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chronic low back pain

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https://www.readbyqxmd.com/read/28319997/intradiscal-glucocorticoid-injection-for-patients-with-chronic-low-back-pain-associated-with-active-discopathy-a-randomized-trial
#1
Christelle Nguyen, Isabelle Boutron, Gabriel Baron, Katherine Sanchez, Clémence Palazzo, Raphaël Benchimol, Guillaume Paris, Étienne James-Belin, Marie-Martine Lefèvre-Colau, Johann Beaudreuil, Jean-Denis Laredo, Anne Béra-Louville, Anne Cotten, Jean-Luc Drapé, Antoine Feydy, Philippe Ravaud, François Rannou, Serge Poiraudeau
Background: Active discopathy is associated with a specific phenotype of chronic low back pain (LBP). Local inflammation has a role in active discopathy-associated symptoms. Objective: To assess the efficacy of a single glucocorticoid intradiscal injection (GC IDI) in patients with chronic LBP with active discopathy. Design: Prospective, parallel-group, double-blind, randomized, controlled study. (ClinicalTrials.gov: NCT00804531). Setting: 3 tertiary care centers in France...
March 21, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28296137/percutaneous-peripheral-nerve-stimulation-for-the-treatment-of-chronic-low-back-pain-two-clinical-case-reports-of-sustained-pain-relief
#2
Leonardo Kapural, Christopher A Gilmore, John Chae, Richard L Rauck, Steven P Cohen, Michael F Saulino, Amorn Wongsarnpigoon, Meredith J McGee, Joseph W Boggs
As the leading cause of disability among U.S. adults, chronic low back pain (LBP) is one sof the most prevalent and challenging musculoskeletal conditions. Neuromodulation provides an opportunity to reduce or eliminate the use of opioids to treat chronic LBP, but the cost and invasiveness of existing methods have limited its broad adoption, especially earlier in the treatment continuum. The present case report details the results of a novel method of short-term percutaneous peripheral nerve stimulation (PNS) in 2 subjects with chronic LBP...
March 14, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28295893/do-older-adults-with-chronic-low-back-pain-differ-from-younger-adults-in-regards-to-baseline-characteristics-and-prognosis
#3
S Manogharan, A Kongsted, M L Ferreira, M J Hancock
BACKGROUND: Low back pain (LBP) in older adults is poorly understood because the vast majority of the LBP research has focused on the working aged population. The aim of this study was to compare older adults consulting with chronic LBP to middle aged and young adults consulting with chronic LBP, in terms of their baseline characteristics, and pain and disability outcomes over 1 year. METHODS: Data were systematically collected as part of routine care in a secondary care spine clinic...
March 14, 2017: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/28291378/magnetic-resonance-spectroscopic-analysis-of-multifidus-muscles-lipid-content-and-association-with-spino-pelvic-malalignment-in-chronic-low-back-pain
#4
Izaya Ogon, Tsuneo Takebayashi, Hiroyuki Takashima, Tomonori Morita, Mitsunori Yoshimoto, Yoshinori Terashima, Toshihiko Yamashita
OBJECTIVE: To analyze intramyocellular lipids (IMCLs) and extramyocellular lipids (EMCLs) of the multifidus muscle (Mm) using MR spectroscopy (MRS) in chronic low back pain (CLBP) and control groups and to identify correlations with spino-pelvic alignment. METHODS: Forty (16 males, 24 females; mean age, 62.9 ± 1.9 years) patients whose visual analog scale scores were >30 mm for CLBP were included. Further, 40 control participants matched with the CLBP group subjects by sample size, gender and age (17 males, 23 females; mean age, 65...
March 14, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28283515/comparison-of-mri-with-radiography-for-detecting-structural-lesions-of-the-sacroiliac-joint-using-ct-as-standard-of-reference-results-from-the-simact-study
#5
Torsten Diekhoff, Kay-Geert A Hermann, Juliane Greese, Carsten Schwenke, Denis Poddubnyy, Bernd Hamm, Joachim Sieper
OBJECTIVE: Radiographs of sacroiliac (SI) joints are used for the detection of structural damage in patients with axial spondyloarthritis (axSpA), but are often difficult to interpret. Here, we address the question how the T1-weighted MRI (T1w MRI) sequence compares with radiography for SI joints' structural lesions using low-dose CT as the standard of reference. METHODS: Radiographs, T1w MRI and low-dose CT of the SI joints from 110 patients (mean age 36.1 (19-57) years, 52% males and 48% females; 53% with axSpA, 21 non-radiographic axSpA and 32% radiographic axSpA, 47% with non-SpA) referred to the rheumatologist because of unclear chronic back pain, but possible axSpA, were scored for structural lesions (erosions, sclerosis, joint space changes and an overall impression of positivity)...
