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Back pain

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26 papers 100 to 500 followers
By David Rhine MD FRCPC. Emergency medicine. Special interest in concussion management.
Ian A Bernstein, Qudsia Malik, Serena Carville, Stephen Ward
No abstract text is available yet for this article.
January 6, 2017: BMJ: British Medical Journal
Ben Darlow, Bruce B Forster, Kieran O'Sullivan, Peter O'Sullivan
No abstract text is available yet for this article.
October 20, 2016: British Journal of Sports Medicine
Samantha Rothberg, Benjamin W Friedman
BACKGROUND: A total of 2.7 million patients present to US emergency departments annually for management of low back pain (LBP). Despite optimal medical therapy, more than 50% remain functionally impaired 3 months later. We performed a systematic review to address the following question: Among patients with nonchronic LBP, does spinal manipulation, massage, exercise, or yoga, when combined with standard medical therapy, improve pain and functional outcomes more than standard medical therapy alone? METHODS: We used published searches to identify relevant studies, supplemented with our own updated search...
January 2017: American Journal of Emergency Medicine
Nassib Tawa, Anthea Rhoda, Ina Diener
BACKGROUND: MRI is considered to be the diagnostic tool of choice in diagnosing nerve root compromise among patients presenting with clinical suspicion of lumbo-sacral radiculopathy. There exists controversy among researchers and clinicians regarding the diagnostic utility and accuracy of MRI in detecting nerve root compromise and radiculopathy. This review evaluated 4 primary diagnostic accuracy studies that specifically assessed the accuracy of MRI in detecting nerve root compromise, as established in the current literature...
September 6, 2016: BMC Musculoskeletal Disorders
Arianne P Verhagen, Aron Downie, Nahid Popal, Chris Maher, Bart W Koes
OBJECTIVE: The purpose of this study was to identify and descriptively compare the red flags endorsed in guidelines for the detection of serious pathology in patients presenting with low back pain to primary care. METHOD: We searched databases, the World Wide Web and contacted experts aiming to find the multidisciplinary clinical guideline in low back pain in primary care, and selected the most recent one per country. We extracted data on the number and type of red flags for identifying patients with higher likelihood of serious pathology...
September 2016: European Spine Journal
Ben Darlow, Peter B O'Sullivan
No abstract text is available yet for this article.
May 31, 2016: British Journal of Sports Medicine
Pradeep Suri, James Rainville, Leonid Kalichman, Jeffrey N Katz
CONTEXT: The clinical syndrome of lumbar spinal stenosis (LSS) is a common diagnosis in older adults presenting with lower extremity pain. OBJECTIVE: To systematically review the accuracy of the clinical examination for the diagnosis of the clinical syndrome of LSS. DATA SOURCES: MEDLINE, EMBASE, and CINAHL searches of articles published from January 1966 to September 2010. STUDY SELECTION: Studies were included if they contained adequate data on the accuracy of the history and physical examination for diagnosing the clinical syndrome of LSS, using a reference standard of expert opinion with radiographic or anatomic confirmation...
December 15, 2010: JAMA: the Journal of the American Medical Association
Bruno Tirotti Saragiotto, Jane Latimer
No abstract text is available yet for this article.
April 15, 2016: British Journal of Sports Medicine
Fabio Zaina, Christy Tomkins-Lane, Eugene Carragee, Stefano Negrini
BACKGROUND: Lumbar spinal stenosis (LSS) is a debilitating condition associated with degeneration of the spine with aging. OBJECTIVES: To evaluate the effectiveness of different types of surgery compared with different types of non-surgical interventions in adults with symptomatic LSS. Primary outcomes included quality of life, disability, function and pain. Also, to consider complication rates and side effects, and to evaluate short-, intermediate- and long-term outcomes (six months, six months to two years, five years or longer)...
January 29, 2016: Cochrane Database of Systematic Reviews
W Michael Hooten, Steven P Cohen
Low back pain (LBP) is a leading cause of disability worldwide. In the absence of a classification system for pain syndromes, classification of LBP on the basis of the distribution of pain as axial (pain generally localized to the low back) or radicular neuropathic (pain radiating to the lower extremities) is relevant to clinical practice because the distribution of pain is often a corollary of frequently occurring disease processes involving the lumbar spine. Common sources of axial LBP include the intervertebral disc, facet joint, sacroiliac joint, and paraspinal musculature, whereas common sources of radicular pain include a herniated intervertebral disc and spinal stenosis...
