The spine journal : official journal of the North American Spine Society
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Randomized Controlled Trial
Microwave diathermy for treating nonspecific chronic neck pain: a randomized controlled trial.
Although the use of deep heat therapy is widespread, there is scant literature available on its effectiveness in treating back or neck pain. ⋯ Microwave diathermy does not provide additional benefit to a treatment regimen of chronic neck pain that already involves other treatment approaches.
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Randomized Controlled Trial
The effect of milrinone on induced hypotension in elderly patients during spinal surgery: a randomized controlled trial.
Induced hypotension is widely used intraoperatively to reduce blood loss and to improve the surgical field during spinal surgery. ⋯ We conclude that milrinone is useful for induced hypotension in elderly patients during spinal surgery.
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Randomized Controlled Trial
Intraoperative systemic infusion of lidocaine reduces postoperative pain after lumbar surgery: a double-blinded, randomized, placebo-controlled clinical trial.
Analgesic effect of lidocaine infusion on postoperative pain. ⋯ Intraoperative systemic infusion of lidocaine decreases pain perception during microdiscectomy, thus reducing the consumption of opioid and the severity of postoperative pain. This effect contributes to reduce the length of HS.
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Randomized Controlled Trial
Associations between physical therapy and long-term outcomes for individuals with lumbar spinal stenosis in the SPORT study.
A period of nonsurgical management is advocated before surgical treatment for most patients with lumbar spinal stenosis. Currently, little evidence is available to define optimal nonsurgical management. Physical therapy is often used, however its use and effectiveness relative to other nonsurgical strategies has not been adequately explored. ⋯ Many patients with lumbar spinal stenosis pursuing conservative management receive physical therapy. Using physical therapy was associated with reduced likelihood of patients receiving surgery within 1 year. Results for other outcomes were mixed with no differences in several measures. Further research is needed to examine the effectiveness of physical therapy relative to other nonsurgical management strategies for patients with lumbar spinal stenosis.