keyword
https://read.qxmd.com/read/38407016/management-of-low-back-pain-and-lumbosacral-radicular-syndrome-the-guideline-of-the-royal-dutch-society-for-physical-therapy-kngf
#1
JOURNAL ARTICLE
Adri T Apeldoorn, Nynke M Swart, Daniëlle Conijn, Guus A Meerhoff, Raymond W Ostelo
BACKGROUND: Significant progress and new insights have been gained since the Dutch Physical Therapy guideline on low back pain (LBP) in 2013 and the Cesar en Mensendieck guideline in 2009, necessitating an update of these guidelines. AIM: To update and develop an evidence-based guideline for the comprehensive management of LBP and lumbosacral radicular syndrome (LRS) without serious specific conditions (red flags) for Dutch physical therapists and Cesar and Mensendieck Therapists...
February 26, 2024: European Journal of Physical and Rehabilitation Medicine
https://read.qxmd.com/read/38389960/acute-back-pain-clinical-and-radiologic-diagnosis-wfns-spine-committee-recommendations
#2
REVIEW
Artem O Gushcha, Salman Sharif, Mehmet Zileli, Joachim Oertel, Corinna C Zygourakis, Adilya R Yusupova
OBJECTIVE: To formulate the most current, evidence-based recommendations for the clinical and radiologic diagnosis of acute low back pain lasting <4 weeks. METHODS: A systematic literature search in PubMed and Google Scholar databases was performed from 2012 to 2022 using the search terms "acute back pain AND clinical diagnosis" and "acute back pain AND radiologic diagnosis". Screening criteria resulted in a total of 97 papers analyzed. Using the Delphi method and two rounds of voting, the WFNS (World Federation of Neurosurgical Societies) Spine Committee generated ten final consensus statements...
April 2024: World neurosurgery: X
https://read.qxmd.com/read/38380189/anorexia-nervosa-and-osteoporosis-a-possible-complication-to-remember
#3
André Rosas Pereira, Marta Costa, Gustavo G Costa, Ana Sofia Carvalho
Anorexia nervosa (AN) belongs to the spectrum of food disorders and affects approximately 2.9 million people worldwide. It is responsible for numerous and serious medical complications. Osteoporosis is a common complication, and the decrease in bone mineral density (BMD) is one of the few potentially irreversible consequences of AN. When associated with AN, it can manifest at a very young age, possibly leading to irreparable damage. We describe the case of a 30-year-old woman with a one-year evolution diagnosis of AN, complaining of back pain...
January 2024: Curēus
https://read.qxmd.com/read/38155419/5-sacroiliac-joint-pain
#4
REVIEW
Karolina Szadek, Steven P Cohen, Javier de Andrès Ares, Monique Steegers, Jan Van Zundert, Jan Willem Kallewaard
INTRODUCTION: Sacroiliac (SI) joint pain is defined as pain localized in the anatomical region of the SI joint. The reported prevalence of SI joint pain among patients with mechanical low back pain varies between 15% and 30%. METHODS: In this narrative review, the literature on the diagnosis and treatment of SI joint pain was updated and summarized. RESULTS: Patient's history provides clues on the source of pain. The specificity and sensitivity of provocative maneuvers are relatively high when three or more tests are positive, though recent studies have questioned the predictive value of single or even batteries of provocative tests...
December 28, 2023: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/38054234/modern-aspects-to-the-diagnosis-and-non-surgical-treatment-of-low-back-pain
#5
JOURNAL ARTICLE
R A Kartavykh, A R Yusupova, A O Gushcha
Low back pain is one of the most common complaints in primary care. This pain is usually nonspecific and musculoskeletal. However, identification and exclusion of specific causes of pain as early as possible are important for specialists since their underestimation can sometimes lead to life-threatening consequences. The authors analyze literature data on the key facts of anamnesis («red flags»), management of patients with low back pain with emphasis on modern concepts and recommendations for diagnostics, identifying the dominant nature and cause of pain, differential diagnosis, and diagnostic significance of neuroimaging...