December 2015: Mayo Clinic Proceedings
Hee Bong Moon, Ki Yeun Nam, Bum Sun Kwon, Jin Woo Park, Gi Hyeong Ryu, Ho Jun Lee, Chang Jae Kim
Piriformis syndrome (PS) is an uncommon neuromuscular disorder caused by the piriformis muscle (PM) compressing the sciatic nerve (SN). The main symptom of PS is sciatica, which worsens with certain triggering conditions. Because the pathophysiology is poorly understood, there are no definite diagnostic and therapeutic choices for PS. This case report presents a young woman who mainly complained of bilateral leg weakness. Electromyography revealed bilateral sciatic neuropathy and magnetic resonance imaging confirmed structural lesions causing entrapment of the bilateral SNs...
December 2015: Annals of Rehabilitation Medicine
Jodi Oakman, Tessa Keegel, Natasha Kinsman, Andrew M Briggs
A systematic analysis of the literature was undertaken to determine which characteristics of workplace interventions are most effective in assisting people with persistent musculoskeletal pain (PMP) to remain productively employed. Databases of Medline, PsychINFO, CINAHL and Embase were searched using MeSH and other relevant terms. Studies that reported on interventions at, or involving, the workplace were included. Interventions were considered as either focused on the individual or multilevel. Outcome measures assessed included: job loss, productivity, sick leave, pain and cost benefit...
March 2016: Occupational and Environmental Medicine
Grant T Ognibene, Wilson Torres, Rie von Eyben, Kathleen C Horst
OBJECTIVE: The aim of the study was to determine whether chronic low back pain (LBP) might be attenuated through the introduction of a sit-stand workstation (SSW) in office employees. METHODS: Participants were randomized to receive a SSW at the beginning or at the end of a 3-month study period. Participants responded to a short survey at the end of each workday and a comprehensive survey at weeks 1, 6, and 12. Surveys consisted of a modified brief pain inventory and the Roland Morris Disability Questionnaire...
March 2016: Journal of Occupational and Environmental Medicine
Jon Lurie, Christy Tomkins-Lane
Lumbar spinal stenosis (LSS) affects more than 200,000 adults in the United States, resulting in substantial pain and disability. It is the most common reason for spinal surgery in patients over 65 years. Lumbar spinal stenosis is a clinical syndrome of pain in the buttocks or lower extremities, with or without back pain. It is associated with reduced space available for the neural and vascular elements of the lumbar spine. The condition is often exacerbated by standing, walking, or lumbar extension and relieved by forward flexion, sitting, or recumbency...
January 4, 2016: BMJ: British Medical Journal
Emélie Braschi, Scott Garrison, G Michael Allan
No abstract text is available yet for this article.
December 2015: Canadian Family Physician Médecin de Famille Canadien
Sadhana Verma, Bharat Prakash Pal
OBJECTIVE: To ascertain if there is a correlation between low back pain (LBP), fear of falling, and disability so that the patients with LBP are aware of the fact that other problems may occur with LBP. Hence, steps can be taken for decreasing the fear of falling and disability in order to improve the condition of patients. METHODS: A sample size of 100 patients with low back pain, with a range of ages from 40 to 73 years, participated in the study. The Falls Efficacy Scale was used to assess the fear of falling and the Oswestry Disability Index was used to assess the disability and pain in LBP individuals...
October 2015: Annals of Rehabilitation Medicine
Drew Alexander Bednar
No abstract text is available yet for this article.
March 1, 2016: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
A Petit, S Rozenberg, J B Fassier, S Rousseau, P Mairiaux, Y Roquelaure
OBJECTIVES: The pre-return-to-work medical consultation during sick leave for low back pain (LBP) aims at assessing the worker's ability to resume working without risk for his/her health, and anticipating any difficulties inherent to returning to work and job retention. This article summarizes the good practices guidelines proposed by the French Society of Occupational Medicine (SFMT) and the French National Health Authority (HAS), and published in October 2013. METHODS: Good practices guidelines developed by a multidisciplinary and independent task force (24 experts) and peer review committee (50 experts) based on a literature review from 1990 to 2012, according to the HAS methodology...
October 2015: Annals of Physical and Rehabilitation Medicine
Nolwenn Poquet, Chung-Wei Christine Lin
No abstract text is available yet for this article.
February 2016: British Journal of Sports Medicine
Peter O'Sullivan
No abstract text is available yet for this article.
July 2015: British Journal of Sports Medicine
2015-03-27 14:21:08
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