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Back pain

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30 papers 500 to 1000 followers
By David Rhine MD FRCPC. Emergency medicine. Special interest in concussion management.
https://www.readbyqxmd.com/read/28187918/diazepam-is-no-better-than-placebo-when-added-to-naproxen-for-acute-low-back-pain
#1
Benjamin W Friedman, Eddie Irizarry, Clemencia Solorzano, Nauman Khankel, Jennifer Zapata, Eleftheria Zias, E John Gallagher
STUDY OBJECTIVE: Low back pain causes more than 2.5 million visits to US emergency departments (EDs) annually. Low back pain patients are often treated with nonsteroidal anti-inflammatory drugs and benzodiazepines. The former is an evidence-based intervention, whereas the efficacy of the latter has not been established. We compare pain and functional outcomes 1 week and 3 months after ED discharge among patients randomized to a 1-week course of naproxen+diazepam versus naproxen+placebo...
January 19, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28192789/noninvasive-treatments-for-acute-subacute-and-chronic-low-back-pain-a-clinical-practice-guideline-from-the-american-college-of-physicians
#2
Amir Qaseem, Timothy J Wilt, Robert M McLean, Mary Ann Forciea
Description: The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on noninvasive treatment of low back pain. Methods: Using the ACP grading system, the committee based these recommendations on a systematic review of randomized, controlled trials and systematic reviews published through April 2015 on noninvasive pharmacologic and nonpharmacologic treatments for low back pain. Updated searches were performed through November 2016...
February 14, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28192790/systemic-pharmacologic-therapies-for-low-back-pain-a-systematic-review-for-an-american-college-of-physicians-clinical-practice-guideline
#3
Roger Chou, Richard Deyo, Janna Friedly, Andrea Skelly, Melissa Weimer, Rochelle Fu, Tracy Dana, Paul Kraegel, Jessica Griffin, Sara Grusing
Background: A 2007 American College of Physicians guideline addressed pharmacologic options for low back pain. New evidence and medications have now become available. Purpose: To review the current evidence on systemic pharmacologic therapies for acute or chronic nonradicular or radicular low back pain. Data Sources: Ovid MEDLINE (January 2008 through November 2016), Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and reference lists...
February 14, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28192793/nonpharmacologic-therapies-for-low-back-pain-a-systematic-review-for-an-american-college-of-physicians-clinical-practice-guideline
#4
Roger Chou, Richard Deyo, Janna Friedly, Andrea Skelly, Robin Hashimoto, Melissa Weimer, Rochelle Fu, Tracy Dana, Paul Kraegel, Jessica Griffin, Sara Grusing, Erika D Brodt
Background: A 2007 American College of Physicians guideline addressed nonpharmacologic treatment options for low back pain. New evidence is now available. Purpose: To systematically review the current evidence on nonpharmacologic therapies for acute or chronic nonradicular or radicular low back pain. Data Sources: Ovid MEDLINE (January 2008 through February 2016), Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and reference lists...
February 14, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28062522/low-back-pain-and-sciatica-summary-of-nice-guidance
#5
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
https://www.readbyqxmd.com/read/27797737/it-is-time-to-stop-causing-harm-with-inappropriate-imaging-for-low-back-pain
#6
EDITORIAL
Ben Darlow, Bruce B Forster, Kieran O'Sullivan, Peter O'Sullivan
No abstract text is available yet for this article.
March 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27751598/complementary-therapies-in-addition-to-medication-for-patients-with-nonchronic-nonradicular-low-back-pain-a-systematic-review
#7
REVIEW
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
https://www.readbyqxmd.com/read/27600883/accuracy-of-magnetic-resonance-imaging-in-detecting-lumbo-sacral-nerve-root-compromise-a-systematic-literature-review
#8
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
https://www.readbyqxmd.com/read/27376890/red-flags-presented-in-current-low-back-pain-guidelines-a-review
#9
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
https://www.readbyqxmd.com/read/27247100/why-are-back-pain-guidelines-left-on-the-sidelines-three-myths-appear-to-be-guiding-management-of-back-pain-in-sport
#10
EDITORIAL
Ben Darlow, Peter B O'Sullivan
No abstract text is available yet for this article.
May 31, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/21156951/does-this-older-adult-with-lower-extremity-pain-have-the-clinical-syndrome-of-lumbar-spinal-stenosis
#11
REVIEW
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
https://www.readbyqxmd.com/read/27084881/prevention-of-low-back-pain-pedro-synthesis
#12
Bruno Tirotti Saragiotto, Jane Latimer
No abstract text is available yet for this article.
April 15, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/26824399/surgical-versus-non-surgical-treatment-for-lumbar-spinal-stenosis
#13
REVIEW
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
https://www.readbyqxmd.com/read/26653300/evaluation-and-treatment-of-low-back-pain-a-clinically-focused-review-for-primary-care-specialists
#14
REVIEW
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
https://www.readbyqxmd.com/read/26798622/leg-weakness-caused-by-bilateral-piriformis-syndrome-a-case-report
#15
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
https://www.readbyqxmd.com/read/26740689/persistent-musculoskeletal-pain-and-productive-employment-a-systematic-review-of-interventions
#16
REVIEW
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
https://www.readbyqxmd.com/read/26735316/impact-of-a-sit-stand-workstation-on-chronic-low-back-pain-results-of-a-randomized-trial
#17
RANDOMIZED CONTROLLED TRIAL
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
https://www.readbyqxmd.com/read/26727925/management-of-lumbar-spinal-stenosis
#18
REVIEW
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
https://www.readbyqxmd.com/read/26668287/cyclobenzaprine-for-acute-back-pain
#19
REVIEW
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
https://www.readbyqxmd.com/read/26605180/correlation-between-pain-fear-of-falling-and-disability-in-low-back-pain
#20
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
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