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Back AND Pain

Sheng Yang, De-Peng Shang, Jian-Min Lu, Ji-Feng Liu, Da-Peng Fu, Fei Zhou, Yang Cong, Zhong-Zhe Lv
PURPOSE: This retrospective study was to introduce a method of modified posterior short-segment pedicle screw fixation and evaluate its clinical effects in treating lumbar burst fractures with incomplete neurological deficit. METHODS: Twenty two patients with lumbar burst fracture and incomplete neurological deficit who underwent modified posterior short-segment instrumentation with Schanz screws between Jan 2012 and Feb 2018 in our clinic were included in this retrospective study...
August 13, 2018: World Neurosurgery
Jason Pui Yin Cheung, Prudence Wing Hang Cheung, Karlen Law, Vishal Borse, Yuk Ming Lau, Ling Fung Mak, Aldous Cheng, Dino Samartzis, Kenneth Man Chee Cheung
BACKGROUND: Cervical collars are used after laminoplasty to protect the hinge opening, reduce risks of hinge fractures, and avoid spring-back phenomena. However, their use may lead to reduced range of motion and worse neck pain. OBJECTIVE: To investigate the clinical, radiological, and functional outcomes of patients undergoing single-door laminoplasty with or without collar immobilization. METHODS: This was a prospective, parallel, single-blinded randomized controlled trial...
August 3, 2018: Neurosurgery
Izabella Uchmanowicz, Aleksandra Kołtuniuk, Aneta Stępień, Bartosz Uchmanowicz, Joanna Rosińczuk
INTRODUCTION: Low back pain (LBP) is one of the most common pain syndromes, and its prevalence has increased significantly in the past three decades. OBJECTIVES: The aim of this study was to evaluate the effects of insomnia and daytime sleepiness on the quality of life (QOL) of patients suffering from chronic back pain. MATERIAL AND METHODS: It is a cross-sectional study conducted among 100 people (aged 25-75 years - mean age 49.53 ± 10.92) treated in a neurological clinic for chronic back pain lasting longer than 3 months...
August 16, 2018: Scandinavian Journal of Caring Sciences
Sterling Farrer
Coronary heart disease continues to be the leading cause of death in the United States. Current attempts to treat atherosclerosis and coronary artery disease often involve pharmaceutical and surgical treatments. While these treatments are successful in managing the pain from coronary heart disease, they do little to prevent or stop it. There are a number of clinical strategies that are currently being researched to treat atherosclerosis through HDL-increasing therapies. These clinical studies have shown positive effects through nutritional intervention, exercise, stress reduction, and tobacco and alcohol cessation...
2018: Advances in Preventive Medicine
R Sanjeevan, S Prabu, A Azizul, Y Abdul-Halim
Being a rare clinical entity, discal cyst presents indistinguishably from other causes of lower back pain and radiculopathy. It is an extremely rare pathology with unclear pathogenesis, indeterminate natural history with no consensus on the ideal management of the condition. We report a rare case of discal cyst in a patient who presented to our centre with localised low back pain and subsequently left sided radicular pain. With the aid of MRI and with clear surgical indication we proceeded with endoscopic removal of the cyst and intraoperatively confirmed its origin from the adjacent disc...
July 2018: Malaysian Orthopaedic Journal
Miel Ap Vugts, Margot Cw Joosen, Agali Mert, Aglaia Me Zedlitz, Hubertus Jm Vrijhoef
BACKGROUND: Current evidence for the effectiveness of specialist multidisciplinary programs for burdensome chronic pain and functional somatic syndromes drives the effort to improve approaches, strategies, and delivery modes. It remains unknown to what extent and in what respect serious gaming during the regular outpatient rehabilitation can contribute to health outcomes. OBJECTIVE: The objectives of our study were to determine the effect of additional serious gaming on (1) physical and emotional functioning in general; (2) particular outcome domains; and (3) patient global impressions of change, general health, and functioning and to determine (4) the dependency of serious gaming effects on adherence...
August 15, 2018: Journal of Medical Internet Research
A R Tellegen, I Rudnik-Jansen, M Beukers, A Miranda-Bedate, F C Bach, W de Jong, N Woike, G Mihov, J Thies, B P Meij, L B Creemers, M A Tryfonidou
Low back pain, related to degeneration of the intervertebral disc (IVD), affects millions of people worldwide. Clinical studies using oral cyclooxygenase-2 (COX-2) inhibitors have shown beneficial effects, although side-effects were reported. Therefore, intradiscal delivery of nonsteroidal anti-inflammatory drugs can be an alternative treatment strategy to halt degeneration and address IVD-related pain. In the present study, the controlled release and biologic potency of celecoxib, a selective COX-2 inhibitor, from polyesteramide microspheres was investigated in vitro...
