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Back Pain,

Stefan Schmid, Michèle Stauffer, Judit Jäger, Renate List, Silvio Lorenzetti
BACKGROUND: Regular infant carrying might be a contributing factor for the development and progression of low back and pelvic girdle pain in mothers after childbirth. However, the neuromechanical adaptations of the spine due to different sling-based carrying techniques are not sufficiently well understood in order to provide evidence-based carrying recommendations. RESEARCH QUESTION: What are the immediate effects of different sling-based infant carrying techniques on trunk neuromechanics? METHODS: Using a Vicon motion capture and a wireless surface electromyography system, three-dimensional pelvis and spinal kinematics as well as activation patterns of eight trunk muscles were derived from fifteen healthy young women during upright standing and level walking without carrying a load and while carrying a 6 kg-dummy with a sling in front and on either side...
October 12, 2018: Gait & Posture
Alisson R Teles, Don Daniel Ocay, Abdulaziz Bin Shebreen, Andrew Tice, Neil Saran, Jean A Ouellet, Catherine E Ferland
BACKGROUND CONTEXT: Although 40% of adolescent idiopathic scoliosis (AIS) patients present with chronic back pain, the pathophysiology and underlying pain mechanisms remain poorly understood. We hypothesized that development of chronic pain syndrome in AIS is associated with alterations in pain modulatory mechanisms. PURPOSE: To identify the presence of sensitization in nociceptive pathways and to assess the efficacy of the diffuse noxious inhibitory control in patients with AIS presenting with chronic back pain...
October 18, 2018: Spine Journal: Official Journal of the North American Spine Society
Alexis Lheureux, Anne Berquin
This semi-systematic review compared 2 prognostic questionnaires about back pain (STarT Back Screening Tool and Örebro Musculoskeletal Pain Screening Questionnaire) in terms of prognostic power and clinical aims, to guide the healthcare provider in choosing a questionnaire. By its large inclusion criteria, our study is the broadest on the topic. Although the 2 questionnaires present good and equivalent predictive power, we highlight important differences between them in clinical objectives and usefulness, which may be the most important to consider when deciding which tool to use...
October 18, 2018: Annals of Physical and Rehabilitation Medicine
Wei-Nan Zeng, Jun-Li Liu, Xiao-Lin Jia, Qiang Zhou, Liu Yang, Yun Zhang
BACKGROUND: Total hip arthroplasty (THA) is technically challenging in patients with high dislocation of the hip secondary to suppurative arthritis. The technical difficulty is attributable to the complex hip anatomy and the potential risk of recurrent infection in these patients. This study investigated the midterm results of THA in patients with Crowe type III and IV high dislocation of the hip secondary to suppurative arthritis. METHODS: This study retrospectively reviewed 45 patients (45 hips) who underwent cementless THA with a mean quiescent infection period of 34...
September 27, 2018: Journal of Arthroplasty
Kevin Kn Ho, Paulo H Ferreira, Marina B Pinheiro, Danielle Aquino Silva, Christopher B Miller, Ron Grunstein, Milena Simic
OBJECTIVES: To determine if sleep interventions improve pain and sleep in people with osteoarthritis and/or spinal pain compared to control/placebo. DESIGN: Medline, Embase, AMED, PsycINFO, CENTRAL, CINAHL and PEDro were searched from their inception date to July 2017. Keywords relating to "sleep", "osteoarthritis", "spinal pain", and "randomized controlled trial" were combined. Included RCTs investigated the use of sleep interventions for people with osteoarthritis and/or spinal pain, and measured at least one sleep and health related outcome...
October 17, 2018: Osteoarthritis and Cartilage
Ayan Basu, Yogi Raj, Pratik Bhowmik, Mehebubar Rahman, Rama Prosad Goswami
A 22 year old male Indian patient presented with high grade fever, multiple joint pain, low back pain, generalized body ache since 6 months and erythematous pruritic rashes and atypical annular target like lesions over face, arm, leg and back and ulcers on hard palate and buccal mucosa for 2 months. Laboratory investigations showed a speckled pattern anti-nuclear antibody with a titer >1:160 and positive SS-A, dsDNA auto-antibodies and Rheumatoid factor. Diagnosis of Rowell's syndrome was made based on clinical and laboratory finding and the patient was treated with oral prednisolone (50 mg/day), hydroxychloroquine (200 mg q12h) and pulse cyclophosphamide (700 mg) chemotherapy...
