Articles: low-back-pain.
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An epidural nerve block injection is the most common modality of treatment for control of low backache associated with radiating pain. Epidural catheter injections are also widely used by pain physicians to control cancer pain. Epidural catheters could be associated with procedure-related complications, such as epidural hematoma, epidural abscess, and post-dural puncture headache, and rare complications, such as shearing or breakage of the catheter tip. In this report, we describe the full-endoscopic removal of a sheared epidural catheter fragment. ⋯ Interlaminar full-endoscopic procedure could be used for the removal of the retained epidural catheter as a practical option.
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Case Reports
Postoperative CSF Leak After Lumbar Total Disc Replacement (TDR): A Diagnostic and Management Challenge.
Lumbar total disc replacement is increasingly becoming a more common treatment for discogenic low back pain refractory to conservative measures. Nevertheless, several complications have been reported, including, among others, wound infection, vascular injury, retrograde ejaculation, postsympathectomy syndrome, ileus, and cerebrospinal fluid (CSF) leak. Although CSF leakage is rare, we discuss a case of CSF leakage and the diagnosis and management of CSF leakage after lumbar total disc replacement. ⋯ Our patient ultimately required device removal, direct repair, and replacement with a different prosthesis to treat his CSF leak.
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The Illness Invalidation Inventory (3*I) was designed to assess individuals' perceived invalidation regarding chronic pain experiences. However, no study has yet investigated the psychometric properties of the 3*I among individuals with chronic low back pain (CLBP). Given the personal and societal impact of CLBP and the potential for invalidation associated with this condition, the current study sought to examine the psychometric properties of the 3*I among individuals with CLBP. ⋯ The 2-factor model of the 3*I "family members" subscale identified in the current study reflects previous findings and extends the psychometric validity of the 3*I to a US multiethnic sample of individuals with CLBP.
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Complement Ther Clin Pract · May 2020
Meta AnalysisEfficacy and safety of moxibustion for chronic low back pain: A systematic review and meta-analysis of randomized controlled trials.
To systematically review and meta-analyze the efficacy of moxibustion in treating patients with chronic low back pain (CLBP). ⋯ It is difficult to draw firm conclusions that moxibustion is an effective intervention for treating CLBP due to the small sample size of eligible trails and the high risk of bias among the available articles. Rigorously designed large-scale RCTs are required to further confirm the results in this review.