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https://www.readbyqxmd.com/read/29145708/managing-non-serious-low-back-pain-in-the-emergency-department-time-for-a-change
#1
Gustavo C Machado, Eileen Rogan, Chris G Maher
Low back pain is a common condition seen in the ED. However, its management in this setting has received relatively little attention and there have been few efforts to develop strategies to improve emergency care of low back pain. In order to ensure that care is appropriately delivered for low back pain patients in the ED, emergency physicians must understand issues of providing low-value care and consider potential solutions to the problem. In this paper, we describe the usual emergency care provided for non-serious low back pain and present possible strategies for restructuring ED practice and approaches for changing physician and patient behaviour...
November 16, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29137084/vertebral-column-decortication-for-the-management-of-sharp-angular-spinal-deformity-in-pott-disease-case-report
#2
Hong-Tao Hu, Feng-Yu Liu, Jin-He Yu, Liang Ren, Zhen-Fang Gu, Xian-Ze Sun
RATIONALE: Extremely sharp angular spinal deformity of healed tuberculosis can be corrected by vertebral column resection (VCR). However, the VCR techniques have many limitations including spinal column instability, greater blood loss, and greater risk of neurologic deficit. PATIENT CONCERNS: We described a new spinal osteotomy technique to collect sharp angular spinal deformity in Pott disease. A 52-year-old woman presented with back pain and gait imbalance. DIAGNOSIS: The kyphosis of healed tuberculosis was diagnosed based on history and imaging examinations...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29137025/tapentadol-versus-tramadol-in-the-management-of-low-back-pain-in-the-emergency-department-impact-of-use-on-the-need-for-reassessments
#3
Carlos A Guillén-Astete, César Cardona-Carballo, Cristina de la Casa-Resino
Nontraumatic musculoskeletal disorders are the main reason for presentation to the emergency department (ED), with rachialgia (back pain) being the most common reason to request medical assessment among them. This also generates the highest demand for reassessments due to poor pain control or onset of adverse reactions to the treatment prescribed in the initial assessment.A retrospective observational study based on usual clinical practice was conducted in patients attending the ED due to low back pain during a period of 24 months...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29133540/diagnosis-and-management-of-low-back-pain-in-primary-care
#4
REVIEW
Adrian Traeger, Rachelle Buchbinder, Ian Harris, Chris Maher
No abstract text is available yet for this article.
November 13, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/29133195/a-self-administered-questionnaire-to-measure-the-painful-symptoms-of-endometriosis-results-of-a-modified-delphi-survey-of-patients-and-physicians
#5
Arnaud Fauconnier, Stéphanie Staraci, Emile Daraï, Philippe Decamps, Michelle Nisolle, Pierre Panel, Horace Roman, Rym Boulkedid
PURPOSE: To develop a questionnaire based on patients' verbal descriptors, to measure the painful symptoms of endometriosis METHODS: We performed a two-round modified DELPHI procedure mixing endometriosis patients and physicians to select a set of statements to describe the painful symptoms of endometriosis. Each panelist rated each statement based on diagnosis validity and clarity. The clinicians were experts in endometriosis management selected from various geographic regions in France...
November 10, 2017: Journal of gynecology obstetrics and human reproduction
https://www.readbyqxmd.com/read/29125371/telerehabilitation-booster-sessions-and-remote-patient-monitoring-in-the-management-of-chronic-low-back-pain-a-case-series
#6
Seth Peterson
BACKGROUND: Improvements in chronic low back pain (CLBP) seen in physical therapy do not appear to be retained over the long term. Booster sessions have been proposed, but barriers exist to their implementation. Telerehabilitation (TR) and remote patient monitoring (RPM) may be ways to circumvent these barriers. The purpose of this case series was to describe the implementation of TR booster sessions and RPM in three patients with CLBP. CASE SERIES: Three females with CLBP tracked their daily pain level and home exercise program adherence using a mobile phone application for 12 months following discharge from traditional face-to-face physical therapy...
November 10, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29122196/the-effect-of-short-duration-low-back-vibration-on-pain-developed-during-prolonged-standing
#7
Renée C Lurie, Stephanie R Cimino, Diane E Gregory, Stephen H M Brown
The purpose of this study was to determine if vibration, a potential method of pain management, applied to the low back could alleviate pain developed during prolonged standing. Eighteen healthy individuals participated in a 2.5-h standing task during which vibration (3-min duration) was applied at the 2-h and 2.25-h marks. During the full 2.5 h, participants recorded their perceived pain scores every 15 min using a 10 cm visual analogue scale (VAS). Following each vibration bout, those who developed low back pain (LPB) reported statistically lower VAS scores compared to prior to the vibration; however, when the vibration ceased, LBP returned to pre-vibration levels...
