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Lower back pain physical therapy

Mónica Ambriz-Tututi, Beatriz Alvarado-Reynoso, René Drucker-Colín
The objective of the present study was to assess the benefits of 1-week repetitive transcranial magnetic stimulation (rTMS) in patients with chronic low back pain (LBP). The visual analogue scale (VAS), Short Form McGill pain questionnaire (SF-MPQ), and Short Form 36 Health Survey were used to evaluate the effect of this treatment. Eighty-two patients diagnosed with LBP were divided randomly into three groups: rTMS-treated group, sham group, and physical therapy-treated group. We observed a significant reduction in VAS and SF-MPQ scores in the rTMS-treated group, but not in the sham group...
August 22, 2016: Bioelectromagnetics
Tayfun Hakan, Serkan Gürcan
Spontaneous regression of herniated lumbar discs was reported occasionally. The mechanisms proposed for regression of disc herniation are still incomplete. This paper describes and discusses a case of spontaneous regression of herniated lumbar discs with a new disc protrusion in the adjacent level. A 41-year-old man was admitted with radiating pain and numbness in the left lower extremity with a left posterolateral disc extrusion at L5-S1 level. He was admitted to hospital with low back pain due to disc herniation caudally immigrating at L4-5 level three years ago...
2016: Case Reports in Orthopedics
Marco Aurélio Nemitalla Added, Leonardo Oliveira Pena Costa, Diego Galace de Freitas, Thiago Yukio Fukuda, Renan Lima Monteiro, Evelyn Cassia Salomão, Flávia Cordeiro de Medeiros, Lucíola da Cunha Menezes Costa
Study Design Randomized controlled trial. Background Many clinical practice guidelines endorse both manual therapy and exercise as effective treatment options for patients with low back pain. To optimize the effects of the treatments recommended by the guidelines, a new intervention known as Kinesio Taping is being widely used in these patients. Objectives To determine the effectiveness of Kinesio Taping in patients with chronic nonspecific low back pain when added to a physical therapy program consisting of exercise and manual therapy...
July 2016: Journal of Orthopaedic and Sports Physical Therapy
Nanna Rolving, Claus Vinther Nielsen, Finn Bjarke Christensen, Randi Holm, Cody Eric Bünger, Lisa Gregersen Oestergaard
BACKGROUND: Catastrophic thinking and fear-avoidance belief are negatively influencing severe acute pain following surgery causing delayed ambulation and discharge. We aimed to examine if a preoperative intervention of cognitive-behavioural therapy (CBT) could influence the early postsurgical outcome following lumbar spinal fusion surgery (LSF). METHODS: Ninety patients undergoing LSF due to degenerative spinal disorders were randomly allocated to either the CBT group or the control group...
2016: BMC Musculoskeletal Disorders
Brittney Mazzone, Ron Wood, Sara Gombatto
Study Design Cross-sectional observational design. Background Spine extension is used in physical therapy during examination and treatment for low back pain (LBP). However, kinematics during prone extension have not been examined using 3-D motion capture. Objectives The primary purpose was to determine differences in spine kinematics during prone extension between subjects with and without LBP. An exploratory analysis was conducted to examine kinematic differences among LBP subgroups. Methods Kinematics of the thoracic and lumbar spine were examined during prone extension, using optical motion capture, in 18 subjects with LBP and 17 subjects without LBP (control group)...
July 2016: Journal of Orthopaedic and Sports Physical Therapy
Ashutosh Lal
Pain is a subjective symptom whose prevalence can be grossly underestimated. The high proportion of adults with thalassemia who experience chronic pain is evident from recent surveys. However, pain has not received enough attention in the overall management of thalassemia. The association of pain with the type and treatment of thalassemia or with its comorbidities is unclear. Abnormal spine imaging is seen in patients reporting pain, although the role of osteopenia has not been established. Pain becomes more frequent with age...
March 2016: Annals of the New York Academy of Sciences
Hans-Raimund Casser, Susann Seddigh, Michael Rauschmann
BACKGROUND: Back pain has many causes. In Germany, about 70% of adults have at least one episode of back pain per year. METHODS: This review is based on a selective literature search and on the German National Disease Management Guideline for Low Back Pain. RESULTS: The physician taking the history from a patient with back pain should ask about the nature, onset, course, localization, and radiation of the pain and its dependence on physical activity and/or emotional stress...
