; Manniche, Claus; Graven-Nielsen, Thomas;

    2007-01-01

    demonstrated in a group of patients with chronic low-back pain with intervertebral disc herniation. Twelve patients with MRI confirmed lumbar intervertebral disc herniation and 12 age and sex matched controls were included. Subjects were exposed to quantitative nociceptive stimuli to the infraspinatus and...... in the anterior tibialis muscle compared to controls. In conclusion, generalized deep-tissue hyperalgesia was demonstrated in chronic low-back pain patients with radiating pain and MRI confirmed intervertebral disc herniation, suggesting that this central sensitization should also be addressed in the...

  4. Effect of Body Mass Index in Patients Administered Epidural Steroid Injection for Back Pain

    Directory of Open Access Journals (Sweden)

    Pinar Karaca Baysal

    2014-12-01

    Full Text Available Aim: The aim is to investigate the efficacy of epidural steroid injection applied for lumbar discopathy pain to obese and non-obese patients with continuing complaints of back pain, despite the application of medical treatment and physical therapy. Material and Method: The study included 119 patients aged 31-73 years who presented at the Algology Clinic with complaints of back and leg pain which had been ongoing for at least 6 months and with single level disc pathologies, and for whom epidural steroid injection was planned. The patients were separated into 2 groups as obese (BMI >30 and non-obese (BMI

  5. Comparison of Efficacy of Neural Therapy and Physical Therapy in Chronic Low Back Pain

    OpenAIRE

    Atalay, Nilgun Simsir; Sahin, Fusun; ATALAY, Ali; Akkaya, Nuray

    2013-01-01

    The aim of this prospective study was to evaluate the effects of neural therapy, and physical therapy on level of pain, disability, quality of life, and psychological status in patients with chronic low back pain. Patients admitted to the physical therapy and rehabilitation outpatient clinic with the complaint of low back pain of at least 3 months duration. Group 1 (n=27), physical therapy (PT, hotpack, ultrasound, TENS 15 sessions), group 2 (n=33), neural therapy (NT, 1:1 mixture of 20 mg/mL...

  6. [Feasibilities and bounds of diagnostic radiology in case of back pain].

    Science.gov (United States)

    Pennekamp, W; Rduch, G; Nicolas, V

    2005-04-01

    Chronic monotone back pain is no pressing indication for radiographic procedures, but chronic progressive or symptomatic back pain should be investigated by radiographic means. Beneath conventional radiology and computed tomography (CT) magnetic resonance imaging (MRI) has become a more method of standard in these cases. The radiographic investigation of back pain is shown in cases of discal and vertebral degeneration and spondylitis. Typical signs and differential diagnosis are demonstrated. After demonstration of radiological means. After introduction and valuation of radiological means, as conventional radiography, CT, MRI, myelography and scintigraphy, it is entered into degenerative changes and degenerative diseases of vertebra endplates and vertebra bodies as a reason of pain. Reasons of spinal stenosis are discussed. In case of inflammatory changes, bacterial inflammation of vertebrae and intervertebral joints are represented. Changes of spondylodiscitis/spondylitis are opposed to inflammatory changes of Morbus Bechterew and Morbus Scheuermann. PMID:14999556

  7. Back and neck pain are related to mental health problems in adolescence

    Directory of Open Access Journals (Sweden)

    O'Sullivan Peter B

    2011-05-01

    Full Text Available Abstract Background There is a high prevalence of mental health problems amongst adolescents. In addition there is a high prevalence of spinal pain in this population. Evidence suggests that these conditions are related. This study sought to extend earlier findings by examining the relationship between mental health problems as measured by the Child Behaviour Check List (CBCL and the experience of back and neck pain in adolescents. Methods One thousand five hundred and eighty participants (mean age 14.1 years from the Western Australian Pregnancy (Raine Study provided cross-sectional spinal pain and CBCL data. Results As predicted, there was a high prevalence of back and neck pain in this cohort. On the whole, females reported more mental health difficulties than males. There were strong relationships between the majority of symptom scales of the CBCL and back and neck pain. Scores on the CBCL were associated with higher odds of comorbid back and neck pain. Conclusions These findings strongly support the need to consider both psychological and pain symptoms when providing assessments and treatment for adolescents. Further research is required to inform causal models.

  8. Harpgophytum procumbens for osteoarthritis and low back pain: A systematic review

    Directory of Open Access Journals (Sweden)

    Chrubasik Sigrun

    2004-09-01

    Full Text Available Abstract Background The objective of this review is to determine the effectiveness of Harpagophytum procumbens preparations in the treatment of various forms of musculoskeletal pain. Methods Several databases and other sources were searched to identify randomized controlled trials, quasi-randomized controlled trials, and controlled clinical trials testing Harpagophytum preparations in adults suffering from pain due to osteoarthritis or low back pain. Results Given the clinical heterogeneity and insufficient data for statistical pooling, trials were described in a narrative way, taking into consideration methodological quality scores. Twelve trials were included with six investigating osteoarthritis (two were identical trials, four low back pain, and three mixed-pain conditions. Conclusions There is limited evidence for an ethanolic Harpagophytum extract containing less than Harpagophytum powder at 60 mg harpagoside in the treatment of osteoarthritis of the spine, hip and knee; (2 the use of an aqueous Harpagophytum extract at a daily dose of 100 mg harpagoside in the treatment of acute exacerbations of chronic non-specific low back pain; and (3 the use of an aqueous extract of Harpagophytum procumbens at 60 mg harpagoside being non-inferior to 12.5 mg rofecoxib per day for chronic non-specific low-back pain (NSLBP in the short term. Strong evidence exists for the use of an aqueous Harpagophytum extract at a daily dose equivalent of 50 mg harpagoside in the treatment of acute exacerbations of chronic NSLBP.

  9. Reliability of the Multidimensional Pain Inventory and stability of the MPI classification system in chronic back pain

    Directory of Open Access Journals (Sweden)

    Verra Martin L

    2012-08-01

    Full Text Available Abstract Background This cross validation study examined the reliability of the Multidimensional Pain Inventory (MPI and the stability of the Multidimensional Pain Inventory Classification System of the empirically derived subgroup classification obtained by cluster analysis in chronic musculoskeletal pain. Reliability of the German Multidimensional Pain Inventory was only examined once in the past in a small sample. Previous international studies mainly involving fibromyalgia patients showed that retest resulted in 33–38% of patients being assigned to a different Multidimensional Pain Inventory subgroup classification. Methods Participants were 204 persons with chronic musculoskeletal pain (82% chronic non-specific back pain. Subgroup classification was conducted by cluster analysis at 4 weeks before entry (=test and at entry into the pain management program (=retest using Multidimensional Pain Inventory scale scores. No therapeutic interventions in this period were conducted. Reliability was quantified by intraclass correlation coefficients (ICC and stability by kappa coefficients (κ. Results Reliability of the Multidimensional Pain Inventory scales was least with ICC = 0.57 for the scale life control and further ranged from ICC = 0.72 (negative mood to 0.87 (solicitous responses in the other scales. At retest, 82% of the patients in the Multidimensional Pain Inventory cluster interpersonally distressed (κ = 0.69, 80% of the adaptive copers (κ = 0.58, and 75% of the dysfunctional patients (κ = 0.70 did not change classification. In total, 22% of the patients changed Multidimensional Pain Inventory cluster group, mainly into the adaptive copers subgroup. Conclusion Test-retest reliability of the German Multidimensional Pain Inventory was moderate to good and comparable to other language versions. Multidimensional Pain Inventory subgroup classification is substantially stable in chronic back pain patients when compared

  10. Effects of Video Instruction on Fatigue and Back Pain in Patients Undergoing Coronary Angiography

    Directory of Open Access Journals (Sweden)

    Nahid Jamshidi

    2010-01-01

    Full Text Available Introduction: : In order to prevent from the complications of the coronary angiography, patients who undergo this procedure need to have absolute rest on bed at least for 6 hours. This restriction to bed leads to patient's fatigue and back pain. The objective of this study is to assess the effect of patients' instruction by video on the levels of fatigue and back pain after angiography.Methods: In a quasi-experimental, pretest-posttest design, 128 patients were randomly assigned to either control or experimental group. Control group received verbal routine education by nurses, and experimental group received an informative video about the required measures before, during and after the coronary angiography procedure. Using visual analogue Scale (VAS, levels of fatigue and back pain were assessed immediately after and at 2, 4 and 6 hours after the procedure. The data were analyzed by descriptive and interpretive statistics such as t-test and ANOVA via SPSS 15.Results: Analysis of data showed that the average score of fatigue and back pain in the first stage of assessment was not statistically significant between the two groups (P>0.05. The study finding also showed that the control group at 2, 4 and 6 hours had significantly higher fatigue and back pain score than the experimental group(P<0.001.Conclusion: The results of this study recommend the use of instructional video as a useful method for decreasing fatigue and back pain in patients undergoing coronary angiography procedure. To increase satisfaction and reduce fatigue and back pain, it is suggested that this method be used as a part of the preparatory program for patients who are to undergo invasive procedures.

  11. A risk prediction model of the incidence of occupational low back pain among mining workers

    Directory of Open Access Journals (Sweden)

    Fikry Effendi

    2011-08-01

    Full Text Available Background: Low Back Pain (LBP is the most frequently reported musculoskeletal disorder in workers. This study was aimed to develop risk prediction model of low back pain that can be used to prevent the recurring low back pain attack.Methods: The study was case-control design based on the industrial community by using ergonomical approach. Total samples were 91 workers for cases and 91 workers for controls. Workers suffering for low back pain in the last 6 months served as cases, and those from the same age group and receiving the same amount of exposure without any symptoms of low back pain served as controls. Risk factors include socio-demographic factors, socio-ocupational factors, physical working environmental factors, non-physical environmental factors, and biomechanics factors. Receiver Operating Characreistics (ROC was used to describe relationship between true positive value (in vertical axis and false positive value (in horizontal axis in order to discover a risk predictive value of LBP.Results: The determinant risk factors for low back pain (LBP were bending work postures, waist rotation movement, manual lifting, unnatural work postures, those who had worked for more than 18 years, and irregular sport activities. By using ROC with 91.20% senstivity and 87.90% spesifi city, the calculated prediction value was 0.35. This is the cut-off point to discriminate workers with and without LBP. The risk predictors value of work-induced LBP calculated by linear equation of logistic regression varied between 0-11.25.Conclusion: The prediction model of work-induced LBP can be used for early detection of LBP to reduce the risk and prevent the recurrence of LBP. (Med J Indones. 2011; 20:212-6Keywords: Ergonomy, low back pain, prediction model, work-induced LBP

  12. Prevalence of low back pain in non working rural housewives of Kanpur, India

    Directory of Open Access Journals (Sweden)

    Garima Gupta

    2015-04-01

    Full Text Available Objectives: Housewives are nucleus of families but as the working, living, and social architecture in the rural areas significantly differ from developed or urban area, the results of urban population cannot be generalized. Hence the purpose of the present study is to evaluate the prevalence of low back pain in non working rural housewives. Also an attempt has been made to determine the impact of social burden on low back pain (LBP. Material and Methods: A sample of 301 non working rural housewives of Kanpur, aged between 30–70 years was selected. Hindi version of 3 appropriate scales Nordic musculoskeletal questionnaire, Oswestry disability index and Zarit burden interview measuring musculoskeletal discomfort, low back disability and social burden were given to all the housewives. Results: Analysis of data reveals that both recent and yearly prevalence of LBP in rural housewives is 83%. More than 50% housewives have severe disability due to their LBP. Correlational analysis has shown that there is a significant impact of social burden on their disability due to low back pain. Conclusions: The findings of the present study suggest that 83% of the non working rural housewives have low back pain and activity restriction due to their pain. They have significant impact of social burden on their low back pain. High prevalence (83% of low back pain among rural housewives is an alarming sign for our society. Better health-care measures to enhance rural housewives education about good posture, ergonomic measures, health schemes, health awareness, and activity pacing could help rural housewives.

  13. The effectiveness of acupuncture in treating chronic non-specific low back pain: a systematic review of the literature

    OpenAIRE

    Hutchinson Amanda J P; Ball Simon; Andrews Jeremy C H; Jones Gareth G

    2012-01-01

    Abstract Background Low back pain is a common musculoskeletal disorder defined as pain and soreness, muscle tension, or stiffness in the lumbosacral area of the spine which does not have a specific cause. Low back pain results in high health costs and incapacity to work causing an economic burden to society. The optimal management of non-specific low back pain appears to be undecided. Recently published guidelines support the use of acupuncture for treating non-specific low back pain and it h...

  14. SURGICAL MANAGEMENT OF SYMPTOMATIC LOW BACK PAIN AND MONORADICULAR LEG PAIN IN ADOLESCENT AND YOUNG ADULT PATIENTS

    Directory of Open Access Journals (Sweden)

    Kalevski Svetoslav

    2014-07-01

    Full Text Available Objectives: The purpose of the present retrospective study is to draw attention to symptomatic low back pain in adolescent patients, in order to encourage earlier diagnosis and surgical treatment. The study assessed the radiological, clinical features and surgical outcomes of 13 of this kind of patient. Materials and Methods: Out of a series of 983 consecutive cases (1999–2011 of lumbar disc excisions from our neurosurgical institution, 13–1,32% of the patients were between the ages of 15 and 20 mean 17,84. Fifteen operations, including two reoperations,were performed on this patient group, by a conventional microsurgical procedure. The indications for surgery were failure of conservative treatment, in tractable pain and/or progressive neurological impairment. Results: Low back pain and monoradicular sciatica were the main complaints in 77%, but findings of neurological deficits were rare — 1 case. The surgical findings revealed a protruding disc in eleven cases, one lateral recess stenosis and one lumbar synovial cyst. Initially, all patients were treated conservatively by their physicians more than 3 months without success. On the day of discharge, Kirkaldy-Willis criteria results were excellent or good in 92% of patients. The follow-up period ranged from 6 months to 2 years with an average of 1 year and 2 months. The results were excellent in 10 patients and good in 3 patients. Discussion: We demonstrate that the cause of low back pain and monoradicular leg pain in adolescent patients may not only be a cause of herniated lumbar disc or lateral recess narrowing. Very rarely these symptoms may be caused by lumbar synovial cysts. Conclusion: Surgical treatment of adolescent patients is able to relieve the clinical symptoms quickly. Clinical symptoms such as low back pain and leg pain and the neurologic deficit disappear within 3 months after surgery.

