Articles: back-pain.
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The aim of the study was to evaluate the impact of pregnancy-related back pain on quality of life and physical ability in the third trimester of pregnancy. One hundred women in the 28th-40th week of pregnancy were asked to fill out questionnaires including: general questions about background factors, the Katz's Activity's Daily Living Index (ADL), and Short Form of WHO Quality of Life Questionnaire (WHOQOL-BREF). ⋯ It was found that, in the third trimester, pregnant women with back pain (PBP) with low pain intensity and moderate functional limitation did not have an impact on quality of life but decreased physical ability when compared to pregnant women with no back pain (NBP). As the back pain intensity of pregnant women increases, physical ability decreases.
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Multicenter Study
Fracture rate and back pain during and after discontinuation of teriparatide: 36-month data from the European Forsteo Observational Study (EFOS).
In this observational study in postmenopausal women with severe osteoporosis, the incidence of fractures was decreased during 18 months of teriparatide treatment with no evidence of further change in the subsequent 18-month post-teriparatide period when most patients took other osteoporosis medications. Fracture reduction was accompanied by reductions in back pain. ⋯ In a real-life clinical setting, the risk of fracture decreased during teriparatide treatment, with no evidence of further change after teriparatide was discontinued. The changes in back pain seen during treatment were maintained for at least 18 months after teriparatide discontinuation. These results should be interpreted in the context of the design of an observational study.
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Comparative Study
Quantitative sensory testing profiles in chronic back pain are distinct from those in fibromyalgia.
Alterations in the central nervous system leading to higher pain sensitivity have been shown in both chronic back pain (CBP) and fibromyalgia syndrome (FMS). The aim of this study was to disclose commonalities and differences in the pathophysiology of FMS and CBP. ⋯ FMS patients showed increased sensitivity for different pain modalities at all measured body areas, suggesting central disinhibition as a potential mechanism. CBP participants in contrast, showed localized alterations within the affected segment possibly due to peripheral sensitization.
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Randomized Controlled Trial
Identifying patients with axial spondyloarthritis in primary care: how useful are items indicative of inflammatory back pain?
The value of clinical items defining inflammatory back pain to identify patients with axial spondyloarthritis (SpA) in primary care is unclear. ⋯ This study shows that a preselection in primary care of patients with back pain based on a combination of clinical items is useful to facilitate the diagnosis of axial SpA.