Articles: back-pain.
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Randomized Controlled Trial Clinical Trial
Clinical course in patients seeking primary care for back or neck pain: a prospective 5-year follow-up of outcome and health care consumption with subgroup analysis.
Prospective follow-up. ⋯ In a cohort of individuals of working age seeking primary care for nonspecific back or neck pain, it can be expected that about half of the population will report pain and disability at the 5-year follow-up. A significant proportion will report recurrence or continual pain and health care consumption. Pain and disability were associated with recurrence or continual pain and health care consumption. Further analysis is needed to identify additional predictors for 5-year outcome, taking into account 1-year follow-up results. Since many patients will have recurrence or continual pain, health policies and clinical decision models for long-term outcome must allow for these aspects.
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Randomized Controlled Trial Comparative Study Clinical Trial
Controlled trial of Internet-based treatment with telephone support for chronic back pain.
The purpose of this study was to investigate the effects of an Internet-based cognitive-behavioral intervention with telephone support for chronic back pain. Participants who met the criteria for chronic back pain (N=56) were randomly assigned to either an Internet-based cognitive behavioral self-help treatment or to a waiting-list control condition. The study period lasted 8 weeks and consisted of 1 week of self-monitoring prior to the intervention, 6 weeks of intervention, and 1 week of post-intervention assessment. ⋯ A follow-up of 3 months after treatment termination was completed in 92% (N=47) of the participants who completed the treatment intervention. Follow-up results showed that some improvement was maintained. Findings indicate that Internet-based self-help with telephone support, based on established psychological treatment methods, holds promise as an effective approach for treating disability in association with pain.
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Southern medical journal · Apr 2004
Randomized Controlled Trial Comparative Study Clinical TrialIncidence of postdural puncture headache and backache, and success rate of dural puncture: comparison of two spinal needle designs.
The goal of this randomized study was to compare the incidence of postdural puncture headache (PDPH) and postdural puncture backache (PDPB), and the success rate between two small-gauge spinal needle designs used in women undergoing subarachnoid block anesthesia. ⋯ The low complication and failure rates make these two types of smaller size spinal needle design good candidates for dural puncture procedures, such as spinal anesthesia, diagnostic lumbar punctures, and myelograms.
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Journal of neurosurgery · Oct 2002
Randomized Controlled Trial Clinical TrialTreatment of chronic pain by using intrathecal drug therapy compared with conventional pain therapies: a cost-effectiveness analysis.
The object of this study was to compare the cost-effectiveness of intrathecal drug therapy (IDT) with that of conventional pain therapy (CPT) in patients suffering from chronic low back pain caused by failed back syndrome. In this study, the authors tabulated actual costs, in Canadian dollars, in a consecutive series of patients undergoing IDT within the Canadian health care system and have compared them with costs in a control group in the same environment. The influence of these treatments on the quality of life (QOL) was also analyzed. ⋯ In patients who respond to this treatment, IDT is cost effective in the long term despite high initial costs of implantable devices.
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Randomized Controlled Trial Comparative Study Clinical Trial
Epidural analgesia and backache: a randomized controlled comparison with intramuscular meperidine for analgesia during labour.
Concern has been expressed that epidural analgesia for labour may be associated with a higher incidence of backache. ⋯ Epidural analgesia in labour was not associated with an increase in the prevalence or incidence of backache.