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Back pain physical therapy

Jeungchan Lee, Ishtiaq Mawla, Jieun Kim, Marco L Loggia, Ana Ortiz, Changjin Jung, Suk-Tak Chan, Jessica Gerber, Vincent J Schmithorst, Robert R Edwards, Ajay D Wasan, Chantal Berna, Jian Kong, Ted J Kaptchuk, Randy L Gollub, Bruce R Rosen, Vitaly Napadow
Although self-report pain ratings are the gold standard in clinical pain assessment, they are inherently subjective in nature and significantly influenced by multidimensional contextual variables. Although objective biomarkers for pain could substantially aid pain diagnosis and development of novel therapies, reliable markers for clinical pain have been elusive. In this study, individualized physical maneuvers were used to exacerbate clinical pain in patients with chronic low back pain (N = 53), thereby experimentally producing lower and higher pain states...
October 17, 2018: Pain
Joshua D Cramer, Alan Nasypany
Background and Purpose: Shoulder injuries are common amongst overhead athletes. Dysfunctional motor patterns (scapular dyskinesis) may be the cause or result. Improperly treated, they can sideline athletes or reduce quality of life. Current treatment protocols are lengthy and may result in recurrence. Individualization of treatment is key. Functional tests, like the Selective Functional Movement Assessment (SFMA), help discern and properly identify dysfunction, paving the way for interventions like reflexive neuromuscular stabilization (RNS)...
December 2018: International Journal of Sports Physical Therapy
B Rodríguez-Romero, O Bello, J Vivas Costa, Lidia Carballo-Costa
OBJECTIVE: The aim of this study was to evaluate the effects of an exercise therapy program on pain and physical dimension of health-related quality of life for young adults with musculoskeletal pain. DESIGN: Randomized controlled single-blind trial. Fifty-seven subjects (58% women) were randomly assigned to experimental (n=28; 21.4±2.9 yrs) and control (n=29; 21.0±4.2 yrs) groups. The experimental group participated in a 9-week stabilization exercise therapy program, 60 minutes/once a week, while the control group did not exercise, with a pre- and post-intervention assessment...
December 6, 2018: American Journal of Physical Medicine & Rehabilitation
Rachel G Berger, Shevaun M Doyle
PURPOSE OF REVIEW: Provide a comprehensive overview of lumbar spondylolysis, a frequent cause of lower back pain in children and adolescents, from evaluation to management. RECENT FINDINGS: With the surge of structured sports participation in the pediatric population, spondylolysis is a common ailment that afflicts many young athletes due to rigorous competition that taxes the growing spine with repetitive extension and rotation. SUMMARY: Spondylolysis is a fracture through the pars interarticularis...
December 3, 2018: Current Opinion in Pediatrics
Howard S Kim, Sabrina H Kaplan, Danielle M McCarthy, Daniel Pinto, Kyle J Strickland, D Mark Courtney, Bruce L Lambert
OBJECTIVE: Physical therapy (PT) is commonly cited as a non-opioid pain strategy, and previous studies indicate PT reduces opioid utilization in outpatients with back pain. No study has yet examined whether PT is associated with lower analgesic prescribing in the ED setting. METHODS: This was a retrospective cohort study of discharged ED visits with a primary ICD-10 diagnosis relating to back or neck pain from 10/1/15 to 2/21/17 at an urban academic ED. Visits receiving a PT evaluation were matched with same-date visits receiving usual care...
October 23, 2018: American Journal of Emergency Medicine
Qi Jin, Qin Luo, Zhihui Zhao, Qing Zhao, Xue Yu, Lu Yan, Liu Gao, Zhihong Liu
BACKGROUND: Takotsubo syndrome (TTS) is an acute cardiac condition with reversible heart failure which is often triggered by psychological and physical stressful events. Although pulmonary embolism (PE) was reported as a trigger for TTS, the concurrence of TTS and PE has been rarely reported, let alone that triggered by PE. Here we describe a case of a postmenopausal female presenting with symptoms similar to myocardial ischemia, which may be caused by PE, and review the available literature that may help clinicians with their practice to similar situations since no published guidelines are available...
December 10, 2018: BMC Cardiovascular Disorders
Yuejie Li, Ying Yin, Gongwei Jia, Hong Chen, Lehua Yu, Dandong Wu
OBJECTIVE: To explore the effects of kinesiotape on pain and disability in individuals with chronic low back pain. DATA SOURCES: PubMed, Embase and the Cochrane Central Register of Controlled Trials were searched for English language publications from inception to 13 February 2018. REVIEW METHODS: This study was registered in PROSPERO (CRD42018089831). Our key search terms were ((kinesio taping) OR (kinesiotaping) OR (kinesiotape)) AND (low back pain)...
