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https://www.readbyqxmd.com/read/29668149/-chronic-low-back-pain-from-the-uncertain-medical-diagnosis-to-the-profane-etiologies
#1
Josiane Mbarga, Claude Pichonnaz, Rose-Anna Foley, Céline Ancey
This qualitative research article is based on interviews with 20 participants to a low back pain rehabilitation program in a Swiss hospital. It shows that, in the absence of the obvious cause that can explain pain, patients construct their own interpretations and explanations in order to give meaning to their experience. Their explanatory models mainly include the lifestyle and the physical aspects related to the body function, what leaves little room for the psychosocial component. Their interpretation is consequently discordant with the current medical approach, which considers that chronic low back pain results from bio-psycho-social factors...
April 18, 2018: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29662328/hyporeninemic-hypoaldosteronism-in-a-patient-with-diabetes-mellitus-an-unforgettable-case-report
#2
Naziha Chelaghma, Samson O Oyibo
A 58-year-old man presented with a 3-year history of chronic and intermittent hyperkalemia requiring recurrent attendances to the emergency department for urgent treatment. His medical history included secondary diabetes mellitus following a bout of acute pancreatitis and a previous splenectomy for a spontaneous splenic rupture. He also had a history of prolonged use of non-steroidal anti-inflammatory drugs for back pain and painful neuropathy. He was not on any medication or diet that would cause a raised serum potassium level and his renal function was normal...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29660077/immediate-effects-of-a-single-session-of-motor-skill-training-on-the-lumbar-movement-pattern-during-a-functional-activity-in-people-with-low-back-pain-a-repeated-measures-study
#3
Andrej V Marich, Vanessa M Lanier, Gretchen B Salsich, Catherine E Lang, Linda R Van Dillen
Background: People with low back pain (LBP) may display an altered lumbar movement pattern of early lumbar motion compared to people with healthy backs. Modifying this movement pattern during a clinical test decreases pain. It is unknown whether similar effects would be seen during a functional activity. Objective: The objective of this study is was to examine the lumbar movement patterns before and after motor skill training, effects on pain, and characteristics that influenced the ability to modify movement patterns...
April 6, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29659442/simplified-chinese-version-of-the-japanese-orthopaedic-association-back-pain-evaluation-questionnaire-agreement-responsiveness-and-minimal-important-change-for-patients-with-chronic-low-back-pain
#4
Min Yao, Long Yang, Bin Zhu, Bao-Ping Xu, Ni Chen, Xiao-Tao Wang, Shao-Dan Cheng, Yong-Jun Wang, Xue-Jun Cui
STUDY DESIGN: Psychometric test of the cross-cultural adaptation the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) in low back pain (LBP) patients. OBJECTIVE: To investigate the agreement, responsiveness and minimal important change (MIC) of the simplified Chinese version of the JOABPEQ in LBP patients. SUMMARY OF BACKGROUND DATA: The factor structure, internal consistency, test-retest reliability, validity, floor and ceiling effect of simplified Chinese JOABPEQ has been tested, while the agreement, responsiveness and MIC were required...
April 13, 2018: Spine
https://www.readbyqxmd.com/read/29659315/association-between-pain-drawing-and-psychological-factors-in-musculoskeletal-chronic-pain-a-systematic-review
#5
Felipe Reis, Fernanda Guimarães, Leandro Calazans Nogueira, Ney Meziat-Filho, Tiago A Sanchez, Timothy Wideman
BACKGROUND: It has been speculated that there is an association between pain area and psychological factors in chronic musculoskeletal pain conditions; however, this relation is not well established. PURPOSE: To investigate the association between pain distribution and psychological factors in chronic musculoskeletal pain conditions. STUDY DESIGN: Systematic review. METHODS: We searched the following databases using optimized search strategies: MEDLINE, PsycINFO, Scopus, Web of Science and Cochrane...
April 16, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29651872/the-effectiveness-of-12-weeks-of-pilates-intervention-on-disability-pain-and-kinesiophobia-in-patients-with-chronic-low-back-pain-a-randomized-controlled-trial
#6
David Cruz-Díaz, Marta Romeu, Carmen Velasco-González, Antonio Martínez-Amat, Fidel Hita-Contreras
OBJECTIVE: To assess the effectiveness of 12 weeks of Pilates practice on disability, pain and kinesiophobia in patients with chronic non-specific low back pain. DESIGN: This is a randomized controlled trial. SETTING: This study was conducted in the university laboratory. SUBJECTS: A total of 64 participants with chronic non-specific low back pain were included. INTERVENTIONS: Participants were randomly allocated to intervention group consisted in Pilates intervention during 12 weeks ( n = 32) or control group who received no treatment ( n = 32)...
April 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29644888/motor-skill-training-in-musculoskeletal-pain-a-case-report-in-chronic-low-back-pain
#7
Vanessa M Lanier, Catherine E Lang, Linda R Van Dillen
PURPOSE: Low back pain is a chronic condition that limits function. The chief reason individuals with low back pain seek care is difficulty performing functional activities. A novel approach to improving performance of painful and limited functional activities is motor skill training, defined as challenging practice of activities to learn or relearn a skill. The purpose of this report is to describe the design and application of a motor skill training intervention in a 26-year-old man with a 10-year history of low back pain...
