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CMAJ : Canadian Medical Association... Feb 1989Low back pain is one of the commonest disorders, yet is the most confusing. The cost in work-time lost and in the search for and treatment of its many causes amounts to... (Review)
Review
Low back pain is one of the commonest disorders, yet is the most confusing. The cost in work-time lost and in the search for and treatment of its many causes amounts to billions of dollars annually. The traditional techniques for anatomic visualization have been plain-film radiography and myelography, but they have limitations. The development of computed tomography and magnetic resonance imaging have substantially improved anatomic imaging. However, invasive procedures, such as discography, percutaneous nerve-root blocking and percutaneous facet injection, may be helpful in patients with disabling pain in whom noninvasive methods give negative findings, show abnormalities that do not correlate with the symptoms or identify multiple sites of disease. The invasive procedures are believed by some to be associated with too many complications. We have attempted to clarify the strengths and weaknesses of the currently available methods of investigating low back pain and the indications for their use.
Topics: Adult; Back Pain; Humans; Intervertebral Disc; Magnetic Resonance Imaging; Middle Aged; Myelography; Nerve Block; Radionuclide Imaging; Tomography, X-Ray Computed
PubMed: 2521569
DOI: No ID Found -
Clinical Medicine (London, England) 2001
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BMJ (Clinical Research Ed.) May 2004
Review
Topics: Adult; Humans; Low Back Pain; Magnetic Resonance Imaging; Middle Aged; Physical Examination
PubMed: 15130982
DOI: 10.1136/bmj.328.7448.1119 -
Annals of Medicine Dec 2022Clinical practice guidelines emphasize the importance of the prevention and treatment of non-specific back pain through exercise therapy and health education. However,... (Meta-Analysis)
Meta-Analysis
Is the combination of exercise therapy and health education more effective than usual medical care in the prevention of non-specific back pain? A systematic review with meta-analysis.
BACKGROUND
Clinical practice guidelines emphasize the importance of the prevention and treatment of non-specific back pain through exercise therapy and health education. However, it has not yet been confirmed that the combination of exercise plus education is more effective than usual medical care.
OBJECTIVE
The aim of this study was to determine if the combination of exercise plus education is more effective for the prevention of non-specific back pain than usual medical care.
MATERIALS AND METHODS
A systematic search in PubMed, Scopus, Web of Science and Medline was conducted with the terms Back Pain, Neck Pain, Musculoskeletal Pain, Exercise, Exercise Therapy, Health Education, Cognitive Behavioral Therapy, Primary Prevention, Secondary Prevention and Clinical Trial. The inclusion criteria were: articles published from 2016 to 2021, the intervention included exercise and education, and the sample consisted of non-specific back pain patients.
RESULTS
A total of 4 randomized controlled trials were selected (average PEDro score 6.5 points). The meta-analysis showed statistically significant differences in the pain intensity, standardized mean differences was found to be -0.75 (95% CI = -1.41 to -0.08; = 0.03); and in disability, standardized mean differences was found to be -0.24 (95% CI = -0.38 to -0.1; = 0.001).
CONCLUSIONS
Interventions combining exercise and education seem to have a greater preventive effect on non-specific back pain than usual medical care.Key messagesExercise therapy and health education combination prevent better non-specific back pain than usual care.Combining exercise with educational interventions has a higher improvement on disability and kinesophobia than usual care.
Topics: Humans; Low Back Pain; Exercise Therapy; Back Pain; Pain Measurement; Health Education
PubMed: 36331870
DOI: 10.1080/07853890.2022.2140453 -
BMJ (Clinical Research Ed.) Nov 2002
Topics: Anesthesia, Epidural; Anesthesia, Obstetrical; Back Pain; Female; Humans; Periodicals as Topic; Pregnancy; Prospective Studies; Retrospective Studies
PubMed: 12411376
DOI: 10.1136/bmj.325.7371.1037/b -
The Physician and Sportsmedicine Feb 2014Back pain in the pediatric population is a common complaint presenting to sports medicine clinics. There is a wide differential that should be considered, including... (Review)
Review
Back pain in the pediatric population is a common complaint presenting to sports medicine clinics. There is a wide differential that should be considered, including mechanical, infectious, neoplastic, inflammatory, and amplified musculoskeletal pain. The history, pain quality, and examination are key components to help distinguish the etiologies of the pain and direct further evaluation. Laboratory investigations, including blood counts and inflammatory markers, can provide insight into the diagnosis. The HLA-B27 antigen can be helpful if a spondyloarthropathy is suspected. Imaging as clinically indicated typically begins with radiographs, and the use of MRI, CT, or bone scan can provide additional information. Proper diagnosis of back pain is important because prognosis and treatments are significantly different. We review the pertinent evaluation, differential diagnoses, and treatment of low back pain in the pediatric population.
