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chronic lower back pain

Gothic P Thomas, Dana Willner, Philip C Robinson, Adrian Cortes, Ran Duan, Martin Rudwaleit, Nurullah Akkoc, Jurgen Braun, Chung-Tei Chou, Walter P Maksymowych, Salih Ozgocmen, Euthalia Roussou, Joachim Sieper, Rafael Valle-Oñate, Desiree van der Heijde, James Wei, Paul Leo, Matthew A Brown
OBJECTIVES: Spondyloarthritis (SpA) is often diagnosed late in the course of the disease and improved methods for early diagnosis are required. We have tested the ability of genetic profiling to diagnose axial SpA (axSpA) as a whole group, or ankylosing spondylitis (AS) alone, in a cohort of chronic back pain patients. METHODS: 282 patients were recruited from centres in the United Kingdom, Germany, Taiwan, Canada, Columbia and Turkey as part of the ASAS classification criteria for axSpA study (ASAS cohort)...
October 7, 2016: Clinical and Experimental Rheumatology
Eva Rasmussen-Barr, Ulrike Held, Wilhelmus Ja Grooten, Pepijn Ddm Roelofs, Bart W Koes, Maurits W van Tulder, Maria M Wertli
BACKGROUND: Nonsteroidal anti-inflammatory drugs (NSAIDs) are one of the most frequently prescribed drugs for the treatment of sciatica. A previous Cochrane review on the efficacy of NSAIDs summarised findings for acute and chronic low back pain (LBP) and sciatica. This is an update of the original review (2008) focusing on people suffering from sciatica. OBJECTIVES: To determine the efficacy of NSAIDs in pain reduction, overall improvement, and reported side effects in people with sciatica...
October 15, 2016: Cochrane Database of Systematic Reviews
Dae Wook Lee, Chang Hun Lim, Jae Young Han, Woong Mo Kim
Chronic pelvic pain in women is a very annoying condition that is responsible for substantial suffering and medical expense. But dealing with this pain can be tough, because there are numerous possible causes for the pelvic pain such as urologic, gynecologic, gastrointestinal, neurologic, or musculoskeletal problems. Of these, musculoskeletal problem may be a primary cause of chronic pelvic pain in patients with a preceding trauma to the low back, pelvis, or lower extremities. Here, we report the case of a 54-year-old female patient with severe chronic pelvic pain after a transcutaneous electrical nerve stimulation (TENS) accident that was successfully managed with image-guided trigger point injections on several pelvic stabilizing muscles...
October 2016: Korean Journal of Pain
O A Shavlovskaya
Lower back pain (LBP) remains an important problem due to its high prevalence. LBP is the fifth in frequency among reasons for seeking treatment, and one of the most common among the chronic pain syndromes. Nonsteroidal anti-inflammatory drugs (NSAIDs) are considered to be the «gold standard» in relieving back pain. In treatment of acute musculoskeletal pain syndromes, special attention is drawn to drugs characterized by high analgesic activity and a short half-life. Among the drugs in this group, dexketoprofen (a derivative of propionic acid), a water-soluble salt of the dextrorotatory enantiomer of ketoprofen, deserves special attention...
2016: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
(no author information available yet)
BACKGROUND: Non-fatal outcomes of disease and injury increasingly detract from the ability of the world's population to live in full health, a trend largely attributable to an epidemiological transition in many countries from causes affecting children, to non-communicable diseases (NCDs) more common in adults. For the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015), we estimated the incidence, prevalence, and years lived with disability for diseases and injuries at the global, regional, and national scale over the period of 1990 to 2015...
October 8, 2016: Lancet
Serbülent Gökhan Beyaz
STUDY DESIGN: A cross-sectional study. OBJECTIVE: we compared the 12 month outcomes of fluoroscopically guided transforaminal epidural steroid injections with interlaminar epidural steroid injections for the treatment of chronic lumbar spinal pain. Chronic lower back pain is a multifactorial disorder with many possible etiologies. The lifetime prevalence of spinal pain is reportedly 65-80% in the neck and lower back. Epidural injection of corticosteroids is a commonly used intervention for managing chronic spinal pain...
