Latest & greatest articles for low back pain

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Top results for low back pain

281. Results of surgery for discogenic low back pain: a randomized study using discography versus discoblock for diagnosis (Abstract)

Results of surgery for discogenic low back pain: a randomized study using discography versus discoblock for diagnosis Randomized, controlled study.To evaluate the diagnosis of discogenic low back pain (LBP) with discography and discoblock.Discogenic LBP is usually diagnosed by magnetic resonance imaging and discography. However, the reliability of discography is controversial. Previously, we reported the usefulness of discoblock with bupivacaine for diagnosis, and discoblock improved (...) . Anterior discectomy and interbody fusion were performed in patients who responded to the diagnostic procedures. The visual analogue scale score (0, no pain; 100, worst pain), Japanese Orthopedic Association Score (0, worst pain; 3, no pain), Oswestry Disability Index, and patient satisfaction before and 3 years after surgery were recorded and compared between groups.Twelve patients did not show pain provocation by discography or pain relief by discoblock and were excluded. Fifteen patients who showed

2009 EvidenceUpdates Controlled trial quality: uncertain

282. A randomized trial comparing acupuncture, simulated acupuncture, and usual care for chronic low back pain Full Text available with Trip Pro

A randomized trial comparing acupuncture, simulated acupuncture, and usual care for chronic low back pain Acupuncture is a popular complementary and alternative treatment for chronic back pain. Recent European trials suggest similar short-term benefits from real and sham acupuncture needling. This trial addresses the importance of needle placement and skin penetration in eliciting acupuncture effects for patients with chronic low back pain.A total of 638 adults with chronic mechanical low back (...) groups were more likely than those receiving usual care to experience clinically meaningful improvements in dysfunction (59% to 65% vs 50%, respectively; P = .02) but not in symptoms (P > .05).Although acupuncture was found effective for chronic low back pain, tailoring needling sites to each patient and penetration of the skin appear to be unimportant in eliciting therapeutic benefits. These findings raise questions about acupuncture's purported mechanisms of action. It remains unclear whether

2009 EvidenceUpdates Controlled trial quality: uncertain

283. Preventing progression to chronicity in first onset, subacute low back pain: an exploratory study (Abstract)

Preventing progression to chronicity in first onset, subacute low back pain: an exploratory study To evaluate the effects of a behavioral medicine intervention, relative to an attention control, in preventing chronic pain and disability in patients with first-onset, subacute low back pain (LBP) with limitations in work-role function.A 2-group, experimental design with randomization to behavioral medicine or attention control groups.Orthopedic clinic at a Naval Medical Center.Sixty-seven (...) participants with first-onset LBP of 6 to 10 weeks of duration and impairment in work function, of whom 50 completed all 4 therapy sessions and follow-up 6 months after pain onset.Four 1-hour individual treatment sessions of either behavioral medicine, focused on back function and pain education, self-management training, graded activity increases, fear reduction, and pain belief change; or attention control condition, focused on empathy, support, and reassurance.The primary outcome was proportion

2009 EvidenceUpdates Controlled trial quality: uncertain

284. Comparison of isokinetic exercise versus standard exercise training in patients with chronic low back pain: a randomized controlled study (Abstract)

Comparison of isokinetic exercise versus standard exercise training in patients with chronic low back pain: a randomized controlled study To compare the effectiveness of an isokinetic exercise programme and a standard exercise programme in patients with chronic low back pain in terms of pain, mobility, disability, psychological status and muscle strength.A randomized controlled trial.An outpatient rehabilitation clinic.A total of 40 patients with low back pain were included (...) in the study.Patients with low back pain were randomly allocated into group 1 (n=20, isokinetic exercises) and group 2 (n=20, standard exercise).Outcome measures included a visual analogue scale (VAS) for pain, fingertip-to-floor test for spinal mobility, Modified Oswestry Low Back Disability Questionnaire (MOLBDQ), Beck Depression Inventory and isokinetic muscle testing.The isokinetic and standard exercise groups demonstrated significant improvement in the VAS, fingertip-to-floor test, MOLBDQ, Beck Depression

2009 EvidenceUpdates Controlled trial quality: uncertain

285. Injection therapy for subacute and chronic low back pain: an updated Cochrane review Full Text available with Trip Pro

Injection therapy for subacute and chronic low back pain: an updated Cochrane review A systematic review of randomized controlled trials (RCTs).To determine if injection therapy is more effective than placebo or other treatments for patients with subacute or chronic low back pain.The effectiveness of injection therapy for low back pain is still debatable. Heterogeneity of target tissue, pharmacological agent, and dosage, generally found in RCTs, point to the need for clinically valid (...) comparisons in a literature synthesis.We updated the search of the earlier systematic review and searched the Cochrane Central Register of Controlled Trials, MEDLINE, and EMBASE databases up to March 2007 for relevant trials reported in English, French, German, Dutch, and Nordic languages. We also screened references from trials identified. RCTs on the effects of injection therapy involving epidural, facet, or local sites for subacute or chronic low back pain were included. Studies that compared