April 1, 2016: Deutsches Ärzteblatt International
Matthew J Goldstein, James Bruffey, Robert K Eastlack
STUDY DESIGN: Case report OBJECTIVE.: To report a case of direct pars osteosynthesis using computed topography (CT) navigation, image guided cortically-placed screws with curvilinear subspinous modular link. SUMMARY OFBACKGROUND DATA: Spondylolysis fracture is commonly encountered in athletes who subject their spines to repetitive hyperextension stress. Initial treatment is non-operative, consisting of rest, activity modification, physical therapy, and/or bracing...
April 19, 2016: Spine
Meng-Shan Wu, Shu-Fen Su
Aging frequently induces degenerative changes in the spine. Patients who suffer from lumbar degenerative disease tend to have lower back pain, neurological claudication, and neuropathy. Furthermore, incontinence may be an increasing issue as symptoms become severe. Lumbar spine fusion surgery is necessary if clinical symptoms continue to worsen or if the patient fails to respond to medication, physical therapy, or alternative treatments. However, this surgical procedure frequently induces adjacent segment disease (ASD), which is evidenced by the appearance of pathological changes in the upper and lower sections of the spinal surgical sites...
April 2016: Hu Li za Zhi the Journal of Nursing
Trevor A Lentz, Jason M Beneciuk, Joel E Bialosky, Giorgio Zeppieri, Yunfeng Dai, Samuel S Wu, Steven Z George
Study Design Clinical measurement, cross-sectional. Background Pain-associated psychological distress adversely influences outcomes for patients with musculoskeletal pain. However, assessment of pain-associated psychological distress (ie, yellow flags) is not routinely performed in orthopaedic physical therapy practice. A standardized yellow flag assessment tool will better inform treatment decision making related to psychologically informed practice. Objectives To describe the development of a concise, multidimensional yellow flag assessment tool for application in orthopaedic physical therapy clinical practice...
May 2016: Journal of Orthopaedic and Sports Physical Therapy
Yichu Deng, Liping Zeng, Wen Bao, Pinghua Xu, Gongrong Zhong
OBJECTIVE: Zika virus disease is an acute infectious disease caused by Zika virus transmitted through Aedes mosquitoes. To explore the therapeutic effect of integrated traditional Chinese and Western Medicine for Zika virus disease, the treatment process of the first imported case in China was reviewed. METHODS: The first imported Zika virus disease in China was admitted to Ganxian People's Hospital in Jiangxi Province on February 6th, 2016, and the patient received isolation treatment for 9 days and cured later...
February 2016: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
Katie A Butera, Trevor A Lentz, Jason M Beneciuk, Steven Z George
BACKGROUND: The STarT Back Screening Tool is a validated multidimensional screening measure and risk stratification tool for people with low back pain. OBJECTIVE: The study objective was to compare relationships between a modified STarT Back Screening Tool (mSBT) and clinical and psychological measures in people with low back, neck, shoulder, and knee pain. The hypothesis was that the relationships between mSBT scores and clinical and psychological measure scores would be similar across the included musculoskeletal pain conditions...
August 2016: Physical Therapy
Jon Lurie, Christy Tomkins-Lane
Lumbar spinal stenosis (LSS) affects more than 200,000 adults in the United States, resulting in substantial pain and disability. It is the most common reason for spinal surgery in patients over 65 years. Lumbar spinal stenosis is a clinical syndrome of pain in the buttocks or lower extremities, with or without back pain. It is associated with reduced space available for the neural and vascular elements of the lumbar spine. The condition is often exacerbated by standing, walking, or lumbar extension and relieved by forward flexion, sitting, or recumbency...
2016: BMJ: British Medical Journal
Arunpreet Kahlon, Naveen Gnanabakthan, Amrita Dhillon, Dinesh Subedi
46 year old male with past medical history of schizoaffective disorder and chronic lower back pain, was admitted for management of worsening depression and anxiety. He was started on gabapentin, 300mg twice daily for his back pain and anxiety symptoms. His only other medication was hydrocodone. Over next few days, he started developing worsening bilateral lower extremity edema. He did not have any cardiovascular related symptoms. Physical exam was only significant for 3+ pitting edema with all laboratory values and imaging being unremarkable...
