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back pain

Matthew W Bullock, Jason E Lang
Goals of total hip arthroplasty (THA) include pain alleviation, motion restoration, and normalization of leg-length inequality. Asymmetric leg lengths are associated with nerve traction injuries, lower extremity joint pain, sacroiliac discomfort, low back pain, and patient dissatisfaction. The authors present an innovative use of a modified ball-tip guide rod to help accurately restore leg length and femoral offset during direct anterior THA.
January 2017: American Journal of Orthopedics
Satoshi Kato, Hideki Murakami, Anri Inaki, Takafumi Mochizuki, Satoru Demura, Junsuke Nakase, Katsuhito Yoshioka, Noriaki Yokogawa, Takashi Igarashi, Naoki Takahashi, Noritaka Yonezawa, Seigo Kinuya, Hiroyuki Tsuchiya
BACKGROUND: Exercise is one of the few treatments that provide significant improvements in chronic low back pain (CLBP). We developed an innovative exercise device for abdominal trunk muscles. This device can be used in a sitting or standing position and contains a built-in system to measure abdominal trunk muscle strength. We examined whether subjects can adequately use the device to perform the exercises and measure their abdominal trunk muscle strength. METHODS: We collected data on the body height, body weight, body mass index, and girth of 30 healthy male volunteers, and measured their grip power and trunk extensor muscle strength using a dynamometer...
2017: PloS One
E N Zamri, F M Moy, V C W Hoe
BACKGROUND: Musculoskeletal pain is common among teachers. Work-related psychosocial factors are found to be associated with the development of musculoskeletal pain, however psychological distress may also play an important role. OBJECTIVES: To assess the prevalence of self-reported low back pain (LBP), and neck and/or shoulder pain (NSP) among secondary school teachers; and to evaluate the association of LBP and NSP with psychological distress and work-related psychosocial factors...
2017: PloS One
CongHu Yuan, HaiCun Shi, PingLei Pan, ZhenYu Dai, JianGuo Zhong, HaiRong Ma, LiQin Sheng
BACKGROUND: Studies employing voxel-based morphometry (VBM) have reported inconsistent findings on the association of gray matter (GM) abnormalities with chronic back pain (CBP). We therefore performed a meta-analysis of available studies to identify the most consistent GM regions associated with CBP. METHODS: The PubMed, Embase, and Web of Science databases were searched from January 2000 to 29 May 2016. Comprehensive meta-analyses of whole-brain VBM studies to identify the most robust GM abnormalities in CBP were conducted using the Seed-based d Mapping software package...
February 23, 2017: Clinical Journal of Pain
Piotr Kocur, Barbara Pospieszna, Daniel Choszczewski, Lukasz Michalowski, Marzena Wiernicka, Jacek Lewandowski
BACKGROUND: Regular Nordic Walking training could improve fitness and reduce tenderness in selected muscle groups in office workers. OBJECTIVE: An assessment of the effects of a 12-week Nordic Walking training program on the perceived pain threshold (PPT) and the flexibility of selected upper-body muscle groups in postmenopausal female office workers. METHODS: 39 office workers were selected at random for the treatment group (NWg, n = 20) and the control group (Cg, n = 19)...
February 20, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
Sıdıka Bulduk, Emre Özgür Bulduk, Alpaslan Güler
BACKGROUND: Work-related musculoskeletal disorders (WMSDs) cause pain and economic loss. Risk of WMSDs is affected by job satisfaction as a psychosocial factor. OBJECTIVE: The aim of this study was to investigate job satisfaction among aircraft baggage handlers and their exposure to work-related musculoskeletal disorder risk factors. METHODS: Two data collection tools addressing risk levels (Quick Exposure Check) and psychosocial factors (Job Satisfaction Survey) were answered by 399 male baggage handlers employed in Esenboga International Airport in Ankara, Turkey...
February 20, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
Qiang Feng, Chongmin Jiang, Yu Zhou, Yun Huang, Ming Zhang
CONTEXT: Non-specific back pain has become a public health problem affecting adolescent health. OBJECTIVE: To examine the relationships between abnormalities in spinal morphology and non-specific back pain among adolescents. DESIGN: Cross-sectional study. SETTING: Junior and senior high schools. PATIENTS: Participants were screened using a questionnaire regarding back pain. Students in the pain group (n= 273, 121 boys and 152 girls) reported experiencing upper and/or lower back pain within the previous month, and those who did not report pain were assigned to the group without pain (n= 127, 63 boys and 64 girls)...
