Articles: low-back-pain.
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To determine the effectiveness of lessons in the Alexander technique, massage therapy, and advice from a doctor to take exercise (exercise prescription) along with nurse delivered behavioural counselling for patients with chronic or recurrent back pain. ⋯ One to one lessons in the Alexander technique from registered teachers have long term benefits for patients with chronic back pain. Six lessons followed by exercise prescription were nearly as effective as 24 lessons.
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J Spinal Disord Tech · Dec 2008
Controlled Clinical TrialMinimally invasive sacroiliac arthrodesis: outcomes of a new technique.
Prospective cohort. ⋯ Minimally invasive sacroiliac arthrodesis via a percutaneous posterior approach is a safe and efficacious procedure, leading to a high fusion rate and significant improvement in low back, leg pain, and dyspareunia.
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Occupational medicine · Dec 2008
Comparative StudyWorking Backs Project--implementing low back pain guidelines.
The St Vincent's Working Backs Project (WBP) represents a strategy for the implementation of the UK Faculty of Occupational Medicine guidelines for the management of low back pain (LBP) in the workplace (Carter J, Birrell L. Occupational Health Guidelines for the Management of Low Back Pain at Work-Principal Recommendations. London: Faculty of Occupational Medicine, 2000). ⋯ Following the WBP, staff and manager attitudes and beliefs towards LBP and its management were more consistent with the LBP guidelines although LBP-related sickness absenteeism did not decrease significantly. Future occupational guideline implementation strategy studies are required which should include a control worksite and rely on pre- and post-intervention organizational data.
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To search literature published on the administration of intradermal sterile water injections to women in labour who experience severe low back pain, and to critically evaluate the evidence for therapeutic merit. ⋯ Intradermal injections of sterile water possess powerful analgesic benefits for women experiencing low back pain in labour and their use in this therapeutic setting is justifiable.
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Randomized Controlled Trial Multicenter Study Comparative Study
Analgesic efficacy and tolerability of flupirtine vs. tramadol in patients with subacute low back pain: a double-blind multicentre trial*.
To assess the efficacy and tolerability of flupirtine in comparison with tramadol for the treatment of moderate to severe subacute low back pain (LBP). ⋯ Flupirtine 100 mg three times daily was associated with a reduction in pain and improvements in functional capacity equivalent to that observed with tramadol 50 mg three times daily, and was better tolerated, when administered to patients with subacute back pain for one week. The limitations of this study were the lack of a placebo control and the short (7-day) duration of the study.