Latest & greatest articles for low back pain

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Top results for low back pain

161. Open surgery for sacroiliac joint fusion for the treatment of low back pain

Open surgery for sacroiliac joint fusion for the treatment of low back pain Open surgery for sacroiliac joint fusion for the treatment of low back pain Open surgery for sacroiliac joint fusion for the treatment of low back pain 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 Open surgery for sacroiliac joint fusion for the treatment of low back pain. Lansdale (...) : HAYES, Inc.. Healthcare Technology Brief Publication. 2014 Authors' conclusions Low back pain (LBP) is a significant health problem and one of the leading reasons for physician visits in the United States. The lifetime prevalence of LBP for adults in the United States is between 60% and 80%. In most cases, LBP is temporary and can be relieved through rest and conservative therapies such as nonsteroidal anti-inflammatory drugs, muscle relaxants, and an appropriate exercise program. However, for 5

2014 Health Technology Assessment (HTA) Database.

162. Musculoskeletal ultrasonography for diagnosis of low back pain

Musculoskeletal ultrasonography for diagnosis of low back pain Musculoskeletal ultrasonography for diagnosis of low back pain Musculoskeletal ultrasonography for diagnosis of low back pain 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 Musculoskeletal ultrasonography for diagnosis of low back pain. Lansdale: HAYES, Inc.. Health Technology Brief Publication (...) . 2013 Authors' conclusions It is estimated that 80% of people have low back pain (LBP) at some time in their lives, and 5% to 10% develop chronic symptoms. The differential diagnosis is complex since etiologies include trauma, neurologic and degenerative disc disease, spondyloarthropathies, and other musculoskeletal and inflammatory conditions. LBP may not always be accurately diagnosed by the reference standards, physical examination, and plain x-rays. Other commonly used imaging tests

2014 Health Technology Assessment (HTA) Database.

163. Epidural injection of enbrel (etanercept Immunex Corp.) for treatment of low back pain due to lumbar disc disease

Epidural injection of enbrel (etanercept Immunex Corp.) for treatment of low back pain due to lumbar disc disease Epidural injection of enbrel (etanercept; Immunex Corp.) for treatment of low back pain due to lumbar disc disease Epidural injection of enbrel (etanercept; Immunex Corp.) for treatment of low back pain due to lumbar disc disease 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 Epidural injection of enbrel (etanercept; Immunex Corp.) for treatment of low back pain due to lumbar disc disease. Lansdale: HAYES, Inc.. Health Technology Brief Publication. 2013 Authors' conclusions Low back pain (LBP) is a common ailment affecting up to 80% of all people at some point in their lifetime and approximately 28% of adults annually in the United States. The immune system protein (cytokine), tumor necrosis factor-alpha (TNF-) has been implicated in playing

2014 Health Technology Assessment (HTA) Database.

164. Yoga for chronic low back pain

Yoga for chronic low back pain Yoga for chronic low back pain Yoga for chronic low back pain 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 Yoga for chronic low back pain. Lansdale: HAYES, Inc.. Directory Publication. 2013 Authors' conclusions Yoga is a form of mind-body exercises that generally includes postures, breathing techniques, and meditation. When used (...) for chronic low back pain (CLBP), these exercises are aimed at relieving low back pain and improving function. Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Chronic Diseases; Low Back Pain; Yoga Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence HAYES, Inc., 157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855