February 10, 2017: Journal of Back and Musculoskeletal Rehabilitation
Vibeke Strand, Jasvinder A Singh
Axial spondyloarthritis (AxSpA) is a chronic inflammatory rheumatic disease characterized by inflammatory back pain (IBP) that manifests in childhood, late adolescence, or early adulthood. Ankylosing spondylitis (AS) and nonradiographic AxSpA represent 2 ends of the AxSpA spectrum. Diagnosis can be challenging because patients develop IBP that may not be associated with radiographic changes in the sacroiliac joints. Patients early in the course of disease are estimated to have at least the same level of disease activity and pain as patients with established disease; thus, they could benefit substantially from earlier diagnosis...
February 20, 2017: Mayo Clinic Proceedings
Iva Sklempe Kokic, Marina Ivanisevic, Melita Uremovic, Tomislav Kokic, Rado Pisot, Bostjan Simunic
OBJECTIVE: To investigate the effect of a supervised, structured exercise programme on the occurrence and severity of pregnancy-related lumbopelvic pain. DESIGN: Randomized controlled trial. SUBJECTS: A total of 45 pregnant women were randomly assigned to 2 groups: an experimental group (n = 20; mean age 32.8 (standard deviation (SD) 3.6) years) and a control group (n = 22; mean age 32.2 years (SD 4.9)). METHODS: Exercise intervention for the experimental group consisted of aerobic and resistance exercises performed bi-weekly from the date of inclusion into the study until the end of pregnancy, together with at least 30 min of brisk daily walks...
February 24, 2017: Journal of Rehabilitation Medicine
Florian Bailly, Violaine Foltz, Sylvie Rozenberg, Michael Norberg, Joelle Glemarec, Sophie Pouplin, Beatrice Banneville, Christophe Demoulin, Véronique Gaud-Listrat, Bruno Fautrel, Laure Gossec
OBJECTIVE: The identification of helpful or unhelpful behavioral strategies for coping with pain would assist in optimizing the management of patients with chronic low back pain (CLBP). To develop and validate a questionnaire for categorizing behavioral strategies in patients with nonspecific CLBP. METHODS: (1) Development of a preliminary questionnaire based on a qualitative study in 25 patients with CLBP; (2) Item reduction and questionnaire validation by a multicenter international prospective study in patients with CLBP, with multiple correspondence analysis to identify behavioral profiles, whose characteristics and internal and external validities were assessed; 12-month study of treatments in 58 patients; (3) Evaluation of reproducibility in 30 patients...
February 20, 2017: Joint, Bone, Spine: Revue du Rhumatisme
Anita B Amorim, Gavin M Levy, Francisco Pérez-Riquelme, Milena Simic, Evangelos Pappas, Amabile B Dario, Manuela L Ferreira, Eduvigis Carrillo, Alejandro Luque-Suarez, Juan R Ordoñana, Paulo H Ferreira
BACKGROUND: The relationship between sedentary lifestyle and low back pain (LBP) remains unclear and previous research has not accounted for genetic and early environmental factors. PURPOSE: Our aim was to investigate if sedentary behavior is associated with the lifetime prevalence of persistent LBP and the risk of developing persistent LBP, care-seeking due to LBP, and activity limiting LBP when genetics and early environmental factors are accounted for. STUDY DESIGN: Both cross-sectional and longitudinal designs with a within-pair twin case-control were implemented...
February 14, 2017: Spine Journal: Official Journal of the North American Spine Society
Esther Merino Rodríguez, Susana Rebolledo Olmedo, Joaquín Miquel Plaza
The bacterium Raoultella planticola (R planticola) is a rare pathogen in humans. We report a case of mild acute pancreatitis (MAP) of biliary origin with cholangitis and bacteremia with R planticola in association with pancreatic panniculitis (PP). A 55-year-old woman with rheumatic multiple valvulopathy presented with epigastric pain radiating to the back in a belt-like fashion for 48 hours, jaundice, choluria, acholia, and fever (38.2oC). Lab tests showed: amylase 2126 U/L, ALT 124 U/L, AST 169 U/L, GGT 3548 U/L, AP 1516 U/L, TBil 12...
February 23, 2017: Revista Española de Enfermedades Digestivas
Michelle Granville, Robert E Jacobson
A 65-year-old male originally had surgery for spondylolisthesis at L5-S1 in 2008 and then went on to have an L4-5 transforaminal lumbar interbody fusion (TLIF) with pedicle screw fixation from L4 to S1 and interbody graft in 2010. Despite having two surgical procedures, he continued with intractable back pain and was told he had a failed lumbar fusion. When he was evaluated with a computerized tomography (CT) scan from April 2015, it demonstrated an erosive nonunion of the L4-5 interbody fusion without incorporation of the polyetheretherketone (PEEK) cage...