March 10, 2017: Annals of the Rheumatic Diseases
https://www.readbyqxmd.com/read/28282992/people-with-chronic-low-back-pain-have-poorer-balance-than-controls-in-challenging-tasks
#6
Rubens A da Silva, Edgar R Vieira, Karen B P Fernandes, Rodrigo A Andraus, Marcio R Oliveira, Leandro A Sturion, Mariane G Calderon
PURPOSE: To compare the balance of individuals with and without chronic low back pain during five tasks. METHOD: The participants were 20 volunteers, 10 with and 10 without nonspecific chronic low back pain, mean age 34 years, 50% females. The participants completed the following balance tasks on a force platform in random order: (1) two-legged stance with eyes open, (2) two-legged stance with eyes closed, (3) semi-tandem with eyes open, (4) semi-tandem with eyes closed and (5) one-legged stance with eyes open...
March 10, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28277866/treatment-for-chronic-low-back-pain-the-focus-should-change-to-multimodal-management-that-reflects-the-underlying-pain-mechanisms
#7
Gerhard Müller-Schwefe, Bart Morlion, Karsten Ahlbeck, Eli Alon, Stefano Coaccioli, Flaminia Coluzzi, Frank Huygen, Wolfgang Jaksch, Eija Kalso, Magdalena Kocot-Kępska, Hans-Georg Kress, Ana Cristina Mangas, Cesar Margarit Ferri, Philippe Mavrocordatos, Andrew Nicolaou, Concepción Pérez Hernández, Joseph Pergolizzi, Michael Schaefer, Patrick Sichère
Chronic pain is the most common cause for people to utilize healthcare resources and has a considerable impact upon patients' lives. The most prevalent chronic pain condition is chronic low back pain (CLBP). CLBP may be nociceptive or neuropathic, or may incorporate both components. The presence of a neuropathic component is associated with more intense pain of longer duration, and a higher prevalence of co-morbidities. However, many physicians' knowledge of chronic pain mechanisms is currently limited and there are no universally accepted treatment guidelines, so the condition is not particularly well managed...
February 22, 2017: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/28277802/oxycodone-extended-release-capsules-for-the-treatment-of-chronic-pain
#8
Sebastiano Mercadante
As a consequence of greater prescription opioid utilization, there has been the parallel increase in misuse, abuse, and overdose, which are serious risks. Associated new formulations may be safer. Areas covered: The introduction of abuse-deterrent opioid formulations and continuous programs to improve opioid prescribing practices may limit the opioid abuse and its consequences. Oxycodone extended release capsules are an extended-release (ER), microsphere-in-capsule abuse-deterrent-formulation designed to retain its extended-release properties following tampering or misuse (e...
March 10, 2017: Expert Review of Neurotherapeutics
https://www.readbyqxmd.com/read/28269714/surrogate-analysis-of-fractal-dimensions-from-semg-sensor-array-as-a-predictor-of-chronic-low-back-pain
#9
Manouane Caza-Szoka, Daniel Massicotte, Francois Nougarou, Martin Descarreaux
In this paper, a method based on nonlinear analysis of sEMG sensor array signals (2 arrays of 5×13 sensors) to detect chronic low back pain is presented. The use of an FFT based surrogate analysis method isolates the nonlinear structure of the signals from the effect of the power spectrum. The fractal dimension is used for the nonlinear characteristic. From the sensor arrays, a certain number of channels which exhibits the most nonlinearity for a subject are kept as input of a small neural network. A leave-one-out type cross-validation method shows a success rate of 80%...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28267634/chronic-low-back-pain-and-the-risk-of-depression-or-anxiety-symptoms-insights-from-a-longitudinal-twin-study
#10
Matt Fernandez, Lucia Colodro-Conde, Jan Hartvigsen, Manuela L Ferreira, Kathryn M Refshauge, Marina B Pinheiro, Juan R Ordoñana, Paulo H Ferreira
BACKGROUND CONTEXT: Pain is commonly associated with symptoms of depression or anxiety, although this relationship is considered bidirectional. There is limited knowledge regarding causal relationships. PURPOSE: This study aims to investigate whether chronic low back pain (LBP) increases the risk of depression or anxiety symptoms, after adjusting for shared familial factors. STUDY DESIGN: This is a longitudinal, genetically informative study design from the Murcia Twin Registry in Spain...