April 12, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29644469/-cognitive-bias-research-and-depression-in-chronic-pain
#8
REVIEW
A C Rusu, J Hülsebusch
Chronic back pain is of enormous health and economic relevance for industrialized countries because a small group of patients with chronic disease is responsible for a large proportion of medical costs. The prevention of chronic disease is therefore a primary goal in the treatment of patients with acute low back pain. Psychological factors are the central risk factors for later chronification. Above all, especially depressive symptoms and occupational distress, as well as various maladaptive forms of pain management are central risk factors...
April 11, 2018: Der Schmerz
https://www.readbyqxmd.com/read/29643634/tanezumab-therapy-targeting-nerve-growth-factor-in-pain-pathogenesis
#9
Mona K Patel, Alan D Kaye, Richard D Urman
In recent years, nerve growth factor (NGF) and the NGF receptor have become potential therapeutic targets in the treatment of acute and chronic pain states. NGF is a neurotrophin involved in regulating the function of sensory and sympathetic neurons during development. Numerous pain states have been linked to elevated levels of NGF and its role in increasing the perception of pain. Tanezumab, a recombinant humanized monoclonal antibody (IgG), was developed to target NGF, binding both circulating and local tissue NGF preventing interaction with the tropomyosin-related kinase-A and p75 receptors...
January 2018: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/29643158/is-an-enhanced-behaviour-change-intervention-cost-effective-compared-with-physiotherapy-for-patients-with-chronic-low-back-pain-results-from-a-multicentre-trial-in-israel
#10
Alastair Canaway, Tamar Pincus, Martin Underwood, Yair Shapiro, Gabriel Chodick, Noa Ben-Ami
OBJECTIVE: To assess the cost-effectiveness of an enhanced transtheoretical model of behaviour change in conjunction with physiotherapy compared with standard care (physiotherapy) in patients with chronic lower back pain (CLBP). DESIGN: Cost-utility and cost-effectiveness analyses alongside a multicentre controlled trial from a healthcare perspective with a 1-year time horizon. SETTING: The trial was conducted in eight centres within the Sharon district in Israel...
April 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29628802/relationship-between-radiographic-lumbosacral-spine-mensuration-and-chronic-low-back-pain-intensity-a-cross-sectional-study
#11
Savannah K Shortz, Mitchell Haas
Objective: The purpose of this study was to investigate correlative factors affecting chronic low back pain (CLBP), with special emphasis on the radiographic postural findings in the sagittal lumbosacral spine. Methods: A cross-sectional study alongside a randomized trial was conducted. Standing lateral lumbar spine radiographs from 352 patients with CLBP enrolled in a randomized trial were analyzed and radiographic mensuration of lumbar lordosis, lumbosacral disc angle, and sacral inclination performed...
March 2018: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/29628602/anosmia-after-caudal-epidural-steroid-injection
#12
Ayhan Kaydu, Ebru Tarikçi Kiliç, Erhan Gökçek, Cem Kivilcim Kaçar
There are no reports for anosmia after caudal epidural steroid injections (CESIs). General anesthesia is among the reasons, but the reports up to date are extremely limited. There are no identifiable factors contributing to anosmia after epidural injection, so it is worth discussing. We present the case of a 50-year-old woman with no previous history of any sensory deficits. She experienced anosmia after CESI that had been performed due to her chronic low back pain and lasted for 4 months. Clinical and imaging studies did not reveal any pathology...
January 2018: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/29623654/tapentadol-extended-release-in-the-treatment-of-severe-chronic-low-back-pain-and-osteoarthritis-pain
#13
REVIEW
Joseph V Pergolizzi, Robert Taylor, Jo Ann LeQuang, Robert B Raffa, John Bisney
Tapentadol is a novel pain reliever with apparently synergistic dual mechanisms of action, capable of addressing both nociceptive and neuropathic components of chronic pain. As an effective analgesic with good tolerability, tapentadol may be appropriate for patients suffering from severe chronic pain associated with low back pain (LBP) or osteoarthritis (OA). Efficacy studies of tapentadol in populations of patients with severe chronic LBP or OA pain suggest that tapentadol is non-inferior to oxycodone. Its tolerability, especially with respect to gastrointestinal (GI) side effects, may be better than that of other strong opioids in clinical trials and analyses of multiple trials...
April 5, 2018: Pain and Therapy
https://www.readbyqxmd.com/read/29623146/low-back-pain-among-medical-students-in-belgrade-serbia-a-cross-sectional-study
#14
Isidora Vujcic, Nemanja Stojilovic, Eleonora Dubljanin, Nebojsa Ladjevic, Ivana Ladjevic, Sandra Sipetic-Grujicic
Aim: To examine the prevalence of low back pain, to identify self-perceived triggers of low back pain, and to investigate the impact of perceived pain on the daily activities and mood among medical students. Methods: This cross-sectional study enrolled 459 fourth year students at the Faculty of Medicine in Belgrade during December 2014. The anonymous questionnaire was used for data collection. In data analysis, the chi-square test and t -test were used. Results: The lifetime prevalence of low back pain was 75...
