Latest & greatest articles for low back pain

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Top results for low back pain

121. Effects of intracutaneous injections of sterile water in patients with acute low back pain: a randomized, controlled, clinical trial. Full Text available with Trip Pro

Effects of intracutaneous injections of sterile water in patients with acute low back pain: a randomized, controlled, clinical trial. Intracutaneous sterile water injection (ISWI) is used for relief of low back pain during labor, acute attacks of urolithiasis, chronic neck and shoulder pain following whiplash injuries, and chronic myofascial pain syndrome. We conducted a randomized, double-blinded, placebo-controlled trial to evaluate the effect of ISWI for relief of acute low back pain (aLBP (...) ). A total of 68 patients (41 females and 27 males) between 18 and 55 years old experiencing aLBP with moderate to severe pain (scores ≥5 on an 11-point visual analogue scale [VAS]) were recruited and randomly assigned to receive either ISWIs (n=34) or intracutaneous isotonic saline injections (placebo treatment; n=34). The primary outcome was improvement in pain intensity using the VAS at 10, 45, and 90 min and 1 day after treatment. The secondary outcome was functional improvement, which was assessed

2016 Brazilian journal of medical and biological research = Revista brasileira de pesquisas médicas e biológicas / Sociedade Brasileira de Biofísica ... [et al.] Controlled trial quality: predicted high

122. Percutaneous coblation of the intervertebral disc for low back pain and sciatica

Percutaneous coblation of the intervertebral disc for low back pain and sciatica P Percutaneous coblation of the interv ercutaneous coblation of the intervertebr ertebral disc al disc for low back pain and sciatica for low back pain and sciatica Interventional procedures guidance Published: 27 January 2016 nice.org.uk/guidance/ipg543 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When (...) . Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 1 of 71 1 Recommendations Recommendations 1.1 Current evidence on percutaneous coblation of the intervertebral disc for low back pain and sciatica raises no major safety concerns. The evidence on efficacy is adequate and includes large numbers of patients with appropriate follow-up periods. Therefore, this procedure may be used provided that normal arrangements are in place for clinical governance

2016 National Institute for Health and Clinical Excellence - Interventional Procedures

123. Percutaneous electrothermal treatment of the intervertebral disc annulus for low back pain and sciatica

Percutaneous electrothermal treatment of the intervertebral disc annulus for low back pain and sciatica P Percutaneous electrothermal treatment of the ercutaneous electrothermal treatment of the interv intervertebr ertebral disc annulus for low back pain and al disc annulus for low back pain and sciatica sciatica Interventional procedures guidance Published: 27 January 2016 nice.org.uk/guidance/ipg544 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived (...) . This guidance replaces IPG319. © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 1 of 81 1 Recommendations Recommendations 1.1 Current evidence on percutaneous electrothermal treatment of the intervertebral disc annulus for low back pain and sciatica raises no major safety concerns. The evidence on efficacy is inconsistent and of poor quality. Therefore, this procedure should only be used with special arrangements

2016 National Institute for Health and Clinical Excellence - Interventional Procedures

124. Percutaneous intradiscal radiofrequency treatment of the intervertebral disc nucleus for low back pain

Percutaneous intradiscal radiofrequency treatment of the intervertebral disc nucleus for low back pain P Percutaneous intr ercutaneous intradiscal r adiscal radiofrequency adiofrequency treatment of the interv treatment of the intervertebr ertebral disc nucleus for al disc nucleus for low back pain low back pain Interventional procedures guidance Published: 27 January 2016 nice.org.uk/guidance/ipg545 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived (...) . This guidance replaces IPG83. © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 1 of 71 1 Recommendations Recommendations 1.1 Current evidence on percutaneous intradiscal radiofrequency treatment of the intervertebral disc nucleus for low back pain raises no major safety concerns. The evidence on its efficacy is limited in quantity and quality. Therefore, this procedure should only be used with special arrangements

2016 National Institute for Health and Clinical Excellence - Interventional Procedures

125. Systematic review with meta analysis: Appropriate design, methodological quality assessment, and clinically relevant outcomes are essential to determine the therapeutic role of epidural injections for low back pain and radiculopathy

Systematic review with meta analysis: Appropriate design, methodological quality assessment, and clinically relevant outcomes are essential to determine the therapeutic role of epidural injections for low back pain and radiculopathy Appropriate design, methodological quality assessment, and clinically relevant outcomes are essential to determine the therapeutic role of epidural injections for low back pain and radiculopathy | BMJ Evidence-Based Medicine We use cookies to improve our service (...) name or password? You are here Appropriate design, methodological quality assessment, and clinically relevant outcomes are essential to determine the therapeutic role of epidural injections for low back pain and radiculopathy Article Text Therapeutics/Prevention Systematic review with meta analysis Appropriate design, methodological quality assessment, and clinically relevant outcomes are essential to determine the therapeutic role of epidural injections for low back pain and radiculopathy Mark V