August 12, 2018: Journal of Controlled Release: Official Journal of the Controlled Release Society
Russell Lemmon, Adrienne Hampton
Which therapies should you recommend for chronic low back pain, osteoarthritis, or fibromyalgia? This review-with 3 handy tables-summarizes the evidence.
August 2018: Journal of Family Practice
Amir Awwad, Renan E Ibrahem Adam, Chandni Patel, James D Thomas
Introduction: Spinal epidural lipomatosis (SLE) is an abnormal accumulation of unencapsulated fat. The association of chronic steroid therapy is described as well as obesity and Cushing's syndrome. SLE has a range of neurological presentations such as back pain, myelopathy, and cauda equina syndrome. Surgical decompression is known to improve symptomatic cases and prevent further deterioration. Case presentation: An elderly male patient with background history of high-risk metastatic prostate cancer and long-term treatment with steroids and hormonal therapy presented with acute on chronic back pain and neurological symptoms...
2018: Spinal Cord Series and Cases
Pasang Doma Sherpa, Luppana Kitrungrote, Wipa Sae-Sia
Study design: Descriptive cross-sectional study. Objective: This study aims to determine the factors predicting quality of life among Nepalese family caregivers of people with spinal cord injury (SCI) having low back pain. Setting: Eight districts of the Bagmati Zone of Nepal. Methods: Sixty-five family caregivers of people with SCI having chronic low back pain were recruited from January to March 2017. The factors examined as independent variables included monthly household income, daily caregiving hours, functional independence of people with SCI, low back pain intensity, and functional disability of family caregivers...
2018: Spinal Cord Series and Cases
Mehmet Demir, Erdem Gumusburun, Nurten Seringec, Mustafa Cicek, Rodi Ertugrul, Bulent Guneri
OBJECTIVE: To determine the normal angular ranges of the lateral spinal alignments in the lumbar and sacral regions. METHODS: This cross-sectional study was conducted at the Kilis State Hospital, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey, from February to August 2017, and comprised patients aged 18-27 years who underwent standardised standing lateral lumbar radiography to eliminate hip and low back disorders. All radiographs were obtained from the hospital database as well as the demographic and contact information of each subject...
August 2018: JPMA. the Journal of the Pakistan Medical Association
Taku Hatano, Masashi Takanashi, Hitoshi Tsuchihashi, Shin-Ichi Ueno, Arisa Hayashida, Yutaka Tsukune, Kazuaki Kanai, Yasushi Shimo, Nobutaka Hattori
BACKGROUND: Cutaneous and systemic plasmacytosis are skin disorders characterized by cutaneous polyclonal plasma cell infiltration accompanied by polyclonal hypergammaglobulinemia. Cutaneous plasmacytosis involvement is limited to the skin, mainly on the face and trunk, while systemic plasmacytosis also involves 2 or more organ systems. However, there have been no reports of inflammatory myositis due to plasmacytosis. Here, we report a patient with plasmacytosis who developed myalgia and easy fatigability due to inflammatory myositis...
August 14, 2018: BMC Neurology
Sindhu G, Shyni G L, Chithra K Pushpan, Bala Nambisan, Helen A
Rheumatoid arthritis is a chronic inflammatory joint disease characterized by synovial proliferation and tissue destruction. Pro-inflammatory cytokines like interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α) play a key role in the disease process and elevate energy expenditure, which further increases the joint pain and stiffness. The present study was undertaken to explore the anti-arthritic potential of fenugreek mucilage in adjuvant induced arthritic rats. In the present study, paw volume was measured on the 7th , 14th and 21st day...
August 11, 2018: Prostaglandins & Other Lipid Mediators
Jarallah M Albahlal, Ali A Alhandi, Khalid A Aldihan, Odai H Alsultan, Faisal A Alhusain, Hanadi M Alqahtani, Sami I Aleissa
To assess the primary healthcare physicians' adherence to referral guidelines for acute low back pain and if there is any association with experience level.  Methods: A cross-sectional study held in Tertiary care hospital, Riyadh, Kingdom of Saudi Arabia.Questionnaires were distributed in-person between October 2017 and January 2018 among 100 primary healthcare physicians, with a 79% response rate. Results: The distribution between male to female was 43%-57%. Twenty-five percent of physicians encounter 1-5 patients weekly, while 28% encounter more than 15 patients...