2023: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://read.qxmd.com/read/38014846/red-flags-to-screen-for-vertebral-fracture-in-patients-presenting-with-low-back-pain
#6
REVIEW
Christopher M Williams, Nicholas Henschke, Christopher G Maher, Maurits W van Tulder, Bart W Koes, Petra Macaskill, Les Irwig
EDITORIAL NOTE: See https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD014461.pub2/full for a more recent review that covers this topic and has superseded this review. BACKGROUND: Low-back pain (LBP) is a common condition seen in primary care. A principal aim during a clinical examination is to identify patients with a higher likelihood of underlying serious pathology, such as vertebral fracture, who may require additional investigation and specific treatment...
November 28, 2023: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/37926653/red-flags-of-cardiac-amyloidosis-in-patients-with-spinal-stenosis-and-yellow-ligament-hypertrophy
#7
JOURNAL ARTICLE
Martín Negreira Caamaño, Marco Aurelio Ramírez Huaranga, Ana María García Vicente, Miguel Ángel Rienda Moreno, David Castro Corredor, Jesús Piqueras Flores
INTRODUCTION: Studies addressing the prevalence of cardiac amyloidosis (CA) among patients with spinal stenosis (SS) are lacking. The identification of the red flags (RF) of CA could lead to early detection of cases of CA. The primary objective of this study was to address the prevalence of RF of CA among patients with SS. METHODS: Transversal study including consecutive cases with SS and yellow ligament hypertrophy (YLH). A clinical assessment that included electrocardiogram, echocardiogram and urine and blood test was performed...
November 3, 2023: Medicina Clínica
https://read.qxmd.com/read/37859902/the-use-of-pain-severity-and-its-impact-as-a-predictor-for-mri-findings-a-cross-sectional-study-in-ta-if-saudi-arabia
#8
JOURNAL ARTICLE
Ahmad H Alharbi, Tala AlSindi, Albaraa F Ashoor, Abdulrahman M Almalki, Mansour I Aljabri, Murouj Almaghrabi, Ahmed M Alothman, Nizar A Almaghrabi, Adnan M Boubaker
Background Low back pain (LBP) is common and considerably impacts daily lives across all age groups. MRI is not frequently used as a first-line investigation for patients presenting with LBP, except in the presence of red-flag symptoms. This study aimed to use pain severity and its impact as a predictor for MRI findings to help physicians decide whether a patient needs an MRI. Methods This cross-sectional study was conducted at the outpatient clinic of the neurosurgery department. The questionnaire included demographic data of the patients, red-flag symptoms, and the Dallas Pain Questionnaire (DPQ)...
September 2023: Curēus
https://read.qxmd.com/read/37858354/diagnostic-accuracy-of-lumbar-ct-and-mri-in-the-evaluation-of-chronic-low-back-pain-without-red-flag-symptoms
#9
JOURNAL ARTICLE
J Martel Villagrán, R T Martínez-Sánchez, E Cebada-Chaparro, A L Bueno Horcajadas, E Pérez-Fernández
BACKGROUND: Low back pain (LBP) is one of the most frequent reasons for medical consultation. Most of the patients will have nonspecific LBP, which usually are self-limited episodes. It is unclear which of the diagnostic imaging pathways is most effective and costeffective and how the imaging impacts on patient treatment. Imaging techniques are usually indicated if symptoms remain after 6 weeks. Magnetic resonance imaging (MRI) is the diagnostic imaging examination of choice in lumbar spine evaluation of low back pain; however, availability of MRI is limited...
October 2023: Radiología
https://read.qxmd.com/read/37788068/assessing-serious-spinal-pathology-using-bayesian-network-decision-support-development-and-validation-study
#10
JOURNAL ARTICLE
Adele Hill, Christopher H Joyner, Chloe Keith-Jopp, Barbaros Yet, Ceren Tuncer Sakar, William Marsh, Dylan Morrissey
BACKGROUND: Identifying and managing serious spinal pathology (SSP) such as cauda equina syndrome or spinal infection in patients presenting with low back pain is challenging. Traditional red flag questioning is increasingly criticized, and previous studies show that many clinicians lack confidence in managing patients presenting with red flags. Improving decision-making and reducing the variability of care for these patients is a key priority for clinicians and researchers. OBJECTIVE: We aimed to improve SSP identification by constructing and validating a decision support tool using a Bayesian network (BN), which is an artificial intelligence technique that combines current evidence and expert knowledge...