2009 EvidenceUpdates

286. Interventional Therapies, Surgery, and Interdisciplinary Rehabilitation for Low Back Pain

Interventional Therapies, Surgery, and Interdisciplinary Rehabilitation for Low Back Pain Interventional Therapies, Surgery, and Interdisciplinary Reh... : Spine You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login No user account? Lippincott Journals Subscribers , use your username or email along with your password to log in. Remember me on this computer Register for a free account Registered users can save articles (...) your request. Please try after some time. Export to End Note Procite Reference Manager Save my selection doi: 10.1097/BRS.0b013e3181a1390d Literature Review Buy Study Design. Clinical practice guideline . Objective. To develop evidence-based recommendations on use of interventional diagnostic tests and therapies, surgeries, and interdisciplinary rehabilitation for low back pain of any duration, with or without leg pain. Summary of Background Data. Management of patients with persistent

2009 Publication 1228

287. Low back pain in adults: early management

Low back pain in adults: early management Low back pain in adults: early management | Guidance | NICE Low back pain in adults: early management Clinical guideline [CG88] Published date: May 2009 Guidance This guidance has been updated and replaced by . Explore © NICE [year]. All rights reserved. Subject to .

2009 National Institute for Health and Clinical Excellence - Clinical Guidelines

288. Percutaneous intradiscal electrothermal therapy for low back pain (IPG319)

Percutaneous intradiscal electrothermal therapy for low back pain (IPG319) Percutaneous intradiscal electrothermal therapy for low back pain | Guidance | NICE Percutaneous intradiscal electrothermal therapy for low back pain Interventional procedures guidance [IPG319] Published date: November 2009 Guidance This guidance has been updated and replaced by . Explore © NICE [year]. All rights reserved. Subject to .

2009 National Institute for Health and Clinical Excellence - Interventional Procedures

289. Influence of lumbar epidural injection volume on pain relief for radicular leg pain and/or low back pain

Influence of lumbar epidural injection volume on pain relief for radicular leg pain and/or low back pain Influence of lumbar epidural injection volume on pain relief for radicular leg pain and/or low back pain Influence of lumbar epidural injection volume on pain relief for radicular leg pain and/or low back pain Rabinovitch DL, Peliowski A, Furlan AD CRD summary The authors concluded that preliminary results suggested a positive correlation between larger volumes of fluid injected (...) in the epidural space and greater relief of radicular leg pain and/or low back pain. The conclusions reflected the results of the review, but need to be viewed with caution given potential for publication bias and substantial heterogeneity across included studies. Authors' objectives To assess the effect of epidural injection volume on relief of radicular leg and low back pain. Searching MEDLINE (1966 to January 2009), EMBASE (1980 to January 2009) and The Cochrane Library were searched. The searches were

2009 DARE.

290. Systematic review of caudal epidural injections in the management of chronic low back pain

Systematic review of caudal epidural injections in the management of chronic low back pain Systematic review of caudal epidural injections in the management of chronic low back pain Systematic review of caudal epidural injections in the management of chronic low back pain Conn A, Buenaventura RM, Datta S, Abdi S, Diwan S CRD summary This review concluded that caudal epidural injections were effective for managing chronic low back or lower extremity pain and there may not be any significant (...) difference with the addition of steroids. Due to some limitations in the reporting of the review methods and study results, the conclusions of this review need to be considered cautiously. Authors' objectives To evaluate the clinical effectiveness and related complications of caudal epidural steroid injections, with or without steroids, used to treat low back or lower extremity pain. Searching PubMed and EMBASE were searched from 1966 to November 2008, as well as the Cochrane Library and Clinical Trial

2009 DARE.

291. Lumbar interlaminar epidural injections in managing chronic low back and lower extremity pain: a systematic review

Lumbar interlaminar epidural injections in managing chronic low back and lower extremity pain: a systematic review Lumbar interlaminar epidural injections in managing chronic low back and lower extremity pain: a systematic review Lumbar interlaminar epidural injections in managing chronic low back and lower extremity pain: a systematic review Parr AT, Diwan S, Abdi S CRD summary This review concluded that there was limited evidence for blind interlaminar epidurals in pain management from (...) chronic low back pain except for short-term pain relief from disc herniation and radiculitis. Although cautious, these conclusions may be doubtful due to limitations in the literature search and presentation of study results. Authors' objectives To evaluate the effects of lumbar interlaminar epidural injections for managing chronic low back and lower extremity pain. Searching PubMed and EMBASE were searched from 1966 to November 2008. Other databases and reference lists of existing reviews were

2009 DARE.

292. Systematic review of the effectiveness of thermal annular procedures in treating discogenic low back pain

Systematic review of the effectiveness of thermal annular procedures in treating discogenic low back pain Systematic review of the effectiveness of thermal annular procedures in treating discogenic low back pain Systematic review of the effectiveness of thermal annular procedures in treating discogenic low back pain Helm S, Hayek SM, Benyamin R, Manchikanti L CRD summary This narrative review focused on thermal annular procedures in low back pain. Based mainly in observational studies (...) , it showed that this intervention may have been of benefit in carefully selected patients. However, the risk of bias of the conclusions is important. Authors' objectives To determine the effectiveness of thermal annular procedures in reducing low back pain in patients with intradiscal disorders. Searching PubMed, EMBASE, The Cochrane Library and DARE were searched from 1966 to November 2008. The search was restricted to articles in English or with English abstracts. Search terms were reported. References

2009 DARE.

293. Imaging strategies for low-back pain: systematic review and meta-analysis

Imaging strategies for low-back pain: systematic review and meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2009 DARE.