  15. Effect of aerobic dance on pain, functional disability and quality of life on patients with chronic low back pain

    Directory of Open Access Journals (Sweden)

    U.A.C. Okafor

    2012-12-01

    Full Text Available Low back pain (LBP is often an indication of pathologicalcondition of the intervertebral discs, vertebral bodies or supporting soft tissuesof the lower vertebral region. Chronic Low Back Pain (CLBP presents withenormous consequence on the general performance of the sufferer, exerting ahuge cost on the individual, the family and the society. Dance therapy is arelatively new approach in the management of low back pain. This study wastherefore designed to investigate the effect of dance therapy on pain, functionaldisability and quality of life in patients with chronic low back pain.Thirty subjects diagnosed with non-specific CLBP particpated in the study.They were randomly divided into 2 groups, A and B, each comprising 15 subjects.In addition to conventional physiotherapy programme given to both groups,subjects in Group A also received aerobic dance, which comprised a four stage protocol. The entire treatment routinewas administered in a group session three times weekly consecutively for six weeks. Data as obtained in the copies ofcompleted questionnaires (Roland Morris Diability questionnaires and Nottingham Health Profile questionnaires andother measurements were summarized using mean, standard deviation and frequency tables. Student T-test was used toanalyze the data at 95 % confidence interval.There was a statistically significant difference (p<0.05 between the pre- and post- intervention scores for painintensity, functional disability and quality of life within the groups. There was also a statistically significant difference(p<0.05 in the mean change (pre/post intervention scores between Group A and Group B for pain intensity,functional disability and quality of life. Also the opinions and testimonies given by participants formed part of theevidence-based data.Whereas both conventional physiotherapy and aerobic dance showed significant effects in the pre/post-interventionscores, the aerobic dance group reported more significant effect in all

  16. Cross-cultural adaption of the German Quebec Back Pain Disability Scale: an exposure-specific measurement for back pain patients

    Directory of Open Access Journals (Sweden)

    Riecke J

    2016-01-01

    Full Text Available Jenny Riecke,1 Sebastian Holzapfel,1 Winfried Rief,1 Harald Lachnit,2 Julia A Glombiewski1 1Department for Clinical Psychology and Psychotherapy, 2Department for Associative Learning, University of Marburg, Marburg, Germany Study design: Cross-cultural translation and psychometric testing. Objective: The purpose of the present study was to examine reliability and validity of a cross-cultural adaption of the German Quebec Back Pain Disability Scale (QBPDS in a context of a randomized controlled trial evaluating the effectiveness of graded in vivo exposure in chronic low back pain patients. Background: The QBPDS is one of the most widely used disease-specific disability questionnaires. In particular, for cognitive behavioral treatments with a clear focus on behavioral aspects such as graded in vivo exposure, the QBPDS provides an ascertained strategy with a sound conceptual basis and excellent quality criteria. Nevertheless, there is conflicting evidence concerning factor structure and a German adaption is missing. Methods: The cross-cultural adaption followed international guidelines. Psychometric testing was performed using data from 180 participants with chronic low back pain. The psychometric analyses included internal consistency, convergent, and divergent validity. Exploratory factor analysis was used to determine the underlying factor structure. Results: The QBPDS showed strong psychometric properties, with high internal consistency for the full scale (α=0.94 and good convergent and divergent validity. The factor analysis revealed a four-factor solution (bending, ambulation, brief effortful movements, and long-lasting postures. Conclusion: The translation and cross-cultural adaption of the QBPDS into German was successful. The German version proved to be a valid and reliable instrument and is well suited for use in the context of an exposure-based psychological treatment. Keywords: Chronic pain, back pain, questionnaire, functional

  17. Knee Pain and Low Back Pain Additively Disturb Sleep in the General Population: A Cross-Sectional Analysis of the Nagahama Study.

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    Kimihiko Murase

    Full Text Available Association of knee and low back pain with sleep disturbance is poorly understood. We aimed to clarify the independent and combined effects of these orthopedic symptoms on sleep in a large-scale general population.Cross-sectional data about sleep and knee/low back pain were collected for 9,611 community residents (53±14 years old by a structured questionnaire. Sleep duration less than 6 h/d was defined as short sleep. Sleep quality and the presence of knee and low back pain were evaluated by dichotomous questions. Subjects who complained about knee or low back pains were graded by tertiles of a numerical response scale (NRS score and a Roland-Morris disability questionnaire (RDQ score respectively. Multivariate regression analyses were performed to determine the correlates of short sleep duration and poor sleep quality.Frequency of participants who complained of the orthopedic symptoms was as follows; knee pain, 29.0%; low back pain, 42.0% and both knee and low back pain 17.6%. Both knee and low back pain were significantly and independently associated with short sleep duration (knee pain: odds ratio (OR = 1.19, p<0.01; low back pain: OR = 1.13, p = 0.01 and poor sleep quality (knee pain: OR = 1.22, p<0.01; low back pain; OR = 1.57, p<0.01. The group in the highest tertile of the NRS or RDQ score had the highest risk for short sleep duration and poor sleep quality except for the relationship between the highest tertile of the RDQ score and short sleep duration.(the highest tertile of the NRS: OR for short sleep duration = 1.31, p<0.01; OR for poor sleep quality = 1.47, p<0.01; the highest tertile of the RDQ: OR for short sleep duration = 1.11, p = 0.12; OR for poor sleep quality = 1.81, p<0.01 Further, coincident knee and low back pain raised the odds ratios for short sleep duration (either of knee or low back pain: OR = 1.10, p = 0.06; both knee and low back pain: OR = 1.40, p<0.01 and poor sleep quality (either of knee or low back pain: OR

  18. Acute-Onset of Multiple Painful Nodules over Forearms and Back.

    Science.gov (United States)

    Kumar S, Praveen; Kamath, Sulatha M; Prasad, A L Shyam; Mysorekar, Vijaya V; Sumathy, T K

    2013-10-01

    Angiolipomas are benign encapsulated, well circumscribed tumours, which show excessive degree of vascular proliferation. Clinically, lesions present as sudden onset of multiple painful nodules. Pain usually does not respond to analgesics. We herein, report a case of a young male, presenting with multiple painful nodules over the forearm and back, which on histopathological examination revealed, encapsulated benign tumour, comprising of proliferated small-caliber vascular channels with microthrombi and variable amounts of mature adipose tissue. Pain subsided on treatment with intralesional steroids and the nodules were excised through a narrow-hole extrusion technique. PMID:24298516

  19. Effects of complex manual therapy on PTSD, pain, function, and balance of male torture survivors with chronic low back pain.

    Science.gov (United States)

    Kim, Hyun Jin; Yu, Seong Hun

    2015-09-01

    [Purpose] This study aimed to identify the impact of physiotherapy using complex manual therapy as a part of an integrated treatment for sequelae in the musculoskeletal system of torture survivors. [Subjects] This study reviewed 30 male torture survivors presenting with chronic low back pain. They were randomly selected and divided into two groups: an experimental group and a control group. [Methods] For the experimental group, complex manual therapy was performed twice a week for 8 weeks to improve the physical sequelae of patients. Improvement was measured using the PDS-K for Post-traumatic Stress Disorder (PTSD), the Visual Analog Scale (VAS) for pain examination, the Korean Oswestry Disability Index (KODI) for back function assessment, and the Balance System SD as a dynamic balance test. The total period of the intervention for both groups was 8 weeks. [Results] For the experimental group, PDS-K, VAS, KODI, and the dynamic balance test all showed significant improvements after the intervention, which they did not for the control group. In the comparison of the groups, PDS-K, VAS, KODI, and the dynamic balance test all showed significant differences. [Conclusion] Complex manual therapy for torture survivors with chronic low back pain contributes to functional recovery by reducing back pain. The treatment can be considered to have positive effects on sequelae in the musculoskeletal system of torture survivors as they age. PMID:26504288

  20. The Effectiveness of Mindfulness-based Cognitive Therapy (MBCT and Cognitive Behavior Therapy (CBT on Decreasing Pain, Depression and Anxiety of Patients with Chronic Low Back Pain

    Directory of Open Access Journals (Sweden)

    M Abdolghadery

    2014-02-01

    Conclusion: The results support the effectiveness of MBCT and CBT in decreasing pain, depression and anxiety. Therefore, taking account of these two therapeutic methods is very important for patients with chronic low back pain.

  1. The greatest risk for low-back pain among newly educated female health care workers; body weight or physical work load?

    DEFF Research Database (Denmark)

    Jensen, Jette Nygaard; Holtermann, Andreas; Clausen, Thomas; Mortensen, Ole Steen; Carneiro, Isabella Gomes; Andersen, Lars Louis

    2012-01-01

    Low back pain (LBP) represents a major socioeconomic burden for the Western societies. Both life-style and work-related factors may cause low back pain. Prospective cohort studies assessing risk factors among individuals without prior history of low back pain are lacking. This aim of this study was...... to determine risk factors for developing low back pain (LBP) among health care workers....

  2. The Association Between Obesity and Low Back Pain and Disability Is Affected by Mood Disorders

    Science.gov (United States)

    Chou, Louisa; Brady, Sharmayne R.E.; Urquhart, Donna M.; Teichtahl, Andrew J.; Cicuttini, Flavia M.; Pasco, Julie A.; Brennan-Olsen, Sharon L.; Wluka, Anita E.

    2016-01-01

    Abstract Low back pain (LBP) and obesity are major public health problems; however, the relationship between body composition and low back pain in men is unknown. This study aims to examine the association between body composition and LBP and disability in a population-based sample of men, as well as the factors that may affect this relationship. Nine hundred seventy-eight male participants from the Geelong Osteoporosis Study were invited to participate in a follow-up study in 2006. Participants completed questionnaires on sociodemographics and health status. Low back pain was determined using the validated Chronic Back Pain Grade Questionnaire and the presence of an emotional disorder was assessed using the Hospital Anxiety Depression Scale. Body composition was measured using dual energy x-ray absorptiometry. Of the 820 respondents (84% response rate), 124 (15%) had high-intensity low back pain and/or disability (back pain). Low back pain was associated with higher body mass index (28.7 ± 0.4 vs 27.3 ± 0.2 kg/m2, P = 0.02) and waist–hip ratio (0.97 ± 0.006 vs 0.96 ± 0.006, P = 0.04), with increased tendency toward having a higher fat mass index (8.0 vs 7.6 kg/m2, P = 0.08), but not fat-free mass index (P = 0.68). The associations between back pain and measures of obesity were stronger in those with an emotional disorder, particularly for waist–hip ratio (P = 0.05 for interaction) and fat mass index (P = 0.06 for interaction). In a population-based sample of men, high-intensity LBP and/or disability were associated with increased levels of obesity, particularly in those with an emotional disorder. This provides evidence to support a biopsychosocial interaction between emotional disorders and obesity with low back pain. PMID:27082599

  3. The relationship between pain severity and patient-reported outcomes among patients with chronic low back pain in Japan

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    Montgomery W

    2016-06-01

    Full Text Available William Montgomery,1 Jeffrey Vietri,2 Jing Shi,3 Kei Ogawa,4 Sawako Kariyasu,4 Levent Alev,4 Masaya Nakamura5 1Eli Lilly Australia Pty Ltd., Sydney, NSW, Australia; 2Health Outcomes Practice, Kantar Health, Horsham, PA, 3Health Outcomes Practice, Kantar Health, Princeton, NJ, USA; 4Eli Lilly Japan K.K., Kobe, Japan; 5Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan Objective: The aim of this study was to quantify the impact of pain severity on patient-reported outcomes among individuals diagnosed with chronic low back pain in Japan. Methods: Data were provided by the 2012 Japan National Health and Wellness Survey (N=29,997, a web-based survey of individuals in Japan aged ≥18 years. This analysis included respondents diagnosed with low back pain of ≥3-month duration. Measures included the revised Medical Outcomes Study 36-Item Short-Form Survey Instrument, the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7 scale, the Work Productivity and Activity Impairment: General Health questionnaire, and self-reported all-cause health care visits (6 months. Generalized linear models were used to assess the relationship between outcomes and severity of pain in the past week as reported on a numeric rating scale ranging from 0 (no pain to 10 (pain as bad as you can imagine, controlling for length of diagnosis, sociodemographics, and general health characteristics. Results: A total of 290 respondents were included in the analysis; mean age was 56 years, 41% were females, and 56% were employed. Pain severity was 3/10 for the first quartile, 5/10 for the median, and 7/10 for the third quartile of this sample. Increasing severity was associated with lower scores for mental and physical component summaries and Short-Form 6D health utility, higher depression (Patient Health Questionnaire-9 and anxiety (Generalized Anxiety Disorder-7 scores, greater absenteeism and presenteeism, greater activity impairment

  4. Fostering change in back pain beliefs and behaviors: when public education is not enough.

    Science.gov (United States)

    Gross, Douglas P; Deshpande, Sameer; Werner, Erik L; Reneman, Michiel F; Miciak, Maxi A; Buchbinder, Rachelle

    2012-11-01

    Mass media campaigns designed to alter societal views and individual behaviors about back pain have been undertaken and evaluated in multiple countries. In contrast to the original Australian campaign, subsequent campaigns have been less successful, with improvements observed in beliefs without the corresponding changes in related behaviors. This article summarizes the results of a literature review, expert panel, and workshop held at the Melbourne International Forum XI: Primary Care Research on Low Back Pain in March 2011 on the role and interplay of various social behavior change strategies, including public education, law and legislation, healthy public policy, and social marketing in achieving a sustained reduction in the societal burden of back pain. Given the complexities inherent to health-related behaviors change, the Rothschild framework is applied in which behavior change strategies are viewed on a continuum from public education at one end through law and health policy at the other. Educational endeavors should likely be augmented with social marketing endeavors and supportive laws and health policy to foster sustained change in outcomes such as work disability and health utilization. Practical suggestions are provided for future interventions aimed at changing back pain-related behaviors. Evaluation of previous back pain mass media campaigns reveals that education alone is unlikely to foster positive and persisting behavioral change without concomitant strategies. PMID:23073211

  5. Low Back Pain in Diabetes Mellitus and Importance of Preventive Approach

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    Laleh Abadi

    2012-07-01

    Full Text Available Background: Musculoskeletal pain is known to be a common problem in diabetic patients. Inspite of this fact, there is little information about epidemiology aspect of Low Back Pain (LBPand necessity of taking preventive approach in diabetic patients. The aim of this study was to determinethe prevalence of LBP in diabetic patients and its comparison with non-diabetic subjects.Methods: Low back pain frequency was examined among 317 diabetic patients referred to endocrineclinic, Sina Hospital, Tabriz city, Iran during 3 months interval. The control group included100 participants who were parents of students of Tabriz University. All participants were asked tofill out a questionnaire including Roland Morris Disability Questionnaire (RMDQ and Face PainScale (FPS.Result: Of the 317 diabetic patients, 63.4% (201 reported LBP while in non-diabetic group was47% (47.The average functional disability in diabetic group was 9 while in control group was 7.Inter-correlation between low back pain intensity scale and functional disability were significant(r=0.52, P<0.01.Discussion: Low back pain is a common problem in diabetic patients in terms of intensity, frequencyand functional level of disability.

  6. Living with chronic low back pain: a metasynthesis of qualitative research.

    Science.gov (United States)

    Snelgrove, Sherrill; Liossi, Christina

    2013-12-01

    OBJECTIVES The purpose of this qualitative metasynthesis is to articulate the knowledge gained from a review of qualitative studies of patients' experiences of chronic low back pain. METHODS Meta-ethnographic methodology guided the review of 33 articles representing 28 studies published in English in peer-reviewed journals between 2000 and 2012. A systematic comparison of the main themes from each study was conducted and 'synthesised' to create superordinate themes. RESULTS Three overarching interrelated themes were identified: the impact of chronic low back pain on self; relationships with significant others that incorporated two streams - health professionals and the organisation of care and relationships with family and friends; coping with chronic low back pain. Coping strategies were predominantly physical therapies, medication and avoidance behaviours with very few successful strategies reported. Professional and family support, self-efficacy, motivation, work conditions and exercise opportunities influenced pain experiences. Review authors' recommendations included psychological therapies, education, the facilitation of self-management strategies and support groups. DISCUSSION The review substantiates chronic low back pain as complex, dynamic and multidimensional, underpinned by experiences of persistent distressing pain, loss, and lowered self-worth, stigma, depression, premature aging, fear of the future. Future research should address the paucity of longitudinal studies, loss and issues of ethnicity, gender, ageing. PMID:23585633

  7. Biospectral analysis of the bladder channel point in chronic low back pain patients

    Science.gov (United States)

    Vidal, Alberto Espinosa; Nava, Juan José Godina; Segura, Miguel Ángel Rodriguez; Bastida, Albino Villegas

    2012-10-01

    Chronic pain is the main cause of disability in the productive age people and is a public health problem that affects both the patient and society. On the other hand, there isn't any instrument to measure it; this is only estimated using subjective variables. The healthy cells generate a known membrane potential which is part of a network of biologically closed electric circuits still unstudied. It is proposed a biospectral analysis of a bladder channel point as a diagnosis method for chronic low back pain patients. Materials and methods: We employed a study group with chronic low back pain patients and a control group without low back pain patients. The visual analog scale (VAS) to determine the level of pain was applied. Bioelectric variables were measured for 10 seconds and the respective biostatistical analyses were made. Results: Biospectral analysis on frequency domain shows a depression in the 60-300 Hz frequency range proportional to the chronicity of low back pain compared against healthy patients.

