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Back Pain,

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
Natthapon Angsubhakorn, Attaya Suvannasankha
A previously healthy 37-year-old man presented with a 10-month history of intractable back pain. On examination, there was tenderness to palpation along lower thoracic and lumbar spine. Complete blood count showed mild anaemia but was otherwise unremarkable. Imaging studies revealed compression deformities with multiple osteolytic lesions involving multiple levels of the thoracic and lumbar spine. Bone marrow aspiration and biopsy were performed and demonstrated blast cells involving 80% of the bone marrow cellularity...
August 11, 2018: BMJ Case Reports
Arun Prasad Balasundaram, Dipankar Choudhury
BACKGROUND: It has been established that Hyper-pronation of the foot may lead to postural changes in the lower limbs, with a resultant pelvic ante-version, and a subsequent risk of development of low back pain. However, the association between the presence of a hyper-pronated foot and the severity of disability in low back pain is currently not known. OBJECTIVES: The purpose of this study was to examine whether the presence of a hyper-pronated foot has any impact on the degree of severity of disability (functional status) in patients with non-specific low back pain...
July 2018: Journal of Bodywork and Movement Therapies
Jorge Hugo Villafañe, Luciano Bissolotti, Fabio Zaina, Chiara Arienti, Sabrina Donzelli, Stefano Negrini
OBJECTIVE: The aim of this study was to examine the association between trunk sagittal posture and nonspecific chronic low back pain (CLBP) by evaluating plumb-line distances in subjects recruited in an everyday clinical setting. METHODS: Of the 1364 subjects recruited, 63.1% were female (mean age ± SD: 56.2 ± 16.8 years). Subjects were categorized into CLBP and control groups and were prospectively assessed over a 3-month period. They provided information about their daily activities and their history of CLBP...
July 2018: Journal of Bodywork and Movement Therapies
Sannasi Rajasekar, Ajay Kumar, Jignesh Patel, Muthukrishnan Ramprasad, Asir John Samuel
BACKGROUND: Deficiency in hip girdle neuromuscular control can cause exaggerated Dynamic Knee Valgus (DKV) which afflicts the knee joint and lead to knee injuries especially ACL injury in sports. Though Kinesio taping (KT) is known to improve function, stability and proprioception, the evidence is inconclusive on its effectiveness in athletes. We hypothesized that kinesio taping could enhance neuromuscular control of the hip girdle there by causing a reduction in DKV. AIM/OBJECTIVE: To determine whether KT on Gluteus medius can correct exaggerated dynamic knee valgus and improves hip abductor strength when compared to sham KT...
July 2018: Journal of Bodywork and Movement Therapies
Safoora Ebadi, Noureddin Nakhostin Ansari, Tannaz Ahadi, Ehsan Fallah, Bijan Forogh
BACKGROUND AND DESIGN: Chronic nonspecific low back pain (CNSLBP) has major socioeconomic as well as personal impact in many industrialized and developing countries. Physiotherapy is a common intervention for this group of patients and using anti-pain physical modalities is a common part of the physical therapy. In a randomized controlled trial we investigated the immediate effect of the Diadynamic current in comparison to TENS on reducing the pain in patients suffering from non specific chronic low back pain...
July 2018: Journal of Bodywork and Movement Therapies
Jan Dommerholt, Michelle Finnegan, Todd Hooks, Li-Wei Chou
In the current issue of this clinical overview, we are pleased to include several basic research studies ranging from the differentiation of radicular and non-radicular low back pain based on the presence of trigger points (TrPs) to the role of TrPs in patients with osteoarthritis, the diagnostic criteria of TrP, the accurate placement of needles in the piriformis muscle with dry needling (DN), and the reliability of TrP identification, among others. As usual, there are many new DN studies, but also several review papers, and manual TrP research...