Topics: Child; Humans; Low Back Pain; Pediatrics
PubMed: 24565826
DOI: 10.3810/psm.2014.02.2052 -
Zeitschrift Fur Rheumatologie Feb 2023International guidelines recommend involving various professions and disciplines at an early stage in the event of chronic back pain. In connection with this, terms such... (Review)
Review
International guidelines recommend involving various professions and disciplines at an early stage in the event of chronic back pain. In connection with this, terms such as multiprofessional or interprofessional interventions are often mentioned without a uniform idea of what they mean. This article is intended to provide an overview of multiprofessional interventions for patients with chronic back pain and the integration into a meaningful interdisciplinary and interprofessional multimodal treatment concept. This is illustrated in a biopsychosocial pillar model, which should be pursued for each patient individually.
Topics: Humans; Back Pain; Combined Modality Therapy; Chronic Pain
PubMed: 36053333
DOI: 10.1007/s00393-022-01258-6 -
Annals of Physical and Rehabilitation... Mar 2012
Topics: Back Pain; Humans; Interdisciplinary Communication; Scoliosis; Spine
PubMed: 22440361
DOI: 10.1016/j.rehab.2012.03.001 -
Chiropractic & Manual Therapies 2019Back pain is a global problem in terms of disability and financially, with a large burden both to the individual and to society. Back pain was previously believed to be... (Review)
Review
BACKGROUND
Back pain is a global problem in terms of disability and financially, with a large burden both to the individual and to society. Back pain was previously believed to be uncommon in children. However, there is a growing body of evidence that this is not the case.
OBJECTIVE
Part I of this scoping review studied risk factors of incident and episodic back pain. In this part II we aimed to identify all risk factors and triggers with unclear or mixed type back pain in young people and to identify any gaps in the literature.
METHODS
A scoping review design was selected to summarise the evidence, as there are many studies on "risk factors" for back pain. The scoping review followed the PRISMSA-ScR guidelines. We considered all studies that tested potential risk factors and triggers for thoracic and/or lumbar spine pain, in children, adolescents, and young adults (≤ 24 years). PubMed and Cochrane databases were searched from inception to September 2018, to identify relevant English language articles. The results regarding potential risk factors were separated into temporal precursors and bidirectional risk factors and the studies were classified by study design.
RESULTS
Our comprehensive search strategy identified 7356 articles, of which 83 articles were considered eligible for this review (part II). There were 53 cross-sectional studies and 30 cohort studies. Potential risk factors for back pain were: female sex, older age, later pubertal status, positive family history of back pain, increased growth, and a history of back pain, most of which are temporal precursor variables. There was limited research for the illness factors, spinal posture, and muscle endurance in the development of back pain.
CONCLUSION
Many of the included studies approached risk factors in similar ways and found factors that were associated with back pain but were not obvious risk factors as causality was uncertain. Future research should be more rigorous and innovative in the way that risk factors are considered. This could be through statistical approaches including cumulative exposures, or longitudinal approaches including multi-trajectory methods. Additionally, data on proposed risk factors should be collected before the onset of back pain.
Topics: Back Pain; Child Health; Cohort Studies; Cross-Sectional Studies; Humans; Precipitating Factors; Risk Factors; Young Adult
PubMed: 31827768
DOI: 10.1186/s12998-019-0281-8 -
British Medical Journal May 1953
Topics: Back Pain; Humans; Pain; Torso
PubMed: 13042139
DOI: 10.1136/bmj.1.4819.1077