December 11, 2018: Clinical Rehabilitation
Ekta A Patel, Michael D Perloff
Back pain is a top primary and urgent care complaint; radicular pain can be caused by herniation of the nucleus pulposus (intervertebral disc), spinal stenosis, or degenerative changes to the vertebrae. The focus of this clinical review will be the clinical approach and treatment of lumbar radicular pain, cervical radicular pain, and spinal stenosis. Usually localized through neurological history, exam, and imaging, specific signs and symptoms for lumbar radicular, spinal stenosis, and cervical radicular pain can help determine etiology...
December 2018: Seminars in Neurology
Eldad Kaljic, Dijana Avdic, Emira Svraka, Mirsad Muftic, Muris Pecar, Amra Macak-Hadziomerovic, Namik Trtak
Introduction: Lumbar pain syndrome is one of the most common conditions in clinical practice, more common than 290 other pathological conditions, which affect up to 84% of adults in a certain period of their life. The origin of the lower back pain can be classified as mechanical, neuropathic and secondary due to another illness. Patient education and information, muscle strengthening exercises, maintenance of routine daily physical activity and pain therapy are the basis of acute non-specific pain syndrome therapy...
October 2018: Medical Archives
Hyun-Min Oh, Tae-Woo Nam, Ju-Hyun Kim, Tae-Du Jung
RATIONALE: Spontaneous intramedullary spinal cord hemorrhage (hematomyelia) is a rare disease and most cases have specific etiologies such as cavernous malformations and tumor. Most reported cases are about surgical treatment of intramedullary spinal cord hemorrhage, but there are no reports of rehabilitation effectiveness reported. This case reports the first case with positive effect of rehabilitation on a patient with intramedullary spinal cord hemorrhage, who did not undergo surgery...
November 2018: Medicine (Baltimore)
Jeffrey J Hebert, Edward C Le Cara, Shane L Koppenhaver, Martin D Hoffman, Robin L Marcus, Alasdair R Dempsey, Wayne J Albert
PURPOSE: Investigate the construct validity of prognostic factors purported to predict clinical success with stabilization exercise for low back pain by exploring their associations with lumbar multifidus composition. METHODS: Patients with low back pain were recruited from a hospital imaging department. The presence of fivepredictors (age <40 years, positive prone instability test, aberrant trunk flexion movements, straight leg raise range of motion >91°, spinal hypermobility) were identified by standardized physical examination...
December 3, 2018: Disability and Rehabilitation
Yi Sun, Victor Y Leung, Kenneth M Cheung
Intervertebral disc (IVD) degeneration (IDD) is considered as one of the major causes for low back pain (LBP). However, conventional surgical approaches for treating LBP do not aim to counter the degeneration. Biological interventions have been investigated with an attempt to regenerate the IVD by restoring its matrices and cell activities. This review summarizes the current clinical trials that explore the efficacy of covering cell-, growth factor-, and small molecule-based approaches. While investigations of growth factor- and small molecule-based therapies are still preliminary, intradiscal delivery of mesenchymal stromal cells has been more widely adopted and shown positive results in addressing the pain and the associated physical disability, albeit to a lower extent than observed in previous animal studies...
November 29, 2018: International Orthopaedics
Suzanne Forsyth Herling, Ingrid E Greve, Eduard E Vasilevskis, Ingrid Egerod, Camilla Bekker Mortensen, Ann Merete Møller, Helle Svenningsen, Thordis Thomsen
BACKGROUND: Delirium is defined as a disturbance in attention, awareness and cognition with reduced ability to direct, focus, sustain and shift attention, and reduced orientation to the environment. Critically ill patients in the intensive care unit (ICU) frequently develop ICU delirium. It can profoundly affect both them and their families because it is associated with increased mortality, longer duration of mechanical ventilation, longer hospital and ICU stay and long-term cognitive impairment...
November 23, 2018: Cochrane Database of Systematic Reviews
Regev Cohen, Talya Finn, Frida Babushkin, Maurice Shapiro, Martina Uda, Tamar Grossman
BACKGROUND: We describe a patient with Strongyloides stercoralis hyperinfection associated with Streptococcus pyogenes and with streptococcal toxic shock syndrome. To the best of our knowledge this association has not been previously described. CASE PRESENTATION: A 78 year-old Israeli man, who was born in Iraq but lived in Israel for 66 years, presented with multi-organ failure including acute kidney and hepatic injury, coagulopathy, and lactic acidosis. He had a medical history including aortic valve replacement, diabetes mellitus, spinal stenosis, and low back pain treated with repeated local steroid injections...
