Latest & greatest articles for low back pain

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Top results for low back pain

101. Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis (Full text)

Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis Mobilization and manipulation therapies are widely used to benefit patients with chronic low back pain. However, questions remain about their efficacy, dosing, safety, and how these approaches compare with other therapies.The present study aims to determine the efficacy, effectiveness, and safety of various mobilization and manipulation therapies for treatment of chronic low back pain.This (...) heterogeneous to allow for pooling as were studies examining relationships between dose and outcomes. Few studies assessed health-related quality of life. Twenty-six of 51 trials were multimodal studies and narratively described.There is moderate-quality evidence that manipulation and mobilization are likely to reduce pain and improve function for patients with chronic low back pain; manipulation appears to produce a larger effect than mobilization. Both therapies appear safe. Multimodal programs may

2018 EvidenceUpdates PubMed

102. The clinical utility of lumbar discography for assessing low back pain: impact on patient management and health outcomes

The clinical utility of lumbar discography for assessing low back pain: impact on patient management and health outcomes The clinical utility of lumbar discography for assessing low back pain: impact on patient management and health outcomes The clinical utility of lumbar discography for assessing low back pain: impact on patient management and health outcomes HAYES, Inc Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA (...) . No evaluation of the quality of this assessment has been made for the HTA database. Citation HAYES, Inc. The clinical utility of lumbar discography for assessing low back pain: impact on patient management and health outcomes. Lansdale: HAYES, Inc. Directory Publication. 2017 Authors' conclusions Rationale: Discography evaluates the suspected culprit discs with abnormal morphology and, as a control, normal discs. In theory, the combination of imaging that demonstrates disc degeneration or internal disc

2018 Health Technology Assessment (HTA) Database.

103. Facet-joint injections for non-specific low back pain: a feasibility RCT

Facet-joint injections for non-specific low back pain: a feasibility RCT Facet-joint injections for non-specific low back pain: a feasibility RCT Facet-joint injections for non-specific low back pain: a feasibility RCT Snidvongs S, Taylor R S, Ahmad A, Thomson S, Sharma M, Farr A, Fitzsimmons D, Poulton S, Mehta V & Langford R Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been (...) made for the HTA database. Citation Snidvongs S, Taylor R S, Ahmad A, Thomson S, Sharma M, Farr A, Fitzsimmons D, Poulton S, Mehta V & Langford R. Facet-joint injections for non-specific low back pain: a feasibility RCT. Health Technology Assessment 2017; 21(74) Authors' objectives To assess the feasibility of carrying out a definitive study to evaluate the clinical effectiveness and cost-effectiveness of lumbar facet-joint injections compared with a sham procedure in patients with non-specific low

2018 Health Technology Assessment (HTA) Database.

104. Movement System Impairment-Based Classification Treatment Versus General Exercises for Chronic Low Back Pain: Randomized Controlled Trial

Movement System Impairment-Based Classification Treatment Versus General Exercises for Chronic Low Back Pain: Randomized Controlled Trial Treatment for chronic low back pain (LBP) includes different forms of exercises, that to date have resulted in only small to moderate treatment effects. To enhance the treatment effects, different classification systems have been developed to classify people with LBP into more homogeneous subgroups leading to specific treatments for each subgroup.The purpose (...) treatment of either treatment based on the MSI-based classification system or symptom-guided stretching and strengthening exercises.Measures of pain intensity, disability, and global impression of recovery were obtained by a blinded assessor at baseline and at follow-up appointments at 2, 4, and 6 months after randomization.There were no significant between-group differences for the primary outcomes of pain intensity at 2 months (mean difference = 0.05, 95% CI = -0.90 to 0.80) and disability at 2 months

2018 EvidenceUpdates

105. A Randomized, Double-Blind, Placebo-Controlled Trial of Naproxen With or Without Orphenadrine or Methocarbamol for Acute Low Back Pain