August 2018: Saudi Medical Journal
Poupak Rahimzadeh, Farnad Imani, Mohammad Ghahremani, Seyed Hamid Reza Faiz
Background: Intervertebral disc herniation with the pressure on the surrounding neural structures is one of the most important causes of chronic low back pain, which sometimes leads to open surgery. Reducing the pressure inside the disc with intradiscal intervention such as laser irradiation or ozone injection is a minimally invasive method and an alternative to surgery with satisfactory results. These two methods were compared with each other in this research. Patients and methods: In this clinical trial, 40 patients with back pain radiating to lower limb due to lumbar intervertebral disc herniation were selected...
2018: Journal of Pain Research
Carol Ann Weis, John Barrett, Patricia Tavares, Crystal Draper, Karen Ngo, Jacky Leung, Tu Huynh, Victoria Landsman
OBJECTIVE: The purpose of the current pilot study is to determine the point and period prevalence of site-specific back pain, low back pain (LBP), pelvic girdle pain (PGP), and combined pain (Combo Pain) in pregnant women at a large urban centre in Ontario. METHODS: Point and period prevalence for LBP, PGP, and Combo Pain were determined using a questionnaire and accompanying pain diagram. Women were included in the study if they were healthy, of child-bearing age (18-45 years), currently experiencing a singleton pregnancy (any trimester), and proficient in the English language...
August 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Jahan Heidari, Ersan Özen, Michael Kellmann
BACKGROUND: Stress and recovery have recently been linked to health issues and back pain (BP) occurrence. However, the evaluation of these aspects in prevention programs has not been approached so far. OBJECTIVES: The primary aim of this study was to exploratively scrutinize the effectiveness of recovery interventions to reduce BP within a multimodal, out-patient prevention program. The secondary aim consisted in the evaluation of these recovery interventions in terms of reducing stress and increasing recovery...
August 7, 2018: Work: a Journal of Prevention, Assessment, and Rehabilitation
Zati Alessandro, Cavazzuti Lorenzo, Colori Biagio Carmine Maria, Benedetti Maria Grazia
BACKGROUND: Nonspecific Chronic Low Back Pain (CLBP) is a condition difficult to treat due to multiple etiopathogenesis and there is wide consensus on the multidisciplinary approach. Among physiotherapy the Medium Frequencies (MF) diathermy has recently been introduced but without enough evidence of effectiveness. OBJECTIVE: To explore the effects of a deep heating therapy (DHT) produced by a MF diathermy for the treatment of CLBP compared with a superficial heating therapy (SHT)...
July 20, 2018: Journal of Back and Musculoskeletal Rehabilitation
Fang Liu, Alice Y M Jones, Kerrie Evans, Raymond C C Tsang, Lijuan M M Ao
BACKGROUND: Previous studies in non-Chinese populations have found a relationship between performance on isometric trunk muscle endurance tests and low back pain (LBP). However, the relationship between trunk muscle endurance and LBP in Chinese populations has received little attention and age-referenced data have not been reported. OBJECTIVE: Evaluate the relationship between age-referenced isometric trunk muscle endurance values and LBP in a Chinese cohort. METHODS: One hundred and eighty-eight participants (20-59-years) performed four timed-endurance tests (Biering-Sorensen, plank, left/right side bridge) in random order...
August 1, 2018: Journal of Back and Musculoskeletal Rehabilitation
Lenka Pešáková, Jana Hlávková, Marie Nakládalová, Pavel Urban, Petr Gaďourek, Tomáš Tichý, Alena Boriková, Andrea Laštovková, Daniela Pelclová
OBJECTIVE: As a part of regular revision of the List of Occupational Diseases in the Czech Republic, efforts have been made to add a new item so that lumbar spine disease caused by overload may be recognized as occupational one, with adherence to the valid national rules, that is, clinical criteria are met and objective assessment confirms working conditions under which, according to recent scientific knowledge, such an occupational disease develops. The aim is to provide information on the use of a proposed method for working condition assessment in a real setting, based on the initial experiences gained from a pilot study carried out to validate the method...
June 2018: Central European Journal of Public Health
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