2014 Health Technology Assessment (HTA) Database.

165. Behavioral and Cognitive Behavioral Therapy for Chronic Low Back Pain

Behavioral and Cognitive Behavioral Therapy for Chronic Low Back Pain Behavioral and Cognitive Behavioral Therapy for Chronic Low Back Pain – Society of Clinical Psychology Description Behavioral Therapy (BT) and Cognitive Behavioral Therapy (CBT) for CLBP are terms for psychological interventions that often get applied inter-changeably in the CLBP literature. Therapies based upon these principles seek to help the patient with pain reduce symptom intensity, regain functioning, and reduce (...) therapy for chronic pain in adults, excluding headache. Pain, 80 (1-2), 1-13. Turner JA, Jensen MP. (1993). Efficacy of Cognitive therapy for Chronic Low Back Pain. Pain, 169-177. Basler, HD, Jakle, C., Kroner-Herwig, B. (1997). Incorporation of Cognitive-Behavioral Treatment into the Medical Care of Chronic Low Back Pain Patients: A Controlled Randomized Study in German Pain Treatment Centers. Patient Education and Counseling, 31, 113-124. Turner, JA, Clancy S. (1988). Comparison of Operant

2014 Society of Clinical Psychology

166. Spinal surgery for chronic low back pain: review of clinical evidence and guidelines

Spinal surgery for chronic low back pain: review of clinical evidence and guidelines Spinal surgery for chronic low back pain: review of clinical evidence and guidelines Spinal surgery for chronic low back pain: review of clinical evidence and guidelines Australian Safety and Efficacy Register of New Interventional Procedures -Surgical (ASERNIP-S) 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 Australian Safety and Efficacy Register of New Interventional Procedures -Surgical (ASERNIP-S). Spinal surgery for chronic low back pain: review of clinical evidence and guidelines. Australia: Australian Safety and Efficacy Register of New Interventional Procedures -Surgical (ASERNIP-S). Rapid review. 2014 Authors' objectives The objective of this rapid systematic review is to facilitate the appropriate referral of patients with CLBP to surgical

2014 Health Technology Assessment (HTA) Database.

167. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 13: Injection therapies, low-back pain, and lumbar fusion

Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 13: Injection therapies, low-back pain, and lumbar fusion J Neurosurg Spine 21:79–90, 2014 79 ©AANS, 2014 J Neurosurg: Spine / Volume 21 / July 2014 Therapeutic Recommendations There is no new evidence that conflicts with the pre - vious recommendations regarding injection therapies pub- lished in the original version of the “Guidelines for the per - formance of fusion procedures (...) for degenerative disease of the lumbar spine.” 27 Lumbar Epidural Steroid Injections Grade C Lumbar epidural steroid injections (ESIs) are an op- tion for the short-term relief of chronic low-back pain without radiculopathy in patients with degenerative dis- ease of the lumbar spine (Level III evidence). Caudal ESIs are an option for decreasing low-back pain of greater than 6 weeks’ duration, without radiculop - athy, in patients with degenerative disease of the lumbar spine (Level III evidence). Lumbar Facet

2014 Congress of Neurological Surgeons

168. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 7: Lumbar fusion for intractable low-back pain without stenosis or spondylolisthesis

Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 7: Lumbar fusion for intractable low-back pain without stenosis or spondylolisthesis J Neurosurg Spine 21:42–47, 2014 42 ©AANS, 2014 J Neurosurg: Spine / Volume 21 / July 2014 Recommendations There is no evidence that conflicts with the previous recommendations published in the original version of the Lumbar Fusion Guidelines (“Guidelines for the perfor- mance of fusion procedures (...) for degenerative disease of the lumbar spine”). Grade B Lumbar fusion or a comprehensive rehabilitation pro- gram incorporating cognitive therapy are recommended as treatment alternatives for patients with chronic low- back pain that is refractory to traditional conservative treatment, such as physical therapy, and is due to 1- or 2-level degenerative disc disease without stenosis or spon- dylolisthesis (multiple Level II studies). It is recommended that lumbar fusion be performed for patients whose low-back