  8. Daily Practice Clinic of Scientific Evidence in the Physiotherapy Management of Chronic Nonspecific Low Back Pain

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    María Constanza Trillos Chacón

    2015-05-01

    Full Text Available Introduction: 80 % of adults experience back pain at least once in their life. Back pain is the third leading cause of consultation in the emergency room, the fourth in general practice, the second of disability pension and the first job relocation. Objective: To compare the criteria that guide decision making of a group of physiotherapists in Bogota Colombia for the management of chronic nonspecific low back pain management criteria contained in the guide COST B13 (European Guidelines For The Management Of Chronic Non- specific Low Back Pain, 2004. Material and methods: This was a descriptive study, for which clinical practice guideline COST B13 for the management of chronic nonspecific low back pain through the AGREE tool is selected and a survey was applied to 50 physiotherapists through a convenience sample with to compare the clinical practices that are performed with the recommendations given guidance. Results: 56 % of respondents had some type of training for the management of chronic nonspecific low back pain (DLCI. 94 % of patients with DLCI served range in age from 40 to 59, with female predominance. In 80 % of respondents stated that physiotherapists diagnostic help with counting for the management of patients is the radiological image. 80 % of physiotherapists evaluated variable lumbar pain experienced by the patient and 54 % stance. Other aspects were reported in lower percentage. In the treatment of DLCI, physiotherapists reported use of stretching in 80 % of cases, the superficial thermotherapy in 70 % and isometric muscle strength in 70 %, all with favorable results.Conclusion: There are differences between clinical practice of physiotherapists and guidelines contained in the recommendations of the guide in the cost DLCI B13. Mainly in the processes of physiotherapy assessment of the surveyed population as they are often focused on observation and not always in the rigorous measurement, which makes it difficult to establish

  9. Evaluation and Treatment of Low Back Pain: A Clinically Focused Review for Primary Care Specialists.

    Science.gov (United States)

    Hooten, W Michael; Cohen, Steven P

    2015-12-01

    Low back pain (LBP) is a leading cause of disability worldwide. In the absence of a classification system for pain syndromes, classification of LBP on the basis of the distribution of pain as axial (pain generally localized to the low back) or radicular neuropathic (pain radiating to the lower extremities) is relevant to clinical practice because the distribution of pain is often a corollary of frequently occurring disease processes involving the lumbar spine. Common sources of axial LBP include the intervertebral disc, facet joint, sacroiliac joint, and paraspinal musculature, whereas common sources of radicular pain include a herniated intervertebral disc and spinal stenosis. The accuracy of historical and physical examination findings has been established for sacroiliac joint pain, radiculopathy, and lumbar spinal stenosis. However, the accuracy of similar data, so-called red flags, for identifying the underlying medical sources of LBP has been overstated. Diagnostic imaging studies can be useful, and adherence to established guidelines can protect against overuse. Multiple pharmacological trials exist for the management of LBP; however, the long-term outcomes of commonly used drugs are mixed. For carefully selected patients with axial LBP, radiofrequency denervation techniques can provide sustained pain relief. In patients with radicular pain, transforaminal epidural steroid injections may provide short-term pain relief, but neurostimulation may confer more enduring benefits of refractory symptoms. Pain-related indications for commonly performed operations include spinal decompression for radicular symptoms as well as spinal fusion or disc prosthesis for discogenic LBP. Physical modalities and psychological treatments can improve pain and functioning, but patient preferences may influence treatment adherence. PMID:26653300

  10. Kinematics of Shooting in High School and Collegiate Lacrosse Players With and Without Low Back Pain

    Science.gov (United States)

    Wasser, Joseph G.; Chen, Cong; Vincent, Heather K.

    2016-01-01

    Background: Low back pain (LBP) and motion alterations can occur in athletes who engage in high-speed throwing motions. The relationship between LBP and shooting motion in lacrosse players is not yet known. Purpose: To quantify the effects of LBP on key kinematic parameters of the lacrosse shot and determine the contribution of the severity of LBP on specific kinematic parameters of the shooting motion. Study Design: Controlled laboratory study. Methods: High school and collegiate players (N = 24) were stratified into 2 groups based on back pain symptoms (LBP or no pain). Three-dimensional motion capture of overhead throws was used to collect data on knee, pelvis, trunk, and shoulder kinematics as well as crosse stick (the stick capped with a strung net) and ball speed. Results: Mean low back numeric pain rating scale (NRSpain) score was 2.9. Knee flexion at ball release was greater in the LBP than no pain group, indicating a more bent knee (P = .04). The LBP group demonstrated less angular velocity transfer from pelvis to trunk than the no pain group (P = .05). Total range of motion of the pelvis and shoulders during the shot and follow-through were less in the LBP group than the no pain group (83.6° ± 24.5° vs 75.9° ± 24.5°, P = .05). Age- and sex-adjusted regression analyses revealed that the low back NRSpain rating contributed 6.3% to 25.0% of the variance to the models of shoulder transverse rotation range of motion, trunk and shoulder rotation angular velocities, and knee flexion angle (P injuries. Clinical Relevance: This research identified a prehabilitation need in the understudied lacrosse population. Therapeutic strategies can be developed to strengthen the throwing motion, which could control mechanical loading patterns on the low back and minimize pain symptoms in players with chronic LBP.

  11. The Added Value of Collecting Information on Pain Experience When Predicting Time on Benefits for Injured Workers with Back Pain.

    Science.gov (United States)

    Steenstra, Ivan A; Franche, Renée-Louise; Furlan, Andrea D; Amick, Ben; Hogg-Johnson, Sheilah

    2016-06-01

    Objectives Some injured workers with work-related, compensated back pain experience a troubling course in return to work. A prediction tool was developed in an earlier study, using administrative data only. This study explored the added value of worker reported data in identifying those workers with back pain at higher risk of being on benefits for a longer period of time. Methods This was a cohort study of workers with compensated back pain in 2005 in Ontario. Workplace Safety and Insurance Board (WSIB) data was used. As well, we examined the added value of patient-reported prognostic factors obtained from a prospective cohort study. Improvement of model fit was determined by comparing area under the curve (AUC) statistics. The outcome measure was time on benefits during a first workers' compensation claim for back pain. Follow-up was 2 years. Results Among 1442 workers with WSIB data still on full benefits at 4 weeks, 113 were also part of the prospective cohort study. Model fit of an established rule in the smaller dataset of 113 workers was comparable to the fit previously established in the larger dataset. Adding worker rating of pain at baseline improved the rule substantially (AUC = 0.80, 95 % CI 0.68, 0.91 compared to benefit status at 180 days, AUC = 0.88, 95 % CI 0.74, 1.00 compared to benefits status at 360 days). Conclusion Although data routinely collected by workers' compensation boards show some ability to predict prolonged time on benefits, adding information on experienced pain reported by the worker improves the predictive ability of the model from 'fairly good' to 'good'. In this study, a combination of prognostic factors, reported by multiple stakeholders, including the worker, could identify those at high risk of extended duration on disability benefits and in potentially in need of additional support at the individual level. PMID:26152837

  12. Does the diagnosis influence the outcome in a multimodal outpatient pain management program for low back pain and sciatica? A comparative study.

    Science.gov (United States)

    Artner, Juraj; Kurz, Stephan; Cakir, Balkan; Reichel, Heiko; Lattig, Friederike

    2012-01-01

    The literature describes multimodal pain-management programs as successful therapy options in the conservative treatment of chronic low back pain. Yet, the intensity and inclusion criteria of such programs remain debatable. In many studies, the pain originating from spinal structures is described as nonspecific low back pain - a diffuse diagnosis without serious implications. The purpose of this study is to compare the short-term outcomes between patients suffering from sciatica due to a discus intervertebralis herniation and those suffering from low back pain caused by facet joint disease after 3 weeks of treatment in an intense multimodal outpatient program in the Department of Orthopaedic Surgery at the university hospital. PMID:22888258

  13. Pain Perception and Stabilometric Parameters in People With Chronic Low Back Pain After a Pilates Exercise Program

    Science.gov (United States)

    Patti, Antonino; Bianco, Antonino; Paoli, Antonio; Messina, Giuseppe; Montalto, Maria Alessandra; Bellafiore, Marianna; Battaglia, Giuseppe; Iovane, Angelo; Palma, Antonio

    2016-01-01

    Abstract Various exercise interventions, such as Pilates exercises and traditional physical therapy methods, are employed to decrease low back pain (LBP). Nonspecific low back pain (NSLBP) is distinct from LBP, however, as the distribution of pain is restricted to the region between the costal margin and the inferior gluteal. The aim of our randomized controlled trial was to evaluate the effects of a program of Pilates exercises on pain perception and stabilometric parameters in patients with NSLBP. Thirty-eight participants were randomly allocated, using a 1:1 scheme, to either the experimental group (EG) or control group (CG). The EG completed a 14-week program of Pilates exercises, performed thrice per week under the supervision of an exercise specialist, while the CG was managed with a social program only. Measures of posturography and Oswestry Disability Index (ODI) for pain perception were obtained at baseline (T0) and after the 14 weeks of intervention (T1). Posturography measures improved for patients in the EG, with both eyes open and eyes closed (P Pilates exercise program yielded improvements in pain and posturography outcomes. Our study also confirms the applicability of posturography in evaluating postural instability in patients with NSLBP. Due to our relatively small study group, future studies would be necessary to confirm our findings. PMID:26765419

  14. Neuromuscular adaptations predict functional disability independently of clinical pain and psychological factors in patients with chronic non-specific low back pain.

    Science.gov (United States)

    Dubois, Jean-Daniel; Abboud, Jacques; St-Pierre, Charles; Piché, Mathieu; Descarreaux, Martin

    2014-08-01

    Patients with chronic low back pain exhibit characteristics such as clinical pain, psychological symptoms and neuromuscular adaptations. The purpose of this study was to determine the independent contribution of clinical pain, psychological factors and neuromuscular adaptations to disability in patients with chronic low back pain. Clinical pain intensity, pain catastrophizing, fear-avoidance beliefs, anxiety, neuromuscular adaptations to chronic pain and neuromuscular responses to experimental pain were assessed in 52 patients with chronic low back pain. Lumbar muscle electromyographic activity was assessed during a flexion-extension task (flexion relaxation phenomenon) to assess both chronic neuromuscular adaptations and neuromuscular responses to experimental pain during the task. Multiple regressions showed that independent predictors of disability included neuromuscular adaptations to chronic pain (β=0.25, p=0.006, sr(2)=0.06), neuromuscular responses to experimental pain (β=-0.24, p=0.011, sr(2)=0.05), clinical pain intensity (β=0.28, p=0.002, sr(2)=0.08) and psychological factors (β=0.58, ppain intensity and psychological factors, and contribute to inter-individual differences in patients' disability. This suggests that disability, in chronic low back pain patients, is determined by a combination of factors, including clinical pain, psychological factors and neuromuscular adaptations. PMID:24837629

  15. Predictive factors for the outcome of multidisciplinary treatments in chronic low back pain at the first multidisciplinary pain center of Japan.

    Science.gov (United States)

    Hayashi, Kazuhiro; Arai, Young-Chang P; Ikemoto, Tatsunori; Nishihara, Makoto; Suzuki, Shigeyuki; Hirakawa, Tomoe; Matsuo, Shingo; Kobayashi, Mami; Haruta, Midori; Kawabata, Yuka; Togo, Hiroki; Noguchi, Taiji; Hase, Toshiyuki; Hatano, Genki; Ushida, Takahiro

    2015-09-01

    [Purpose] Multidisciplinary treatments are recommended for treatment of chronic low back pain. The aim of this study was to show the associations among multidisciplinary treatment outcomes, pretreatment psychological factors, self-reported pain levels, and history of pain in chronic low back pain patients. [Subjects and Methods] A total of 221 chronic low back pain patients were chosen for the study. The pretreatment scores for the 10-cm Visual Analogue Scale, Hospital Anxiety and Depression Scale, Pain Catastrophizing Scale, Short-Form McGill Pain Questionnaire, Pain Disability Assessment Scale, pain drawings, and history of pain were collected. The patients were divided into two treatment outcome groups a year later: a good outcome group and a poor outcome group. [Results] One-hundred eighteen patients were allocated to the good outcome group. The scores for the Visual Analogue Scale, Pain Disability Assessment Scale, and affective subscale of the Short-Form McGill Pain Questionnaire and number of nonorganic pain drawings in the good outcome group were significantly lower than those in the poor outcome group. Duration of pain in the good outcome group was significantly shorter than in the poor outcome group. [Conclusion] These findings help better predict the efficacy of multidisciplinary treatments in chronic low back pain patients. PMID:26504321

  16. The Relationship between Pain Beliefs and Physical and Mental Health Outcome Measures in Chronic Low Back Pain: Direct and Indirect Effects.

    Science.gov (United States)

    Baird, Andrew; Sheffield, David

    2016-01-01

    Low back pain remains a major health problem with huge societal cost. Biomedical models fail to explain the disability seen in response to reported back pain and therefore patients' beliefs, cognitions and related behaviours have become a focus for both research and practice. This study used the Pain Beliefs Questionnaire and had two aims: To examine the extent to which pain beliefs are related to disability, anxiety and depression; and to assess whether those relationships are mediated by pain self-efficacy and locus of control. In a sample of 341 chronic low back pain patients, organic and psychological pain beliefs were related to disability, anxiety and depression. However, organic pain beliefs were more strongly related to disability and depression than psychological pain beliefs. Regression analyses revealed that these relationships were in part independent of pain self-efficacy and locus of control. Further, mediation analyses revealed indirect pathways involving self-efficacy and, to a lesser extent chance locus of control, between organic pain beliefs, on the one hand, and disability, anxiety and depression, on the other. In contrast, psychological pain beliefs were only directly related to disability, anxiety and depression. Although longitudinal data are needed to corroborate our findings, this study illustrates the importance of beliefs about the nature of pain and beliefs in one's ability to cope with pain in determining both physical and mental health outcomes in chronic low back pain patients. PMID:27548244

  17. Chronic back pain among older construction workers in the United States: a longitudinal study.

    Science.gov (United States)

    Dong, Xiuwen S; Wang, Xuanwen; Fujimoto, Alissa; Dobbin, Ronald

    2012-01-01

    This study assessed chronic back pain among older construction workers in the United States by analyzing data from the 1992-2008 Health and Retirement Study (HRS), a large-scale longitudinal survey. Fixed-effects methods were applied in the multiple logistic regression model to explore the association between back pain and time-varying factors (e.g., employment, job characteristics, general health status) while controlling for stable variables (e.g., gender, race, ethnicity). Results showed that about 40% of older construction workers over the age of 50 suffered from persistent back pain or problems. Jobs involving a great deal of stress or physical effort significantly increased the risk of back disorders and longest-held jobs in construction increased the odds of back disorders by 32% (95% CI: 1·04-1·67). Furthermore, poor physical and mental health were strongly correlated with back problems. Enhanced interventions for construction workers are urgently needed given the aging workforce and high prevalence of back disorders in this industry. PMID:22762489

  18. Cross-cultural adaption of the German Quebec Back Pain Disability Scale: an exposure-specific measurement for back pain patients

    OpenAIRE

    Riecke J; Holzapfel S; Rief W; Lachnit H; Glombiewski JA

    2016-01-01

    Jenny Riecke,1 Sebastian Holzapfel,1 Winfried Rief,1 Harald Lachnit,2 Julia A Glombiewski1 1Department for Clinical Psychology and Psychotherapy, 2Department for Associative Learning, University of Marburg, Marburg, Germany Study design: Cross-cultural translation and psychometric testing. Objective: The purpose of the present study was to examine reliability and validity of a cross-cultural adaption of the German Quebec Back Pain Disability Scale (QBPDS) in a context of a randomized control...