September 2015: Journal of Basic and Clinical Pharmacy
Tiina Freimann, Eda Merisalu, Mati Pääsuke
BACKGROUND: Cervical and lumbar range of motion limitations are usually associated with musculoskeletal pain in the neck and lower back, and are a major health problem among nurses. Physical exercise has been evaluated as an effective intervention method for improving cervical and lumbar range of motion, and for preventing and reducing musculoskeletal pain. The purpose of this study was to investigate the effects of a home-exercise therapy programme on cervical and lumbar range of motion among intensive care unit nurses who had experienced mild to moderate musculoskeletal pain in the neck and or lower back during the previous six months...
2015: BMC Sports Science, Medicine and Rehabilitation
Carrie W Hoppes, Aubrey D Sperier, Colleen F Hopkins, Bridgette D Griffiths, Molly F Principe, Barri L Schnall, Johanna C Bell, Shane L Koppenhaver
BACKGROUND: Military personnel and first responders (police and firefighters) often carry large amounts of gear. This increased load can negatively affect posture and lead to back pain. The ability to quantitatively measure muscle thickness under loading would be valuable to clinicians to assess the effectiveness of core stabilization treatment programs and could aid in return to work decisions. Ultrasound imaging (USI) has the potential to provide such a measure, but to be useful it must be reliable...
November 2015: International Journal of Sports Physical Therapy
Mark D Thelen, Shane L Koppenhaver, Carrie W Hoppes, Casey Shutt, Jamie-Lee Musen, Matthew K Williams
PURPOSE/HYPOTHESIS: Lower extremity and low back injuries represent a significant financial burden on the military healthcare system. Subsequent injuries often occur during the recuperation period or in the period directly after physical therapy ends when the patient returns to full duty. Medical providers have relatively few objective tools with which to determine if someone is ready for return to duty (RTD). The purpose of this study is to assess interrater and test-retest reliability of a novel gender-neutral RTD screening tool that requires minimal training, equipment, and time...
October 2015: U.S. Army Medical Department Journal
Michael Kowar, Claudia Friedrich, Andreas H Jacobs
UNLABELLED: In this report we describe a patient who developed liver failure due to new administration of pregabaline. HISTORY AND ADMISSION FINDINGS: A 76-year old woman was admitted with a sacral fracture after conservative treatment in a trauma surgery ward for further rehabilitative treatment. INVESTIGATIONS: At admittance the patient complaint of lower back pain. Physical examination revealed unsteadiness in walking tests. Laboratory tests revealed mildly elevated infection parameters (CRP 0...
November 2015: Deutsche Medizinische Wochenschrift
Catherine Laible, David Swanson, Garret Garofolo, Donald J Rose
BACKGROUND: Coxa saltans refers to a constellation of diagnoses that cause snapping of the hip and is a major cause of anterior hip pain in dancers. When the internal type is accompanied by weakness or pain, it is referred to as iliopsoas syndrome. Iliopsoas syndrome is the result of repetitive active hip flexion in abduction and can be confused with other hip pathology, most commonly of labral etiology. PURPOSE: To report the incidence, clinical findings, treatment protocol, and results of treatment for iliopsoas syndrome in a population of dancers...
August 2013: Orthopaedic Journal of Sports Medicine
Kenneth Jay, Mikkel Brandt, Klaus Hansen, Emil Sundstrup, Markus D Jakobsen, M C Schraefel, Gisela Sjogaard, Lars L Andersen
BACKGROUND: Chronic musculoskeletal pain is prevalent among laboratory technicians and work-related stress may aggravate the problem. OBJECTIVES: This study investigated the effect of a multifaceted worksite intervention on pain and stress among laboratory technicians with chronic musculoskeletal pain using individually tailored physical and cognitive elements. STUDY DESIGN: This trial uses a single-blind randomized controlled design with allocation concealment in a 2-armed parallel group format among laboratory technicians...
September 2015: Pain Physician
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