Articles: low-back-pain.
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Randomized Controlled Trial Comparative Study Clinical Trial
A randomized trial of combined manipulation, stabilizing exercises, and physician consultation compared to physician consultation alone for chronic low back pain.
A prospective randomized controlled trial. ⋯ The manipulative treatment with stabilizing exercises was more effective in reducing pain intensity and disability than the physician consultation alone. The present study showed that short, specific treatment programs with proper patient information may alter the course of chronic low back pain.
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Pediatric neurosurgery · Oct 2003
Direct repair of the pars interarticularis for spondylolysis and spondylolisthesis.
Spondylolysis and spondylolisthesis can be associated with significant low back pain, especially in physically active adolescents. Non-operative management is usually successful in improving symptoms, but surgical intervention is occasionally required for those that fail reduction of activity and bracing. In a subpopulation of these patients, direct repair of the pars interarticularis defect can be an effective modality of treatment. ⋯ Patients were followed a minimum of 30 months (range 30-78 months). All 5 patients demonstrated evidence of bony fusion by radiographic criteria. This demonstrates that direct pars repair is a safe and effective modality to treat select groups of patients with spondylolysis and low-grade spondylolisthesis.
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To explore the impact of occupational exposure to whole body vibration (WBV) on low back pain (LBP) in the general population and to estimate the burden of LBP attributable to occupational WBV in comparison with that due to occupational lifting. ⋯ The burden of LBP in Britain from occupational exposure to WBV is smaller than that attributable to lifting at work.
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AJR Am J Roentgenol · Oct 2003
Radicular pain avoidance during needle placement in lumbar diskography.
The objective of our study was to determine whether a method could be found to reduce iatrogenic radicular pain during needle placement in lumbar diskography. ⋯ Iatrogenic lower extremity radicular pain is common during random needle placement at lumbar diskography. High or low needle placement in the intervertebral disk could not predict whether radicular pain would be averted. We identified a safe window that can be used for needle placement during lumbar diskography to minimize iatrogenic lower extremity radicular pain and thereby improve the reliability of the test.
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To assess the prognostic value of some preoperative and early post-operative indicators in the prediction of disability 14 months after lumbar disc surgery. ⋯ As recovery following lumbar disc surgery occurred to a great extent during the first 2 months, the early post-operative outcome appears to be quite a reliable indicator of the postoperative outcome in 1-year follow-up. The strong association between pain and the disability indices allows us to conclude that both the Million and Oswestry indices are clinically useful instruments in the evaluation of outcome in these cases.