  19. The effect of work-focused rehabilitation among patients with neck and back pain

    DEFF Research Database (Denmark)

    Myhre, Kjersti; Marchand, Gunn Hege; Leivseth, Gunnar; Keller, Anne; Bautz-Holter, Erik; Sandvik, Leiv; Lau, Bjørn; Røe, Cecilie

    2014-01-01

    STUDY DESIGN: Multicenter randomized trial with patients listed as sick for 1 to 12 months due to neck or back pain and referred to secondary care. OBJECTIVE: To compare the return-to-work (RTW) rate among patients offered work-focused rehabilitation or multidisciplinary rehabilitation. SUMMARY OF...... multidisciplinary intervention or a brief multidisciplinary intervention. The RTW rates and proportions were compared at 12 months. RESULTS: During the first 12 months after inclusion, 142 (70%) participants in the work-focused rehabilitation group and 152 (75%) participants in the control group returned to work...... BACKGROUND DATA: A growing number of studies have focused on the RTW processes associated with patients with back pain. Many studies have combined a workplace focus with multidisciplinary treatments; however, this focus has not been evaluated in Norway among patients with neck and back pain thus far. METHODS...

  20. Physiotherapy for sleep disturbance in chronic low back pain: a feasibility randomised controlled trial.

    LENUS (Irish Health Repository)

    Hurley, Deirdre A

    2010-01-01

    Sleep disturbance is becoming increasingly recognised as a clinically important symptom in people with chronic low back pain (CLBP, low back pain >12 weeks), associated with physical inactivity and depression. Current research and international clinical guidelines recommend people with CLBP assume a physically active role in their recovery to prevent chronicity, but the high prevalence of sleep disturbance in this population may be unknowingly limiting their ability to participate in exercise-based rehabilitation programmes and contributing to poor outcomes. There is currently no knowledge concerning the effectiveness of physiotherapy on sleep disturbance in people with chronic low back pain and no evidence of the feasibility of conducting randomized controlled trials that comprehensively evaluate sleep as an outcome measure in this population.

  1. Prevention of low back pain and its consequences among nurses' aides in elderly care

    DEFF Research Database (Denmark)

    Rasmussen, Charlotte Diana; Holtermann, Andreas; Mortensen, Ole Steen;

    2013-01-01

    A high prevalence of low back pain has persisted over the years despite extensive primary prevention initiatives among nurses' aides. Many single-faceted interventions addressing just one aspect of low back pain have been carried out at workplaces, but with low success rate. This may be due...... intervention consisting of participatory ergonomics, physical training and cognitive behavioral training can prevent low back pain and its consequences among nurses' aides. External resources for the participating workplace and a strong commitment from the management and the organization support...... periods three months apart. The intervention lasts three months and integrates participatory ergonomics, physical training and cognitive behavioral training tailored to the target group. Local physiotherapists and occupational therapists conduct the intervention after having received standardized training...

  2. Participatory ergonomic intervention for prevention of low back pain: assembly line redesign case.

    Science.gov (United States)

    Bernardes, João Marcos; Wanderck, Claudia; Moro, Antônio Renato Pereira

    2012-01-01

    This paper gives an overview of a participatory ergonomic intervention aimed at reducing low back pain cases in the dispatch department of a catalogue and e-commerce retail company. Based on the findings of the ergonomic analysis and design committee, the company's own employees redesigned the assembly line's layout. As a result of these changes two job tasks that involved manual material handling of boxes, identified by the revised NIOSH equation as posing an increased risk for lifting-related low back pain, were totally eliminated, and the employees responsible for moving boxes from the end of the assembly line to pallets on the ground were given more control over their jobs, and these jobs were also enriched with a new, less heavy task. These results demonstrate that participatory ergonomic interventions are a viable and effective strategy to reduce the exposure to work-related physical and psychosocial risk factors for low back pain. PMID:22317739

  3. Barriers to Primary Care Clinician Adherence to Clinical Guidelines for the Management of Low Back Pain

    DEFF Research Database (Denmark)

    Slade, Susan C; Kent, Peter; Patel, Shilpa;

    2016-01-01

    qualitative methods had been used for both data collection and analysis. We searched major databases up to July 2014. Pairs of reviewers independently screened titles and abstracts, extracted data, appraised method quality using the CASP checklist, conducted thematic analysis and synthesized the results in......INTRODUCTION: Despite the availability of evidence-based guidelines for the management of low back pain that contain consistent messages, large evidence-practice gaps in primary care remain. OBJECTIVES: To perform a systematic review and meta-synthesis of qualitative studies that have explored...... primary care clinicians' perceptions and beliefs about guidelines for low back pain, including perceived enablers and barriers to guideline adherence. METHODS: Studies investigatingperceptions and beliefs about low back pain guidelines were included if participants were primary care clinicians and...

  4. Barriers to primary care clinician adherence to clinical guidelines for the management of low back pain

    DEFF Research Database (Denmark)

    Slade, Susan C; Kent, Peter; Bucknall, Tracey;

    2015-01-01

    INTRODUCTION: Low back pain is the highest ranked condition contributing to years lived with disability, and is a significant economic and societal burden. Evidence-based clinical practice guidelines are designed to improve quality of care and reduce practice variation by providing graded...... recommendations based on the best available evidence. Studies of low back pain guideline implementation have shown no or modest effects at changing clinical practice. OBJECTIVES: To identify enablers and barriers to adherence to clinical practice guidelines for the management of low back pain. METHODS AND...... ANALYSIS: A systematic review and meta-synthesis of qualitative studies that will be conducted and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement guidelines. Eight databases will be searched using a priori inclusion/exclusion criteria. Two...

  5. Lifting index of the niosh lifting equation and low back pain

    Directory of Open Access Journals (Sweden)

    Eliana Remor Teixeira

    2011-09-01

    Full Text Available The purpose of this study is to assess the relationship of the Lifting Index obtained through the application of the NIOSH Lifting Equation and the incidence of low back pain among forty-eight workers involved in manual lifting tasks. It was applied the equation in eleven tasks and the workers were interviewed. The most unfavorable conditions presented themselves in the lifting destination. The variables that most contributed to the inadequate values of the Lifting Index were: the horizontal location, the lifting frequency and the vertical distance, beyond the high weight of the load. The incidence of low back pain in the last twelve months was 19%, whereas the incidence of work-related low back pain in the same period was 10%. In 72.7% of the tasks evaluated the Composite Lifting Index was more than three, which are considered as high ergonomic risk.

  6. Clustering patients on the basis of their individual course of low back pain over a six month period

    DEFF Research Database (Denmark)

    Axén, Iben; Bodin, Lennart; Bergström, Gunnar; Halasz, Laszlo; Lange, Fredrik; Lövgren, Peter W; Rosenbaum, Annika; Leboeuf-Yde, Charlotte; Jensen, Irene

    2011-01-01

    Several researchers have searched for subgroups in the heterogeneous population of patients with non-specific low back pain (LBP). To date, subgroups have been identified based on psychological profiles and the variation of pain....

  7. Somatosensory nociceptive characteristics differentiate subgroups in people with chronic low back pain: a cluster analysis.

    Science.gov (United States)

    Rabey, Martin; Slater, Helen; OʼSullivan, Peter; Beales, Darren; Smith, Anne

    2015-10-01

    The objectives of this study were to explore the existence of subgroups in a cohort with chronic low back pain (n = 294) based on the results of multimodal sensory testing and profile subgroups on demographic, psychological, lifestyle, and general health factors. Bedside (2-point discrimination, brush, vibration and pinprick perception, temporal summation on repeated monofilament stimulation) and laboratory (mechanical detection threshold, pressure, heat and cold pain thresholds, conditioned pain modulation) sensory testing were examined at wrist and lumbar sites. Data were entered into principal component analysis, and 5 component scores were entered into latent class analysis. Three clusters, with different sensory characteristics, were derived. Cluster 1 (31.9%) was characterised by average to high temperature and pressure pain sensitivity. Cluster 2 (52.0%) was characterised by average to high pressure pain sensitivity. Cluster 3 (16.0%) was characterised by low temperature and pressure pain sensitivity. Temporal summation occurred significantly more frequently in cluster 1. Subgroups were profiled on pain intensity, disability, depression, anxiety, stress, life events, fear avoidance, catastrophizing, perception of the low back region, comorbidities, body mass index, multiple pain sites, sleep, and activity levels. Clusters 1 and 2 had a significantly greater proportion of female participants and higher depression and sleep disturbance scores than cluster 3. The proportion of participants undertaking <300 minutes per week of moderate activity was significantly greater in cluster 1 than in clusters 2 and 3. Low back pain, therefore, does not appear to be homogeneous. Pain mechanisms relating to presentations of each subgroup were postulated. Future research may investigate prognoses and interventions tailored towards these subgroups. PMID:26020225

  8. Role of T1 Pelvic Angle in Assessing Sagittal Balance in Outpatients With Unspecific Low Back Pain

    OpenAIRE

    Yang, Mingyuan; Yang, Changwei; Xu, Zhengfang; Chen, Ziqiang; Wei, Xianzhao; Zhao, Jian; Shao, Jie; Zhang, Guoyou; Zhao, Yingchuan; Ni, Haijian; Bai, Yushu; Zhu, Xiaodong; Li, Ming

    2016-01-01

    Abstract The aim of the study was to explore the significance of T1 pelvic angle (TPA) for assessment of sagittal balance in a cohort of Chinese patients with unspecific low back pain. TPA has been commonly used to assess sagittal balance in adult spinal deformity. However, whether TPA could be used to assess sagittal balance in patients with unspecific low back pain effectively remains unanswered. Medical records of outpatients with unspecific low back pain who received treatment in our outp...

  9. Psychosocial predictors of health-related quality of life and health service utilisation in people with chronic low back pain.

    OpenAIRE

    Keeley, Philip; Creed, Francis; Tomenson, Barbara; Todd, Chris; Borglin, Gunilla; Dickens, Chris

    2008-01-01

    Psychological and social factors have been shown, separately, to predict outcome in individuals with chronic low back pain. Few previous studies, however, have integrated both psychological and social factors, using prospective study of clinic populations of low back pain patients, to identify which are the most important targets for treatment. One hundred and eight patients with chronic low back pain, newly referred to an orthopaedic outpatient clinic, completed assessments of demographic ch...

  10. A pragmatic multi-centred randomised controlled trial of yoga for chronic low back pain: Trial protocol

    OpenAIRE

    Cox, Helen; Tilbrook, Helen; Aplin, John; Chuang, Ling-Hsiang; Hewitt, Catherine; Jayakody, Shalmini; Semlyen, Anna; Soares, Marta O; Torgerson, David; Trewhela, Alison; Watt, Ian; Worthy, Gill

    2010-01-01

    A systematic review revealed three small randomised controlled trials of yoga for low back pain, all of which showed effects on back pain that favoured the yoga group. To build on these studies a larger trial, with longer term follow-up, and a number of different yoga teachers delivering the intervention is required. This study protocol describes the details of a randomised controlled trial (RCT) to determine the effectiveness and cost-effectiveness of Yoga for chronic Low Back Pain, which is...

  11. Systematic review of tests to identify the disc, SIJ or facet joint as the source of low back pain

    OpenAIRE

    Hancock, M. J.; Maher, C. G.; Latimer, J.; Spindler, M. F.; McAuley, J. H.; Laslett, M.; Bogduk, N.

    2007-01-01

    Clinical practice guidelines state that the tissue source of low back pain cannot be specified in the majority of patients. However, there has been no systematic review of the accuracy of diagnostic tests used to identify the source of low back pain. The aim of this systematic review was therefore to determine the diagnostic accuracy of tests available to clinicians to identify the disc, facet joint or sacroiliac joint (SIJ) as the source of low back pain. MEDLINE, EMBASE and CINAHL were sear...

  12. Delineating inflammatory and mechanical sub-types of low back pain: a pilot survey of fifty low back pain patients in a chiropractic setting

    Directory of Open Access Journals (Sweden)

    Riksman Janine S

    2011-02-01

    Full Text Available Abstract Background An instrument known as the Mechanical and Inflammatory Low Back Pain (MAIL Scale was drafted using the results of a previous expert opinion study. A pilot survey was conducted to test the feasibility of a larger study designed to determine the MAIL Scale's ability to distinguish two potential subgroups of low back pain: inflammatory and mechanical. Methods Patients with a primary complaint of low back pain (LBP presenting to chiropractic clinics in Perth, Western Australia were asked to fill out the MAIL Scale questionnaire. The instrument's ability to separate patients into inflammatory and mechanical subgroups of LBP was examined using the mean score of each notional subgroup as an arbitrary cut-off point. Results Data were collected from 50 patients. The MAIL Scale did not appear to separate cases of LBP into the two notionally distinct groups of inflammatory (n = 6 or mechanical (n = 5. A larger "mixed symptom" group (n = 39 was revealed. Conclusions In this pilot study the MAIL Scale was unable to clearly discriminate between what is thought to be mechanical and inflammatory LBP in 50 cases seen in a chiropractic setting. However, the small sample size means any conclusions must be viewed with caution. Further research within a larger study population may be warranted and feasible.

  13. Relationship between STarT Back Screening Tool and prognosis for low back pain patients receiving spinal manipulative therapy

    Directory of Open Access Journals (Sweden)

    Field Jonathan

    2012-06-01

    Full Text Available Abstract Background Low back pain (LBP is common and costly and few treatments have been shown to be markedly superior to any other. Effort has been focused on stratifying patients to better target treatment. Recently the STarT Back Screening Tool (SBT has been developed for use in primary care to enable sub grouping of patients based on modifiable baseline characteristics and has been shown to be associated with differential outcomes. In the UK the SBT is being recommended to assist in care decisions for those presenting to general practitioners with LBP. In the light of growing recommendation for widespread use of this tool, generalisability to other LBP populations is important. However, studies to date have focused only on patients attending physiotherapy whereas LBP patients seeking other treatment have not been investigated. Aims This study aims to investigate the utility of the SBT to predict outcomes in LBP patients presenting for chiropractic management. Methods A total of 404 patients undergoing chiropractic care were asked to complete the SBT before initial treatment. Clinical outcomes were collected at 14, 30 and 90 days following this initial consultation. The clinical course was described comparing SBT categories and logistic regression analysis performed to examine the tool’s prognostic utility. Results Although the high-risk categories had greater pain at baseline this difference rapidly faded, with both change in composite outcome scores and pain scores being statistically insignificant between the risk groups at 30 and 90 days follow up. In addition, both univariate and adjusted analysis showed no prognostic utility of the SBT categorisations to differentiate clinical outcomes between risk groups. Conclusion Whilst the SBT appears useful in some back pain populations it does not appear to differentiate outcomes in LBP patients seeking chiropractic care.