2014 Congress of Neurological Surgeons

169. Spinal Surgery for Chronic Low Back Pain

Spinal Surgery for Chronic Low Back Pain Rapid Review Spinal Surgery for Chronic Low Back Pain: Review of Clinical Evidence and Guidelines June 2014 Australian Safety & Efficacy Register of New Interventional Procedures – Surgical The Royal Australasian College of Surgeons ASERNIP S Australian Safety and Efficacy Register of New Interventional Procedures - Surgical This report has been produced for the Victorian Government Department of Health June 30, 2014 Please note that this brief report (...) should be aware of the limitations of this review. This brief was prepared by Ms Lynda McGahan and Dr Ann Scott from the Australian Safety and Efficacy Register of New Interventional Procedures – Surgical (ASERNIP-S). Declaration of competing interest: The authors of this publication claim no competing interests. Spinal Surgery for Chronic Low Back Pain ASERNIP-S – June 2014 i Table of Contents Scope of the Report iv Executive Summary v Abbreviations ix 1. Context and Policy Issues 1 Research

2014 Publication 80

170. Efficacy of paracetamol for acute low-back pain: a double-blind, randomised controlled trial. (Abstract)

Efficacy of paracetamol for acute low-back pain: a double-blind, randomised controlled trial. Regular paracetamol is the recommended first-line analgesic for acute low-back pain; however, no high-quality evidence supports this recommendation. We aimed to assess the efficacy of paracetamol taken regularly or as-needed to improve time to recovery from pain, compared with placebo, in patients with low-back pain.We did a multicentre, double-dummy, randomised, placebo controlled trial across 235 (...) primary care centres in Sydney, Australia, from Nov 11, 2009, to March 5, 2013. We randomly allocated patients with acute low-back pain in a 1:1:1 ratio to receive up to 4 weeks of regular doses of paracetamol (three times per day; equivalent to 3990 mg paracetamol per day), as-needed doses of paracetamol (taken when needed for pain relief; maximum 4000 mg paracetamol per day), or placebo. Randomisation was done according to a centralised randomisation schedule prepared by a researcher who

2014 Lancet Controlled trial quality: predicted high

171. Spinal Manipulative Therapy-Specific Changes in Pain Sensitivity in Individuals With Low Back Pain Full Text available with Trip Pro

Spinal Manipulative Therapy-Specific Changes in Pain Sensitivity in Individuals With Low Back Pain Spinal manipulative therapy (SMT) is effective for some individuals experiencing low back pain; however, the mechanisms are not established regarding the role of placebo. SMT is associated with changes in pain sensitivity, suggesting related altered central nervous system response or processing of afferent nociceptive input. Placebo is also associated with changes in pain sensitivity (...) , and the efficacy of SMT for changes in pain sensitivity beyond placebo has not been adequately considered. We randomly assigned 110 participants with low back pain to receive SMT, placebo SMT, placebo SMT with the instructional set "The manual therapy technique you will receive has been shown to significantly reduce low back pain in some people," or no intervention. Participants receiving the SMT and placebo SMT received their assigned intervention 6 times over 2 weeks. Pain sensitivity was assessed prior

2014 EvidenceUpdates Controlled trial quality: uncertain

172. Effect of facet joint injection versus systemic steroids in low back pain: a randomized controlled trial (Abstract)

Effect of facet joint injection versus systemic steroids in low back pain: a randomized controlled trial Randomized clinical trial.To compare the effectiveness of facet joint injection versus systemic steroid in patients with a diagnosis of facet joint syndrome.The term facet joint syndrome has been used to define back pain originating from the facet joints. Treatment is mainly conservative, although interventions, including intra-articular injections and medial branch nerve blocks are used (...) to manage facet-mediated pain. Several studies have evaluated the effectiveness of these interventions. Results of facet joint injection, however, are conflicting.Sixty subjects with a diagnosis of facet joint syndrome were enrolled in the study. They were randomized into experimental and control groups. The experimental group was administered with intra-articular injection of 6 lumbar facet joints with triamcinolone hexacetonide; the control group was administered with triamcinolone acetonide

