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Back Pain - The Most Common Causes

August 27, 2010 by admin · Leave a Comment 

Back Pain - The Most Common Causes
The majority of adult people are suffering from back pain. Hence if you are one of them, you are definitely not alone. By taking a close look at the causes, we shall understand better of how to avoid back pain.

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A systematic review on the effectiveness of pharmacological interventions for chronic non-specific low-back pain

August 19, 2010 by admin · Leave a Comment 

A systematic review on the effectiveness of pharmacological interventions for chronic non-specific low-back pain
The objective of this review was to determine the effectiveness of pharmacological interventions [i.e., non-steroid anti-inflammatory drugs (NSAIDs), muscle relaxants, antidepressants, and opioids] for non-specific chronic low-back pain (LBP). Existing Cochrane reviews for the four interventions were screened for studies fulfilling the inclusion criteria. Then, the literature searches were updated. Only randomized controlled trials on adults (≥18 years) with chronic (≥12 weeks) non-specific LBP and evaluation of at least one of the main clinically relevant outcome measures (pain, functional status, perceived recovery, or return to work) were included. The GRADE approach was used to determine the quality of evidence. A total of 17 randomized controlled trials was include…

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Back Pain in Children

August 5, 2010 by admin · Leave a Comment 

Back Pain in Children
Back pain in children is not like back pain in adults. Compared to an adult, a child with a backache is more likely to have a serious underlying disorder.

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A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain

July 30, 2010 by admin · Leave a Comment 

A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain
The objective of the present study is to determine the effectiveness of physical and rehabilitation interventions (i.e. exercise therapy, back school, transcutaneous electrical nerve stimulation (TENS), low level laser therapy, education, massage, behavioural treatment, traction, multidisciplinary treatment, lumbar supports, and heat/cold therapy) for chronic LBP. The primary search was conducted in MEDLINE, EMBASE, CINAHL, CENTRAL, and PEDro up to 22 December 2008. Existing Cochrane reviews for the individual interventions were screened for studies fulfilling the inclusion criteria. The search strategy outlined by the Cochrane Back Review Groups (CBRG) was followed. The following were included for selection criteria: (1) randomized controlled trials, (2) adult (≥18 years) pop…

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Restoration of disc height through non-invasive spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study

July 30, 2010 by admin · Leave a Comment 

Restoration of disc height through non-invasive spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study
Background: Because previous studies have suggested that motorized non-surgical spinal decompression can reduce chronic low back pain (LBP) due to disc degeneration (discogenic low back pain) and disc herniation, it has accordingly been hypothesized that the reduction of pressure on affected discs will facilitate their regeneration. The goal of this study was to determine if changes in LBP, as measured on a verbal rating scale, before and after a 6-week treatment period with non-surgical spinal decompression, correlate with changes in lumbar disc height, as measured on computed tomography (CT) scans. Methods: A retrospective cohort study of adults with chronic LBP attributed to disc herniation and/or discogenic LBP who underwent a 6-week treatment protocol of motorized non-surgical spinal …

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Health literacy and beliefs among a community cohort with and without chronic low back pain

July 29, 2010 by admin · Leave a Comment 

Health literacy and beliefs among a community cohort with and without chronic low back pain
We examined the health literacy of individuals with CLBP using a mixed methods approach. One-hundred and seventeen adults, comprising 61 with no history of CLBP and 56 with CLBP (28 with low and high disability, respectively, as determined by a median split in Oswestry scores) participated. Data regarding severity of pain, LBP-related disability, fear avoidance, beliefs about LBP and pain catastrophizing were collected using questionnaires. Health literacy was measured using the Short-form Test of Functional Health Literacy in Adults (S-TOFHLA). A sub-sample of 36 participants with CLBP also participated in in-depth interviews to qualitatively explore their beliefs about LBP and experiences in seeking, understanding and using information related to LBP. LBP-related beliefs and behaviours, …

Burden of childhood-onset arthritis

July 28, 2010 by admin · Leave a Comment 

Burden of childhood-onset arthritis
Juvenile arthritis comprises a variety of chronic inflammatory diseases causing erosive arthritis in children, often progressing to disability. These children experience functional impairment due to joint and back pain, heel pain, swelling of joints and morning stiffness, contractures, pain, and anterior uveitis leading to blindness. As children who have juvenile arthritis reach adulthood, they face possible continuing disease activity, medication-associated morbidity, and life-long disability and risk for emotional and social dysfunction. In this article we will review the burden of juvenile arthritis for the patient and society and focus on the following areas: patient disability; visual outcome; other medical complications; physical activity; impact on HRQOL; emotional impact; pain and …

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Science Made Easy: Chiropractic Care Being the Preferred Method of Treatment in Chronic Low Back Pain

July 14, 2010 by admin · Leave a Comment 

Science Made Easy: Chiropractic Care Being the Preferred Method of Treatment in Chronic Low Back Pain
Approximately 80% of adults will have Low Back Pain at some stage in their lives Thankfully, around 90% of patients with low back pain will self-resolve within 1 month Unfortunately, the remaining group accounts for a large financial and social burden on society…

Literature Review Discusses Lower Back Pain And Surgery

July 10, 2010 by admin · Leave a Comment 

Literature Review Discusses Lower Back Pain And Surgery
A literature review, led by Dr. Joseph Lee, published in the June 2010 issue of the Journal of the American Academy of Orthopaedic Surgeons (JAAOS) suggests that a herniated disk is one of the most frequent causes of low back and leg pain in adults, but surgery is not for everyone. Between 60 and 80 percent of people will experience low back pain at some point in their lives Disks, which are strong shock absorbers between the vertebrae, can begin to herniate or weaken when their jelly-like nucleus pushes against the outer ring due to aging or a sudden injury… (Source: Health News from Medical News Today)

Bilateral insufficiency fracture of the femoral head and neck in a case of oncogenic osteomalacia.

July 8, 2010 by admin · Leave a Comment 

Bilateral insufficiency fracture of the femoral head and neck in a case of oncogenic osteomalacia.
We describe a case of oncogenic osteomalacia in an adult male who presented with low back pain and bilateral hip pain. Extensive investigations had failed to find a cause. A plain pelvic radiograph showed Looser’s zones in both femoral necks. MRI confirmed the presence of insufficiency fractures bilaterally in the femoral head and neck. Biochemical investigations confirmed osteomalacia which was unresponsive to treatment with vitamin D and calcium. A persistently low serum phosphate level suggested a diagnosis of hypophosphataemic osteomalacia. The level of fibroblast growth factor-23 was highly raised, indicating the cause as oncogenic osteomalacia. This was confirmed on positron-emission tomography, MRI and excision of a benign fibrous histiocytoma following a rapid recovery. The diagnos…

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