  14. Is a history of work-related low back injury associated with prevalent low back pain and depression in the general population?

    Directory of Open Access Journals (Sweden)

    Cassidy J David

    2008-02-01

    Full Text Available Abstract Background Little is known about the role of prior occupational low back injury in future episodes of low back pain and disability in the general population. We conducted a study to determine if a lifetime history of work-related low back injury is associated with prevalent severity-graded low back pain, depressive symptoms, or both, in the general population. Methods We used data from the Saskatchewan Health and Back Pain Survey – a population-based cross-sectional survey mailed to a random, stratified sample of 2,184 Saskatchewan adults 20 to 69 years of age in 1995. Information on the main independent variable was gathered by asking respondents whether they had ever injured their low back at work. Our outcomes, the 6-month period prevalence of severity-graded low back pain and depressive symptoms during the past week, were measured with valid and reliable questionnaires. The associations between prior work-related low back injury and our outcomes were estimated through multinomial and binary multivariable logistic regression with adjustment for age, gender, and other important covariates. Results Fifty-five percent of the eligible population participated. Of the 1,086 participants who responded to the question about the main independent variable, 38.0% reported a history of work-related low back injury. A history of work-related low back injury was positively associated with low intensity/low disability low back pain (OR, 3.66; 95%CI, 2.48–5.42, with high intensity/low disability low back pain (OR, 4.03; 95%CI, 2.41–6.76, and with high disability low back pain (OR, 6.76; 95%CI, 3.80–12.01. No association was found between a history of work-related low back injury and depression (OR, 0.85; 95%CI, 0.55–1.30. Conclusion Our analysis shows an association between past occupational low back injury and increasing severity of prevalent low back pain, but not depression. These results suggest that past work-related low back injury

  15. Dorsal root ganglion compression as an animal model of sciatica and low back pain

    Institute of Scientific and Technical Information of China (English)

    Xiao-Yu Lin; Jing Yang; Hui-Ming Li; San-Jue Hu; Jun-Ling Xing

    2012-01-01

    As sciatica and low back pain are among the most common medical complaints,many studies have duplicated these conditions in animals.Chronic compression of the dorsal root ganglion (CCD) is one of these models.The surgery is simple:after exposing the L4/L5 intervertebral foramina,stainless steel rods are implanted unilaterally,one rod for each vertebra,to chronically compress the lumbar dorsal root ganglion (DRG).Then,CCD can be used to simulate the clinical conditions caused by stenosis,such as a laterally herniated disc or foraminal stenosis.As the intraforaminal implantation of a rod results in neuronal somal hyperexcitability and spontaneous action potentials associated with hyperalgesia,spontaneous pain,and mechanical allodynia,CCD provides an animal model that mimics radicular pain in humans.This review concerns the mechanisms of neuronal hyperexcitability,focusing on various patterns of spontaneous discharge including one possible pain signal for mechanical allodynia-evoked bursting.Also,new data regarding its significant property of maintaining peripheral input are also discussed.Investigations using this animal model will enhance our understanding of the neural mechanisms for low back pain and sciatica.Furthermore,the peripheral location of the DRG facilitates its use as a locus for controlling pain with minimal central effects,in the hope of ultimately uncovering analgesics that block neuropathic pain without influencing physiological pain.

  16. Description of a clinical stream of back-pain patients based on electronic medical records.

    Science.gov (United States)

    Aickin, Mikel; McCaffery, Anne; Pugh, Guy; Tick, Heather; Ritenbaugh, Cheryl; Hicks, Paul; Pelletier, Kenneth R; Cao, Jennifer; Himick, Dan; Monahan, Jennifer

    2013-08-01

    Back pain consists of a spectrum of conditions, with no common etiology and therefore no dominant method of treatment. The purpose of this study is to describe the complexity of a collection of 8000 back pain patients who appeared in an integrative medicine clinic, as a prelude to conducing comparative effectiveness research on CAM alternatives to conventional therapy. Approximately 23% of all clinic patients were diagnosed at some time with back pain. Nearly half had treatment periods of less than one month, while more than 25% were treated for back pain for more than two years. Women were represented more than twice as often as men. The initial diagnosis categories that occurred most frequently were lumbar symptoms, cervical symptoms, and a general category, with smaller numbers having lumbar anatomic, thoracic symptom, brachial neuritis, or sciatica diagnoses. There were few strong relationships between initial diagnosis pattern and length of back pain treatment period. While 77% of back pain patients presented with diagnoses in only a single category, there were many composite categories each of which was sparsely represented. Between 50% and 75% of patients used some CAM service, depending on their initial diagnosis pattern. Patients with complex initial diagnosis patterns strongly tended to chose CAM, and among CAM-users those with complex diagnoses tended toward chiropractic, as opposed to acupuncture or bodywork. The CAM usage patterns of men and women were highly similar. Again among CAM users, 82% used only a single type of CAM service, and multiple service uses tend to be combined at random. Between two-thirds and three-quarters of multiple CAM service users had very simple temporal patterns of use, dominated by use of one type of CAM at a time. PMID:23890463

  17. Back and neck pain among school teachers in Poland and its correlations with physical activity

    Directory of Open Access Journals (Sweden)

    Jerzy Rottermund

    2015-12-01

    Full Text Available Background: Back pain represents one of the most common diseases across various populations of workers worldwide. This study analyzes the prevalence and severity of back pain, based on selected demographic variables, and the relationship with physical activity among school teachers. Material and Methods: The study included 998 professionally active teachers (840 females and 158 males from the southern part of Poland. Validated psychometric tools, namely: 1 for evaluation of disability due to back pain – a Polish version of the Oswestry Disability Index (ODI and Neck Disability Index (NDI, 2 for physical activity assessment – the Subjective Experience of Work Load (SEWL as well as the authors’ supplementary questionnaire, addressing demographic and anthropometric variables were used. Results: There was no correlation between age and the NDI scores in females (r = 0.027, in contrast to males (r = 0.202; p ≤ 0.05. Statistically significant correlations (p ≤ 0.05 were reported between: age and the ODI, in both females (r = 0.219 and males (r = 0.180. No associations between the body mass index (BMI-ODI, and BMI-NDI were found. In the case of women, disability related to low back pain (LBP had a negative impact on the indicators of their activity during work, sports, and leisure time. In the case of men, the NDI and ODI scores did not differ, based on activity indicators. Conclusions: Our findings confirm that back pain represents a serious concern among teachers. Age appears to be a prognostic factor, while no association between the BMI and LBP has been revealed. The limitation of physical activity leads to more frequent back pain. Med Pr 2015;66(6:771–778

  18. Low Back Pain in 17 Countries, a Rasch Analysis of the ICF Core Set for Low Back Pain

    Science.gov (United States)

    Roe, Cecilie; Bautz-Holter, Erik; Cieza, Alarcos

    2013-01-01

    Previous studies indicate that a worldwide measurement tool may be developed based on the International Classification of Functioning Disability and Health (ICF) Core Sets for chronic conditions. The aim of the present study was to explore the possibility of constructing a cross-cultural measurement of functioning for patients with low back pain…

  19. Pedometer-Based Internet-Mediated Intervention For Adults With Chronic Low Back Pain: Randomized Controlled Trial

    OpenAIRE

    Krein, Sarah L.; Kadri, Reema; Hughes, Maria; Kerr, Eve A.; Piette, John D; Holleman, Rob; Kim, Hyungjin Myra; Richardson, Caroline R

    2013-01-01

    Background Chronic pain, especially back pain, is a prevalent condition that is associated with disability, poor health status, anxiety and depression, decreased quality of life, and increased health services use and costs. Current evidence suggests that exercise is an effective strategy for managing chronic pain. However, there are few clinical programs that use generally available tools and a relatively low-cost approach to help patients with chronic back pain initiate and maintain an exerc...

  20. Acknowledging the patient with back pain: A systematic review based on thematic synthesis

    DEFF Research Database (Denmark)

    Damsgaard, Janne Brammer; Bastrup, Lene; Norlyk, Annelise; Birkelund, Regner

    systematise and integrate findings of qualitative studies. The method draws on Thomas' and Hardens approach in "Methods for the thematic synthesis of qualitative research in systematic reviews" (2008). Results: The analysis reveals that many back patients feel that their experiences and perceptions are......Abstract NOF 2014 Acknowledging the back patient. A thematic synthesis of qualitative research. A systematic literature review. Introduction: Back conditions and back pain rank among the most common causes of reduced working capacity and lengthy, challenging and costly illness trajectories and are...... associated with heavy personal costs and hospitalisations. Thus, it has been the aim of this qualitative literature review to investigate what it feels like to be a back patient and what back patients consider important when dealing with the healthcare system. Methods: The thematic synthesis aims to...

  1. The Nordic back pain subpopulation program: Can low back pain patterns be predicted from the first consultation with a chiropractor? A longitudinal pilot study

    Directory of Open Access Journals (Sweden)

    Leboeuf-Yde Charlotte

    2010-04-01

    Full Text Available Abstract Background It is widely believed that non-specific low back pain (LBP consists of a number of subgroups which should be identified in order to improve treatment effects. In order to identify subgroups, patient characteristics that relate to different outcomes are searched for. However, LBP is often fluctuating or recurring rather than clearly limited in time. Therefore it would be relevant to consider outcome after completed treatment from a longitudinal perspective (describing "course patterns" instead of defining it from an arbitrarily selected end-point. Aims The objectives of this pilot study were to investigate the interobserver reliability of a diagnostic classification system and to evaluate whether diagnostic classes or other baseline characteristics are associated with the LBP course pattern over a period of 18 weeks. Methods Patients visiting one of 7 chiropractors because of LBP were classified according to a diagnostic classification system, which includes end-range loading, SI-joint pain provocation tests, neurological examination and tests for muscle tenderness and abnormal nerve tension. In addition, age, gender, duration of pain and presence of leg pain were registered in the patient's file. By weekly SMS-messages on their mobile phones, patients were asked how many days they had LBP the preceding week, and these answers were transformed into pain course patterns and the total number of LBP days. Results A total of 110 patients were included and 76 (69% completed follow-up. Thirty-five patients were examined by two chiropractors. The agreement regarding diagnostic classes was 83% (95% CI: 70 - 96. The diagnostic classes were associated with the pain course patterns and number of LBP days. Patients with disc pain had the highest number of LBP days and patients with muscular pain reported the fewest (35 vs. 12 days, p Conclusions The study indicated that there is a clinically meaningful relationship between diagnostic

  2. Long-term effects of supervised physical training in secondary prevention of low back pain

    OpenAIRE

    Maul, Irina; LÄUBLI, Thomas; Oliveri, Michael; Krueger, Helmut

    2005-01-01

    Background and objectives: In the last few years, several studies have focused on short-term treatment effects of exercise therapy. However, there is a lack of knowledge concerning the long-term treatment effects recorded after several years. Hence, this study was performed to investigate the short- and long-term effects of supervised physical training on functional ability, self-rated pain and disability in secondary prevention of low back pain. Methods: One hundred and eighty-three hospital...

  3. Back and neck pain are related to mental health problems in adolescence

    OpenAIRE

    Rees, Clare S; Smith, Anne J; O'Sullivan, Peter B; Kendall, Garth E; Straker, Leon M

    2011-01-01

    Background There is a high prevalence of mental health problems amongst adolescents. In addition there is a high prevalence of spinal pain in this population. Evidence suggests that these conditions are related. This study sought to extend earlier findings by examining the relationship between mental health problems as measured by the Child Behaviour Check List (CBCL) and the experience of back and neck pain in adolescents. Methods One thousand five hundred and eighty participants (mean age 1...

  4. The effect of intrathecal Neostigmine on control of local back pain after lumbar disc surgery

    OpenAIRE

    Fakhr Tabatabaei SA; Hossein Khan Z; Hamidi S

    2002-01-01

    Introduction: As spinal cholinergic receptors exhibit an action against somatic pain, this effect could be potentiated by intrathecal injection of cholinesterase inhibitor-neostigmine. This study was designed to evaluate the role of interathecal neostigmine on local back pain relief after single level lumbar disc surgery. Methods and Materials: In an interventional-expremental study (Imam Khomeini Hospital, Jun. 2000 to sep. 2001), sixty-six patient with unilateral herniated lumbr disc at one...

  5. Effects of Pilates Exercise Programs in People With Chronic Low Back Pain

    OpenAIRE

    Patti, A; Bianco, A.; Paoli, A; Messina, G.; Montalto, MA; Bellafiore, M; Battaglia, G.; Iovane, A; A. Palma

    2015-01-01

    Abstract The Pilates method has recently become a fast-growing popular way of exercise recommended for healthy individuals and those engaged in rehabilitation. Several published studies have examined the effects of Pilates method in people with chronic low back pain (LBP). The objective of this study is to describe and provide an extensive overview of the scientific literature comparing the effectiveness of the Pilates method on pain and disability in patients with chronic nonspecific LBP. Th...

  6. Chronic low back pain patient groups in primary care - A cross sectional cluster analysis

    OpenAIRE

    Viniol, Annika; Jegan, Nikita; Hirsch, Oliver; Leonhardt, Corinna; Brugger, Markus; Strauch, Konstantin; Barth, Juergen; Baum, Erika; Becker, Annette

    2013-01-01

    Background Due to the heterogeneous nature of chronic low back pain (CLBP), it is necessary to identify patient groups and evaluate treatments within these groups. We aimed to identify groups of patients with CLBP in the primary care setting. Methods We performed a k-means cluster analysis on a large data set (n = 634) of primary care patients with CLBP. Variables of sociodemographic data, pain characteristics, psychological status (i.e., depression, anxiety, somatization), and the patient re...

  7. The association of comorbidities, utilization and costs for patients identified with low back pain

    OpenAIRE

    Ritzwoller Debra P; Crounse Laurie; Shetterly Susan; Rublee Dale

    2006-01-01

    Abstract Background Existing studies have examined the high prevalence of LBP along with the high treatment costs of patients with low back pain (LBP). Various factors have been shown to be correlated or predictive of chronic or episodic LBP including the characteristics of the initial episode, pain, comorbid conditions, psychosocial issues, and opiate use. This study replicates and extends earlier studies by examining the association of patient characteristics including baseline comorbiditie...

  8. Yoga as a treatment for chronic low back pain: A systematic review of the literature

    OpenAIRE

    Chang, Douglas G.; Holt, Jacquelyn A.; Sklar, Marisa; Groessl, Erik J.

    2016-01-01

    Objectives Chronic low back pain (CLBP) affects millions of people worldwide, and appears to be increasing in prevalence. It is associated not only with pain, but also with increased disability, psychological symptoms, and reduced quality of life. There are various treatment options for CLBP, but no single therapy stands out as being the most effective. In the past 10 years, yoga interventions have been studied as a CLBP treatment approach. The objective of this paper is to review the current...

  9. Work-related evaluation and rehabilitation of patients with non-acute nonspecific low back pain

    OpenAIRE

    2012-01-01

    Low back pain (LBP) continues to be a major health problem causing personal suffering 4 and enormous socioeconomic costs 5-7. Most of the patients suffer from nonspecific LBP (NSLBP) 8-10, defined as not attributable to a recognisable known specific pathology 10. NSLBP is classified according to the duration and localisation of symptoms. Pain lasting longer than 4 weeks is non-acute 11. Management of LBP should include a medical evaluation screening for specific pathology and for psychosoc...

