Articles: low-back-pain.
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Bmc Musculoskel Dis · Jan 2007
Randomized Controlled TrialDesign considerations in a clinical trial of a cognitive behavioural intervention for the management of low back pain in primary care: Back Skills Training Trial.
Low back pain (LBP) is a major public health problem. Risk factors for the development and persistence of LBP include physical and psychological factors. However, most research activity has focused on physical solutions including manipulation, exercise training and activity promotion. ⋯ In this paper we describe the rationale and design of a randomised evaluation of a group based cognitive behavioural intervention for low back pain.
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Kyphoplasty is a minimally invasive procedure that is increasingly used to treat pain caused by compression fractures of vertebral bodies. A 56-year-old woman who had a compression fracture on the vertebral body of L5 vertebra was admitted to the Algology Department with a severe low back and leg pain. ⋯ After injection of triamcinolone and bupivacaine transforaminally into the L5-S1 anterior epidural space, her pain complaints ended. If radicular pain symptoms caused by cement leakage are secondary to a chemically mediated non-cellular inflammatory reaction, transforaminal epidural steroid injection should be useful.
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There are currently a number of generic and disease-specific instruments for assessing complaints of low back pain (LBP). None provide the comprehensive coverage of the wide range of factors that are considered essential in evaluating treatment outcomes. ⋯ The LSOQ appears to be acceptable to patients, easy to administer, highly reliable, valid, and responsive. It provides information on demographics, pain severity, functional disability, psychological distress, physical symptoms, health-care utilization, and satisfaction. It should be considered for use in both clinical and research applications as well as regulatory review involving patients with LBP complaints.
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The theory of chemical radiculitis had been put forward about 30 years ago, but as yet it has not been proved by clinical studies. The aim of the current studies was to determine whether the annular tear of a painful disc proved by discography is the cause of radiating leg pain (radiculopathy) in patients with discogenic low back pain. Forty-two patients with discogenic low back pain at single disc level with concomitant radiating leg pain were studied in order to analyse the relationship between site of annular tear and side of radiating leg pain. ⋯ The current studies found that there was a significant positive correlation between the site of annular tear and the side of radiation pain. Abnormalities of electromyogram and reduction of motor nerve conduction velocity were found on the side of radiating leg pain. The studies indicated that leakage of chemical mediators or inflammatory cytokines, which are produced in the painful disc, into epidural space through annular tear could lead to injury to adjacent nerve roots, and it might constitute the primary pathophysiologic mechanism of radiating leg pain in patients with discogenic low back pain but with no disc herniation.
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Comparative Study
An investigation into the immediate effects on comfort, productivity and posture of the Bambach saddle seat and a standard office chair.
This study was prompted by the prevalence of back injury and pain in the working population, particularly amongst workers who are increasingly exposed to sedentary work in industrialised countries, and the corresponding limited evidence regarding the effectiveness of seating designs currently used in the workplace. ⋯ This study has implications for the treatment of low back injury and pain at work, as well as other daily activities that involve prolonged static sitting, such as those incorporated in self maintenance, leisure and rest activities. This study provides health professionals with a systematic investigation of the immediate effects of using both the Bambach saddle seat and standard office chair in sitting. The findings of this study should be considered in future research.