CBT sessions ‘help’ back pain

CBT sessions ‘help’ back pain
Conclusion This well conducted randomised controlled trial found that group CBT was of benefit to people with chronic lower back pain compared with individuals who received one-off advice on how to manage their condition through activity modifications and symptom control. Although the therapy was effective, the researchers noted that 63% of people attended ‘sufficient’ CBT sessions to potentially benefit and 11% did not attend any of the sessions. Further research would be required to find out how to increase the numbers who attended the sessions. People who received CBT were also unlikely to have been using this intervention in isolation to manage their back pain, as advice was given to them about modifying their activities and pain medications. It should also be noted that this manag…

Correction of lumbar coronal plane deformity using unilateral cage placement.

Correction of lumbar coronal plane deformity using unilateral cage placement.
Authors: Heary RF, Karimi RJ The authors describe a surgical technique for the correction of symptomatic degenerative lumbar scoliosis. Using a single, unilateral, interbody cage placed on the concave side of the coronal deformity, combined with a dorsal decompression and instrumented posterolateral fusion, this technique has resulted in excellent curve correction, fusion results, and clinical outcomes in a series of 4 patients. Each of these patients presented with intractable, axial low-back pain and symptomatic unilateral nerve root compression on the concave side of a lumbar scoliotic deformity. The management is described in detail. PMID: 20192720 [PubMed - in process] (Source: Neurosurgical Focus)

Effectiveness of manual therapies: the UK evidence report

Effectiveness of manual therapies: the UK evidence report
Conclusions: Spinal manipulation/mobilization is effective in adults for: acute, subacute, and chronic low back pain; migraine and cervicogenic headache; cervicogenic dizziness; manipulation/mobilization is effective for several extremity joint conditions; and thoracic manipulation/mobilization is effective for acute/subacute neck pain. The evidence is inconclusive for cervical manipulation/mobilization alone for neck pain of any duration, and for manipulation/mobilization for mid back pain, sciatica, tension-type headache, coccydynia, temporomandibular joint disorders, fibromyalgia, premenstrual syndrome, and pneumonia in older adults. Spinal manipulation is not effective for asthma and dysmenorrhea when compared to sham manipulation, or for Stage 1 hypertension when added to an antihyper…

Lumbar Herniated Disc - What You Can Do to Fix Your Herniated Disc and Remove the Lumbar Pain

Lumbar Herniated Disc - What You Can Do to Fix Your Herniated Disc and Remove the Lumbar Pain
Fixing a lumbar herniated disc does not always mean precisely the same to everyone. Generally it either would mean either help me get rid of the back pain, or help me treat the herniated disc. Often the result at first may be the very same but the outlook is without a doubt critical.

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Topical NSAID Therapy for Musculoskeletal Pain

Topical NSAID Therapy for Musculoskeletal Pain
Conclusions. Topical NSAIDs may vary significantly in their absorption kinetics and pharmacodynamic effects, based on NSAID molecule and the formulation chosen. Some topical NSAID formulations have been shown to be more effective than placebo in multiple studies, or to have comparable efficacy and a better safety profile than oral NSAIDs for single joint osteoarthritis and acute muscle injuries. In acute and chronic low back pain, widespread musculoskeletal pain, and in peripheral neuropathic pain syndromes, the current evidence does not support the use of topical NSAIDs. (Source: Pain Medicine)

The relationship between hip abductor muscle strength and iliotibial band tightness in individuals with low back pain

The relationship between hip abductor muscle strength and iliotibial band tightness in individuals with low back pain
Background: Shortening of the iliotibial band (ITB) has been considered to be associated with low back pain (LBP). It is theorized that ITB tightness in individuals with LBP is a compensatory mechanism following hip abductor muscle weakness. However, no study has clinically examined this theory. The purpose of this study was to investigate the muscle imbalance of hip abductor muscle weakness and ITB tightness in subjects with LBP. Methods: A total of 300 subjects with and without LBP between the ages of 20 and 60 participated in this cross-sectional study. Subjects were categorized in three groups: LBP with ITB tightness (n=100), LBP without ITB tightness (n=100) and no LBP (n=100). Hip abductor muscle strength was measured in all subjects. Results: Analysis of Covariance (ANCOVA) with the…

Exertional paraspinal muscle rhabdomyolysis and compartment syndrome: a cause of back pain not to be missed

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3270717cid=c_1_41_ffid=33456url=http://www.springerlink.com/content/754377vl62421712/ Exertional paraspinal muscle rhabdomyolysis and compartment syndrome: a cause of back pain not to be missed /abrWe describe a case of acute, severe exertional compartment syndrome of the paraspinal muscles in a young and healthy male ultimately resulting in significant rhabdomyolysis and acute kidney injury. The rarity of the syndrome has prevented the establishment of specific guidelines for management; therefore, we will discuss this case in the context of similar previously reported cases, contrasting the various treatment approaches and outcomes described in previous reports. This discussion outlines a syndrome not commonly considered in the differential diagnosis of back pain. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10067-010-1391-9Authors Lori Wik, University of Alberta Division of General Internal Medicine, Department of Medicine, Faculty of Medicine and Dentist… br

Acute Low Back Pain in Primary Care — How Good Are Red Flags at Identifying Serious Abnormalities?

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3216986cid=c_1_26_ffid=36062url=http://www.medscape.com/viewarticle/715782?src=rss Acute Low Back Pain in Primary Care — How Good Are Red Flags at Identifying Serious Abnormalities? /abrExploring the diagnostic utility of red flag questions in identifying serious spinal abnormality in patients with low back pain Medscape Rheumatology (Source: Medscape Today Headlines) br

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Questionnaire May Help Predict Chronic Low Back Pain

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3304403cid=c_1_22_ffid=38164url=http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Now/Questionnaire-May-Help-Predict-Chronic-Low-Back-Pa/ArticleNewsFeed/Article/detail/658700?ref=25 Questionnaire May Help Predict Chronic Low Back Pain /abrIn patients with (sub) acute low back pain, the Acute Low Back Pain Screening Questionnaire Dutch Language Version may help identify those at risk of developing chronic low back pain because of psychosocial factors, according to a study in the Feb. 15 issue of Spine. (Source: Modern Medicine) br

Behavioral therapy for insomnia effective

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3280714cid=c_1_26_ffid=37864url=http://www.upi.com/Health_News/2010/02/18/Behavioral-therapy-for-insomnia-effective/UPI-36961266475989/ Behavioral therapy for insomnia effective /abrROCHESTER, N.Y., Feb. 18 (UPI) — Cognitive behavioral therapy for insomnia significantly improved sleep for patients with chronic neck or back pain, New York researchers found. (Source: Health News - UPI.com)div id=medwormpbiMedWorm Message:/i/b Get the very latest Swine Flu news via the MedWorm ba href=http://www.medworm.com/rss/search.php?qu=%2Bswine+%2B%28influenza+flu%29t=Swine+Fluf=infectiousdiseasesr=Anyo=d target =_selfSwine Flu RSS news feed/a/b - updated hourly from thousands of authoritative health and news sources./p/div br

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