January 2018: Journal of the Association of Physicians of India
Zhiliang He, Min Jia, Youjia Yu, Chao Yuan, Jian Wang
Stem cells transplantation has shown considerable promise in intervertebral disc repair and low-back pain release. Cartilage endplate stem cells (CESCs) also showed potential for nucleus pulposus (NP) regeneration in a rabbit disc degeneration model, the precise mechanism was unclear. Here we investigated the effects of CESCs on NP cells (NPCs) proliferation and the mechanism in vitro. CESCs and NPCs were isolated from surgical specimens of degenerative human lumbar disc. NPCs were co-cultured with CESCs at a 1:1 ratio or cultured in CESCs conditioned medium (CESCs-CM)...
October 16, 2018: Biochemical and Biophysical Research Communications
Rebecca J Crawford, Thomas Volken, René Schaffert, Thomas Bucher
BACKGROUND: Low back pain (LBP) and neck pain (NP) are of considerable socioeconomic burden. Considering the escalating demand on health services that LBP and NP have globally, they represent an arguably unsustainable drain on resources with the projected increased demand secondary to an ageing population. Identifying populations at risk for LBP and NP may inform public health prevention strategies. Health professions' (HP) students may be more susceptible due to their demographic factors and potentially risky postural demands of their education and formative clinical practice...
October 19, 2018: BMC Public Health
Sabrina Korsch, Anne Köpnick, Petra Hampel
There is an increasing need for patient education in chronic low back pain with mental comorbidity. The present study was carried out in the setting of multidisciplinary inpatient rehabilitation and investigated the acceptance and feasibility of the Debora pain competence and depression prevention training comparing an intervention group with a control group. While patients of the intervention group took part in the pain competence and depression prevention training, patients of the control group only participated in pain competence training...
October 19, 2018: Das Gesundheitswesen
Liselotte W Maassen, Daniëlle M van Gastel, Ilse Haveman, Marlies Y Bongers, Sebastiaan Veersema
STUDY OBJECTIVE: to analyze short-term effectiveness and symptom resolution after surgical removal of Essure® sterilization devices. DESIGN: single center retrospective cohort study. Canadian task force level III. SETTING: a large secondary care teaching hospital in the Netherlands. PATIENTS: all patients who underwent surgical removal of Essure® devices in the period between January 2009 and December 2015. INTERVENTIONS: Surgical removal of Essure® devices was predominantly performed by laparoscopic surgery...
October 16, 2018: Journal of Minimally Invasive Gynecology
Tong Wang, Lian Lian Yang, Zhou Yang, Xi Ting Huang
Self-distancing has been shown to alleviate emotional pain and also to have potential efficacy for treating chronic pain and imagined acute pain, relative to self-immersing. This study examined the efficacy of self-distancing in relieving acute physical pain caused by a cold pressor task (CPT) in healthy adults. Sixty-five undergraduates were pseudo-randomly assigned to one of three groups: a) a self-distancing group instructed to "take a step back" to simulate their current painful experience as an observer; b) a self-immersed group in which simulating their current painful experience from the egocentric perspective; or c) a control group in which participants cope with pains in their spontaneous ways...
October 16, 2018: Journal of Pain: Official Journal of the American Pain Society
Robert Ziechmann, Stephanie Zyck, Satish Krishnamurthy, Michael Galgano
Intradural extramedullary cavernomas are rare vascular malformations of the spine. Of the 40 previously described cases, four involved the upper thoracic spine and one was associated with familial multiple cavernoma syndrome. We report the case of a 55-year-old man with familial multiple cavernomas presenting with thoracic radiculopathy and back pain due to a T3-T4 intradural extramedullary cavernoma compressing the spinal cord and dorsal nerve rootlets. Vascular malformations of the thoracic spine are a rare cause of atypical chest pain that should be considered in an individual with familial multiple cavernoma syndrome...
August 7, 2018: Curēus
Natalie Clohesy, Anthony Schneiders
Background: The current utilisation of patient reported outcome measures (PROMs) for low back pain (LBP) within the Australian Chiropractic profession is unknown. The aims of this study were to determine the current utilisation of LBP PROMs amongst Chiropractors in Australia and to identify the potential barriers and facilitators of using PROMs for LBP in Chiropractic practice. Methods: A cross sectional online survey was distributed to Chiropractors in Australia who were members of the Chiropractic Association of Australia (CAA) and Chiropractic Australia (CA) between June-August 2016...