2016 Evidence-Based Medicine

126. Randomised controlled trial: Four sessions of spinal manipulation, simple exercises and education are not better than usual care for patients with acute low back pain

Randomised controlled trial: Four sessions of spinal manipulation, simple exercises and education are not better than usual care for patients with acute low back pain Four sessions of spinal manipulation, simple exercises and education are not better than usual care for patients with acute low back pain | 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 (...) than usual care for patients with acute low back pain Article Text Therapeutics/Prevention Randomised controlled trial Four sessions of spinal manipulation, simple exercises and education are not better than usual care for patients with acute low back pain Leonardo Oliveira Pena Costa Statistics from Altmetric.com Commentary on : Fritz JM , Magel JS , McFadden M , et al . Early physical therapy vs usual care in patients with recent-onset low back pain: a randomized clinical trial . Context Although

2016 Evidence-Based Medicine

127. Evaluation of Efficacy of Bone Scan With SPECT/CT in the Management of Low Back Pain: A Study Supported by Differential Diagnostic Local Anesthetic Blocks (Abstract)

Evaluation of Efficacy of Bone Scan With SPECT/CT in the Management of Low Back Pain: A Study Supported by Differential Diagnostic Local Anesthetic Blocks Conventional radiologic modalities provide details only about the anatomic aspect of the various structures of the spine. Frequently the structures that show abnormal morphology may not be the cause of low back pain (LBP). Functional imaging in the form of bone scan along with single photon emission computerized tomography (SPECT/CT) may (...) be helpful in identifying structures causing pain, whether morphologically normal or not. The objective of this study is to evaluate the role of bone scan with SPECT/CT in management of patients with LBP.This is randomized double-blinded controlled study performed on 80 patients with LBP aged 20 to 80 years, ASA physical status I to III. Patients were randomized into bone scan and control groups consisting of 40 patients each. On the basis of the clinical features and radiologic findings a clinical

2015 EvidenceUpdates Controlled trial quality: uncertain

128. Nitrous Oxide for the Treatment of Chronic Low Back Pain Full Text available with Trip Pro

Nitrous Oxide for the Treatment of Chronic Low Back Pain Neuropathic back pain is mediated, at least partially, by N-methyl-D-aspartate (NMDA) receptors. Nitrous oxide (N2O) is an NMDA receptor antagonist. We therefore tested the primary hypothesis that patients receiving N2O have lower pain scores after epidural steroid injection than patients not receiving N2O.Patients with recurrent low back pain scheduled for epidural steroid blocks were randomly assigned to receive either oxygen (O2, n (...) versus O2; P = 0.12).N2O administration did not improve pain or psychological or physical aspects of health-related quality of life. N2O does not appear to be an effective treatment for chronic neuropathic back pain.

2015 EvidenceUpdates Controlled trial quality: predicted high

129. Differences in personal and lifestyle characteristics among Zimbabwean high school adolescents with and without recurrent non-specific low back pain: a two part cross-sectional study Full Text available with Trip Pro

Differences in personal and lifestyle characteristics among Zimbabwean high school adolescents with and without recurrent non-specific low back pain: a two part cross-sectional study Recurrent non-specific low back pain (NSLBP) is increasingly becoming common among adolescents worldwide. A recent study in Zimbabwe showed a relatively high prevalence (28.8 %) among high school students. Influential associated factors, however, remain unclear. This is a significant shortcoming. The aim

2015 Archives of physiotherapy

130. Self-management of chronic low back pain: Four viewpoints from patients and healthcare providers Full Text available with Trip Pro

Self-management of chronic low back pain: Four viewpoints from patients and healthcare providers A move towards self-management is central to health strategy around chronic low back pain, but its concept and meaning for those involved are poorly understood. In the reported study, four distinct and shared viewpoints on self-management were identified among people with pain and healthcare providers using Q methodology. Each construes self-management in a distinctive manner and articulates

2015 Health psychology open

131. A Randomized Controlled Trial of Core Strengthening Exercises in Helicopter Crewmembers with Low Back Pain. (Abstract)

