Articles: back-pain.
-
Review
Catastrophizing-a prognostic factor for outcome in patients with low back pain: a systematic review.
Psychological factors including catastrophizing thoughts are believed to influence the development of chronic low back pain (LBP). ⋯ There is some evidence that catastrophizing as a coping strategy might lead to delayed recovery. The influence of catastrophizing in patients with LBP is not fully established and should be further investigated. Of particular importance is the establishment of cutoff levels for identifying patients at risk.
-
Spinal subdural hematoma (SDH) is an uncommon condition mainly associated with bleeding dyscrasias, use of anticoagulants, trauma, iatrogenic procedures, and vascular malformations. Prompt diagnosis and treatment are recommended to prevent progressive neurologic compromise. Spinal SDH concomitant with intracranial SDH is an even rarer entity, with few cases reported in the English literature. Here we present a case of spontaneous spinal SDH with intracranial SDH presenting as sacral back pain in a 70-year-old man. We also describe the potential mechanism, treatment, and prognosis of concomitant spinal and intracranial SDH. ⋯ We report an unusual case of spontaneous spinal SDH concomitant with intracranial SDH and discuss the epidemiology, clinical presentation, potential etiology, treatment, and prognosis of this disease. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Awareness of the association between spinal SDH and intracranial SDH can expedite appropriate imaging of both brain and spine, which can lead to a more complete diagnosis and require changes in patient management in the emergency setting.
-
Low back pain is one of the most commonly occurring symptomatic complaints with a lifetime prevalence of 70 %. ⋯ The presence of clinical warning signs or red flags and in particular the combination of several red flags increases the probability of a specific cause of low back pain and should be examined using radiological imaging. An uncomplicated low back pain in an otherwise healthy patient does not normally necessitate imaging.
-
Randomized Controlled Trial Multicenter Study Comparative Study
[Neuropathic back pain origins verified or cannot be excluded. Comparative pain study: retard tapentadol versus an established fixed combination].