January 20, 2017: Curēus
Ariel Sánchez, María Belén Zanchetta, Karina Danilowicz
Case 1. A 35-year-old woman in the 8(th) month of her first pregnancy suffered acute lumbar pain that persisted for 4 months. In the 5(th) month postpartum an acute increase in the low back pain led to a MRI which showed recent deformity in L1 and deformities of undetermined time of evolution in L2, L4, and L5. Laboratory evaluation did not reveal metabolic derangements. She had low bone mineral density (BMD, DXA) and severe deterioration of the microarchitecture of distal appendicular bone (HR-pQCT). Kyphoplasty of all 4 vertebrae was performed in 2 stages, and treatment with subcutaneous denosumab, 60 mg every 6 months, was begun...
September 2016: Clinical Cases in Mineral and Bone Metabolism
Agostino Gaudio, Carmelo Erio Fiore
Pregnancy-associated osteoporosis is a rare condition. The pathogenesis is probably multifactorial but has not yet been completely clarified. In this case report, a 38-year-old woman was referred to hospital after suffering an acute, non-traumatic back pain one month after delivering her first child. The radiological examination revealed four vertebral fractures. Bone mineral density was reduced, particularly at spine level. Biochemical tests were within normal range, except for increased urinary deoxypyridinoline and a slight reduction of the serum 25-OH vitamin D level...
September 2016: Clinical Cases in Mineral and Bone Metabolism
Paolo Tranquilli Leali, Federico Solla, Gianluca Maestretti, Massimo Balsano, Carlo Doria
BACKGROUND: Vertebral compression fractures (VCFs) treated non-operatively can diminish function and quality of life, and lead to chronic health effects. The short-term safety and effectiveness of vertebroplasty for symptomatic VCFs are well-documented, but long-term follow-up is needed. PURPOSE: The aim of this paper was to analyse a multicenter international experience of 200 compression fractures treated with percutaneous vertebroplasty (VP) and compare the results of this procedure with the result of 200 patients treated conservatively...
September 2016: Clinical Cases in Mineral and Bone Metabolism
Carlo Doria, Paolo Tranquilli Leali, Federico Solla, Gianluca Maestretti, Massimo Balsano, Robero Mario Scarpa
INTRODUCTION: Osteoporosis is a complication of androgen deprivation therapy (ADT) in men with prostate carcinoma. The best defense against osteoporosis in prostate cancer is to identify patients with a high risk for fracture during the first clinical visit, select an effective anti-osteoporosis agent, and advise the patient to change his lifestyle and diet to prevent further bone loss. New agents include denosumab, a human monoclonal antibody that inhibits the RANK ligand (RANKL). RANKL promotes the formation, activity, and survival of osteoclasts and, thus, supports the breakdown of bone...
September 2016: Clinical Cases in Mineral and Bone Metabolism
Shawn M Neff, Casey S Okamoto
OBJECTIVE: The purpose of this case report was to describe chiropractic management of thoracic pain in a patient with a stable thoracic aortic aneurysm. CLINICAL FEATURES: An 89-year-old man presented with axial mid- and upper back pain localized predominantly at the T8 and T1 spinal segmental levels. A review of available imaging revealed a stable aneurysmal dilatation of the ascending aorta, which measured 4.3 cm. INTERVENTION AND OUTCOME: Because the thoracic pain was musculoskeletal in nature and the thoracic aortic aneurysm was stable, mechanical manipulation was provided using the Impulse adjusting instrument...
March 2017: Journal of Chiropractic Medicine
Robert J Zoboski
OBJECTIVE: The purpose of this report was to describe the presentation of a patient with hereditary multiple exostoses and thoracic spinal cord compression from an osteochondroma. CLINICAL FEATURES: A 31-year-old female presented to a chiropractic clinic with a history of hereditary multiple exostoses and back pain that had existed since the age of 16 years. She had a past medical history that was remarkable for 3 prior surgeries for mass removal. Examination revealed a left upper midscapular mass with decreased sensation...
March 2017: Journal of Chiropractic Medicine
Matthew L Nunn, Jill A Hayden, Kirk Magee
BACKGROUND: Low back pain (LBP) is one of the leading causes of disability. Presentations to the emergency department (ED) are common and consume significant healthcare resources. However, treatment of patients with LBP is variable and highly physician dependent. Our study objective was to describe the demographic and clinical characteristics of patients presenting to the ED with LBP, the diagnostic strategies employed by ED physicians, and the subsequent management. METHODS: We conducted a retrospective study using clinical and electronic health data at the Queen Elizabeth II Health Science Center's Charles V...
February 23, 2017: BMC Musculoskeletal Disorders
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