September 30, 2016: Revista Brasileira de Anestesiologia
Naiane Teixeira Bastos de Oliveira, Sandra Maria Sbeghen Ferreira Freitas, Fernanda Ferreira Fuhro, Maurício Antônio da Luz Júnior, Cesar Ferreira Amorim, Cristina Maria Nunes Cabral
OBJECTIVE: To determine the amplitude of the electromyographic activity of trunk muscles during Pilates exercises in women with and without chronic low back pain (LBP). DESIGN: Case control study. SETTING: Clinic of a school. PARTICIPANTS: Sixty women divided into LBP Group (LBPG) and Control Group (CG). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Amplitude of the electromyographic activity (root mean square values) of the gluteus maximus and external oblique muscles collected during three Pilates exercises: Shoulder bridge performed in the mat, and Hip roll and Breathing performed in equipment...
September 29, 2016: Archives of Physical Medicine and Rehabilitation
Alan T Villavicencio, E Lee Nelson, Vinod Kantha, Sigita Burneikiene
OBJECTIVE Opioid analgesics have become some of the most prescribed drugs in the world, despite the lack of long-term studies evaluating the benefits of opioid medications versus their risks associated with chronic use. In addition, long-term opioid use may be associated with worse long-term clinical outcomes. The primary objective of this study was to evaluate whether preoperative opioid use predicted inferior clinical outcomes among patients undergoing transforaminal lumbar interbody fusion (TLIF) for symptomatic lumbar degenerative disc disease...
September 30, 2016: Journal of Neurosurgery. Spine
Varun Singla, Yatindra K Batra, Neerja Bharti, Vijay G Goni, Neelam Marwaha
BACKGROUND: Despite widespread use of steroids to treat sacroiliac joint (SIJ) pain, their duration of pain reduction is short. Platelet-rich plasma (PRP) can potentially enhance tissue healing and may have a longer-lasting effect on pain. OBJECTIVES: To assess the efficacy and safety of PRP compared with methylprednisolone in ultrasound-guided SIJ injection for low back pain. STUDY DESIGN: Prospective randomized open blinded end-point (PROBE) study...
September 27, 2016: Pain Practice: the Official Journal of World Institute of Pain
Julien Nardoux
OBJECTIVE: Chronic low-back pain is accompanied by physical deconditioning which result among other by lower VO2max and by disturbances isokinetic explorations. The objective of this study was to investigate whether there was a correlation between VO2max and isokinetic parameters spine before and after a functional restoration program (FRP). MATERIAL/PATIENTS AND METHODS: Uni-centric retrospective study in routine care. Isokinetic spine muscle strength evaluation and functional exercise exploration were performed before and after FRP for all hospitalized patients for 4 weeks to FRP...
September 2016: Annals of Physical and Rehabilitation Medicine
Emmanuelle Chaleat-Valayer, Agnès Troncy, Marion Montané, Soline Bellaiche, Eric Berthonnaud
OBJECTIVE: The goal of this preliminary study is to analyze the biomechanical strategies of spine, pelvis and lower limbs (LL) with tridimensional motion analysis during stand-to-sit task, an understudied movement in the literature, however, source of questioning in clinical practice. OBSERVATIONS: One female and one male, healthy participants, (respectively 28 and 48 years old) were included without history of pathology and with normal pelvic incidences. Participants performed stand-to-sit movements on a stool without using their hands...
September 2016: Annals of Physical and Rehabilitation Medicine
Duong-Minh Nguyen, Isabelle Laffont, Arnaud Dupeyron
OBJECTIVE: Martial arts are physical and meditative discipline available as complementary strategies able to improve functional capacity, physical performances, postural control of patients suffering from chronical diseases. They can probably slow their clinical evolution. The objective of this communication is a review of the literature about the effects of martial arts training into a said chronical disease. MATERIAL/PATIENTS AND METHODS: A literature research in PubMed and Pedro databases was performed with the following keywords: martial arts, rehabilitation, chronic disease, neurologic disorders, heart disease, chronic obstructive pulmonary disease, musculo-squelettal disorders, low back pain...
September 2016: Annals of Physical and Rehabilitation Medicine
Jérôme Molimard, Rebecca Bonnaire, Reynald Convert, Woo Suck Han, Paul Calmels
OBJECTIVE: Although it is only a part of their therapeutic effect, the mechanical effect of compression or contention medical devices (CCMD) is always claimed by the manufacturers. However, the mechanism between the pressure application zone and the targeted organ is complex. It involves a purely passive mechanical effect and mechanisms related to the tonic postural system. Various strategies can be implemented to show the effectiveness of a mechanical action; among them, biomechanical modeling is a able to consider complex mechanical effects before any clinical trial...
