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intradiscal electrotherapy

Andrew B Fagan, Ghafar Sarvestani, Robert J Moore, Robert D Fraser, Barrie Vernon-Roberts, Peter C Blumbergs
STUDY DESIGN: A prospective immunohistological study in an animal model. OBJECTIVE: To identify and describe the phenotype of neoinnervation in experimental anular tears. SUMMARY OF BACKGROUND DATA: Controversy surrounds neoinnervation of degenerate discs which has been proposed as the anatomic basis for discogenic pain. Ablation of neoinnervation has been postulated as the theoretical basis for the claimed successes of procedures such as intradiscal electrotherapy...
May 20, 2010: Spine
Milan P Stojanovic, Jianguo Cheng, Thomas M Larkin, Steven P Cohen
STUDY DESIGN: Prospective clinical data analysis. OBJECTIVE: To determine if heart rate (HR) response correlates with positive discography results. SUMMARY OF BACKGROUND DATA: Lumbar discography is a controversial tool for the diagnosis of discogenic low back pain. The subjective nature of discography can make data interpretation difficult, leading to false-positive and false-negative results. HR changes have been found in numerous studies to be a reliable and valid indicator of acute pain...
July 2007: Journal of Spinal Disorders & Techniques
Peter C Gerszten, William C Welch, Paula M McGrath, Shari L Willis
This prospective, non-randomized clinical trial was designed to determine the clinical outcome of patients who underwent Intradiscal Electrotherapy (IDET) for the treatment of chronic discogenic low back pain. Twenty-seven consecutive patients undergoing IDET were prospectively evaluated. All patients, as determined by provocative discography and/or MRI, had discogenic disease with chronic low back pain and were non-responsive to conservative treatment for at least 6 months. The mean pre-operative duration of symptoms was 38 months...
October 2002: Pain Physician
J N Alastair Gibson, Gordon Waddell
STUDY DESIGN: An updated Cochrane review. OBJECTIVE: To review current scientific evidence on the effectiveness of surgical interventions for degenerative lumbar spondylosis. SUMMARY OF BACKGROUND DATA: There is still limited scientific evidence on spinal surgery. METHODS: Use of standard Cochrane review methods to analyze all randomized controlled trials published to March 31, 2005. RESULTS: A total of 31 randomized controlled trials were identified...
October 15, 2005: Spine
M A Rauschmann, J Warzecha, M Arabmotlagh, A Mayer, D V Stechow
Chronic low back pain is one of the most frequent causes for seeking medical help in Germany. Many factors play a causal role in its pathogenesis. This is where the dilemma resides in narrowing down the diagnosis and deciding on subsequent therapeutic intervention. There is overall agreement on the concept of when it is expedient to initiate further diagnostic measures. With the exception of clear pathomorphological findings and the presence of cardinal symptoms or warning signs, so-called "red flags", primary back pain should not be subjected to any specific diagnostic tests and therapy during the first 3 months...
December 2004: Der Schmerz
T Bochdansky, A Zauner-Dungl
In Physical Medicine and Rehabilitation structural and functional disorders in the genesis of back pain are of great importance. From an epidemiological point of view this has great consequences. Active and passive forms of physical therapy are available. Assuming that the intradiscal pressure has an influence on the origin of back pain, the aim of physiotherapy has to be that any movement of the vertebral column has to be controlled with a minimum of muscular contraction. Passive forms of physical therapy like heat and cold, electrotherapy or mechanotherapy have a reflective reaction beside a physical effect...
1994: Wiener Medizinische Wochenschrift
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