February 2018: Applied Ergonomics
https://www.readbyqxmd.com/read/29121852/an-informatics-approach-to-interprofessional-management-of-low-back-pain-a-feasibility-study-using-the-omaha-system
#8
Robin R Austin, Karen A Monsen, Craig Schulz
BACKGROUND: Low back pain (LBP) is a complex health care issue that often involves multiple providers across various care settings. Health information technology (HIT) holds promise to improve care delivery by providing infrastructure for communication, clinical documentation, and management of patient data. Standardized terminology is essential for interoperability and enables evaluation of clinical data generated by documentation in an electronic health record (EHR). OBJECTIVE: The purpose of this study was to demonstrate the feasibility of mapping evidence-based practice for conservative management of low back pain to the Omaha System and foster inter-professional communication and collaboration among diverse practitioners and patients...
October 6, 2017: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/29121556/the-efficacy-of-interventions-for-low-back-pain-in-nurses-a-systematic-review
#9
REVIEW
Wannes Van Hoof, Kieran O'Sullivan, Mary O'Keeffe, Sabine Verschueren, Peter O'Sullivan, Wim Dankaerts
OBJECTIVES: To investigate the efficacy of interventions for the prevention and treatment of low back pain in nurses. DESIGN: Systematic review. DATA SOURCES: The review was registered on the PROSPERO database (CRD42015026941) and followed the PRISMA statement guidelines. A two phase approach was used. In phase one, all randomised controlled trials included in the systematic review of Dawson et al. (2007) which reviewed interventions for low back pain in nurses until 2004 were selected...
November 6, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29119042/extradural-hemangioma-mimicking-a-dumbbell-nerve-sheath-tumor-in-the-thoracolumbar-spine-case-report
#10
Sourabh Chachan, H R Bin Abd Razak, W Lim Loo, C Sheng Tan, S K Dinesh
Background: Extradural hemangiomas are rare, have varied and challenging clinical presentations, and require special considerations from the management point of view. Case Description: A 70-year-old female presented with back pain that was ultimately attributed to a thoracolumbar extra-dural "dumbbell" hemangioma. Following surgical resection, the patient did well. Conclusion: Extradural hemangiomas may present as spinal extradural soft tissue masses that must be differentiated from dumbbell neurofibroma...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/29115022/self-care-agency-lifestyle-and-physical-condition-predict-future-frailty-in-community-dwelling-older-people
#11
Chika Tanimura, Hiromi Matsumoto, Yasuko Tokushima, Junko Yoshimura, Shinji Tanishima, Hiroshi Hagino
The purpose of this 2 year longitudinal study was to identify the relationship between self-care agency, lifestyle, physical condition, and frailty among community-dwelling older people in a rural area of Japan. The participants were 133 older individuals aged 65 years or above. Data collection was conducted via face-to-face interviews using self-administered questionnaires. Background information, such as age, sex, current employment status, family structure, medication use, comorbidities, and knee and lower back pain, were assessed...
November 8, 2017: Nursing & Health Sciences
https://www.readbyqxmd.com/read/29113974/infographic-managing-non-traumatic-back-pain-in-sport
#12
EDITORIAL
Ben Darlow, Peter P B O'Sullivan
No abstract text is available yet for this article.
November 7, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29112007/trajectories-and-predictors-of-the-long-term-course-of-low-back-pain-cohort-study-with-5-year-follow-up
#13
Ying Chen, Paul Campbell, Victoria Y Strauss, Nadine E Foster, Kelvin P Jordan, Kate M Dunn
Low back pain (LBP) is a major health challenge globally. Research has identified common trajectories of pain over time. We aimed to investigate whether trajectories described in one primary care cohort can be confirmed in another, and to determine the prognostic value of factors collected 5 years prior to the identification of the trajectory. The study was carried out on 281 patients who had consulted primary care for LBP, at that point completed a baseline questionnaire, and then returned a questionnaire at 5-years follow-up plus at least 3 (of 6) subsequent monthly questionnaires...
November 3, 2017: Pain
https://www.readbyqxmd.com/read/29111859/effect-of-physical-therapy-management-of-nonspecific-low-back-pain-with-exercise-addiction-behaviors-a-case-series
#14
Sudarshan Anandkumar, Murugavel Manivasagam, Vivian Tie Suk Kee, Uta Meyding-Lamade
This case series describes two patients, aged 35 and 45 years, respectively, who presented with chronic nonspecific low back pain (NSLBP) having exercise addiction (EA) behaviors. Diagnosis of EA was based on clinical findings, exercising patterns and withdrawal symptoms along with high scores in the EA inventory. This report is a potential first-time description of the successful physical therapy management of NSLBP associated with EA utilizing pain neuroscience education (with individualized curriculum), mindfulness, breathing, quota-based reduction in exercises and modification of exercises into social participation, pleasure activities and hobbies...