March 4, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28267053/reliability-and-validity-of-the-pain-anxiety-symptom-scale-in-persian-speaking-chronic-low-back-pain-patients
#11
Sanaz Shanbehzadeh, Mahyar Salavati, Mahnaz Tavahomi, Ali Khatibi, Saeed Talebian Moghadam, Khosro Khademi-Kalantari
STUDY DESIGN: Psychometric testing of the Persian version of Pain Anxiety Symptom Scale 20 OBJECTIVE.: To assess the reliability and construct validity of the PASS-20 in nonspecific chronic Low back pain (LBP) patients. SUMMARY OF BACKGROUND DATA: The PASS-20 is a self-report questionnaire that assess pain related anxiety. The Psychometric properties of this instrument has not been assessed in Persian speaking chronic LBP patients. METHODS: One hundred and sixty participants with chronic LBP completed the Persian version of PASS-20, Tampa Scale of Kinesiophobia (TSK), Fear-Avoidance Beliefs Questionnaire (FABQ), Pain Catastrophizing Scale (PCS), trait form of the State-Trait Anxiety (STAI-T), Oswestry Low Back Pain Disability Index (ODI), Beck Depression Inventory (BDI-II) and Visual Analogue Scale (VAS)...
March 6, 2017: Spine
https://www.readbyqxmd.com/read/28266006/the-correlation-of-scl-90-r-anxiety-depression-somatization-subscale-scores-with-chronic-low-back-pain
#12
Utku Adilay, Bulent Guclu, Murat Goksel, Semih Keskil
AIM: The aim of this study was to investigate the correlation of the Symptom Checklist-90-R (SCL-90-R) anxiety, depression, and somatization subscale scores with chronic low back pain. MATERIAL AND METHODS: In this study, 75 patients admitted with the complaint of chronic low back pain (patient group) and 75 healthy persons (control group) were evaluated. SCL-90-R anxiety, depression, and somatization subscale scores of patients having chronic low back pain and healthy persons were measured...
February 7, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/28259496/integrative-acupuncture-and-spinal-manipulative-therapy-versus-either-alone-for-low-back-pain-a-randomized-controlled-trial-feasibility-study
#13
Anupama Kizhakkeveettil, Kevin A Rose, Gena E Kadar, Eric L Hurwitz
OBJECTIVES: The objective of this study was to assess the feasibility of conducting a large-scale randomized controlled trial (RCT) examining whether an integrative care model combining spinal manipulative therapy (SMT) and acupuncture can lead to better outcomes for low back pain (LBP) than either therapy alone. METHODS: This study was conducted at a complementary and alternative medicine university health center. Participants with acute or chronic LBP were randomized to (1) acupuncture, (2) SMT, or (3) integrative acupuncture and SMT groups...
March 1, 2017: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/28259159/measurement-properties-of-paindetect-rasch-analysis-of-responses-from-community-dwelling-adults-with-neuropathic-pain
#14
Tara L Packham, Joseph C Cappelleri, Alesia Sadosky, Joy C MacDermid, Florian Brunner
BACKGROUND: painDETECT (PD-Q) is a self-reported assessment of pain qualities developed as a screening tool for pain of neuropathic origin. Rasch analysis is a strategy for examining the measurement characteristics of a scale using a form of item response theory. We conducted a Rasch analysis to consider if the scoring and measurement properties of PD-Q would support its use as an outcome measure. METHODS: Rasch analysis was conducted on PD-Q scores drawn from a cross-sectional study of the burden and costs of NeP...
