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European Spine Journal : Official... Dec 2008Recently a new concept for explaining backache, "biopsychosocial pain syndrome," has been suggested. Psychosocial factors play an important role in the development and... (Review)
Review
Recently a new concept for explaining backache, "biopsychosocial pain syndrome," has been suggested. Psychosocial factors play an important role in the development and persistence of backache from an early stage. Diagnosis and treatment of backache should be based on the new concept. A good relationship between doctors and patients influences treatment outcome and patient satisfaction. Treatment should be decided by patients themselves, after being informed of the natural history of the disease and the merit and demerit of the treatment.
Topics: Back Pain; Causality; Chronic Disease; Comorbidity; Humans; Job Satisfaction; Mood Disorders; Occupational Diseases; Pain, Intractable; Psychology; Stress, Psychological
PubMed: 19005700
DOI: 10.1007/s00586-008-0747-1 -
Knee Surgery, Sports Traumatology,... Nov 2011The aim of this manuscript is to review the current knowledge in terms of retro-trochanteric pain syndrome, make recommendations for diagnosis and differential diagnosis... (Review)
Review
The aim of this manuscript is to review the current knowledge in terms of retro-trochanteric pain syndrome, make recommendations for diagnosis and differential diagnosis and offer suggestions for treatment options. The terminology in the literature is confusing and these symptoms can be referred to as 'greater trochanteric pain syndrome', 'trochanteric bursitis' and 'trochanteritis', among other denominations. The authors focus on a special type of sciatica, i.e. retro-trochanteric pain radiating down to the lower extremity. The impact of different radiographic assessments is discussed. The authors recommend excluding pathology in the spine and pelvic area before following their suggested treatment algorithm for sciatica-like retro-trochanteric pain.
Topics: Algorithms; Back Pain; Diagnosis, Differential; Femur; Humans; Pain Measurement; Sciatica; Syndrome
PubMed: 21678093
DOI: 10.1007/s00167-011-1573-2 -
International Journal of Environmental... Jan 2022Back pain and its ailments are the main cause of absenteeism and sick leave. Furthermore, the cause of pain and disability in a large number of workers is unknown, and...
Back pain and its ailments are the main cause of absenteeism and sick leave. Furthermore, the cause of pain and disability in a large number of workers is unknown, and treatments are not effective in controlling it. For this reason, the Back Schools (BSs) provide theoretical and practical training to workers so that they can acquire knowledge and skills that will allow them to adequately manage their back problems, enabling them to recover their autonomy and prevent relapses. The aim of the study is to analyse the efficacy of a BS by means of the evaluation of pain and disability scales in workers in different sectors and in construction. The most important clinical benefits obtained after the intervention of a BS are the reduction of pain and disability. Statistically significant and clinically relevant results have been observed between the initial assessment and the 6-month review. BS has been shown to be effective in reducing low back and neck pain and disability during the first 6 months of follow-up. Construction workers have pain and disability rates at the overall mean and with improvements between the initial assessment and the 6-month review. Their rates of improvement are clinically more relevant than for the overall population analysed.
Topics: Absenteeism; Back Pain; Humans; Neck Pain; Schools; Sick Leave
PubMed: 35055822
DOI: 10.3390/ijerph19021000 -
American Family Physician Mar 2022
Topics: Back Pain; Humans; Low Back Pain; Sacroiliac Joint
PubMed: 35289587
DOI: No ID Found -
Scandinavian Journal of Work,... Feb 1995In most industrialized countries, disability and work absence due to occupational back pain have risen steadily in recent decades. Conventional views of the causes of... (Review)
Review
In most industrialized countries, disability and work absence due to occupational back pain have risen steadily in recent decades. Conventional views of the causes of this slow epidemic tend to fall into one of the following three areas: (i) the clinical pathology view, which attributes the level of pain and disability to either the severity of the initial injury or to psychosomatic conditions; (ii) the biomechanical exposures view, which attributes the problem to hazardous and preventable conditions of work; and (iii) the perverse incentives view, which suggests that reporting and disability are influenced by a combination of work dissatisfaction and accessible disability benefits. This paper reviews, from an epidemiologic perspective, the specific methodological hurdles faced during investigations of the etiology of occupational back pain. It is argued that methodological issues have contributed to the perpetuation of the three distinct but incomplete views of the problem. New research directions are suggested and a broader interdisciplinary perspective is proposed to help resolve the existing polemic.