July 2018: Journal of Bodywork and Movement Therapies
Amir Massoud Arab, Sanaz Shanbehzadeh, Omid Rasouli, Mohsen Amiri, Fatemeh Ehsani
OBJECTIVE: The purpose of this study was to assess muscle thickness changes in the deep and superficial abdominal muscles, during sitting on stable and unstable surfaces in subjects with and without chronic low back pain (CLBP). METHOD: A cross-sectional study was conducted involving 40 participants (20 CLBP and 20 healthy). Ultrasound imaging was used to assess changes in the thickness of the Transversus abdominis (TrA), Internal Oblique (IO), Rectus abdominis (RA) and External oblique (EO) muscles...
July 2018: Journal of Bodywork and Movement Therapies
Scott A Burns, Joshua A Cleland, Chad E Cook, Michael Bade, Darren A Rivett, Suzanne Snodgrass
OBJECTIVES: The purpose of this study was to identify descriptive factors in individuals with a primary complaint of low back pain (LBP) associated with improved pain and function after receiving physical therapy for LBP with or without manual therapy and exercise directed at the femoroacetabular joints. METHODS: Participants were enrolled in a randomized clinical trial investigating physical therapy interventions for their LBP, with or without interventions directed at the femoroacetabular joints (hips)...
August 9, 2018: Journal of Manipulative and Physiological Therapeutics
Bart N Green, Claire D Johnson, Scott Haldeman, Edward J Kane, Michael B Clay, Erin A Griffith, Juan M Castellote, Matthew Smuck, Shanmuganathan Rajasekaran, Eric L Hurwitz, Margareta Nordin, Kristi Randhawa, Hainan Yu
PURPOSE: The purpose of this study was to develop recommendations for prevention interventions for spinal disorders that could be delivered globally, but especially in underserved areas and in low- and middle-income countries. METHODS: We extracted risk factors, associations, and comorbidities of common spinal disorders (e.g., back and neck pain, spinal trauma, infection, developmental disorders) from a scoping review of meta-analyses and systematic reviews of clinical trials, cohort studies, case control studies, and cross-sectional studies...
August 11, 2018: European Spine Journal
Clay M Elswick, Hazem M Ahmed
BACKGROUND: Treatment failures of artificial disc implantation are well-described, but posterior herniation of the arthroplasty core is rare. We present a case of posterior herniation of the arthroplasty core resulting in cauda equina syndrome in a 36-yr-old woman. Preoperative imaging studies including computed tomography (CT), magnetic resonance imaging (MRI), and CT Myelogram were performed; only the CT Myelogram demonstrated the severe compression well. This report highlights the radiographic findings on multiple imaging modalities, clinical implications, and management considerations of posterior arthroplasty failures...
August 7, 2018: Operative Neurosurgery (Hagerstown, Md.)
Saurab Sharma, Mark P Jensen, G Lorimer Moseley, J Haxby Abbott
INTRODUCTION: Low back pain (LBP) is the leading cause of years lived with disability in Nepal and elsewhere. Management of LBP that is evidence-based, easily accessible, cost-effective and culturally appropriate is desirable. The primary aim of this feasibility study is to determine if it is feasible to conduct a full randomised clinical trial evaluating the effectiveness of pain education as an intervention for individuals with LBP in Nepal, relative to guideline-based physiotherapy treatment...
August 10, 2018: BMJ Open
Alessandro Chiarotto, Lara J Maxwell, Raymond W Ostelo, Maarten Boers, Peter Tugwell, Caroline B Terwee
Visual Analogue Scale (VAS), Numeric Rating Scale (NRS), and Pain Severity subscale of the Brief Pain Inventory (BPI-PS)] are the most frequently used instruments to measure pain intensity in low back pain (LBP). However, their measurement properties in this population have not been systematically reviewed. The goal of this study was to provide such systematic evidence synthesis. Six electronic sources (MEDLINE, EMBASE, CINAHL, PsycINFO, SportDiscus, Google Scholar) were searched (July 2017). Studies assessing any measurement property in patients with non-specific LBP were included...
August 9, 2018: Journal of Pain: Official Journal of the American Pain Society
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