Latest & greatest articles for low back pain

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Top results for low back pain

61. Effectiveness of Thermal Annular Procedures in Treating Discogenic Low Back Pain (Abstract)

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

62. 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

63. 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 Full Text available with Trip Pro

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

64. Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Trial Full Text available with Trip Pro

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

65. 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.

66. Biopsychosocial factors associated with chronic low back pain disability in rural Nigeria: a population-based cross-sectional study Full Text available with Trip Pro

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

67. Effect of Radiofrequency Denervation on Pain Intensity Among Patients With Chronic Low Back Pain: The Mint Randomized Clinical Trials. Full Text available with Trip Pro

Effect of Radiofrequency Denervation on Pain Intensity Among Patients With Chronic Low Back Pain: The Mint Randomized Clinical Trials. Radiofrequency denervation is a commonly used treatment for chronic low back pain, but high-quality evidence for its effectiveness is lacking.To evaluate the effectiveness of radiofrequency denervation added to a standardized exercise program for patients with chronic low back pain.Three pragmatic multicenter, nonblinded randomized clinical trials (...) on the effectiveness of minimal interventional treatments for participants with chronic low back pain (Mint study) were conducted in 16 multidisciplinary pain clinics in the Netherlands. Eligible participants were included between January 1, 2013, and October 24, 2014, and had chronic low back pain, a positive diagnostic block at the facet joints (facet joint trial, 251 participants), sacroiliac joints (sacroiliac joint trial, 228 participants), or a combination of facet joints, sacroiliac joints

2017 JAMA Controlled trial quality: predicted high

68. Cost Utility Analysis of Lumbar Interlaminar Epidural Injections in the Treatment of Lumbar Disc Herniation, Central Spinal Stenosis, and Axial or Discogenic Low Back Pain (Abstract)

Cost Utility Analysis of Lumbar Interlaminar Epidural Injections in the Treatment of Lumbar Disc Herniation, Central Spinal Stenosis, and Axial or Discogenic Low Back Pain Cost utility or cost effective analysis continues to take center stage in the United States for defining and measuring the value of treatments in interventional pain management. Appropriate cost utility analysis has been performed for caudal epidural injections, percutaneous adhesiolysis, and spinal cord stimulation. However (...) , the literature pertaining to lumbar interlaminar epidural injections is lacking, specifically in reference to cost utility analysis derived from randomized controlled trials (RCTs) with a pragmatic approach in a practical setting.To assess the cost utility of lumbar interlaminar epidural injections in managing chronic low back and/or lower extremity pain secondary to lumbar disc herniation, spinal stenosis, and axial or discogenic low back pain.Analysis based on 3 previously published randomized trials

2017 EvidenceUpdates

69. Yoga, Physical Therapy, or Education for Chronic Low Back Pain: A Randomized Noninferiority Trial. Full Text available with Trip Pro

Yoga, Physical Therapy, or Education for Chronic Low Back Pain: A Randomized Noninferiority Trial. Yoga is effective for mild to moderate chronic low back pain (cLBP), but its comparative effectiveness with physical therapy (PT) is unknown. Moreover, little is known about yoga's effectiveness in underserved patients with more severe functional disability and pain.To determine whether yoga is noninferior to PT for cLBP.12-week, single-blind, 3-group randomized noninferiority trial and subsequent (...) 40-week maintenance phase. (ClinicalTrials.gov: NCT01343927).Academic safety-net hospital and 7 affiliated community health centers.320 predominantly low-income, racially diverse adults with nonspecific cLBP.Participants received 12 weekly yoga classes, 15 PT visits, or an educational book and newsletters. The maintenance phase compared yoga drop-in classes versus home practice and PT booster sessions versus home practice.Primary outcomes were back-related function, measured by the Roland Morris

2017 Annals of Internal Medicine Controlled trial quality: predicted high

70. NSAIDs for Chronic Low Back Pain. (Abstract)

NSAIDs for Chronic Low Back Pain. Are nonsteroidal anti-inflammatory drugs (NSAIDs) associated with greater pain relief than placebo, other drugs, and nondrug treatments for patients with chronic low back pain?Compared with placebo, NSAIDs are associated with a small but significant improvement in pain and disability in patients with chronic low back pain, although this difference became nonsignificant when studies with high risk for bias were excluded. The associated benefits were smaller than