2014 EvidenceUpdates Controlled trial quality: uncertain

173. 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 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 Sacroiliac joint injections with corticosteroids (...) for treatment of chronic low back pain. Lansdale: HAYES, Inc.. Healthcare Technology Brief Publication. 2014 Authors' conclusions Low back pain is a significant health problem and one of the leading reasons for physician visits in the United States. The lifetime prevalence of low back pain for adults in the United States is between 60% and 80%. In most cases, low back pain is temporary and can be relieved through rest and conservative therapies such as nonsteroidal anti-inflammatory drugs, muscle relaxants

2014 Health Technology Assessment (HTA) Database.

174. Effectiveness of rocker sole shoes in the management of chronic low back pain: a randomized clinical trial Full Text available with Trip Pro

Effectiveness of rocker sole shoes in the management of chronic low back pain: a randomized clinical trial Multicenter, assessor-blind, randomized, clinical trial.To compare the effectiveness of rocker sole footwear to traditional flat sole footwear as part of the management for people with low back pain (LBP).During the past decade, persistent advertising has claimed that footwear constructed with a rocker sole will reduce LBP. However, there is no robust evidence to support these claims.One (...) with those wearing rocker shoes demonstrated a minimal clinically important improvement in disability (53.2% and 31.1%, respectively; P = 0.03). Between-group differences were not significant for RMDQ or any secondary outcomes (e.g., pain) at any time. People reporting pain when standing and walking at baseline (n = 59) reported a greater reduction in RMDQ at 12 months in the flat sole group (-4.4 [95% CI, -6.0 to -2.8], n = 29) than the rocker sole group (-2.0 [95% CI, -3.6 to -0.4], n = 30) (P < 0.05

2013 EvidenceUpdates Controlled trial quality: predicted high

175. Dose-response and efficacy of spinal manipulation for care of chronic low back pain: a randomized controlled trial Full Text available with Trip Pro

Dose-response and efficacy of spinal manipulation for care of chronic low back pain: a randomized controlled trial There have been no full-scale trials of the optimal number of visits for the care of any condition with spinal manipulation.To identify the dose-response relationship between visits to a chiropractor for spinal manipulation and chronic low back pain (cLBP) outcomes and to determine the efficacy of manipulation by comparison with a light massage control.Practice-based randomized (...) controlled trial.Four hundred participants with cLBP.The primary cLBP outcomes were the 100-point modified Von Korff pain intensity and functional disability scales evaluated at the 12- and 24-week primary end points. Secondary outcomes included days with pain and functional disability, pain unpleasantness, global perceived improvement, medication use, and general health status.One hundred participants with cLBP were randomized to each of four dose levels of care: 0, 6, 12, or 18 sessions of spinal

2013 EvidenceUpdates Controlled trial quality: predicted high

176. A web-based intervention to improve and prevent low back pain among office workers: a randomized controlled trial. (Abstract)

A web-based intervention to improve and prevent low back pain among office workers: a randomized controlled trial. To test the feasibility, safety, and efficacy of a web-based multidisciplinary intervention for office workers with subacute, nonspecific low back pain.The randomized controlled trial included 100 office workers with subacute low back pain. The intervention group had access to both the study intervention and standard care. The control group had access to standard care only (...) , as measured by the European Quality of Life-5 Dimensions-3 Levels. Secondary outcomes were the number of episodes of low back pain and trunk muscles endurance. Outcomes were measured before and after the 9-month intervention period.Over the 9-month study, the score on the Roland-Morris Disability Questionnaire for the participants in the web-based intervention group improved by a mean of -7.36 points (95% confidence interval [CI]:-8.41, -6.31) compared to a worsening of 1.89 points (95% CI: 0.71, 2.65

2013 Archivos de prevencion de riesgos laborales Controlled trial quality: predicted high

177. A web-based intervention to improve and prevent low back pain among office workers: a randomized controlled trial. (Abstract)