A Randomized Controlled Trial of Core Strengthening Exercises in Helicopter Crewmembers with Low Back Pain. The purpose of this study was to determine if five core strengthening exercises would decrease pain severity and related disability in U.S. Air Force helicopter aircrew members with low back pain.The study was a randomized control group repeated measures design. The experimental manipulation consisted of a set of five core strengthening exercises performed 4 d/wk for 12 wk. Self-reported (...) pain severity and disability were ascertained at baseline and 12 wk using the Numerical Pain Rating Scale (NPRS) and Modified Oswestry Low Back Pain Disability Index (MODI), respectively. The NPRS was used to ascertain both daily pain (NPRS(daily)) and in-flight pain (NPRS(flight)). Self-reported improvement or deterioration in low back pain was measured using the Global Rating of Change Scale (GRCS).There were 12 subjects enrolled and 5 were randomized to the intervention group. The mean NPRS

2015 Aerospace medicine and human performance Controlled trial quality: uncertain

132. Naproxen With Cyclobenzaprine, Oxycodone/Acetaminophen, or Placebo for Treating Acute Low Back Pain: A Randomized Clinical Trial. Full Text available with Trip Pro

Naproxen With Cyclobenzaprine, Oxycodone/Acetaminophen, or Placebo for Treating Acute Low Back Pain: A Randomized Clinical Trial. Low back pain (LBP) is responsible for more than 2.5 million visits to US emergency departments (EDs) annually. These patients are usually treated with nonsteroidal anti-inflammatory drugs, acetaminophen, opioids, or skeletal muscle relaxants, often in combination.To compare functional outcomes and pain at 1 week and 3 months after an ED visit for acute LBP among (...) ), and for oxycodone/acetaminophen vs cyclobenzaprine, 0.9 (98.3% CI, -2.1 to 3.9; P = .45).Among patients with acute, nontraumatic, nonradicular LBP presenting to the ED, adding cyclobenzaprine or oxycodone/acetaminophen to naproxen alone did not improve functional outcomes or pain at 1-week follow-up. These findings do not support use of these additional medications in this setting.clinicaltrials.gov Identifier: NCT01587274.

2015 JAMA Controlled trial quality: predicted high

133. Early Physical Therapy vs Usual Care in Patients With Recent-Onset Low Back Pain: A Randomized Clinical Trial. Full Text available with Trip Pro

Early Physical Therapy vs Usual Care in Patients With Recent-Onset Low Back Pain: A Randomized Clinical Trial. Low back pain (LBP) is common in primary care. Guidelines recommend delaying referrals for physical therapy.To evaluate whether early physical therapy (manipulation and exercise) is more effective than usual care in improving disability for patients with LBP fitting a decision rule.Randomized clinical trial with 220 participants recruited between March 2011 and November 2013 (...) weeks.Primary outcome was change in the ODI score (range: 0-100; higher scores indicate greater disability; minimum clinically important difference, 6 points) at 3 months. Secondary outcomes included changes in the ODI score at 4-week and 1-year follow-up, and change in pain intensity, Pain Catastrophizing Scale (PCS) score, fear-avoidance beliefs, quality of life, patient-reported success, and health care utilization at 4-week, 3-month, and 1-year follow-up.One-year follow-up was completed by 207

2015 JAMA Controlled trial quality: predicted high

134. Quebec Back Pain Disability Scale for Low Back Pain: Accuracy and Reliability

Quebec Back Pain Disability Scale for Low Back Pain: Accuracy and Reliability Quebec Back Pain Disability Scale for Low Back Pain: Accuracy and Reliability | CADTH.ca Find the information you need Quebec Back Pain Disability Scale for Low Back Pain: Accuracy and Reliability Quebec Back Pain Disability Scale for Low Back Pain: Accuracy and Reliability Published on: July 14, 2015 Project Number: RB0886-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result (...) type: Report Question What is the accuracy and reliability of the Quebec Back Pain Disability Scale for low back pain? Key Message Two non-randomized studies were identified regarding accuracy and reliability of the Quebec Back Pain Disability Scale for low back pain. Tags back ache, back pain, backache, disability evaluation, low back pain, lower back pain, pain measurement, quebec, questionnaires, rehabilitation, sensitivity and specificity, musculoskeletal, QBPDS, Quebec Back Pain Disability

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

135. Pilates: new evidence on help for low back pain

Pilates: new evidence on help for low back pain Pilates: new evidence on help for low back pain - Evidently Cochrane Search and hit Go By July 24, 2015 // Fresh from a Pilates class, I’ve looked at the new Cochrane evidence on Pilates for low back pain and asked Chartered Physiotherapist and Pilates teacher Jane Callaway to explain more about Pilates and to share her thoughts on the evidence. Back pain is a very common cause of disability and absence from work I went to my first Pilates class (...) from our sideways/upside down positions. I had more excuse than most for allowing my mind to wander off onto plans for the weekend, whether I might be feeling a bit hungry and how near we might be to the bit at the end where you’re allowed to just lie there (I think I did that several times before we were supposed to). It was good timing, anyway, as I’d been looking at new research on Pilates. I’m lucky not to be one of the many who suffer from non-specific low back pain (LBP), a major cause