October 3, 2023: JMIR Formative Research
https://read.qxmd.com/read/37640913/3-pain-originating-from-the-lumbar-facet-joints
#11
REVIEW
Sandra A S Van den Heuvel, Steven P C Cohen, Javier de Andrès Ares, Koen Van Boxem, Jan Willem Kallewaard, Jan Van Zundert
INTRODUCTION: Pain originating from the lumbar facets can be defined as pain that arises from the innervated structures comprising the joint: the subchondral bone, synovium, synovial folds, and joint capsule. Reported prevalence rates range from 4.8% to over 50% among patients with mechanical low back pain, with diagnosis heavily dependent on the criteria employed. In well-designed studies, the prevalence is generally between 10% and 20%, increasing with age. METHODS: The literature on the diagnosis and treatment of lumbar facet joint pain was retrieved and summarized...
August 28, 2023: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/37615643/red-flags-to-screen-for-vertebral-fracture-in-people-presenting-with-low-back-pain
#12
REVIEW
Christopher S Han, Mark J Hancock, Aron Downie, Jeffrey G Jarvik, Bart W Koes, Gustavo C Machado, Arianne P Verhagen, Christopher M Williams, Qiuzhe Chen, Christopher G Maher
BACKGROUND: Low back pain is a common presentation across different healthcare settings. Clinicians need to confidently be able to screen and identify people presenting with low back pain with a high suspicion of serious or specific pathology (e.g. vertebral fracture). Patients identified with an increased likelihood of having a serious pathology will likely require additional investigations and specific treatment. Guidelines recommend a thorough history and clinical assessment to screen for serious pathology as a cause of low back pain...
August 24, 2023: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/37561822/what-factors-do-clinicians-coaches-and-athletes-perceive-are-associated-with-recovery-from-low-back-pain-in-elite-athletes-a-concept-mapping-study
#13
JOURNAL ARTICLE
Larissa Trease, Andrea B Mosler, Alex Donaldson, Mark J Hancock, Michael Makdissi, Kellie Wilkie, Joanne Kemp
OBJECTIVE: Identify factors that elite sport clinicians, coaches, and athletes perceive are associated with low back pain (LBP) recovery. DESIGN: Concept mapping methodology. METHOD: Participants brainstormed, sorted (thematically), and rated (5-point Likert scales: importance and feasibility) statements in response to the prompt, "What factors are associated with the recovery of an elite athlete from low back pain?" Data cleaning, analysis (multidimensional scaling, hierarchical cluster analysis, and descriptive statistics), and visual representation (cluster map and Go-Zone graph) were conducted following concept mapping guidelines...
October 2023: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/37541755/management-of-acute-non-specific-low-back-pain-in-the-emergency-department-do-emergency-physicians-follow-the-guidelines-results-of-a-cross-sectional-survey
#14
JOURNAL ARTICLE
Ilaria Jermini-Gianinazzi, Manuel Blum, Maria Trachsel, Maurizio Alen Trippolini, Nicole Tochtermann, Caroline Rimensberger, Fabian Dominik Liechti, Maria M Wertli
OBJECTIVES: Clinical guidelines for acute non-specific low back pain (LBP) recommend avoiding imaging studies or invasive treatments and to advise patients to stay active. The aim of this study was to evaluate the management of acute non-specific LBP in the emergency departments (ED). SETTING: We invited all department chiefs of Swiss EDs and their physician staff to participate in a web-based survey using two clinical case vignettes of patients with acute non-specific LBP presenting to an ED...
August 4, 2023: BMJ Open
https://read.qxmd.com/read/37516905/a-hidden-condition-multiple-tarlov-cysts-unveiled-in-a-young-woman-seeking-primary-care-for-debilitating-low-back-pain
#15
JOURNAL ARTICLE
Siti Mariam Abu Hussain, Nur Amirah Shibraumalisi, Hayatul Najaa Miptah, Norliana Dalila Mohamad Ali, Mohd Yusoff Yahaya, Anis Safura Ramli
BACKGROUND Tarlov cysts are rare, with a prevalence of 3.3% in the Asian population, and symptomatic cases are even rarer. Here, we report a case of a young woman with multiple Tarlov cysts presenting in primary care with severe low back pain. CASE REPORT A 23-year-old Malay woman presented to a primary care clinic with sudden-onset, severe, and persistent low back pain for 1 week, affecting her activities of daily living (ADL), especially as a medical student, as she could not stand for more than 10 minutes...