  10. Effectiveness of Sling Exercise for Chronic Low Back Pain: A Systematic Review

    OpenAIRE

    Lee, Jin-Su; Yang, Seung-Hoon; Koog, Yun-Hyung; Jun, Hyun-Ju; Kim,

    2014-01-01

    [Purpose] This study investigated effects of sling exercise for patients with chronic low back pain. [Methods] We reviewed all relevant papers indexed in PubMed, SCOPUS, and the Cochrane Registered Trials. Eligible trials were randomized controlled trials that compared sling exercise with any type of treatment. We extracted data on muscle thickness, muscle activation, pain, and disability, and assessed the methodological quality of the data. Seven studies met our inclusion criteria. [Results]...

  11. Comparison of Contraction Rates of Abdominal Muscles of Chronic Low Back Pain Patients in Different Postures

    OpenAIRE

    Cho, Sung-Hak; Kim, Kang Hoon; Baek, Il-Hun; Goo, Bong-Oh

    2013-01-01

    [Purpose] This study examined the contraction rates of abdominal muscles in relation to the posture of chronic lumbar pain patients and normal subjects. [Subjects] The subjects were 17 chronic low back pain (CLBP) patients and 17 normal people between the ages of 20 and 59. [Methods] Experimental postures included a supine position, a sitting position, and a standing position. Measurements were taken at rest and during abdominal contraction. The measurement at rest was taken during expiration...

  12. Effects of neural mobilization on pain, straight leg raise test and disability in patients with radicular low back pain

    Directory of Open Access Journals (Sweden)

    Haris Čolaković

    2013-09-01

    Full Text Available Introduction: Radicular low back pain is a disorder involving the dysfunction of the lumbosacral nerve roots. Clinical rehabilitation approaches for low back pain include kinesiotherapy, and physical therapyprocedures: ice , rest , heat, ultrasound, TENS, but evidences regarding their effectiveness are lacking. The purpose of this study was to determine if nerve mobilization brings better improvements in pain, SLR testand functional disability in patients with radicular low back pain compared to standard physical therapy.Methods: The study was conducted on a 60 patients with Radicular low back pain, treated in Regional medical center "Dr Safet Mujić", Mostar, during the period from 01.04.2010 untill 31.04.2011. Patientswere divided into two groups. First group (n=30 received a 4-week rehabilitation program including neural mobilization and lumbar stabilization program. Second group (n=30 received a 4-week rehabilitation program including active range of motion (ROM exercises and lumbar stabilization program.Results: At the beginning, the two groups were not signifi cantly different in terms of score or SLR. After therapy there was statistically signifi cant improvement between groups in both VAS scores[Group A: 1.16±1.5; Group B: 2.25±2.2] and SLR [Group A: 80.9±17.4; Group B: 65.9±16.4]. ]. After the treatment, in group A, 46.6% (14 participants had been rated with 4, but in Group B: 33.3% (10 participants had been rated with 3.Conclusions: Patients treated with neural mobilization and lumbar stabilization showed better VAS scores and Straight Leg Test scores compared to patients treated with active range of motion exercises and lumbar stabilization. Further research to investigate their long term effi cacy is warranted, with emphasis on greater number of participants.

  13. Paraspinous Lidocaine Injection for Chronic Nonspecific Low Back Pain: A Randomized Controlled Clinical Trial

    Science.gov (United States)

    Imamura, Marta; Imamura, Satiko Tomikawa; Targino, Rosa Alves; Morales-Quezada, León; Onoda Tomikawa, Luis C.; Onoda Tomikawa, Luis G.; Alfieri, Fabio M.; Filippo, Thais R.; da Rocha, Ivan D.; Neto, Raul Bolliger; Fregni, Felipe; Battistella, Linamara Rizzo

    2016-01-01

    In this large, sham-controlled, randomized trial, we examined the efficacy of the combination of standard treatment and paraspinous lidocaine injection compared with standard therapy alone in subjects with chronic low back pain. There is little research-based evidence for the routine clinical use of paraspinous lidocaine injection for low back pain. A total of 378 subjects with nonspecific chronic low back pain were randomized to 3 groups: paraspinous lidocaine injection, analgesics, and exercises (group 1, LID-INJ); sham paraspinous lidocaine injection, analgesics, and exercises (group 2, SH-INJ); and analgesics and exercises (group 3, STD-TTR). A blinded rater assessed the study outcomes at 3 time points: baseline, after treatment, and after 3 months of follow-up. There were increased frequency of pain responses and better low back functional scores in the LID-INJ group compared with the SH-INJ and STD-TTR groups. These effects remained at the 3-month follow-up but differed between all 3 groups. There were significant changes in pain threshold immediately after treatment, supporting the effects of this intervention in reducing central sensitization. Paraspinous lidocaine injection therapy is not associated with a higher risk of adverse effects compared with conventional treatment and sham injection. Its effects on hyperalgesia might correlate with changes in central sensitization. PMID:26828801

  14. Back Pain in Children and Diagnostic Value of 99mTc MDP Bone Scintigraphy

    OpenAIRE

    Alkhawaldeh, Khaled; Ghuweri, Ali AL; Kawar, Jane; Jaafreh, Amany

    2014-01-01

    ABSTRACT Aim: The aim of our study is to assess the diagnostic value of Technituim-99m-Methyle diphosphonate (99mTc-MDP) Bone scintigraphy in the assessment of children with back pain. Methods: Included in this retrospective study were 68 child referred to us complaining of back pain (mean age of 13+ 2). There were 45 boys and 23 girls. All children have been investigated with conventional x-ray which revealed normal or inconclusive result. All underwent bone scintigraphy after the injection ...

  15. Sacral insufficiency fractures: an easily overlooked cause of back pain in the ED.

    LENUS (Irish Health Repository)

    Galbraith, John G

    2011-03-01

    Sacral insufficiency fractures are an important and treatable cause of severe back pain. Despite publication of several case reports since its original description in 1982, awareness of these injuries remains inadequate in emergency medicine. Most patients are elderly women presenting with intractable lower back pain. Postmenopausal osteoporosis is the most significant risk factor. Marked sacral tenderness is common. Neurologic impairment is rarely detectable. Routine radiography of the spine and pelvis is usually inconclusive. Computed tomography remains the diagnostic modality of choice. Treatment is usually conservative.

  16. Influence of comorbidity with depression on interdisciplinary therapy: outcomes in patients with chronic low back pain

    OpenAIRE

    Wang, Haili; Ahrens, Carsten; Rief, Winfried; Schiltenwolf, Marcus

    2010-01-01

    Introduction Our previous work showed higher tumour necrosis factor (TNF)-α levels in patients with chronic low back pain (cLBP) compared to healthy controls. However, patients with depression as a comorbidity did not have higher TNF-α levels in comparison to patients without depression. In this study we investigated the influence of depression on therapy outcomes such as TNF-α serum levels, pain intensity and back function in patients with cLBP. Our hypothesis was that patients with both cLB...

  17. Aspects Regarding the Beneficial Effect of Reflexology in Low Back Pain

    OpenAIRE

    Serban GLIGOR; Silviu ISTRATE

    2013-01-01

    Reflexology is based on the digital pressure on certain reflex points situated on the sole of the foot, which represents a “map” of the entire body. The aim of this paper is to highlight the importance of reflexology in low back pain treatment. To accomplish the objectives of this paper, a lot of 12 patients, of both genders, with low back pain, was formed. Out of these patients, 66.67% were male and 33.33% were female, the majority coming from an urban area (75%). The average age ± the stand...

  18. EFFECT OF MYOFASCIAL RELEASE THERAPY ON PAIN RELATED DISABILITY, QUALITY OF SLEEP AND DEPRESSION IN OLDER ADULTS WITH CHRONIC LOW BACK PAIN

    Directory of Open Access Journals (Sweden)

    Dr. B.Arun, MPT, PhD

    2014-02-01

    Full Text Available Low back pain was experienced by 50% of older adults that has threatened to quality of life. The economic cost of low back pain is more in older adults. Various literatures found that there is strong relationships exist between the low back pain and the psychosocial factors like sleep disturbances, depression, mood sway and chronic illness. Studies has found that depression is one of the commonest psychological problem faced by older adults which relates to other factors like pain, sleep disturbances ect.. Physiotherapy has been shown very effective in the management of chronic low back pain. Various approaches in physiotherapy play a major role in rehabilitation of patients with chronic low back pain. This study estimates to find out the effect of myofascial release therapy on pain related disability, quality of sleep and depression in older adults with chronic low back pain. Study is a single group pre test and post test design. 37 Patients with chronic low back pain were selected from a community setup. Selected subjects were undergone 6 weeks of myofascial release therapy along with moist heat therapy. At the end the outcome measured are pain related disability using pain disability index, Quality of sleep using Insomnia severity index and depression using beck depression inventory. The paired ‘t’ test was used to find out the differences between variables. The result showed that there was a significant improvement in the pre test and post test variables. The beck depression inventory was 21.3 (p<0.05%, and the pain disability index was 24.9 (p<0.05%. The study concludes that the myofascial release therapy is very effective in reducing the pain related disability, quality of sleep and depression on older adults with chronic low back pain.

  19. Effective physical treatment for chronic low back pain.

    Science.gov (United States)

    Maher, C G

    2004-01-01

    It is now feasible to adopt an evidence-based approach when providing physical treatment for patients with chronic LBP. A summary of the efficacy of a range of physical treatments is provided in Table 1. The evidence-based primary care options are exercise, laser, massage, and spinal manipulation; however, the latter three have small or transient effects that limit their value as therapies for chronic LBP. In contrast, exercise produces large reductions in pain and disability, a feature that suggests that exercise should play a major role in the management of chronic LBP. Physical treatments, such as acupuncture, backschool, hydrotherapy, lumbar supports, magnets, TENS, traction, ultrasound, Pilates therapy, Feldenkrais therapy, Alexander technique, and craniosacral therapy are either of unknown value or ineffective and so should not be considered. Outside of primary care, multidisciplinary treatment or functional restoration is effective; however, the high cost probably means that these programs should be reserved for patients who do not respond to cheaper treatment options for chronic LBP. Although there are now effective treatment options for chronic LBP, it needs to be acknowledged that the problem of chronic LBP is far from solved. Though treatments can provide marked improvements in the patient's condition, the available evidence suggests that the typical chronic LBP patient is left with some residual pain and disability. Developing new, more powerful treatments and refining the current group of known effective treatments is the challenge for the future. PMID:15062718

  20. Influence of pilates mat and apparatus exercises on pain and balance of businesswomen with chronic low back pain.

    Science.gov (United States)

    Lee, Chae-Woo; Hyun, Ju; Kim, Seong Gil

    2014-04-01

    [Purpose] The purpose of this study was to examine the influence of mat Pilates and apparatus Pilates on pain and static balance of businesswomen with chronic back pain. [Subjects and Methods] Participants were randomly allocated to Pilates mat exercises (PME) or Pilates apparatus exercise (PAE), and performed the appropriate Pilates exercises 3 days per week for 8 weeks. In order to measure the improvement in the participants' static balance ability as a result of the exercise, the sway length and sway velocity of the subjects were measured before and after the experiment while the subjects stood on a Balance Performance Monitor (BPM) facing the front wall for 30 seconds with their eyes open. The visual analogue scale (VAS) was used to measure the degree of pain. [Results] The VAS score, sway length, and sway velocity of both groups decreased significantly after the experiment, but the PME group showed a greater decrease than the PAE group. [Conclusion] PME showed greater improvement in pain level and balance compared with PAE in this research. Since the subjects of this study were patients with low back pain, PME is assumed to have been more suitable and effective because it uses body weight to strengthen core muscles rather than heavier apparatuses as in PAE. PMID:24764614

  1. The Influence of Ergonomic Training on Low Back and Neck Pains in Female Hospital Personnel

    Directory of Open Access Journals (Sweden)

    Saeidi

    2014-07-01

    Full Text Available Background Prevalence of low back pain (LBP and neck pain (NP in workers, especially in nurses is high, but their knowledge of ergonomics is not enough. Objectives The aim of this study was to evaluate the impact of ergonomic training on low back pain and neck pain, posture, and function in female hospital personnel of Najaf-Abad, Iran. Patients and Methods In this queasy experimental study, 47 female staffs with LBP or NP were selected through a simple consecutive sampling method. The subjects completed a questionnaire on LBP and NP and were evaluated for posture, back tests, and cost of related treatments. Afterward, they participated in an ergonomic training program, including face to face and group education sessions on ergonomic risk factors for LBP and NP, in the work place. After six months of follow up, all the tests and data collection were repeated and data was analyzed using paired t-test and regression analysis. Results Prevalence of LBP and NP were 87% and 45.7%, respectively. Repetitive motions were the most frequent cause of pain (67%. Pain intensity, posture, risk of musculoskeletal disorders, weight, waist circumference, sick leaves, and the costs of treatments reduced significantly after intervention (P < 0.05. Conclusions With regards to the influence of ergonomic training on improving LBP and NP and decreasing the treatment costs, this intervention beside others can be useful for controlling musculoskeletal disorders in hospital personnel.

  2. Treatment of low back pain by acupressure and physical therapy: randomised controlled trial

    Science.gov (United States)

    Hsieh, Lisa Li-Chen; Kuo, Chung-Hung; Lee, Liang Huei; Yen, Amy Ming-Fang; Chien, Kuo-Liong; Chen, Tony Hsiu-Hsi

    2006-01-01

    Objective To evaluate the effectiveness of acupressure in terms of disability, pain scores, and functional status. Design Randomised controlled trial. Setting Orthopaedic clinic in Kaohsiung, Taiwan. Participants 129 patients with chronic low back pain. Intervention Acupressure or physical therapy for one month. Main outcome measures Self administered Chinese versions of standard outcome measures for low back pain (primary outcome: Roland and Morris disability questionnaire) at baseline, after treatment, and at six month follow-up. Results The mean total Roland and Morris disability questionnaire score after treatment was significantly lower in the acupressure group than in the physical therapy group regardless of the difference in absolute score (- 3.8, 95% confidence interval - 5.7 to - 1.9) or mean change from the baseline (- 4.64, - 6.39 to - 2.89). Acupressure conferred an 89% (95% confidence interval 61% to 97%) reduction in significant disability compared with physical therapy. The improvement in disability score in the acupressure group compared with the physical group remained at six month follow-up. Statistically significant differences also occurred between the two groups for all six domains of the core outcome, pain visual scale, and modified Oswestry disability questionnaire after treatment and at six month follow-up. Conclusions Acupressure was effective in reducing low back pain in terms of disability, pain scores, and functional status. The benefit was sustained for six months. PMID:16488895

  3. Prevalence and Pharmacologic Treatment of Patients with Low Back Pain Treated at Kosovo Energetic Corporation

    OpenAIRE

    Ibraimi, Zana; Murtezani, Ardiana; Haxhiu, Bekim; Mustafa, Aziz; Martinaj, Merita

    2013-01-01

    ABSTRACT Introduction: Low back pain (LBP) is a common complaint among the general population with a subgroup developing chronic and disabling symptoms generating large societal costs. Recurrences and functional limitations can be minimized with appropriate conservative management, including medications, physical therapy modalities, exercise and patient education. Objectives: The purpose of this study was to determine the prevalence of low back complaints in industrial workers, to investigate...

  4. Low back pain : a comparative study on the value of core training versus traditional strengthening exercises

    OpenAIRE

    Schembri, Laura; Fenech, Pauline; Sacco, Mark

    2014-01-01

    This randomised controlled trial (RCT) employed a pre-test/post-test design to compare the effects of core training (Pilates method) and traditional back exercises on a population with low back pain (LBP). Therapeutic intervention related to the Pilates method has recently become popular, but there is little evidence to prove it works. In this study, 120 individuals with LBP were allocated to three different groups. Group A was the control group, Group B was given modifie...