A Randomized, Double-Blind, Placebo-Controlled Trial of Naproxen With or Without Orphenadrine or Methocarbamol for Acute Low Back Pain In US emergency departments (EDs), patients with low back pain are often treated with nonsteroidal anti-inflammatory drugs and muscle relaxants. We compare functional outcomes among patients randomized to a 1-week course of naproxen+placebo versus naproxen+orphenadrine or naproxen+methocarbamol.This was a randomized, double-blind, comparative effectiveness trial (...) conducted in 2 urban EDs. Patients presenting with acute, nontraumatic, nonradicular low back pain were enrolled. The primary outcome was improvement on the Roland-Morris Disability Questionnaire (RMDQ) between ED discharge and 1 week later. All patients were given 14 tablets of naproxen 500 mg, to be used twice a day, as needed for low back pain. Additionally, patients were randomized to receive a 1-week supply of orphenadrine 100 mg, to be used twice a day as needed, methocarbamol 750 mg, to be used

2018 EvidenceUpdates

106. Home-based exercise therapy for treating non-specific chronic low back pain. (Full text)

Home-based exercise therapy for treating non-specific chronic low back pain. To evaluate pain, functional capacity, and quality of life of patients with non-specific chronic low back pain, after home-based exercise therapy with different kinds of supervision.Thirty individuals of both gender, between 18 and 65 years old, performed the proposed exercises three times a week, for eight weeks. Group A (N = 17) performed the exercises after a single supervised session. Group B (N = 13 (...) significant improvement after 8 weeks (p <0.05). There was no difference when comparing groups A and B (p >0,05).Home-based exercise therapy, when performed in a period of eight weeks, using the booklet, was effective for improving level of pain, functional capacity, and quality of life in patients with non-specific chronic low back pain. The weekly supervision did not significantly influence the final outcome between the groups.

2018 Revista da Associacao Medica Brasileira (1992) PubMed

107. Lumbar stabilisation exercises versus back endurance-resistance exercise training in athletes with chronic low back pain: protocol of a randomised controlled trial. (Full text)

Lumbar stabilisation exercises versus back endurance-resistance exercise training in athletes with chronic low back pain: protocol of a randomised controlled trial. Chronic low back pain (CLBP) is an important disorder in athletes that may negatively affect their performance in competitions. The literature usually recommends physiotherapy based on exercises for back pain management in athletes. Recent evidence suggests that interventions based on lumbar muscle stabilisation exercises (LMSE (...) ) and back endurance-resistance exercises (BERE) may improve back pain and function performance. However, it is still unclear which type of exercise is more effective for the treatment of CLBP in athletes.To compare the efficacy of LMSE versus BERE in athletes with CLBP.The study is a 2-arm, prospectively registered, randomised controlled trial.The physical therapy clinical and biomechanics laboratory of the UNOPAR University.32 male athletes with CLBP, age between 18 and 40 years old, recruited from

2018 BMJ open sport & exercise medicine PubMed

108. Discogenic low back pain

Discogenic low back pain Discogenic low back pain - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Discogenic low back pain Last reviewed: February 2019 Last updated: January 2019 Summary Magnetic resonance imaging is the imaging study of choice for degenerative disc disease due to its unique detail on the representation of the disc status. Other tests may include plain radiographs, computed tomography scanning (...) , or provocative discography. Non-surgical treatments include lifestyle measures, followed by the judicious use of medications, physiotherapy, and therapeutic needling procedures. Surgical treatment includes decompression of neural structures and, in selected patients, a fusion of the motion segment. Definition A complex, multi-factorial, clinical condition characterised by low back pain with or without the concurrence of radicular lower limb symptoms in the presence of radiologically-confirmed degenerative

2018 BMJ Best Practice

109. In adults with chronic low back pain, are core stability exercises more effective in improving function and decreasing pain compared to a general exercise programme?

