Evidences of memory dysfunction and maladaptive coping in chronic low back pain and rheumatoid arthritis patients: challenges for rehabilitation.

Evidences of memory dysfunction and maladaptive coping in chronic low back pain and rheumatoid arthritis patients: challenges for rehabilitation.
CONCLUSIONS: Both groups of chronic pain patients are likely to have impaired memory. Maladaptive coping correlates to LBP, but not to RA. A further controlled protocol must include greater sample of patients. By analyzing memory deficits of chronic pain patients, clinicians could establish targeted rehabilitation programs and outcomes. Some techniques are discussed. PMID: 19935619 [PubMed - as supplied by publisher] (Source: European Journal of Physical and Rehabilitation Medicine)

Factors Help Predict Continued Opioid Use for Back Pain

Factors Help Predict Continued Opioid Use for Back Pain
Patients with chronic back pain are more likely to use opioid analgesics long term if they smoke and had non-surgical treatment, according to a study in the January issue of the Journal of Pain. (Source: Modern Medicine)

Magnetic resonance imaging for low back pain: indications and limitations

Magnetic resonance imaging for low back pain: indications and limitations
Magnetic resonance imaging (MRI) is the preferred investigation for most spinal diseases and is increasingly requested for people with low back pain (LBP). However, determining the cause of back pain is complicated as it is often multifactorial and anatomical abnormalities are common in the spine and may not necessarily translate into clinical symptoms. Thus, national guidelines discourage the use of MRI in non-specific LBP and recommend reserving it for the investigation of severe or progressive neurological deficits or for those cases in which serious underlying pathology is suspected. It also has an acknowledged role in planning surgical management in cases of radiculopathy and spinal stenosis. This review summarises the indications for MRI in LBP and calls for improved education of pat…

The Nordic back pain subpopulation program: Course patterns established through weekly follow-ups in patients treated for low back pain

The Nordic back pain subpopulation program: Course patterns established through weekly follow-ups in patients treated for low back pain
Conclusions: We suggest that follow-ups in studies concerning primary sector LBP care are conducted in week seven after treatment was initiated and at some later point which cannot be established from this study. In clinical practice we recommend that patients’ LBP status is systematically followed for the first four weeks since lack of improvement during that period should cause watchfulness. (Source: Chiropractic & Osteopathy)

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Managing Lower Back Pain

Managing Lower Back Pain
Common back suffering is one of the most widespread ailments facing primary cares practitioners today. In fact, it has been estimated that about 80% of the population have experienced back pains at some point of their lives. Fortunately, over 90% recover without the need to see a specialist.

Predictors of new vertebral endplate signal (Modic) changes in the general population

Predictors of new vertebral endplate signal (Modic) changes in the general population
Abstract  Vertebral endplate signal changes (VESC), also known as Modic changes, have been reported to be associated with low back pain (LBP). However, little is known about predisposing factors for the development of new VESC. The aim of this study was to investigate the predictive value of lifestyle factors and disc-related magnetic resonance imaging (MRI) findings in relation to the development of new VESC. This prospective observational study included 344 people from the Danish general population who had an MRI and completed LBP questionnaires at the age of 40 and again at 44 years. Potential predictors of new VESC were female gender, disc-related MRI findings (disc degeneration, disc bulges, disc herniation, and other endplate changes) and lifestyle factors [high …

Back Pain Relief

Back Pain Relief
Studies, as well as personal testimonies, have showed that over half of the adult population in America suffer from different types of back pains in the past five years. Back pain even has been listed as the second most common neurological order. It may be easy to say that almost everyone will not be able to escape this condition.

Relief For Back Pains During Pregnancy

Relief For Back Pains During Pregnancy
When you are pregnant the body changes and you know that there will be discomfort, but when you are faced with back pains during pregnancy, you feel miserable. But you can get some relief for the pregnancy.

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All You Need to Know About Inversion Tables

All You Need to Know About Inversion Tables
The inversion table lets you lie on your back in a relaxed inverted position which takes the pressure off your back and allows you to invert partially or completely depending upon your level of comfort. Reduce back pain with the use of an inversion table.

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Medical Training Related to Musculoskeletal Conditions is Inadequate

Medical Training Related to Musculoskeletal Conditions is Inadequate
From Harvard Medical School in the U.S. to medical schools in Europe, medical education related to musculoskeletal conditions is inadequate. A 2009 survey tested physician’s knowledge related to simple low back pain management. The average survey score of family practitioners was 69.7 and the average score of orthopedists was far less at 44.3. Orthopedists were less likely to make the proper radiological referral and appropriate pharmacological prescription based upon the literature. (Source: ChiroACCESS: Tools for Better Patient Care)

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