September 2016: Annals of Physical and Rehabilitation Medicine
Agathe Anthierens, Nicolas Olivier, Patrick Mucci, André Thevenon
OBJECTIVE: Low back pain is a pathology associated to a trunk extensors muscles weakness. Studies suggested that it could be associated with an inadequacy between oxygen demand and oxygen utilization by paraspinal muscles (Kell and Bhambhani, 2006). In contrast to chronic low back pain (CLBP) patients, judo athletes are characterized by a great trunk extensors muscles endurance, due to their intensive solicitation within sport practice. Our purpose was to compare aerobic metabolism in those muscles of CLBP patients with judo athletes...
September 2016: Annals of Physical and Rehabilitation Medicine
Joséphine Métréau, Frédéric Brogniart, Claude Grandjean, Bertrand Morineaux
OBJECTIVE: Postural balance is ensured by the involvement of several coping strategies. There is however an alteration of the proprioceptive system with chronic low back pain patients making it vulnerable to any type of disruptive force (endogenous and exogenous) and physiologically compensated by the postural system. The aim of this study is to measure the postural changes during a functional restoration protocol. MATERIAL/PATIENTS AND METHODS: Were included in this study, 8 chronic low back pain patients, seen in consultation before being included in the rehabilitative care unit of the Bourbonne-les-Bains Hospital as part of a functional restoration protocol for 5-6 weeks...
September 2016: Annals of Physical and Rehabilitation Medicine
Arnaud Dupeyron, Matthias Toulotte, Sophie Bastide, Sandrine Alonso, Emmanuel Coudeyre
OBJECTIVE: Fears and beliefs play a key role in the development of low back pain according to the biopsychosocial model without specific tool in French. The Back and Beliefs Questionnaire (BBQ) is a validated self-administered questionnaire, allowing to detect the presence of false beliefs related to lumbar disease and that can guide therapeutic management. The objectives of this study were to (i) translate, (ii) validate the BBQ in French, (iii) and compare results with published validations...
September 2016: Annals of Physical and Rehabilitation Medicine
Ardalan Shariat, Shamsul Bahri Mohd Tamrin, Manohar Arumugam, Mahmoud Danaee, Rajesh Ramasamy
Pain in specific areas of the body (including the lower back, neck, and shoulders) due to extended periods of sitting and inactivity is the most widespread musculoskeletal disorder worldwide and has consequences that are both socio-economic and personal. This condition is particularly prevalent in industrialised countries, affecting roughly 70% to 80% of adults at some point in their lives; approximately 1% of the U.S. population is chronically disabled by this type of pain disorder. A practical way to reduce the prevalence of musculoskeletal pain among office workers would have a significant positive impact...
July 2016: Malaysian Journal of Medical Sciences: MJMS
Robert A Laird, Peter Kent, Jennifer L Keating
BACKGROUND: Comparing movements/postures in people with and without lower back pain (LBP) may assist identifying LBP-specific dysfunction and its relationship to pain or activity limitation. This study compared the consistency in lumbo-pelvic posture and movement (range and pattern) in people with and without chronic LBP (>12 week's duration). METHODS: Wireless, wearable, inertial measurement units measured lumbar lordosis angle, range of movement (ROM) and lumbo-pelvic rhythm in adults (n = 63)...
2016: BMC Musculoskeletal Disorders
Laura Allen
OBJECTIVES: To study the effects of massage on chronic low-back pain in a patient with four different diagnoses: osteoarthritis, scoliosis, spinal stenosis, and degenerative disc disease. The patient's goal was to cut down on the amount of pain medication he takes. METHODS: A 63-year-old man with chronic back pain received four massages across a twenty-day period. Progress was recorded using the Oswestry Low Back Pain Scale, as he self-reported on levels of pain and interference with his activities of daily living...
September 2016: International Journal of Therapeutic Massage & Bodywork
Hugo A Fajardo Rodriguez, Viviana A Ortiz Mayorga
INTRODUCTION: Lower back pain (LBP) is the most common complaint worldwide and the leading cause of disability in the workplace. In Colombia there are no epidemiological data on low back pain in aviation. This study aimed to characterize lower back pain in pilots and maintenance technicians in a Colombian commercial airline. METHODS: Information was collected from the total population in a Colombian commercial airline in Bogota during the period from 2011 to 2013 using a voluntary survey which requested demographics, occupational (LEST survey) factors, back pain, and chronic pain (chronic pain grade scale)...
September 2016: Aerospace Medicine and Human Performance
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