In adults with chronic low back pain, are core stability exercises more effective in improving function and decreasing pain compared to a general exercise programme? Getting Evidence into Clinical Practice: Musculoskeletal Research Facilitation Group (CAT Group) Date: 9/1/2018 CAT Lead: Lucy Thomas Date CAT completed: 9/1/2018 Email: lucy.thomas@sath.nhs.uk Date CAT to be reviewed: January 2021 Review CAT Clinical bottom line In adults with chronic low back pain core stability exercises (...) are not superior to other forms of exercise in improving function and decreasing pain. Clinical practice should aim to promote general exercise. Why is this important? Low back pain is a common condition which is treated in outpatient physiotherapy departments. Current evidence suggests that no single exercise is superior to another. Core stability exercises are among the most commonly used interventions in the treatment of back pain but could the use of a more general approach to exercise be just as effective

2018 Public Health England

110. Treatment of Low Back Pain with a Digital Multidisciplinary Pain Treatment App: Short-Term Results (Full text)

Treatment of Low Back Pain with a Digital Multidisciplinary Pain Treatment App: Short-Term Results Even though modern concepts of disease management of unspecific low back pain (LBP) postulate active participation of patients, this strategy is difficult to adapt unless multidisciplinary pain therapy is applied. Recently, mobile health solutions have proven to be effective aides to foster self-management of many diseases.The objective of this paper was to report on the retrospective short-term (...) back pain according to current guidelines.Data of 180 users were available. The mean age of the users was 33.9 years (SD 10.9). Pain levels decreased from baseline NRS 4.8 to 3.75 for all users at the end of the observation period. Users who completed 4, 8, or 12 weeks showed an even more pronounced decrease in pain level NRS (baseline 4.9 [SD 1.7] versus 3.6 [SD 1.5] at 4 weeks; baseline 4.7 [SD 1.8] versus 3.2 [SD [2.0] at 8 weeks; baseline 4.6 [SD 2.2] versus 2.6 [SD 2.0] at 12 weeks

2017 JMIR rehabilitation and assistive technologies PubMed

111. Low back pain and radicular pain: development of a clinical pathway

Low back pain and radicular pain: development of a clinical pathway 2017 www.kce.fgov.be KCE REPORT 295 LOW BACK PAIN AND RADICULAR PAIN: DEVELOPMENT OF A CLINICAL PATHWAY 2017 www.kce.fgov.be KCE REPORT 295 HEALTH SERVICES RESEARCH LOW BACK PAIN AND RADICULAR PAIN: DEVELOPMENT OF A CLINICAL PATHWAY PASCALE JONCKHEER, ANJA DESOMER, BART DEPREITERE, ANNE BERQUIN, MICHAEL BRUNEAU, WENDY CHRISTIAENS, ELLEN COECKELBERGHS, CHRISTOPHE DEMOULIN, PIERRE DUQUENNE, PATRICE FORGET, VIRGINIE FRASELLE, LODE (...) GODDERIS, GUY HANS, DAVY HOSTE, LAURENCE KOHN, PHILIPPE MAIRIAUX, EVERARD MUNTING, HENRI NIELENS, THOMAS ORBAN, THIERRY PARLEVLIET, BENOÎT PIROTTE, KOEN VAN BOXEM, JOHAN VAN LERBEIRGHE, PATRICK VAN SCHAEYBROECK, PETER VAN WAMBEKE, JAN VAN ZUNDERT, JACQUES VANDERSTRAETEN, KRIS VANHAECHT DOMINIQUE VERHULST COLOPHON Title: Low back pain and radicular pain: development of a clinical pathway Authors: Pascale Jonckheer (KCE), Anja Desomer (KCE), Bart Depreitere (UZ Leuven), Anne Berquin (Cliniques

2017 Belgian Health Care Knowledge Centre

112. Cost-effectiveness of Mindfulness-based Stress Reduction Versus Cognitive Behavioral Therapy or Usual Care Among Adults With Chronic Low Back Pain

