Articles: back-pain.
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The purpose of this study was to assess the ability of short inversion time inversion-recovery (STIR) in magnetic resonance imaging for predicting the prognosis of osteoporotic vertebral fractures. ⋯ STIR was useful for predicting bone union, kyphosis, and back pain in patients with osteoporotic vertebral fracture.
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Little data is available on the relationship between sagittal spinopelvic parameters and health related quality of life (HRQOL) in osteoporotic patients. The aim of this study was to identify relationships between spinopelvic parameters and HRQOL in osteoporosis. ⋯ Osteoporotic patients and controls were found to be significantly different in terms of sagittal spinopelvic parameters. Correlation analysis revealed significant relationships between radiographic parameters and clinical outcome variables. In particular, sagittal vertical axis, sacral slope, and FNBMD significantly predicted clinical outcomes in osteoporotic patients.
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Back pain is a significant medical problem and one of the most common causes of medical consultations and missed work. In acute low back pain, patients with "red flags" indicating a serious underlying spinal or extraspinal disease must be identified by medical evaluation. Most cases of acute back pain are non-specific, and education, physical activity and pain medication is recommended. ⋯ In patients with chronic inflammatory low back pain with onset before the age of 45, rheumatic spondyloarthritis should be considered. Recently, a guideline (S3-Leitlinie) for the management of axial spondyloarthritis including ankylosing spondylitis has become available. It provides evidence of physical and drug therapy including nonsteroidal antirheumatic and Tumor necrosis factor (TNF) inhibitor therapy.
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Randomized Controlled Trial Multicenter Study Comparative Study
The effect of work-focused rehabilitation among patients with neck and back pain: a randomized controlled trial.
Multicenter randomized trial with patients listed as sick for 1 to 12 months due to neck or back pain and referred to secondary care. ⋯ The results suggest that a focus on the workplace in specialist care does not substantially alter the RTW rate compared with standard multidisciplinary treatments.
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Comparative Study
Demographic and health characteristics of rural- and urban-dwelling canadians with chronic back disorders: a population-based comparison.
This is a cross-sectional design based on analysis of a national survey. ⋯ 2.