November 22, 2018: Journal of Medical Case Reports
Caroline de Castro Moura, Érika de Cássia Lopes Chaves, Ana Carolina Lima Ramos Cardoso, Denismar Alves Nogueira, Hérica Pinheiro Corrêa, Tânia Couto Machado Chianca
OBJECTIVES: to evaluate the evidence from the literature regarding the effects of cupping therapy on chronic back pain in adults, the most used outcomes to evaluate this condition, the protocol used to apply the intervention and to investigate the effectiveness of cupping therapy on the intensity of chronic back pain. METHOD: systematic review and meta-analysis carried out by two independent researchers in national and international databases. Reference lists of systematic reviews were also explored...
November 14, 2018: Revista Latino-americana de Enfermagem
Oriela Rustemi, Giacomo Beggio, Alessandro Segna
A 24-year-old female presented to neurosurgical consultation for chronic back pain. The patient was long-term in wheelchair for vertebral deformity. She was the third child of first-degree consanguineous parents. The two older brothers had also vertebral malformations. The radiological images showed butterfly vertebra, vertebral fusion, hemivertebrae, scoliosis, rib malformation. The patient was in follow-up for restrictive lung disease. Motor evoked potentials and lower limbs electromyography were normal. We recommended conservative treatment for the back pain with antalgic and physical therapy...
November 15, 2018: World Neurosurgery
Ulrike Dapunt, Simone Gantz, Anastasiya Zhuk, Katharina Gather, Haili Wang, Marcus Schiltenwolf
Objective: The aim of this study was to evaluate possible differences of quantitative sensory testing (QST) results in healthy individuals (group control, n=20), physically active individuals (group sport, n=30) and in patients suffering from chronic musculoskeletal pain (group pain, n=30). Methods: Thermal detection thresholds, thermal pain thresholds and blunt pressure pain thresholds were measured at various sites (T0). Additionally, group pain was treated in multidisciplinary pain therapy for 4 weeks...
2018: Journal of Pain Research
Ching-Hui Sia, Aloysius Sheng-Ting Leow, Benjamin Sieu-Hon Leong
Acupuncture is a common form of therapy involving insertion of fine needles to alleviate nausea and various forms of pain. We describe a case of pneumothorax secondary to acupuncture. A 50-year-old woman presented to the emergency department with right-sided pleuritic chest pain. This was following a history of acupuncture and cupping treatment an hour earlier at a traditional practitioner for long-standing neck pain. On physical examination, the respiratory rate was 22 breaths per minute and her oxygen saturation was 100% on room air...
August 23, 2018: Curēus
Yucheng Jiao, Ye Yuan, Yazhou Lin, Zezhu Zhou, Yuehuan Zheng, Wenjian Wu, Guoqing Tang, Yong Chen, Jiaqi Xiao, Changwei Li, Zhe Chen, Peng Cao
Latent infection of Propionibacterium acnes was considered as a new pathogeny for low back pain (LBP); however, there is no credible animal evidence or mechanism hypothesis. This study proved that P. acnes is a causative pathogen of bacteria-induced LBP and investigated its underlying mechanism. For this, P. acnes was firstly identified in patients' degenerated intervertebral disc (IVDs) samples. The results of patients' Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ), Japanese Orthopaedic Association (JOA), and Oswestry Disability Index (ODI) scores indicated that P...
November 6, 2018: Journal of Molecular Medicine: Official Organ of the "Gesellschaft Deutscher Naturforscher und Ärzte"
Timothy R Deer, Jay S Grider, Jason E Pope, Steven Falowski, Tim J Lamer, Aaron Calodney, David A Provenzano, Dawood Sayed, Eric Lee, Sayed E Wahezi, Chong Kim, Corey Hunter, Mayank Gupta, Rasmin Benyamin, Bohdan Chopko, Didier Demesmin, Sudhir Diwan, Christopher Gharibo, Leo Kapural, David Kloth, Brian D Klagges, Michael Harned, Tom Simopoulos, Tory McJunkin, Jonathan D Carlson, Richard W Rosenquist, Timothy R Lubenow, Nagy Mekhail
BACKGROUND: Lumbar spinal stenosis (LSS) can lead to compression of neural elements and manifest as low back and leg pain. LSS has traditionally been treated with a variety of conservative (pain medications, physical therapy, epidural spinal injections) and invasive (surgical decompression) options. Recently, several minimally invasive procedures have expanded the treatment options. METHODS: The Lumbar Spinal Stenosis Consensus Group convened to evaluate the peer-reviewed literature as the basis for making Minimally Invasive Spine Treatment (MIST) recommendations...
October 27, 2018: Pain Practice: the Official Journal of World Institute of Pain
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