November 7, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29105941/assessment-and-manifestation-of-central-sensitisation-across-different-chronic-pain-conditions
#15
L Arendt-Nielsen, B Morlion, S Perrot, A Dahan, A Dickenson, H G Kress, C Wells, D Bouhassira, A Mohr Drewes
Different neuroplastic processes can occur along the nociceptive pathways and may be important in the transition from acute to chronic pain and for diagnosis and development of optimal management strategies. The neuroplastic processes may result in gain (sensitisation) or loss (desensitisation) of function in relation to the incoming nociceptive signals. Such processes play important roles in chronic pain, and although the clinical manifestations differ across condition processes, they share some common mechanistic features...
November 5, 2017: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/29103556/behaviour-change-and-self-management-interventions-in-persistent-low-back-pain
#16
REVIEW
Gemma Mansell, Amanda Hall, Elaine Toomey
Self-management interventions for persistent low back pain (LBP) promote active involvement of the patient in managing their condition. Such interventions can be characterised as behaviour change interventions, in that they are designed to help the patient learn and adopt a set of health behaviours that they can use in everyday life to benefit their condition by reducing or managing their symptoms. Self-management interventions are recommended in several key guidelines for the treatment of persistent LBP, but the evidence for the effectiveness of these types of interventions is inconclusive...
December 2016: Best Practice & Research. Clinical Rheumatology
https://www.readbyqxmd.com/read/29103554/clinical-guidelines-for-low-back-pain-a-critical-review-of-consensus-and-inconsistencies-across-three-major-guidelines
#17
REVIEW
Neil E O'Connell, Chad E Cook, Benedict M Wand, Stephen P Ward
Given the scale and cost of the low back pain problem, it is imperative that healthcare professionals involved in the care of people with low back pain have access to up-to-date, evidence-based information to assist them in treatment decision-making. Clinical guidelines exist to promote the consistent best practice, to reduce unwarranted variation and to reduce the use of low-value interventions in patient care. Recent decades have witnessed the publication of a number of such guidelines. In this narrative review, we consider three selected international interdisciplinary guidelines for the management of low back pain...
December 2016: Best Practice & Research. Clinical Rheumatology
https://www.readbyqxmd.com/read/29103552/smartphone-apps-for-the-self-management-of%C3%A2-low-back-pain-a-systematic-review
#18
REVIEW
Gustavo C Machado, Marina B Pinheiro, Hopin Lee, Osman H Ahmed, Paul Hendrick, Chris Williams, Steven J Kamper
Guidelines for low back pain (LBP) often recommend the use of self-management such as unsupervised exercise, booklets, and online education. Another potentially useful way for patients to self-manage LBP is by using smartphone applications (apps). However, to date, there has been no rigorous evaluation of LBP apps and no guidance for consumers on how to select high-quality, evidence-based apps. This chapter reviews smartphone apps for the self-management of LBP and evaluates their content quality and whether they recommend evidence-based interventions...
December 2016: Best Practice & Research. Clinical Rheumatology
https://www.readbyqxmd.com/read/29103548/understanding-cultural-influences-on-back-pain-and-back-pain-research
#19
REVIEW
Nicholas Henschke, Eva Lorenz, Roman Pokora, Zoe A Michaleff, Jonathan N A Quartey, Vinicius Cunha Oliveira
Low back pain is highly prevalent and places a considerable burden on individuals, their families and communities. This back pain burden is unequally distributed around the world and within populations. Clinicians and researchers addressing back pain should be aware of the cultural, social and political context of back pain patients and how this context can influence pain perception, disability and health care use. Culture, which influences the beliefs and behaviour of individuals within a social group, could be considered an important contributor to the unequal distribution of back pain...
December 2016: Best Practice & Research. Clinical Rheumatology
https://www.readbyqxmd.com/read/29101454/-surgical-management-of-ankylosing-spondylitis-bechterew-s-disease
#20
REVIEW
H Allouch, M Shousha, H Böhm
Ankylosing spondylitis is an inflammatory rheumatic disease that is often associated with back pain and restricted spinal movement. In the later stages of the disease, complete ossification of the entire spine and severe deformity can occur, often resulting in a marked reduction in quality of life and an increased risk of loss of independence due to diminished visual field. Patients with ankylosing spondylitis are at greater risk of spinal fractures. These are generally complex fractures associated with high morbidity and mortality; in addition, neurological deficits are not unusual...
November 3, 2017: Zeitschrift Für Rheumatologie
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