  5. Predictors of response and adherence to outpatient multimodal rehabilitation in patients with chronic low back pain

    OpenAIRE

    Dhondt, Evy; Van Oosterwijck, Jessica; Cagnie, Barbara; Adnan, Rahmat; Schouppe, Stijn; Van Akeleyen, Jens; Logghe, Tine; Danneels, Lieven

    2015-01-01

    BACKGROUND AND AIMS: There is a growing need to identify patient pre-treatment characteristics that could predict the responsiveness to specific interventions. Therefore this study aimed to identify predictors of response to outpatient multimodal rehabilitation (favourable versus non-favourable outcome) and predictors of therapeutic adherence (drop-out versus adherence to therapy) in patients with chronic low back pain. METHODS: A total of 273 chronic low back patients participated in an e...

  6. Biopsychosocial Factors and Perceived Disability in Saleswomen with Concurrent Low Back Pain

    OpenAIRE

    Pensri, Praneet; Janwantanakul, Prawit; Worakul, Puangsoi; Sinsongsook, Thanes

    2010-01-01

    Objectives To quantify disability level in salespeople with concurrent low back pain (LBP) and to determine the relative associations between demographic, occupational, psychosocial and clinical factors and back disability. LBP is the most common cause of work-related disability in people under 45 years of age and the most expensive cause of work-related disability, in terms of workers' compensation and medical expenses. Evidence suggests high prevalence of LBP in salespeople. Methods A cross...

  7. Injection therapy and denervation procedures for chronic low-back pain: A systematic review

    OpenAIRE

    Henschke, N.; Kuijpers, T; Rubinstein, S.M.; Middelkoop, van, J.C.; Ostelo, R.W.J.G.; Verhagen, A.; Koes, B W; Tulder, van, R.J.M.

    2010-01-01

    textabstractInjection therapy and denervation procedures are commonly used in the management of chronic low-back pain (LBP) despite uncertainty regarding their effectiveness and safety. To provide an evaluation of the current evidence associated with the use of these procedures, a systematic review was performed. Existing systematic reviews were screened, and the Cochrane Back Review Group trial register was searched for randomized controlled trials (RCTs) fulfilling the inclusion criteria. S...

  8. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis

    OpenAIRE

    Kamper, Steven J.; Apeldoorn, A T; Chiarotto, A; Smeets, R.J.E.M.; Ostelo, R.W.J.G.; J. Guzman; van Tulder, M. W

    2015-01-01

    Objective To assess the long term effects of multidisciplinary biopsychosocial rehabilitation for patients with chronic low back pain. Design Systematic review and random effects meta-analysis of randomised controlled trials. Data sources Electronic searches of Cochrane Back Review Group Trials Register, CENTRAL, Medline, Embase, PsycINFO, and CINAHL databases up to February 2014, supplemented by hand searching of reference lists and forward citation tracking of included trials. Study selecti...

  9. The Effectiveness of Pilates Exercise in People with Chronic Low Back Pain: A Systematic Review

    OpenAIRE

    Cherie Wells; Kolt, Gregory S; Paul Marshall; Bridget Hill; Andrea Bialocerkowski

    2014-01-01

    Objective To evaluate the effectiveness of Pilates exercise in people with chronic low back pain (CLBP) through a systematic review of randomised controlled trials (RCTs). Data Sources A search for RCTs was undertaken using Medical Search Terms and synonyms for “Pilates” and “low back pain” within the maximal date range of 10 databases. Databases included the Cumulative Index to Nursing and Allied Health Literature; Cochrane Library; Medline; Physiotherapy Evidence Database; ProQuest: Health ...

  10. The effects of isometric exercise types on pain and muscle activity in patients with low back pain

    OpenAIRE

    Rhyu, Hyun-seung; Park, Hun-Kyung; Park, Jung-Sub; Park, Hye-Sang

    2015-01-01

    The purpose of the present study is to evaluate the effects of isometric exercise types on low back pain (LBP) patients. Isometric exercise types were mat exercise and I-Zer exercise. Subjects were divided into 3 groups: LBP control group, LBP mat exercise group, and LBP I-Zer exercise group in 23–25 aged men. Visual analogue scale (VAS) and electromyography (EMG) were used to evaluate the degree of pain and the muscle activity in LBP patients. Root mean square (RMS), median frequency (MDF), ...

  11. Psychological and behavioral differences between low back pain populations

    DEFF Research Database (Denmark)

    Eklund, A.; Bergstrom, G.; Bodin, L.;

    2015-01-01

    thirty-five subjects from secondary care clinics. The Swedish version of the Multidimensional Pain Inventory (MPI-S) was used to collect data. Subjects were classified using a cluster analytic strategy into three pre-defined subgroups (named adaptive copers, dysfunctional and interpersonally distressed...... this cross-sectional study, the aim was to investigate patients with LBP as regards to psychosocial/behavioral characteristics by describing a chiropractic primary care population and comparing this sample to three other populations using the MPI-S instrument. Thus, four different samples were compared....... A: Four hundred eighty subjects from chiropractic primary care clinics. B: One hundred twenty-eight subjects from a gainfully employed population (sick listed with high risk of developing chronicity). C: Two hundred seventy-three subjects from a secondary care rehabilitation clinic. D: Two hundred...

  12. Hip and low back pain in the presence of femoral anteversion. A case report.

    LENUS (Irish Health Repository)

    Tansey, Paula

    2014-04-16

    A change in hip morphology, such as femoral anteversion may be a factor in patients with lower quadrant pain. This case study highlights the importance of angle of torsion assessment and consideration of a patient\\'s individual angle in designing rehabilitation programs. A patient who had a four year history of hip pain and a one year history of low back pain, in the presence of femoral anteversion is presented. She was successfully treated by altering her lower limb position as well as performing exercises in this alignment.

  13. Visually Plastic Art Therapy in Reducing Anxiety of Chronic Low Back Pain Patients

    OpenAIRE

    Jurčenko, Aloida

    2015-01-01

    The aim of the research is to check if Art therapy reduces anxiety and pain symptoms for chronic low back pain patients. The selection of the research members was made by using structured interview. For the selection of anxiety research – C.D. Spielberg anxiety position-feature self-assessment (STAI from Y-1). For the selection of pain symptom detection was used numerical analog (ranking) scale (NRS). There were patients from 30 to 60 years old, who made the selection, all with M47.2 diagnosi...

  14. Lumbar Mechanics in Tennis Groundstrokes: Differences in Elite Adolescent Players With and Without Low Back Pain.

    Science.gov (United States)

    Campbell, Amity; Straker, Leon; Whiteside, David; O'Sullivan, Peter; Elliott, Bruce; Reid, Machar

    2016-02-01

    Adolescent tennis players are at risk for low back pain (LBP). Recent research has demonstrated a potential mechanical etiology during serves; however, groundstrokes have also been suggested to load this region. Therefore, this study compared lumbar mechanics between players with and without a history of LBP during open and square stance tennis forehands and backhands. Nineteen elite, adolescent, male tennis players participated, 7 with a history of recurrent disabling LBP and 12 without. Differences in three-dimensional lumbar kinetics and kinematics were compared between pain/no pain groups and groundstrokes using linear mixed models (P tennis players. PMID:26367081

  15. The natural course of low back pain: a systematic critical literature review

    OpenAIRE

    Lemeunier, Nadège; Leboeuf-Yde, Charlotte; Gagey, Olivier

    2012-01-01

    Background Most patients in the secondary care sector consulting for low back pain (LBP) seem to have a more or less constant course of pain during the ensuing year. Fewer patients with LBP in the primary care sector report continual pain over a one-year period. However, not much is known about the long-term course of LBP in the general population. A systematic critical literature review was undertaken in order to study the natural course of LBP over time in the general population. Methods A ...

  16. Effectiveness of mindfulness meditation (Vipassana in the management of chronic low back pain

    Directory of Open Access Journals (Sweden)

    Sangram G Patil

    2009-01-01

    Full Text Available Chronic low back pain (CLBP is challenging to treat with its significant psychological and cognitive behavioural element involved. Mindfulness meditation helps alter the behavioural response in chronic pain situations. Significant body of research in the filed of mindfulness meditation comes from the work of Dr Kabat-Zinn. The current evidence in the field, though not grade one, shows that there is a place for mindfulness meditation in managing chronic pain conditions including CLBP. Further research to test the usefulness of mindfulness in CLBP should involve good quality randomized controlled trials of pure mindfulness based technique in matched subjects.

  17. Use of Temporary Implantable Biomaterials to Reduce Leg Pain and Back Pain in Patients with Sciatica and Lumbar Disc Herniation

    Directory of Open Access Journals (Sweden)

    Gere S. diZerega

    2010-05-01

    Full Text Available The principle etiology of leg pain (sciatica from lumbar disc herniation is mechanical compression of the nerve root. Sciatica is reduced by decompression of the herniated disc, i.e., removing mechanical compression of the nerve root. Decompression surgery typically reduces sciatica more than lumbar back pain (LBP. Decompression surgery reduces mechanical compression of the nerve root. However, decompression surgery does not directly reduce sensitization of the sensory nerves in the epidural space and disc. In addition, sensory nerves in the annulus fibrosus and epidural space are not protected from topical interaction with pain mediators induced by decompression surgery. The secondary etiology of sciatica from lumbar disc herniation is sensitization of the nerve root. Sensitization of the nerve root results from a mechanical compression, b exposure to cellular pain mediators, and/or c exposure to biochemical pain mediators. Although decompression surgery reduces nerve root compression, sensory nerve sensitization often persists. These observations are consistent with continued exposure of tissue in the epidural space, including the nerve root, to increased cellular and biochemical pain mediators following surgery. A potential contributor to lumbar back pain (LBP is stimulation of sensory nerves in the annulus fibrosus by a cellular pain mediators and/or b biochemical pain mediators that accompany annular tears or disruption. Sensory fibers located in the outer one-third of the annulus fibrosus increase in number and depth as a result of disc herniation. The nucleus pulposus is comprised of material that can produce an autoimmune stimulation of the sensory nerves located in the annulus and epidural space leading to LBP. The sensory nerves of the annulus fibrosus and epidural space may be sensitized by topical exposure to cellular and biochemical pain mediators induced by lumbar surgery. Annulotomy or annular rupture allows the nucleus pulposus

  18. Acute low back pain is marked by variability: An internet-based pilot study

    Directory of Open Access Journals (Sweden)

    Katz Jeffrey N

    2011-10-01

    Full Text Available Abstract Background Pain variability in acute LBP has received limited study. The objectives of this pilot study were to characterize fluctuations in pain during acute LBP, to determine whether self-reported 'flares' of pain represent discrete periods of increased pain intensity, and to examine whether the frequency of flares was associated with back-related disability outcomes. Methods We conducted a cohort study of acute LBP patients utilizing frequent serial assessments and Internet-based data collection. Adults with acute LBP (lasting ≤3 months completed questionnaires at the time of seeking care, and at both 3-day and 1-week intervals, for 6 weeks. Back pain was measured using a numerical pain rating scale (NPRS, and disability was measured using the Oswestry Disability Index (ODI. A pain flare was defined as 'a period of increased pain lasting at least 2 hours, when your pain intensity is distinctly worse than it has been recently'. We used mixed-effects linear regression to model longitudinal changes in pain intensity, and multivariate linear regression to model associations between flare frequency and disability outcomes. Results 42 of 47 participants (89% reported pain flares, and the average number of discrete flare periods per patient was 3.5 over 6 weeks of follow-up. More than half of flares were less than 4 hours in duration, and about 75% of flares were less than one day in duration. A model with a quadratic trend for time best characterized improvements in pain. Pain decreased rapidly during the first 14 days after seeking care, and leveled off after about 28 days. Patients who reported a pain flare experienced an almost 3-point greater current NPRS than those not reporting a flare (mean difference [SD] 2.70 [0.11]; p ß [SE} 0.28 (0.08; p = 0.002. Conclusions Acute LBP is characterized by variability. Patients with acute LBP report multiple distinct flares of pain, which correspond to discrete increases in pain intensity. A

  19. High-level physical activity in childhood seems to protect against low back pain in early adolescence

    DEFF Research Database (Denmark)

    Wedderkopp, Niels; Kjær, Per; Hestbaek, L;

    2009-01-01

    BACKGROUND: The evidence on the impact of physical activity on back pain in children and adolescents has been contradicting. It has also been shown that the physical activity cannot accurately be estimated in children using questionnaires. PURPOSE: The aim of this study was to establish if physical...... activity in childhood had any impact on back pain reporting in early adolescence (3 years later), using an objective instrumental measurement of physical activity. STUDY DESIGN: Prospective cohort study. PATIENT SAMPLE: Representative random sample of Danish children from the city of Odense sampled at age...... 9 years and followed-up at age 12 years. OUTCOME MEASURES: The 1-month period prevalence of back pain (neck pain, mid back pain, and low back pain) was established using a structured interview. METHODS: Physical activity was assessed with the MTI-accelerometer. The accelerometer provides a minute...

  20. A Randomized Clinical Trial of Auricular Point Acupressure for Chronic Low Back Pain: A Feasibility Study

    Directory of Open Access Journals (Sweden)

    Chao Hsing Yeh

    2013-01-01

    Full Text Available Objectives. This prospective, randomized clinical trial (RCT was designed to investigate the feasibility and effects of a 4-week auricular point acupressure (APA for chronic low back pain (CLBP. Methods. Participants were randomized to either true APA (true acupoints with taped seeds on the designated ear points for CLBP or sham APA (sham acupoints with taped seeds but on different locations than those designated for CLBP. The duration of treatment was four weeks. Participants were assessed before treatment, weekly during treatment, and 1 month following treatment. Results. Participants in the true APA group who completed the 4-week APA treatment had a 70% reduction in worst pain intensity, a 75% reduction in overall pain intensity, and a 42% improvement in disability due to back pain from baseline assessment. The reductions of worst pain and overall pain intensity in the true APA group were statistically greater than participants in the sham group (P<0.01 at the completion of a 4-week APA and 1 month followup. Discussion. The preliminary findings of this feasibility study showed a reduction in pain intensity and improvement in physical function suggesting that APA may be a promising treatment for patients with CLBP.