2017 JAMA Controlled trial quality: uncertain

71. Low back pain and radicular pain: evaluation and management

Low back pain and radicular pain: evaluation and management 2017 www.kce.fgov.be KCE REPORT 287 LOW BACK PAIN AND RADICULAR PAIN: ASSESSMENT AND MANAGEMENT BVOT 2017 www.kce.fgov.be KCE REPORT 287 GOOD CLINICAL PRACTICE LOW BACK PAIN AND RADICULAR PAIN: ASSESSMENT AND MANAGEMENT PETER VAN WAMBEKE, ANJA DESOMER, LUC AILLIET, ANNE BERQUIN, CHRISTOPHE DEMOULIN, BART DEPREITERE, JOHAN DEWACHTER, MIEKE DOLPHENS, PATRICE FORGET, VIRGINIE FRASELLE, GUY HANS, DAVY HOSTE, GENEVIÈVE MAHIEU, JEF (...) MICHIELSEN, HENRI NIELENS, THOMAS ORBAN, THIERRY PARLEVLIET, EMMANUEL SIMONS, YANNICK TOBBACKX, JAN VAN ZUNDERT, JACQUES VANDERSTRAETEN, PATRICK VANSCHAEYBROECK, JOHAN VLAEYEN, PASCALE JONCKHEER COLOPHON Title: Low back pain and radicular pain: assessment and management Authors: Peter Van Wambeke (UZ Leuven, GDG president), Anja Desomer (KCE), Luc Ailliet (Belgische Vereniging van Chiropractors), Anne Berquin (Cliniques universitaires Saint-Luc), Christophe Demoulin (Université de Liège, CHU de Liège

2017 Belgian Health Care Knowledge Centre

72. 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.

73. Percutaneous electrical nerve stimulation for treatment of low back pain

Percutaneous electrical nerve stimulation for treatment of low back pain Percutaneous electrical nerve stimulation for treatment of low back pain Percutaneous electrical nerve stimulation for treatment of 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. Percutaneous electrical nerve stimulation for treatment of low back pain (...) . Lansdale: HAYES, Inc. Healthcare Technology Brief Publication. 2017 Authors' conclusions Mechanical low back pain (LBP) is common, affecting most individuals at some time. LBP is a leading reason for physician visits and work-related disability in the United States, with a lifetime prevalence of 60% to 80%. For an estimated 5% to 10% of patients, LBP becomes chronic (> 3 months in duration) with loss in work productivity and marked impact on healthcare utilization and costs. Description of Technology

2017 Health Technology Assessment (HTA) Database.

74. Low back pain in older adults: risk factors, management options and future directions Full Text available with Trip Pro

Low back pain in older adults: risk factors, management options and future directions Low back pain (LBP) is one of the major disabling health conditions among older adults aged 60 years or older. While most causes of LBP among older adults are non-specific and self-limiting, seniors are prone to develop certain LBP pathologies and/or chronic LBP given their age-related physical and psychosocial changes. Unfortunately, no review has previously summarized/discussed various factors that may (...) adults, older adults are more likely to develop certain LBP pathologies (e.g., osteoporotic vertebral fractures, tumors, spinal infection, and lumbar spinal stenosis). Importantly, various age-related physical, psychological, and mental changes (e.g., spinal degeneration, comorbidities, physical inactivity, age-related changes in central pain processing, and dementia), as well as multiple risk factors (e.g., genetic, gender, and ethnicity), may affect the prognosis and management of LBP in older

2017 Scoliosis and spinal disorders

75. Intradiscal Glucocorticoid Injection for Patients With Chronic Low Back Pain Associated With Active Discopathy: A Randomized Trial. Full Text available with Trip Pro

Intradiscal Glucocorticoid Injection for Patients With Chronic Low Back Pain Associated With Active Discopathy: A Randomized Trial. Active discopathy is associated with a specific phenotype of chronic low back pain (LBP). Local inflammation has a role in active discopathy-associated symptoms.To assess the efficacy of a single glucocorticoid intradiscal injection (GC IDI) in patients with chronic LBP with active discopathy.Prospective, parallel-group, double-blind, randomized, controlled study (...) . (ClinicalTrials.gov: NCT00804531).3 tertiary care centers in France.135 patients with chronic LBP with active discopathy on magnetic resonance imaging (MRI).A single GC IDI (25 mg prednisolone acetate) during discography (n = 67) or discography alone (n = 68).The primary outcome was the percentage of patients with LBP intensity less than 40 on an 11-point numerical rating scale (0 [no pain] to 100 [maximum pain] in 10-point increments) in the previous 48 hours at 1 month after the intervention. The main secondary

