Articles: low-back-pain.
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Randomized Controlled Trial Comparative Study Clinical Trial
Effectiveness of four conservative treatments for subacute low back pain: a randomized clinical trial.
A randomized, assessor-blinded clinical trial was conducted. ⋯ For subacute low back pain, combined joint manipulation and myofascial therapy was as effective as joint manipulation or myofascial therapy alone. Additionally, back school was as effective as three manual treatments.
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Randomized Controlled Trial Clinical Trial
Effectiveness and cost-effectiveness analysis of neuroreflexotherapy for subacute and chronic low back pain in routine general practice: a cluster randomized, controlled trial.
A cluster randomized, controlled trial was performed. ⋯ Referral to neuroreflexotherapy intervention improves the effectiveness and cost-effectiveness of the management of nonspecific low back pain.
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Comparative Study
Simplifying outcome measurement: evaluation of instruments for measuring outcome after fusion surgery for chronic low back pain.
A comparative evaluation of outcome instruments and global assessment was performed. ⋯ Patient global assessment is a valid and responsive descriptor of overall effect in randomized controlled trials of treatment for chronic low back pain.
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J Spinal Disord Tech · Jun 2002
Clinical Trial Controlled Clinical TrialDoes provocative discography screening of discogenic back pain improve surgical outcome?
The value of preoperative provocative discography in the setting of discogenic low back pain was investigated by evaluating surgical outcomes. Seventy-three consecutive patients who underwent posterolateral interbody and posterior spinal arthrodesis for discogenic low back pain refractory to nonoperative management were reviewed. Chronologically, the first 41 patients (group A) were indicated without discography, whereas the remaining 32 (group B) had been indicated only if their pain had been reproduced during disc injection. ⋯ Using modified Oswestry scoring, group A and group B patients had satisfactory outcomes of 75.6% and 81.2%, respectively. This difference was neither statistically significant nor suggestive. In this study, provocative discography screening did not improve surgical outcomes after circumferential fusion for lumbar discogenic back pain.
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Case Reports
Long-term therapy of chronic non-malignant pain with potent opioids in an active police officer.
To report the successful long-term use of methadone and tramadol in treating low back pain in a marine police officer. ⋯ The use of methadone in this police officer with chronic low back pain has been very successful despite the demanding nature of his job. The controversy surrounding, and further suggestions regarding long-term use of opioid therapy for non-malignant pain are discussed.