  1. Epidemiology of Back Pain in Children and Youth Aged 10–19 from the Area of the Southeast of Poland

    Science.gov (United States)

    Kędra, Agnieszka; Czaprowski, Dariusz

    2013-01-01

    Objective. The aim of this work was to define the prevalence of back pain in children and youth aged 10–19 from the southeast of Poland. Material and Methods. The cross-sectional study included 1089 students (547 girls and 542 boys) aged 10–19. The prevalence of back pain, its intensity, location, and situations in which it occurred were assessed with a questionnaire. Results. Among 1089 respondents, 830 (76.2%) admitted that they had experienced back pain at various frequencies within the year preceding the study. Back pain was located mainly in the lumbar segment (74.8%). Mild pains were dominant, which was declared by 44.7% of the respondents. Girls experienced back pain significantly more frequently than boys (52.2% versus 47.8%, P < 0.05). Conclusions. The research revealed that back pain is a common phenomenon. The prevalence of back pain in children and youth living in southeast Poland is similar to the frequency of occurrence of such complaints occurring in peers in other countries. It seems significant to monitor the remaining regions of Poland in order to define the scale of the problem and to look for the risk factors of back pain in children and youth to undertake efficient prophylactic actions. PMID:23984375

  2. Illness perceptions in the context of differing work participation outcomes: exploring the influence of significant others in persistent back pain

    Directory of Open Access Journals (Sweden)

    Brooks Joanna

    2013-01-01

    Full Text Available Abstract Background Previous research has demonstrated that the significant others of individuals with persistent back pain may have important influences on work participation outcomes. The aim of this study was to extend previous research by including individuals who have remained in work despite persistent back pain in addition to those who had become incapacitated for work, along with their significant others. The purpose of this research was to explore whether the illness beliefs of significant others differed depending on their relative’s working status, and to make some preliminary identification of how significant others may facilitate or hinder work participation for those with persistent back pain. Methods Interviews structured around the Illness Perception Questionnaire (chronic pain version were conducted with back pain patients recruited from a hospital pain management clinic along with their significant others. Some patients had remained in work despite their back pain; others had ceased employment. Data were analysed using template analysis. Results There were clear differences between beliefs about, and reported responses to, back pain symptoms amongst the significant others of individuals who had remained in employment compared with the significant others of those who had ceased work. Three overarching themes emerged: perceived consequences of back pain, specific nature of employment and the impact of back pain on patient identity. Conclusions Significant others of employed individuals with back pain focused on the extent to which activity could still be undertaken despite back pain symptoms. Individuals out of work due to persistent back pain apparently self-limited their activity and were supported in their beliefs and behaviours by their significant others. To justify incapacity due to back pain, this group had seemingly become entrenched in a position whereby it was crucial that the individual with back pain was perceived

  3. Does the diagnosis influence the outcome in multimodal outpatient pain management program for low back pain and sciatica? a comparative study

    Directory of Open Access Journals (Sweden)

    Artner J

    2012-07-01

    Full Text Available Juraj Artner, Stephan Kurz, Balkan Cakir, Heiko Reichel, Friederike LattigDepartment of Orthopaedic Surgery, University of Ulm, GermanyAbstract: The literature describes multimodal pain-management programs as successful therapy options in the conservative treatment of chronic low back pain. Yet, the intensity and inclusion criteria of such programs remain debatable. In many studies, the pain originating from spinal structures is described as nonspecific low back pain – a diffuse diagnosis without serious implications. The purpose of this study is to compare the short-term outcomes between patients suffering from sciatica due to a discus intervertebralis herniation and those suffering from low back pain caused by facet joint disease after 3 weeks of treatment in an intense multimodal outpatient program in the Department of Orthopaedic Surgery at the university hospital.Keywords: chronic low back pain, sciatica, interdisciplinary management, discus herniation, spondylarthritis

  4. Effectiveness of mindfulness meditation on pain and quality of life of patients with chronic low back pain

    Directory of Open Access Journals (Sweden)

    Sudha Banth

    2015-01-01

    Effectiveness of mindfulness meditation on pain and quality of life of patients with chronic low back pain Eighty-eight patients diagnosed as NSCLBP by physician and randomly assigned to experimental (MBSR+ usual medical care and the control group (usual medical care only. The subjects assessed in 3 times frames; before, after and 4 weeks after intervention by Mac Gil pain and standard brief quality of life scales. Data obtained from the final sample analyzed by ANCOVA using SPSS software. Results: The findings showed MBSR was effective in reduction of pain severity and the patients who practiced 8 sessions meditation reported significantly lower pain than patients who only received usual medical care. There was a significant effect of the between subject factor group (F [1, 45] = 16.45, P < 0.001 and (F [1, 45] = 21.51, P < 0.001 for physical quality of life and (F [1, 45] = 13.80, P < 0.001 and (F [1, 45] = 25.07, P < 0.001 mental quality of life respectively. Conclusion: MBSR as a mind-body therapy including body scan, sitting and walking meditation was effective intervention on reduction of pain severity and improvement of physical and mental quality of life of female patients with NSCLBP.

  5. THE RELATIONSHIP BETWEEN CORE ENDURANCE AND BACK DYSFUNCTION IN COLLEGIATE MALE ATHLETES WITH AND WITHOUT NONSPECIFIC LOW BACK PAIN

    Science.gov (United States)

    Abdelraouf, Osama Ragaa

    2016-01-01

    ABSTRACT Background Physical activity and sports can be associated with low back pain. However, little is known about the relationship between core stability and nonspecific low back pain (LBP) among athletes. Purpose The purpose of this study was to investigate the relationship between core endurance and back dysfunction in collegiate male athletes with and without nonspecific LBP. Methods Fifty-five male collegiate athletes from a variety of sports were recruited for this study. Their mean age was 21.50 ± (2.54) years, mean weight was 70.96 ± (5.33) kg., and mean height was 174.38 ± (4.37) cm. Thirty athletes with non-specific LBP and twenty five healthy athletes were assessed using McGill's anterior, posterior, and left and right plank core endurance tests (seconds) and for dysfunction using the Micheli functional scale (MFS). Pearson's product moment correlations examined the relationships between core endurance and MFS. Results There were significant differences regarding the measured core endurance tests between the healthy athletes group and the nonspecific LBP group (p correlations were found between MFS and trunk extensor and flexor endurance tests, respectively in the group with nonspecific LBP. Conclusion The results of this study imply that poor core endurance is likely associated with nonspecific LBP in collegiate athletes. Injury risk reduction and back management programs for the athletic population should include strategies that emphasize endurance of the core muscles especially the trunk extensors and flexors. Level of Evidence 2b

  6. A related study of the CT imaging of the chronic low back pain

    International Nuclear Information System (INIS)

    Objective: To study the clinical application of the CT imaging in patients with chronic low back pain. Methods: CT images were retrospectively analyzed in 164 cases of chronic low back pain. All the cases were diagnosed with CT imaging, or confirmed by operation, or proved in follow-up. Results: Intervertebral disc bulging in different level as a result from the degeneration of the disc was found in 148 cases (90.24%) out of 164. Disc protrusion was presented in 129 cases(78.66%). Bony narrowing of the spinal canal was revealed in 33 cases(20.12%). Degenerative lumbar spinal instability yielded in 14 cases (8.5%). Ossification or calcification of posterior longitudinal ligament was seen in 26 cases (15.85%). Thickening of ligamenta flava was shown in the 22 eases (13.41%). Conclusion: Chronic low back pain is mainly caused by the disorders of the intervertebral disc, which has typical CT findings: narrowed spinal canal or lateral recess. Ossification or calcification of posterior longitudinal ligament also plays a role in low back pain. An accurate interpretation of the CT images is essential for the clinical management. (authors)

  7. Computed tomography in low-back-pain after femur-amputation for osteogenic sarcoma

    International Nuclear Information System (INIS)

    Following amputation of a lower extremity for osteogenic sarcoma, the lumbar muscles receive an asymmetric strain. This predisposes to low-back-pain. When this occurs, tumour-recurrence must be excluded. This report demonstrates the usefulness of high-resolution computer tomography (CT) in this clinical situation. (orig.)

  8. Radiation-recall myositis presenting as low-back pain (2010: 4b)

    International Nuclear Information System (INIS)

    We report on a patient with a history of Ewing sarcoma who underwent surgery and subsequent adjuvant chemotherapy and radiotherapy. He developed low-back pain 6 months after the end of the radiotherapy and during consolidation chemotherapy. Magnetic resonance imaging showed evidence of myositis corresponding to the 'radiation-recall phenomenon', an inflammatory reaction of irradiated tissue. (orig.)

  9. Graded exposure for chronic low back pain in older adults : a pilot study

    NARCIS (Netherlands)

    Leonhardt, Corinna; Kuss, Katrin; Becker, Annette; Basler, Heinz-Dieter; de jong, Jeroen; Flatau, Brigitta; Laekeman, Marjan; Mattenklodt, Peter; Schuler, Matthias; Vlaeyen, Johan; Quint, Sabine

    2016-01-01

    BACKGROUND AND PURPOSE: Fear-avoidance beliefs in older adults with chronic low back pain (CLBP) can lead to disability. Graded exposure-based active physical therapy could be an option to enhance physical ability in older patients with CLBP. The purpose of this study was to develop a standardized g

  10. Injection therapy for subacute and chronic low back pain: an updated Cochrane review.

    NARCIS (Netherlands)

    Staal, J.B.; Bie, R.A. de; Vet, H.C. de; Hildebrandt, J.; Nelemans, P.

    2009-01-01

    STUDY DESIGN: A systematic review of randomized controlled trials (RCTs). OBJECTIVE: To determine if injection therapy is more effective than placebo or other treatments for patients with subacute or chronic low back pain. SUMMARY OF BACKGROUND DATA: The effectiveness of injection therapy for low ba

  11. Work Task and Job Satisfaction Predicting Low Back Pain among Secondary School Teachers in Putrajaya

    Directory of Open Access Journals (Sweden)

    Nur Farahwahida MOHD ANUAR

    2016-03-01

    Full Text Available Background: : This study aimed to quantify the prevalence of low back pain (LBP, analyze its associated risk factors and explore on how LBP affects job satisfaction among 120 school teachers in Malaysia.Method: A cross-sectional study was conducted among randomly selected teachers from four secondary schools in Putrajaya from February to March 2015. The level of LBP was assessed using a standardized Nordic Questionnaire, while Teachers’ Satisfaction Scale was used to determine teacher satisfaction level. The response rate for this study was 100% (120/120.Results: The prevalence of LBP among respondents was 72.9%. Gender (P=0.016, prolonged sitting (0.015, walking up and down stairs (0.012, and lifting loads with hands (0.030 were significantly associated with LBP among respondents after controlling for other factors including age, marital status and other work tasks. The strongest predictor of LBP among teachers was walking up and down stairs (OR = 9.45 indicating that respondents who reported having to walk up and down stairs frequently were 9 times more likely to have low back pain compared to those who did not.Conclusion: Prioritization of prevention and control measures should focus more on promoting healthier ergonomic movement among teachers rather than providing knowledge and awareness on low back pain and job satisfaction level among teachers. Keywords: Low back pain, Secondary school teachers, Putrajaya, Occupational health

  12. Red flags to screen for malignancy and fracture in patients with low back pain: Systematic review

    NARCIS (Netherlands)

    A. Downie (Aron); C.M. Williams (Christopher); N. Henschke (Nicholas); M.J. Hancock (Mark J.); R.W.J.G. Ostelo (Raymond); H.C.W. de Vet (Henrica); P. MacAskill (Petra); L. Irwig (Les); M.W. van Tulder (Maurits); B.W. Koes (Bart); C. Maher (Chris)

    2013-01-01

    markdownabstractAbstract Objective To review the evidence on diagnostic accuracy of red flag signs and symptoms to screen for fracture or malignancy in patients presenting with low back pain to primary, secondary, or tertiary care. Design Systematic review. Data sources Medline, OldMedline, Emba

  13. Unusual cause of acute low-back pain: sudden annulus fibrosus rupture

    Directory of Open Access Journals (Sweden)

    Ali Fahir Ozer

    2012-06-01

    Full Text Available Low-back pain is a common problem in neurosurgery practice, and an algorithm has been developed for assessing these cases. However, one subgroup of these patients shares several clinical features and these individuals are not easy to categorize and diagnose. We present our observations for 8 of these patients, individuals with low-back pain caused by atypical annulus fibrosus rupture (AAR. The aim of this study is to show the consequences of overlooked annular tears on acute onset of low back pain. Eight patients with acute-onset severe low-back pain were admitted. Physical examinations were normal and each individual was examined neurologically and assessed with neuroradiologic studies [plain x-rays, magnetic resonance imaging (MRI, discography and computed tomography (CT discography]. AAR was ultimately diagnosed with provocative discography. In all cases, MRI showed a healthy disc or mild degeneration, whereas discography and CT discography demonstrated disc disease. Anterior interbody cage implantation was performed in 3 of the 8 cases and posterior dynamic stabilization was carried out in 3 cases. The other 2 individuals refused surgery, and we were informed that one of them developed disc herniation at the affected level 1 year after our diagnosis. Clinical and radiological outcomes were evaluated. In cases where AAR is suspected, MRI, discography, and CT discography should be performed in addition to routine neuroradiologic studies.

  14. Managing Low Back Pain in the Primary Care Setting: The Know-Do Gap

    Directory of Open Access Journals (Sweden)

    N Ann Scott

    2010-01-01

    Full Text Available OBJECTIVE: To ascertain knowledge gaps in the diagnosis and treatment of acute and chronic low back pain (LBP in the primary care setting to prepare a scoping survey for identifying knowledge gaps in LBP management among Alberta’s primary care practitioners, and to identify potential barriers to implementing a multidisciplinary LBP guideline.

  15. Acute and Chronic Low Back Pain: Cognitive, Affective, and Behavioral Dimensions.

    Science.gov (United States)

    Hadjistavropoulos, Heather D.; Craig, Kenneth D.

    1994-01-01

    Divided 90 chronic low back pain patients into those who demonstrated signs that were congruent or incongruent with underlying anatomical and physiological principles. Low socioeconomic status, compensation claims, use of opiate analgesics, greater disability, catastrophizing cognitions, stronger emotionality, and passive coping were more…

  16. Fostering change in back pain beliefs and behaviors : when public education is not enough

    NARCIS (Netherlands)

    Gross, Douglas P.; Deshpande, Sameer; Werner, Erik L.; Reneman, Michiel F.; Miciak, Maxi A.; Buchbinder, Rachelle

    2012-01-01

    Mass media campaigns designed to alter societal views and individual behaviors about back pain have been undertaken and evaluated in multiple countries. In contrast to the original Australian campaign, subsequent campaigns have been less successful, with improvements observed in beliefs without the

  17. Hysteria Scale Elevations in Low Back Pain Patients: A Risk Factor for Misdiagnosis?

    Science.gov (United States)

    Prokop, Charles K.

    1986-01-01

    Examined the nature of elevations on the Hysteria scale of the Minnesota Multiphasic Personality Inventory in low back pain patients. Subscales reflecting somatic complaints were more powerful predictors of diagnostic status than were subscales with nonsomatic content. Overlapping and nonoverlapping items on the Hysteria and Hypochondriasis scales…

  18. General practitioners' management of acute back pain: a survey of reported practice compared with clinical guidelines.

    OpenAIRE

    Little, P; Smith, L; Cantrell, T.; Chapman, J.; Langridge, J; R. Pickering

    1996-01-01

    OBJECTIVE: To compare general practitioners' reported management of acute back pain with 'evidence based' guidelines for its management. DESIGN: Confidential postal questionnaire. SETTING: One health district in the South and West region. SUBJECTS: 236 general practitioners; 166 (70%) responded. OUTCOME MEASURES: Examination routinely performed, 'danger' symptoms and signs warranting urgent referral, advice given, and satisfaction with management. RESULTS: A minority of general practitioners ...

  19. Patients' perceived level of social isolation affects the prognosis of low back pain

    DEFF Research Database (Denmark)

    Oliveira, V C; Ferreira, M L; Morsø, Lars;

    2015-01-01

    BACKGROUND: Perceived social isolation is prevalent among patients with low back pain (LBP) and could be a potential prognostic factor for clinical outcomes following an episode of LBP. METHODS: A secondary analysis of an original prospective cohort study, which investigated the validity of the...

  20. Treating co-occurring chronic low back pain & generalized anxiety disorder.

    Science.gov (United States)

    Janzen, Kristina; Peters-Watral, Brenda

    2016-01-16

    The complex, bidirectional correlation between chronic low back pain (CLBP) and generalized anxiety disorder (GAD), common ailments in primary care, can increase the risk of inadequate treatment. This article will review the relationship between CLBP and GAD and provide optimal management strategies for NPs caring for individuals with this dyad. PMID:26642348