July 30, 2023: American Journal of Case Reports
https://read.qxmd.com/read/37512094/a-model-of-triage-of-serious-spinal-pathologies-and-therapeutic-options-based-on-a-delphi-study
#16
JOURNAL ARTICLE
Philippe Meidinger, Amélie Kéchichian, Nicolas Pinsault
Background and Objectives : The relevance of red flags in serious spinal pathology (SSP) has evolved throughout the last years. Recently, new considerations have been proposed to expand the consideration of red flags. The purpose of this study was to determine, approve and test a model for the triage and management process of SSPs based on the latest data available in the literature. Materials and Methods : The SSP model was initially built on the basis of a literature review. The model was further determined and approved by an expert panel using a Delphi process...
July 11, 2023: Medicina
https://read.qxmd.com/read/37366196/thoracic-synovial-cyst-as-cause-of-cord-compression-in-a-patient-with-charcot-marie-tooth-disease
#17
JOURNAL ARTICLE
Domenico De Mauro, Alessandra Cicia, Maria Concetta Meluzio, Giovanni Grillo, Amarildo Smakaj, Andrea Perna, Francesco Ciro Tamburrelli
An 80-year-old male patient affected by Charcot-Marie-Tooth (CMT) disease came to our attention in July 2020, for the occurrence of low back pain and lower limb weakness, and also saddle anesthesia, urinary and faecal retention were referred. His diagnosis of CMT is dated back to 1955 and through the years, the clinical picture slowly worsened but never got particularly severe. The quick symptoms outbreak and the presence of urinary disturbances were red flags, which lead us to direct the diagnostic orientation elsewhere...
June 23, 2023: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/37346203/colorectal-cancer-presenting-as-sacral-pain-at-a-chiropractic-clinic
#18
Gabriel Siu Nam Ng, Isabel Si Wing Chow
This case report describes a diagnosis of spinal pain secondary to metastatic colon cancer, highlighting the need for close monitoring and an interdisciplinary approach for this cohort. An 82-year-old female presented with acute exacerbation of chronic low back pain with a rating of 7/10. She had a history of stage III colon cancer diagnosed 17 years previously and was currently in remission. Red flags included worsening pain after four days of oral analgesics and a history of cancer. Imaging revealed an osteolytic L5 vertebral lesion with endplate disruption, consistent with metastasis...
May 2023: Curēus
https://read.qxmd.com/read/37174131/management-of-low-back-pain-do-physiotherapists-know-the-evidence-based-guidelines
#19
JOURNAL ARTICLE
Antoine Fourré, Rob Vanderstraeten, Laurence Ris, Hilde Bastiaens, Jozef Michielsen, Christophe Demoulin, Ben Darlow, Nathalie Roussel
BACKGROUND: Clinical practice guidelines promote bio-psychosocial management of patients suffering from low back pain (LBP). The objective of this study was to examine the current knowledge, attitudes and beliefs of physiotherapists about a guideline-adherent approach to LBP and to assess the ability of physiotherapists to recognise signs of a specific LBP in a clinical vignette. METHODS: Physiotherapists were recruited to participate in an online study. They were asked to indicate whether they were familiar with evidence-based guidelines and then to fill in the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS), Back Pain Attitudes Questionnaire (Back-PAQ), Neurophysiology of Pain Questionnaire (NPQ), as well as questions related to two clinical vignettes...
April 23, 2023: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/37170282/severe-lumbar-pain-in-an-adolescent-due-to-idiopathic-vena-cava-thrombosis-a-case-report
#20
JOURNAL ARTICLE
Anthony Gevers, Patricia Dessart, Jean-Marie Vanmarsenille, Bruno Vande Berg, Halil Yildiz, Samar M Hatem
BACKGROUND: Lumbar back pain in an adolescent is generally musculoskeletal, that is, due to a muscle strain or scoliosis. This case describes a young individual without any previous health issues who rapidly developed a life-threatening condition, though initially presenting with "only" back pain. CASE PRESENTATION: A 16-year-old Caucasian male patient was admitted twice to the emergency department with debilitating lumbar pain without neurological or vascular symptoms...
May 12, 2023: Journal of Medical Case Reports
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