2015 Evidently Cochrane

136. Roland-Morris Disability Questionnaire for Low Back Pain

Roland-Morris Disability Questionnaire for Low Back Pain Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should be considered along (...) . It may not be copied, posted on a web site, redistributed by email or stored on an electronic system without the prior written permission of CADTH or applicable copyright owner. Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. TITLE: Roland-Morris Disability Questionnaire for Low Back Pain

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

137. The Use of Wet Cupping for Persistent Nonspecific Low Back Pain: Randomized Controlled Clinical Trial. Full Text available with Trip Pro

The Use of Wet Cupping for Persistent Nonspecific Low Back Pain: Randomized Controlled Clinical Trial. To evaluate the effectiveness and safety of wet cupping therapy as a single treatment for persistent nonspecific low back pain (PNSLBP).Randomized controlled trial comparing wet cupping versus no treatment in PNSLBP.Outpatient clinic in three secondary care hospitals in Saudi Arabia.Eighty eligible participants with PNSLBP for at least 3 months were randomly allocated to an intervention group (...) (n=40) or to a control group (n=40).Six wet cupping sessions within 2 weeks, each of which were done at two bladder meridian (BL) acupuncture points among BL23, BL24, and BL25. Only acetaminophen was allowed as a rescue treatment in both groups.The Numeric Rating Scale (NRS), McGill Present Pain Intensity (PPI), and Oswestry Disability Questionnaire (ODQ) were used as outcome measures. Numbers of acetaminophen tablets taken were compared at 4 weeks from baseline. Adverse events were recorded.At

2015 Journal of alternative and complementary medicine (New York, N.Y.) Controlled trial quality: predicted high

138. Pain management injection therapies for low back pain

Pain management injection therapies for low back pain Pain management injection therapies for low back pain Pain management injection therapies for low back pain Chou R, Hashimoto R, Friedly J, Fu Rochelle, Dana T, Sullivan S, Bougatsos C, Jarvik J 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 Chou R, Hashimoto R, Friedly J, Fu Rochelle (...) , Dana T, Sullivan S, Bougatsos C, Jarvik J. Pain management injection therapies for low back pain. Rockville: Agency for Healthcare Research and Quality (AHRQ). Technology Assessment Report ESIB0813. 2015 Authors' objectives Low back pain is common and injections with corticosteroids are a frequently used treatment option. This report reviews the current evidence on effectiveness and harms of epidural, facet joint, and sacroiliac corticosteroid injections for low back pain conditions. Authors

2015 Health Technology Assessment (HTA) Database.

139. Daily exercises and education for preventing low back pain in children: cluster randomized controlled trial Full Text available with Trip Pro

Daily exercises and education for preventing low back pain in children: cluster randomized controlled trial Children report low back pain (LBP) as young as 8 years. Preventing LBP in children may prevent or delay adult incidence.The purpose of this study was to determine whether education and daily exercise affect LBP episodes in children compared with education alone.This was a prospective, multicenter cluster randomized controlled trial.The study was conducted at 7 New Zealand primary (...) schools.Children (n=708), aged 8 to 11 years, from 7 schools stratified by sample size (36, 114, 151, 168, 113, 45, 83) were randomized and allocated to 2 masked groups: intervention (4 schools, n=469) or control (3 schools, n=239).Participants in the intervention group were taught 4 spinal movements for daily practice. Both groups participated in education that emphasized "back awareness."Low back pain history at baseline was assessed. Children reported episodes of LBP during the previous week on trial days 7

2015 EvidenceUpdates Controlled trial quality: predicted high

140. Comparison of spinal manipulation methods and usual medical care for acute and subacute low back pain: a randomized clinical trial Full Text available with Trip Pro

Comparison of spinal manipulation methods and usual medical care for acute and subacute low back pain: a randomized clinical trial Randomized controlled trial with follow-up to 6 months.This was a comparative effectiveness trial of manual-thrust manipulation (MTM) versus mechanical-assisted manipulation (MAM); and manipulation versus usual medical care (UMC).Low back pain (LBP) is one of the most common conditions seen in primary care and physical medicine practice. MTM is a common treatment (...) for LBP. Claims that MAM is an effective alternative to MTM have yet to be substantiated. There is also question about the effectiveness of manipulation in acute and subacute LBP compared with UMC.A total of 107 adults with onset of LBP within the past 12 weeks were randomized to 1 of 3 treatment groups: MTM, MAM, or UMC. Outcome measures included the Oswestry LBP Disability Index (0-100 scale) and numeric pain rating (0-10 scale). Participants in the manipulation groups were treated twice weekly

2015 EvidenceUpdates Controlled trial quality: uncertain