Cost-effectiveness of Mindfulness-based Stress Reduction Versus Cognitive Behavioral Therapy or Usual Care Among Adults With Chronic Low Back Pain Economic evaluation alongside a randomized trial of cognitive-behavioral therapy (CBT) and mindfulness-based stress reduction (MBSR) versus usual care alone (UC) for chronic low back pain (CLBP).To determine 1-year cost-effectiveness of CBT and MBSR compared to 33 UC.CLBP is expensive in terms of healthcare costs and lost productivity. Mind-body (...) interventions have been found effective for back pain, but their cost-effectiveness is unexplored.A total of 342 adults in an integrated healthcare system with CLBP were randomized to receive MBSR (n = 116), CBT (n = 113), or UC (n = 113). CBT and MBSR were offered in 8-weekly 2-hour group sessions. Cost-effectiveness from the societal perspective was calculated as the incremental sum of healthcare costs and productivity losses over change in quality-adjusted life-years (QALYs). The payer perspective only

2017 EvidenceUpdates

113. List of Low Back Pain Guideline Resources and Tools

List of Low Back Pain Guideline Resources and Tools application/octet-stream

2017 Institute of Health Economics

114. Facet-joint injections for non-specific low back pain: a feasibility RCT

Facet-joint injections for non-specific low back pain: a feasibility RCT Facet-joint injections for non-specific low back pain: a feasibility RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1 (...) )"> {{metadata.Title}} {{metadata.Headline}} This study recruited only 9 of the planned 60 participants, but it met other feasibility objectives, suggesting that a full trial might be feasible, particularly with stronger collaboration with primary care. {{author}} {{($index , , , , , , , , & . Saowarat Snidvongs 1, * , Rod S Taylor 2 , Alia Ahmad 1 , Simon Thomson 3 , Manohar Sharma 4 , Angela Farr 5 , Deborah Fitzsimmons 5 , Stephanie Poulton 6 , Vivek Mehta 1 , Richard Langford 1 1 Pain and Anaesthesia Research

2017 NIHR HTA programme

115. Effectiveness of Thermal Annular Procedures in Treating Discogenic Low Back Pain

Effectiveness of Thermal Annular Procedures in Treating Discogenic Low Back Pain Discogenic low back is a distinct clinic entity characterized by pain arising from a damaged disc. The diagnosis is clouded by the controversy surrounding discography. The treatment options are limited, with unsatisfactory results from both conservative treatment and surgery. Multiple interventional therapies have been developed to treat discogenic pain, but most have not yet been validated by high quality (...) , or strong, that percutaneous biacuplasty is efficacious in the treatment of chronic, refractory discogenic pain. Biacuplasty may be considered as a first-line treatment for chronic, refractory discogenic pain.The evidence is Level III, or moderate, that IDET is efficacious in the treatment of chronic, refractory discogenic pain.The evidence is Level V, or limited, that discTRODE is efficacious in the treatment of chronic, refractory discogenic pain.Key words: Spinal pain, chronic low back pain

2017 EvidenceUpdates

116. Cognitive and Mind-Body Therapies for Chronic Low Back and Neck Pain: Effectiveness and Value

Cognitive and Mind-Body Therapies for Chronic Low Back and Neck Pain: Effectiveness and Value ©Institute for Clinical and Economic Review, 2017 Cognitive and Mind-Body Therapies for Chronic Low Back and Neck Pain: Effectiveness and Value Evidence Report October 4, 2017 Prepared for ©Institute for Clinical and Economic Review, 2017 Page i Chronic Low Back and Neck Pain – Evidence Report AUTHORS: Jeffrey A. Tice, MD Professor of Medicine University of California, San Francisco Varun Kumar, MBBS (...) A. Ollendorf, PhD Chief Scientific Officer, Institute for Clinical and Economic Review Steven D. Pearson, MD, MSc President, Institute for Clinical and Economic Review DATE OF PUBLICATION: October 4, 2017 We would also like to thank Patty Synnott, Geri Cramer, Foluso Agboola, Molly Morgan, and Aqsa Mugal for their contributions to this report.©Institute for Clinical and Economic Review, 2017 Page ii Chronic Low Back and Neck Pain – Evidence Report About ICER The Institute for Clinical and Economic Review