294. Multidisciplinary interventions: review of studies of return to work after rehabilitation for low back pain

Multidisciplinary interventions: review of studies of return to work after rehabilitation for low back pain Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2009 DARE.

295. Imaging of low back pain: comparative role of high intensity zone in diagnosing the discogenic low back pain with evidence-based radiology

Imaging of low back pain: comparative role of high intensity zone in diagnosing the discogenic low back pain with evidence-based radiology Imaging of low back pain: comparative role of high intensity zone in diagnosing the discogenic low back pain with evidence-based radiology Imaging of low back pain: comparative role of high intensity zone in diagnosing the discogenic low back pain with evidence-based radiology Chen ZY, Ma L, Li T CRD summary This review concluded that presence of high (...) intensity zones on magnetic imaging scans in patients with low back pain suggested a need for further discography and a negative scan could be used to exclude discogenic low back pain. These conclusions were based on a single study without justification and the authors' conclusions are unlikely to be reliable. Authors' objectives To evaluate the comparative roles of high intensity zones on T2 weighted magnetic resonance imaging (MRI) images in diagnosing discogenic low back pain. Searching PubMed

2009 DARE.

296. Review: evidence for the effectiveness of surgery for low back pain, radiculopathy, and spinal stenosis is limited

Review: evidence for the effectiveness of surgery for low back pain, radiculopathy, and spinal stenosis is limited Review: evidence for the effectiveness of surgery for low back pain, radiculopathy, and spinal stenosis is limited | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username (...) and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: evidence for the effectiveness of surgery for low back pain, radiculopathy, and spinal stenosis is limited Article Text Therapeutics Review: evidence

2009 Evidence-Based Medicine

297. Review: evidence for the effectiveness of non-surgical interventions for low back pain and radiculopathy is limited Full Text available with Trip Pro

Review: evidence for the effectiveness of non-surgical interventions for low back pain and radiculopathy is limited Review: evidence for the effectiveness of non-surgical interventions for low back pain and radiculopathy is limited | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username (...) and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: evidence for the effectiveness of non-surgical interventions for low back pain and radiculopathy is limited Article Text Therapeutics Review: evidence

2009 Evidence-Based Medicine

298. Simulated acupuncture and real acupuncture both reduced low back pain dysfunction and symptoms

Simulated acupuncture and real acupuncture both reduced low back pain dysfunction and symptoms Simulated acupuncture and real acupuncture both reduced low back pain dysfunction and symptoms | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts (...) OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Simulated acupuncture and real acupuncture both reduced low back pain dysfunction and symptoms Article Text Therapeutics Simulated acupuncture and real acupuncture both reduced low back pain

2009 Evidence-Based Medicine

299. A randomized trial of behavioral physical therapy interventions for acute and sub-acute low back pain Full Text available with Trip Pro

A randomized trial of behavioral physical therapy interventions for acute and sub-acute low back pain Psychological factors consistent with fear-avoidance models are associated with the development of chronic low back pain (LBP). As a result, graded activity (GA) and graded exposure (GX) have been suggested as behavioral treatment options. This clinical trial compared the effectiveness of treatment-based classification (TBC) physical therapy alone to TBC augmented with GA or GX for patients (...) with acute and sub-acute LBP. Our primary hypothesis was that GX would be most effective for those with elevated pain-related fear. In total, 108 patients enrolled in this clinical trial and were randomly assigned to receive TBC, GA, or GX. Outcomes were assessed by a blinded evaluator at 4 weeks and by mail at 6 months. The primary outcomes for this trial were disability and pain intensity, and the secondary outcomes were fear-avoidance beliefs, pain catastrophizing, and physical impairment. There were

2008 EvidenceUpdates Controlled trial quality: uncertain

300. Transcutaneous electrical nerve stimulation (TENS) versus placebo for chronic low-back pain. Full Text available with Trip Pro

Transcutaneous electrical nerve stimulation (TENS) versus placebo for chronic low-back pain. Transcutaneous electrical nerve stimulation (TENS) was introduced more than 30 years ago as a therapeutic adjunct to the pharmacological management of pain. However, despite widespread use, its effectiveness in chronic low-back pain (LBP) is still controversial.To determine whether TENS is more effective than placebo for the management of chronic LBP.The Cochrane Central Register of Controlled Trials (...) Group.Four high-quality RCTs (585 patients) met the selection criteria. Clinical heterogeneity prevented the use of meta-analysis. Therefore, a qualitative synthesis was completed. There was conflicting evidence about whether TENS was beneficial in reducing back pain intensity and consistent evidence in two trials (410 patients) that it did not improve back-specific functional status. There was moderate evidence that work status and the use of medical services did not change with treatment. Conflicting

2008 Cochrane