2018: Chiropractic & Manual Therapies
Patricia C S Parreira, Christopher G Maher, Adrian C Traeger, Mark J Hancock, Aron Downie, Bart W Koes, Manuela L Ferreira
OBJECTIVES: (1) Describe the evolution of guideline-endorsed red flags for fracture in patients presenting with low back pain; (2) evaluate agreement between guidelines; and (3) evaluate the extent to which recommendations are accompanied by information on diagnostic accuracy of endorsed red flags. DESIGN: Systematic review. DATA SOURCES: MEDLINE and PubMed, PEDro, CINAHL and EMBASE electronic databases. We also searched in guideline databases, including the National Guideline Clearinghouse and Canadian Medical Association Infobase ...
October 18, 2018: British Journal of Sports Medicine
Margie H Davenport, Andree-Anne Marchand, Michelle F Mottola, Veronica J Poitras, Casey E Gray, Alejandra Jaramillo Garcia, Nick Barrowman, Frances Sobierajski, Marina James, Victoria L Meah, Rachel J Skow, Laurel Riske, Megan Nuspl, Taniya S Nagpal, Anne Courbalay, Linda G Slater, Kristi B Adamo, Gregory A Davies, Ruben Barakat, Stephanie-May Ruchat
OBJECTIVE: The purpose of this review was to investigate the relationship between prenatal exercise, and low back (LBP), pelvic girdle (PGP) and lumbopelvic (LBPP) pain. DESIGN: Systematic review with random effects meta-analysis and meta-regression. DATA SOURCES: Online databases were searched up to 6 January 2017. STUDY ELIGIBILITY CRITERIA: Studies of all designs were eligible (except case studies and reviews) if they were published in English, Spanish or French, and contained information on the population (pregnant women without contraindication to exercise), intervention (subjective or objective measures of frequency, intensity, duration, volume or type of exercise, alone ["exercise-only"] or in combination with other intervention components [eg, dietary; "exercise + co-intervention"]), comparator (no exercise or different frequency, intensity, duration, volume and type of exercise) and outcome (prevalence and symptom severity of LBP, PGP and LBPP)...
October 18, 2018: British Journal of Sports Medicine
Giovanni Ferreira, Luciola Menezes Costa, Airton Stein, Jan Hartvigsen, Rachelle Buchbinder, Chris G Maher
BACKGROUND: Low back pain is the leading cause of years lived with disability in Brazil based upon Global Burden of Disease estimates. Since 1990, the number of years lived with disability has increased by 79.7%, and this number is expected to continue to rise due to population growth and ageing. Yet, similarly to other countries, little attention has been given to it in both the public and private health systems, arguably making it an overlooked epidemic in Brazil. There is evidence that Brazil has adopted unwarranted practices in the management of low back pain in a similar manner to what has been observed in high-income countries...
October 13, 2018: Brazilian Journal of Physical Therapy
G Calo, D G Lambert
Opioids are characterised as classical (mu, delta, and kappa) along with the non-classical nociceptin/orphanin FQ (N/OFQ) receptor or NOP. Targeting NOP has therapeutic indications in control of the cardiovascular and respiratory systems and micturition, and a profile as an antidepressant. For all of these indications, there are translational human data. Opioids such as morphine and fentanyl (activating the mu receptor) are the mainstay of pain treatment in the perioperative period, despite a challenging side-effect profile...
November 2018: British Journal of Anaesthesia
Jean-François Chenot
Low back pain is common, but serious underlying disorders are infrequent in ambulatory care. Extensive diagnostic testing is neither feasable nor reasonable due to epidemiological and economical considerations. A structured step wise approach allows to differentiate between specific and unspecific low back pain.
October 2018: Deutsche Medizinische Wochenschrift
Ruby Mendenhall
Scholars are beginning to use the concept medicalization of poverty to theorize how the United States spends large amounts of money on illnesses related to poverty but invests much less in preventing these illnesses and the conditions that create them (e.g., economic insecurity, housing instability, continuous exposure to violence, and racism). This study examines the connection between poverty, disease burden and health-related costs through the in-depth interviews of 86 Black mothers living in neighborhoods with high levels of violence on the South Side of Chicago...
September 2018: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
A V Fedotova, O P Mironova
A nonspecific back pain is in the vast majority of all possible cases of dorsopathies. The sources of back pain may be myogenic dysfunction, intervertebral disc pathology or osteoarthritis of the archicular (facet) joints of the spine, including myofascial pain syndrome. A differentiated approach to the treatment of spondylarthrosis is still an unsolved problem. The article discusses important issues of integration of non-drug treatment methods and drug therapy of nonspecific back pain in patients with facet syndrome...
2018: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
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