2017 California Technology Assessment Forum

117. Total disc replacement versus multidisciplinary rehabilitation in patients with chronic low back pain and degenerative discs: 8-year follow-up of a randomized controlled multicenter trial

Total disc replacement versus multidisciplinary rehabilitation in patients with chronic low back pain and degenerative discs: 8-year follow-up of a randomized controlled multicenter trial Lumbar total disc replacement (TDR) is a treatment option for selected patients with chronic low back pain (LBP) that is non-responsive to conservative treatment. The long-term results of disc replacement compared with multidisciplinary rehabilitation (MDR) have not been reported previously.We aimed to assess (...) analogue scale [VAS]), quality of life (EuroQol [EQ-5D]), emotional distress (Hopkins Symptom Checklist [HSCL-25]), occupational status, patient satisfaction, drug use, complications, and additional back surgery.Patients were randomly assigned to lumbar TDR or MDR. Self-reported outcome measures were collected 8 years after treatment. The study was powered to detect a difference of 10 ODI points between the groups. The study has not been funded by the industry.A total of 605 patients were screened

2017 EvidenceUpdates

118. Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Trial (Full text)

Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Trial To investigate the efficacy of shoe orthotics with and without chiropractic treatment for chronic low back pain compared with no treatment.Randomized controlled trial.Integrative medicine teaching clinic at a university.Adult subjects (N=225) with symptomatic low back pain of ≥3 months were recruited from a volunteer sample.Subjects were randomized into 1 of 3 treatment groups (shoe orthotic, plus (...) , and waitlist groups). The shoe orthotic group received custom-made shoe orthotics. The plus group received custom-made orthotics plus chiropractic manipulation, hot or cold packs, and manual soft tissue massage. The waitlist group received no care.The primary outcome measures were change in perceived back pain (numerical pain rating scale) and functional health status (Oswestry Disability Index) after 6 weeks of study participation. Outcomes were also assessed after 12 weeks and then after an additional 3

2017 EvidenceUpdates PubMed

119. Radiofrequency ablation for sacroiliac joint denervation for chronic low back pain

Radiofrequency ablation for sacroiliac joint denervation for chronic low back pain Radiofrequency ablation for sacroiliac joint denervation for chronic low back pain Radiofrequency ablation for sacroiliac joint denervation for chronic low back pain HAYES, Inc Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation HAYES, Inc. Radiofrequency ablation for sacroiliac joint (...) denervation for chronic low back pain. Lansdale: HAYES, Inc. Directory Publication. 2017 Authors' conclusions Radiofrequency ablation (RFA) is a percutaneous treatment for chronic low back pain (LBP), including pain originating in the sacroiliac joint (SIJ), using radiowave-induced heat to create a lesion in a spinal sensory nerve. Following a diagnostic blockade to target the affected nerve(s), radiofrequency (RF) current is applied for several minutes via a needle electrode to denervate the targeted

2017 Health Technology Assessment (HTA) Database.

120. Biopsychosocial factors associated with chronic low back pain disability in rural Nigeria: a population-based cross-sectional study (Full text)

Biopsychosocial factors associated with chronic low back pain disability in rural Nigeria: a population-based cross-sectional study Many people in Nigeria are living with disability due to chronic low back pain (CLBP), with the greatest burden accounted for by people living in rural Nigeria. However, factors associated with disability in rural Nigeria have not yet been established. We investigated the biomechanical and psychosocial predictors of CLBP disability in a rural Nigerian population.A (...) cross-sectional study of adults with non-specific CLBP recruited from rural communities in Enugu State, South-eastern Nigeria. Measures of self-reported and performance-based disability, pain intensity, anxiety and depression, coping strategies, social support, occupational biomechanical factors, illness perceptions and fear avoidance beliefs were collected by trained community health workers. We used univariate and multivariate analyses.200 individuals were recruited. Psychosocial factors were

2017 BMJ global health PubMed