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Preliminary Pilot Study Indicates Integrative Therapies Reduce Back Pain Medication Use and Costs

March 13, 2010 by admin · Leave a Comment 

Preliminary Pilot Study Indicates Integrative Therapies Reduce Back Pain Medication Use and Costs
SAN DIEGO, March 11, 2010 (GLOBE NEWSWIRE) — A new pilot study conducted with assembly workers at the Ford Motor Company in Louisville, KY focused on acute, work-related low back pain. Results of that study indicate that high-touch Integrative Medicine (IM) therapies can help employees manage back pain without the costly medications typically associated with managing their pain. (Source: Medical News (via PRIMEZONE))

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Chronic axial compression of the mouse tail segment induces MRI bone marrow edema changes that correlate with increased marrow vasculature and cellularity

February 27, 2010 by admin · Leave a Comment 

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3304586cid=c_1_31_ffid=33779url=http://dx.doi.org/10.1002%2Fjor.21103 Chronic axial compression of the mouse tail segment induces MRI bone marrow edema changes that correlate with increased marrow vasculature and cellularity /abrMagnetic resonance imaging (MRI) of bone marrow edema (BME) has been found to be helpful in the diagnosis of back pain attributed to degenerative disk disease (DDD) and spondyloarthropathy (SA), but its interpretation is limited by a lack of knowledge of its nature and natural history. We assessed effects of compressive forces to mouse tail segments of WT and TNF-Tg mice with SA, via contrast enhanced-MRI and histology. Normalized marrow contrast enhancement (NMCE) of uninstrumented WT vertebrae significantly decrease, threefold (p 0.01) from 8 to 12 weeks of age, while the NMCE of TNF-Tg vertebrae remained elevated. Compressive loading (6× body weight) increased NMCE twofold (p 0.02) within 2 weeks in WT tails, which was equal to 6× loaded TNF-Tg tails within 4 weeks. Histology conf… br

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MRI classification of interspinous ligament degeneration of the lumbar spine: intraobserver and interobserver reliability and the frequency of disagreement

February 27, 2010 by admin · Leave a Comment 

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3296635cid=c_1_31_ffid=33431url=http://www.springerlink.com/content/81×7186184w75k18/ MRI classification of interspinous ligament degeneration of the lumbar spine: intraobserver and interobserver reliability and the frequency of disagreement /abrAbstractnbsp;nbsp;Posterior spinal ligament pathology is becoming increasingly recognized as a significant cause of low back pain. Despite the growing clinical importance of interspinous ligament degeneration in low back pain patients, formal reliability studies for the magnetic resonance imaging (MRI) evaluation of interspinous ligaments have not been performed. We proposed an MRI classification system for interspinous ligament degeneration and conducted a comprehensive reliability and reproducibility assessment. Fifty patients who had low back pain with or without leg discomfort (26 males and 24 females) with a mean age of 48.8nbsp;years (range 23–85nbsp;years) were studied. The classification for lumbar interspinous ligament degeneration was developed on the basis of the lit… br

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Case of the Issue

February 26, 2010 by admin · Leave a Comment 

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3268657cid=c_1_37_ffid=38282url=http://www.diagnosticimaging.com/display/article/113619/1522661?CID=rss Case of the Issue /abrA 60-year-old woman, diagnosed with lung adenocarcinoma, sought medical relief for intense back pain. (Source: Diagnostic Imaging) br

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An atypical localisation of tuberculosis infection in patients undergoing haemodialysis: a case report

February 16, 2010 by admin · Leave a Comment 

An atypical localisation of tuberculosis infection in patients undergoing haemodialysis: a case report
Spinal tuberculosis (TB) is a rare skeletal system localisation of TB in haemodialysis patients. In this paper, a case of Pott’s disease with a psoas muscle abscess is reported. The patient had been on the dialysis programme for five years and was complaining of back pain, weight loss and weakness, which were investigated. A thoracolumbar magnetic resonance imaging showed multiple paravertebral abscesses invading the psoas muscle. TB diagnosis was made by microbiological analysis of specimen, which was obtained by fine needle aspiration under computerised tomography guidance. (Source: Journal of Renal Care)

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Magnetic resonance imaging for low back pain: indications and limitations

January 31, 2010 by admin · Leave a Comment 

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…

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Managing Lower Back Pain

January 28, 2010 by admin · Leave a Comment 

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.

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

January 28, 2010 by admin · Leave a Comment 

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 …

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Epidural Corticosteroid Injections as a Possible Cause of Menorrhagia: A Case Report

January 17, 2010 by admin · Leave a Comment 

Epidural Corticosteroid Injections as a Possible Cause of Menorrhagia: A Case Report
A 47-year-old female was referred for evaluation of chronic lower back pain. A magnetic resonance imaging of her lumbar spine revealed a broad-based disc herniation at L4[ndash]L5 with bilateral neural foraminal narrowing. A decision was made to treat her with bilateral L4[ndash]5 transforaminal epidural steroid injections. Following moderate pain relief, the procedure was repeated. Several days after each injection, the patient experienced unusually heavy and painful menstrual bleeding. We postulate that the introduction of exogenous corticosteroids directly into the neuraxial space can initiate a negative feedback loop on the hypothalamic[ndash]pituitary[ndash]ovarian axis. As a result, this may lead to decreased levels of circulating hormones, resulting in episodes of menorrhagia in the…

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Possible nociceptive structures in the sacroiliac joint cartilage: An immunohistochemical study

January 2, 2010 by admin · Leave a Comment 

Possible nociceptive structures in the sacroiliac joint cartilage: An immunohistochemical study
The sacroiliac joint (SI joint) is a known source of low back pain. In the absence of validated physical signs and imaging studies, the diagnosis of SI joint pain can be secured by positive response to SI joint intra-articular infiltration with local anesthetics. The current anatomical and histological knowledge concerning intra-articular structures of the sacroiliac joint is insufficient to explain the efficacy of this infiltration. Consequently, this study was undertaken to detect the intra-articular presence of substance P and calcitonin gene-related peptide (CGRP) positive nerve fibers, providing indirect evidence of nociceptive innervation of the SI joint. Free-floating sections, obtained from iliac and sacral cartilage and subchondral bone of the SI joint and adjacent ligamentous tis…

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