2018: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/29620591/a-new-comorbidity-in-female-patients-with-ankylosing-spondylitis-pelvic-organ-prolapse
#15
Mehmet Çağlayan, Pelin Oktayoğlu, Elif Ağaçayak, Abdullah Zübeyir Dagli, Mehmet Okçu, Kemal Nas
AIM: The aim of this study was to investigate whether increased intra-abdominal pressure caused by pelvic inflammation and frequent use of the Valsalva maneuver increases the incidence of pelvic organ prolapse (POP) among female patients with ankylosing spondylitis (AS). METHODS: Thirty-nine patients diagnosed as having AS through the use of the modified New York criteria, 47 patients with chronic low-back pain (CLBP), and 38 healthy controls (HCs) were included in this study...
March 19, 2018: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29617180/use-of-trunk-muscle-training-and-neuromuscular-electrical-stimulation-to-reduce-pain-and-disability-in-an-older-adult-with-chronic-low-back-pain-a-case-report
#16
Jenifer M Pugliese, J Megan Sions, Teonette O Velasco, Gregory E Hicks
Among older adults, low back pain (LBP) is common, costly, and disabling. Trunk muscle training (TMT) and neuromuscular electrical stimulation (NMES) have both been found to be effective in reducing LBP, but studies among older adults have been limited. An 83-year-old female with left-sided chronic LBP participated in a randomized controlled trial consisting of supervised TMT and NMES to the paraspinal muscles two times per week for 12 weeks. She also participated in a home exercise program. At the end of the intervention, she reported reduced LBP and LBP-related disability per the modified Oswestry disability index (i...
April 4, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29616278/rehabilitation-service-models-for-people-with-physical-and-or-mental-disability-living-in-low-and-middle-income-countries-a-systematic-review
#17
Andréa D Furlan, Emma Irvin, Claire Munhall, Mario Giraldo-Prieto, Laura Fullerton, Robert McMaster, Shivang Danak, Alicia Costante, Kristen B Pitzul, Rohit P Bhide, Stanislav Marchenko, Quenby Mahood, Judy A David, John F Flannery, Mark Bayley
OBJECTIVE: To compare models of rehabilitation services for people with mental and/or physical disability in order to determine optimal models for therapy and interventions in low- to middle-income countries. DATA SOURCES: CINAHL, EMBASE, MEDLINE, CENTRAL, PsycINFO, Business Source Premier, HINARI, CEBHA and PubMed. STUDY SELECTION: Systematic reviews, randomized control trials and observational studies comparing >2 models of rehabilitation care in any language...
April 3, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29616222/does-a-better-perfusion-of-deconditioned-muscle-tissue-release-chronic-low-back-pain
#18
Paola Valdivieso, Martino V Franchi, Christian Gerber, Martin Flück
Non-specific chronic low back pain (nsCLBP) is a multifactorial condition of unknown etiology and pathogenesis. Physical and genetic factors may influence the predisposition of individuals to CLBP, which in many instances share a musculoskeletal origin. A reduced pain level in low back pain patients that participate in exercise therapy highlights that disuse-related muscle deconditioning may predispose individuals to nsCLBP. In this context, musculoskeletal pain may be the consequence of capillary rarefaction in inactive muscle as this would lower local tissue drainage and washing out of toxic waste...
2018: Frontiers in Medicine
https://www.readbyqxmd.com/read/29615369/are-modic-changes-in-patients-with-chronic-low-back-pain-indicative-of-a-worse-clinical-course-10-years-of-follow-up
#19
L M Romero-Muñoz, A Barriga-Martín, A Segura-Fragoso, C Martín-González
OBJECTIVE: Establish the long-term (10 years) predictive value of Modic changes in the course of lumbar pain and the need for surgical treatment. MATERIAL AND METHOD: Observational longitudinal prospective cohort study. Comparison of progression at 10 years of 2 groups of patients with chronic lumbar pain: group A with Modic changes in MRI and group B with no Modic changes. EXCLUSION CRITERIA: neoplasia, inflammatory or infectious diseases, or previous surgery...
March 31, 2018: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29614943/primary-care-management-of-non-specific-low-back-pain-key-messages-from-recent-clinical-guidelines
#20
Matheus Almeida, Bruno Saragiotto, Bethan Richards, Chris G Maher
Research in the past decade supports some major changes to the primary care management of non-specific low back pain (LBP). The present article summarises recommendations from recently published United Kingdom, Danish, Belgian and United States guidelines to alert readers to the important changes in recommendations for management, and the recommendations from previous guidelines that remain unchanged. Main recommendations: Use a clinical assessment to triage patients with LBP. Further diagnostic workup is only required for the small number of patients with suspected serious pathology...
April 2, 2018: Medical Journal of Australia
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