A web-based intervention to improve and prevent low back pain among office workers: a randomized controlled trial. To test the feasibility, safety, and efficacy of a web-based multidisciplinary intervention for office workers with subacute, nonspecific low back pain.The randomized controlled trial included 100 office workers with subacute low back pain. The intervention group had access to both the study intervention and standard care. The control group had access to standard care only (...) , as measured by the European Quality of Life-5 Dimensions-3 Levels. Secondary outcomes were the number of episodes of low back pain and trunk muscles endurance. Outcomes were measured before and after the 9-month intervention period.Over the 9-month study, the score on the Roland-Morris Disability Questionnaire for the participants in the web-based intervention group improved by a mean of -7.36 points (95% confidence interval [CI]:-8.41, -6.31) compared to a worsening of 1.89 points (95% CI: 0.71, 2.65

2013 Archivos de prevencion de riesgos laborales Controlled trial quality: predicted high

178. How can pregnant women safely relieve low-back pain?

How can pregnant women safely relieve low-back pain? How can pregnant women safely relieve low-back pain? Toggle navigation Shared more. Cited more. Safe forever. Toggle navigation View Item JavaScript is disabled for your browser. Some features of this site may not work without it. Search MOspace This Collection Browse Statistics How can pregnant women safely relieve low-back pain? View/ Open Date 2013-05 Format Metadata Abstract Acetaminophen is safe for use in pregnancy but lacks evidence (...) of efficacy (strength of recommendation [SOR]: C, usual practice). Both physical therapy and water aerobics reduce sick days caused by low-back pain (strength of recommendation [SOR]: B, randomized controlled trial [RCT]). Acupuncture, including auricular acupuncture, also relieves low-back pain and improves function (SOR: B, 2 RCTs). Osteopathic manipulative therapy (OMT) slightly improves disability (SOR: B, RCT). Corticosteroid injection at the sacrospinous ligament insertion decreases pain (SOR: B

2013 Clinical Inquiries

179. Acupuncture for chronic low back pain: a multicenter, randomized, patient-assessor blind, sham-controlled clinical trial Full Text available with Trip Pro

Acupuncture for chronic low back pain: a multicenter, randomized, patient-assessor blind, sham-controlled clinical trial Multicenter, randomized, patient-assessor blind, sham-controlled clinical trial.To investigate the efficacy of acupuncture treatment with individualized setting for reduction of bothersomeness in participants with chronic low back pain (cLBP).Low back pain is one of the main reasons of disability among adults of working age. Acupuncture is known as an effective treatment (...) of cLBP. Secondary outcomes included VAS score for pain intensity and questionnaires including Oswestry Disability Index, general health status (Short Form-36), and Beck Depression Inventory (BDI).There were no baseline differences observed between the 2 groups, except in the Oswestry Disability Index. One hundred sixteen participants finished the treatments and 3- and 6-month follow-ups, with 14 subjects dropping out. Significant difference in VAS score for bothersomeness and pain intensity score

2013 EvidenceUpdates Controlled trial quality: predicted high

180. Osteopathic manual treatment and ultrasound therapy for chronic low back pain: a randomized controlled trial Full Text available with Trip Pro

Osteopathic manual treatment and ultrasound therapy for chronic low back pain: a randomized controlled trial We studied the efficacy of osteopathic manual treatment (OMT) and ultrasound therapy (UST) for chronic low back pain.A randomized, double-blind, sham-controlled, 2 × 2 factorial design was used to study OMT and UST for short-term relief of nonspecific chronic low back pain. The 455 patients were randomized to OMT (n = 230) or sham OMT (n = 225) main effects groups, and to UST (n = 233 (...) ) or sham UST (n = 222) main effects groups. Six treatment sessions were provided over 8 weeks. Intention-to-treat analysis was performed to measure moderate and substantial improvements in low back pain at week 12 (30% or greater and 50% or greater pain reductions from baseline, respectively). Five secondary outcomes, safety, and treatment adherence were also assessed.There was no statistical interaction between OMT and UST. Patients receiving OMT were more likely than patients receiving sham OMT

2013 EvidenceUpdates Controlled trial quality: predicted high