Topics: Back Pain; Biomechanical Phenomena; Ergonomics; Humans; Middle Aged; Occupational Diseases; Pain Measurement; Prevalence; Reproducibility of Results; Research Design; Risk Factors
PubMed: 7784861
DOI: 10.5271/sjweh.2 -
AJNR. American Journal of Neuroradiology May 2010While back pain presents less frequently in children than in adults, it still poses a significant clinical challenge with respect to making a firm diagnosis and... (Review)
Review
While back pain presents less frequently in children than in adults, it still poses a significant clinical challenge with respect to making a firm diagnosis and developing an effective treatment plan. When children have back pain and medical attention is sought, an underlying pathology is usually suspected. Pediatric patients are evaluated, first, with a complete clinical history and examination and, second, by an imaging work-up that is based on initial findings, including the child's age and size, signs and symptoms, and suspected etiology. This article describes 1) the epidemiology of back pain in children, 2) the imaging work-up used, and 3) the correlation of imaging findings with disease entities that may cause back pain in the pediatric patient. The list of diseases giving rise to back pain is not meant to be exhaustive but rather reflective of the most commonly identified pathologies and disorders among young children and adolescents, from athletic injuries to lethal cancers.
Topics: Adolescent; Adult; Back Pain; Child; Diagnostic Imaging; Humans; Spinal Cord Diseases; Spinal Diseases
PubMed: 19926701
DOI: 10.3174/ajnr.A1832 -
American Family Physician Oct 2018
Topics: Humans; Low Back Pain
PubMed: 30252429
DOI: No ID Found -
The Western Journal of Medicine Aug 1985Low back pain is one of the most common and costly afflictions of our Society. The majority of adults will have at least one episode of acute low back pain that will... (Review)
Review
Low back pain is one of the most common and costly afflictions of our Society. The majority of adults will have at least one episode of acute low back pain that will likely resolve regardless of treatment. Lumbar spine radiographs are overused and there is little scientific support for many of the therapeutic interventions advocated. Even for those patients with symptomatic herniated disc, only a small fraction will ultimately require surgical intervention.
Topics: Arthritis; Back Pain; Humans; Intervertebral Disc Displacement; Myofascial Pain Syndromes; Spinal Stenosis; Spondylitis, Ankylosing
PubMed: 2930949
DOI: No ID Found -
The Neuroradiology Journal Oct 2017Back pain and scoliosis in children most commonly present as benign and self-limited entities. However, persistent back pain and/or progressive scoliosis should always... (Review)
Review
Back pain and scoliosis in children most commonly present as benign and self-limited entities. However, persistent back pain and/or progressive scoliosis should always be taken seriously in children. Dedicated diagnostic work-up should exclude etiologies that may result in significant morbidity. Clinical evaluation and management require a comprehensive history and physical and neurological examination. A correct imaging approach is important to define a clear diagnosis and should be reserved for children with persistent symptoms or concerning clinical and laboratory findings. This article reviews the role of different imaging techniques in the diagnostic approach to back pain and scoliosis, and offers a comprehensive review of the main imaging findings associated with common and uncommon causes of back pain and scoliosis in the pediatric population.
Topics: Back Pain; Child; Diagnosis, Differential; Humans; Neuroimaging; Scoliosis
PubMed: 28786774
DOI: 10.1177/1971400917697503 -
Journal of the Royal Society of Medicine May 1983
Topics: Back Pain; Humans; Posture; Research; Stress, Mechanical
PubMed: 6223141
DOI: 10.1177/014107688307600503