2017 Annals of Internal Medicine Controlled trial quality: predicted high

76. Two-Year Follow-up of a Randomized Clinical Trial of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care for Chronic Low Back Pain. (Abstract)

Two-Year Follow-up of a Randomized Clinical Trial of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care for Chronic Low Back Pain. 28196244 2017 03 17 2018 12 02 1538-3598 317 6 2017 02 14 JAMA JAMA Two-Year Follow-up of a Randomized Clinical Trial of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care for Chronic Low Back Pain. 642-644 10.1001/jama.2016.17814 Cherkin Daniel C DC Group Health Research Institute, Seattle, Washington (...) United States Letter Randomized Controlled Trial United States JAMA 7501160 0098-7484 AIM IM Adult Aged Chronic Pain therapy Cognitive Behavioral Therapy Disability Evaluation Follow-Up Studies Humans Low Back Pain therapy Middle Aged Mindfulness methods Mobility Limitation Outcome Assessment (Health Care) Regression Analysis Stress, Psychological therapy Surveys and Questionnaires Time Factors Treatment Outcome Young Adult 2017 2 15 6 0 2017 2 15 6 0 2017 3 18 6 0 ppublish 28196244 2601490 10.1001

2017 JAMA Controlled trial quality: uncertain

77. Lateral interbody fusion in the lumbar spine for low back pain

Lateral interbody fusion in the lumbar spine for low back pain Later Lateral interbody fusion in the lumbar spine for al interbody fusion in the lumbar spine for low back pain low back pain Interventional procedures guidance Published: 22 February 2017 nice.org.uk/guidance/ipg574 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals (...) -and- conditions#notice-of-rights). Page 1 of 91 1 Recommendations Recommendations 1.1 Current evidence on the safety of lateral (including extreme, extra and direct lateral) interbody fusion in the lumbar spine for low back pain shows there are serious but well-recognised complications. Evidence on efficacy is adequate in quality and quantity. Therefore, this procedure may be used provided that standard arrangements are in place for clinical governance, consent and audit. 1.2 This procedure should only

2017 National Institute for Health and Clinical Excellence - Interventional Procedures

78. Content validity and test-retest reliability of a low back pain questionnaire in Zimbabwean adolescents Full Text available with Trip Pro

Content validity and test-retest reliability of a low back pain questionnaire in Zimbabwean adolescents In Zimbabwe, a recent increase in the volume of research on recurrent non-specific low back pain (NSLBP) has revealed that adolescents are commonly affected. This is alarming to health professionals and parents and calls for serious primary preventative strategies to be developed and implemented forthwith. Early identification initiatives should be prioritised in order to curtail (...) completion for the reliability study was satisfactory. The questionnaire items had kappa values ranging from 0.17 (slight agreement) to 1 (perfect agreement). High levels of reliability were found for the questions on school bag use (k=0.94), sports participation (k=0.97), and lifetime prevalence (k=0.89).Excellent content validity and slight to perfect test-retest reliability was found for the Low Back Pain (LBP) questionnaire. These results are comparable to findings of other studies evaluating

2017 Archives of physiotherapy

79. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Full Text available with Trip Pro

Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on noninvasive treatment of low back pain.Using the ACP grading system, the committee based these recommendations on a systematic review of randomized, controlled trials and systematic reviews published through April 2015 (...) on noninvasive pharmacologic and nonpharmacologic treatments for low back pain. Updated searches were performed through November 2016. Clinical outcomes evaluated included reduction or elimination of low back pain, improvement in back-specific and overall function, improvement in health-related quality of life, reduction in work disability and return to work, global improvement, number of back pain episodes or time between episodes, patient satisfaction, and adverse effects.The target audience

2017 Annals of Internal Medicine

80. Sacroiliac joint injections with corticosteroids for treatment of chronic low back pain

Sacroiliac joint injections with corticosteroids for treatment of chronic low back pain Sacroiliac joint injections with corticosteroids for treatment of chronic low back pain Sacroiliac joint injections with corticosteroids for treatment of 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. Sacroiliac joint injections (...) with corticosteroids for treatment of chronic low back pain. Lansdale: HAYES, Inc. Healthcare Technology Brief Publication. 2016 Authors' objectives The sacroiliac joint (SIJ) has been implicated as the primary source of pain in 10% to 30% of patients with chronic low back pain. Description of Technology: This health technology assessment focuses on therapeutic injections of corticosteroid and local anesthetic into the SIJ to treat SIJ pain that is refractory to noninvasive therapies. These injections are usually

2017 Health Technology Assessment (HTA) Database.