Journal of back and musculoskeletal rehabilitation
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J Back Musculoskelet Rehabil · Jan 2013
Lumbosacral transforaminal epidural steroid injections are equally effective for treatment of lumbosacral radicular pain in the obese compared to non-obese population: a pilot study.
Current evidence suggests that lumbosacral transforaminal epidural steroid injection (TFESI) is an effective treatment for lumbosacral radicular pain. However, practitioners may be reluctant to attempt this intervention in obese patients because of a perceived reduction in the chance of providing pain relief due to the increased technical difficulty of TFESI in individuals with a larger body habitus. No study to date has compared the effectiveness of TFESI in groups stratified by BMI. We report pilot data addressing whether lumbosacral transforaminal epidural steroid injection is as effective in treating lumbosacral radicular pain in the obese and overweight population as it is in the non-overweight population. ⋯ Case-control study, Level II-2.
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J Back Musculoskelet Rehabil · Jan 2013
Lumbar facet joint orientation and osteoarthritis: a cross-sectional study.
The association between facet orientation, tropism (asymmetry of the facet angles) and facet joint osteoarthritis (OA) has been previously reported, however, it is necessary to confirm the association in other samples. Our aim was to evaluate the association between facet orientation, tropism, and facet joint OA in an Israeli sample. ⋯ We confirm a significant association between sagittal orientation and OA of the lumbar facet joints at level L4-L5. Facet tropism was not associated with facet joint OA. Additional longitudinal studies are needed to understand the causal relationship between facet joint orientation and OA.
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J Back Musculoskelet Rehabil · Jan 2013
Fluoroscopy guided cervical interlaminar steroid injections in patients with cervical pain syndromes: a retrospective study.
The objective of this retrospective study was to examine the efficacy of fluoroscopically guided cervical interlaminar epidural steroid injections (CILESI). ⋯ Fluoroscopy guided CILESI is a safe and an effective treatment for patients with cervical pain syndromes. The success rates show that a large percentage of the patients may obtain relief from radicular symptoms and avoid surgery for the follow-up period up to 12 months.
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J Back Musculoskelet Rehabil · Jan 2013
The value of physical examination in the diagnosis of hip osteoarthritis.
To compare the sensitivity of physical examination (internal rotation of the hip) with radiographs (using the Kellgren-Lawrence grading scale) in the diagnosis of clinically significant hip osteoarthritis. ⋯ Simple hip radiographs alone are not sufficient to diagnose clinically significant hip osteoarthritis. Physical examination (hip internal rotation) was found to be more accurate than simple radiographs in the diagnosis of clinically significant hip osteoarthritis. Radiographs seem to best utilized when they are an extension of the physical examination and patient history.
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J Back Musculoskelet Rehabil · Jan 2012
Three-dimensional characteristics of neck movements in subjects with mechanical neck disorder.
Controlled laboratory study. ⋯ In this study, MND was associated with altered cervical movement patterns with increases in coupling motion. The findings may help to differentiate MND from whiplash-associated disorder. Increasing upper cervical spine rotation mobility may be crucial for treating deficiencies in neck rotation in patients with MND.