March 4, 2017: BMC Neurology
https://www.readbyqxmd.com/read/28255260/lumbar-radiofrequency-rhizotomy-in-patients-with-chronic-low-back-pain-increases-the-diagnosis-of-sacroiliac-joint-dysfunction-in-subsequent-follow-up-visits
#15
Varun Kumar Rimmalapudi, Sanjeev Kumar
Chronic back pain is often a result of coexisting pathologies; secondary causes of pain can become more apparent sources of pain once the primary pathology has been addressed. The objective of our study was to determine if there is an increase in diagnosis of Sacroiliac joint pain following a Lumbar Rhizotomy. A list of patients who underwent Lumbar Radiofrequency during a 6-month period in our clinic was generated. Records from subsequent clinic visits were reviewed to determine if a new diagnosis of SI joint pathology was made...
2017: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/28249053/chronic-pain-how-to-approach-these-3-common-conditions
#16
REVIEW
Jill Schneiderhan, Carissa Orizondo
Fibromyalgia, osteoarthritis, and low back pain require multimodal, evidence-based treatment plans. Tailoring those plans to the underlying mechanisms of pain is key.
March 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28248897/measurement-properties-of-the-nih-minimal-dataset-dutch-language-version-in-patients-with-chronic-low-back-pain
#17
Annemarie Boer, Alisa L Dutmer, Henrica R Schiphorst Preuper, Lucas H V van der Woude, Roy E Stewart, Richard A Deyo, Michiel F Reneman, Remko Soer
STUDY DESIGN: Validation study with cross sectional and longitudinal measurements OBJECTIVE.: To translate the US National Institute of Health (NIH)-minimal dataset for clinical research on chronic low back pain into the Dutch language and to test its validity and reliability among people with chronic low back pain. SUMMARY OF BACKGROUND DATA: The NIH developed a minimal dataset to encourage more complete and consistent reporting of clinical research and to be able to compare studies across countries in patients with low back pain...
February 28, 2017: Spine
https://www.readbyqxmd.com/read/28248895/the-quebec-serve-protect-low-back-pain-study-a-web-based-cross-sectional-investigation-of-prevalence-and-functional-impact-among-police-officers
#18
Nabiha Benyamina Douma, Charles Côté, Anaïs Lacasse
STUDY DESIGN: . Web-based cross-sectional study. OBJECTIVE: Describe the prevalence and the burden of low back pain (LBP) and chronic low back pain (CLBP) amongQuebec police officers. SUMMARY OF BACKGROUND DATA: Police officers have work-related factors associated with LBP, but chronicity and impacts of this condition have been little exploredamong this population. METHODS: Between May and October 2014, a web-based cross-sectional study was conducted among police officers working in the province of Quebec (Canada)...
February 28, 2017: Spine
https://www.readbyqxmd.com/read/28242487/the-likelihood-of-reaching-substantial-clinical-benefit-following-an-interlaminar-dynamic-spacer-for-chronic-low-back-pain-a-clinical-and-radiological-analysis-of-a-prospective-cohort
#19
Junseok Bae, Shih Min Lee, Sang-Ho Lee, Sang-Ha Shin, Ho-Jin Kim, Kyung-Hwan Kim
PURPOSE: Chronic low back pain (CLBP) often causes disabling pain that impairs a patient's quality of life. Surgical treatment is recommended for patients who do not respond to conservative treatments lasting more than six months. The purpose of this study is to present results after the use of an interlaminar dynamic spacer for CLBP. MATERIALS AND METHODS: We enrolled consecutive patients with CLBP irresponsive to more than six months of conservative treatment into the present study...
February 24, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28227977/surrogate-analysis-of-fractal-dimensions-from-semg-sensor-array-as-a-predictor-of-chronic-low-back-pain
#20
Manouane Caza-Szoka, Daniel Massicotte, Francois Nougarou, Martin Descarreaux, Manouane Caza-Szoka, Daniel Massicotte, Francois Nougarou, Martin Descarreaux, Manouane Caza-Szoka, Daniel Massicotte, Martin Descarreaux, Francois Nougarou
In this paper, a method based on nonlinear analysis of sEMG sensor array signals (2 arrays of 5×13 sensors) to detect chronic low back pain is presented. The use of an FFT based surrogate analysis method isolates the nonlinear structure of the signals from the effect of the power spectrum. The fractal dimension is used for the nonlinear characteristic. From the sensor arrays, a certain number of channels which exhibits the most nonlinearity for a subject are kept as input of a small neural network. A leave-one-out type cross-validation method shows a success rate of 80%...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
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