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The Bath Ankylosing Spondylitis Activity and Function Indices (BASDAI and BASFI) and their correlation with main symptoms experienced by patients with spondyloarthritis

March 17, 2010 by admin · Leave a Comment 

The Bath Ankylosing Spondylitis Activity and Function Indices (BASDAI and BASFI) and their correlation with main symptoms experienced by patients with spondyloarthritis
Abstract  With the aim of assessing whether the Bath Ankylosing Spondylitis Activity and Function Indices (BASDAI and BASFI) are reliable measures of disease activity and function in patients with spondyloarthritides (SpAs), 341 patients with SpA (representing ankylosing spondylitis (14.5%), psoriatic arthritis (27.3%), enteropathic arthritis (6.3%), reactive arthritis (4.9%), and undifferentiated arthritis (46.5%) were asked to complete the BASDAI and BASFI. They were asked to report what their main problems associated with the disease were from a list of seven symptoms: fatigue, neck pain, upper back pain, lower back pain, stiffness, joint pain or swelling, and pain with pressure on joints. Correlations between the main symptoms experienced by patients with SpAs and the i…

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Topical NSAID Therapy for Musculoskeletal Pain

March 7, 2010 by admin · Leave a Comment 

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)

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Filed Under: Back Pain Articles
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Acupuncture in Primary Care

March 2, 2010 by admin · Leave a Comment 

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3309689cid=c_1_35_ffid=38633url=http://www.primarycare.theclinics.com/article/PIIS009545430900089X/abstract?rss=yes Acupuncture in Primary Care /abrAcupuncture, an ancient traditional Chinese medical therapy, is used widely around the world. When practiced by a certified provider, it is safe and patients often find it calming and relaxing. Animal and human studies have found a physiologic basis for acupuncture needling in that it affects the complex central and peripheral neurohormonal network. Although it is unclear whether acupuncture is beneficial over sham/placebo acupuncture, acupuncture care yields clinically relevant short- and long-term benefits for low back pain, knee osteoarthritis, chronic neck pain, and headache. The integration of acupuncture into a primary care setting also appears to be cost-effective. The practice of acupuncture in primary care requires rigorous training, financial discipline, and good communication sk… br

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Minimally invasive spine surgery may ease back pain

February 28, 2010 by admin · Leave a Comment 

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3261580cid=c_1_41_ffid=38126url=http://www.arc.org.uk/news/article/19608210 Minimally invasive spine surgery may ease back pain /abrA new study suggests that patients with a variety of back pain conditions may benefit from a minimally invasive procedure called facet arthrodesis. (Source: Arthritis Research Campaign) br

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Study reveals inconsistencies in low back pain care

February 28, 2010 by admin · Leave a Comment 

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3282355cid=c_1_41_ffid=38126url=http://www.arc.org.uk/news/article/19622797 Study reveals inconsistencies in low back pain care /abrGPs often fail to follow guidelines for the treatment of people with low back pain, new research suggests. (Source: Arthritis Research Campaign) br

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Scoliosis Back Pain

February 23, 2010 by admin · Leave a Comment 

Scoliosis Back Pain
Scoliosis back pain is a great conundrum for dorsopathy patients, since this spinal curvature condition is often blamed for sourcing symptoms, yet treatments are rarely, if ever, successful. Scoliosis describes a spinal abnormality in which the patient suffers an atypical side to side curvature of the spine at one or more locations. Some patients have a single abnormal curve, generally referred to as a “C” curve, while others have 2 or more abnormal curves, generally referred to as an “S” curve.

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

January 31, 2010 by admin · Leave a Comment 

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)

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Correlation between radiculalgia and counts of T lymphocyte subsets in the peripheral blood of patients with lumbar disc herniation

January 3, 2010 by admin · Leave a Comment 

Correlation between radiculalgia and counts of T lymphocyte subsets in the peripheral blood of patients with lumbar disc herniation
Conclusion: Our results suggest that changes in T lymphocyte subsets in peripheral blood take place after prolapse of lumbar intervertebral discs. The current results may provide support for involvement of immunologic mechanisms in low back pain secondary to herniation of the lumbar disc. T lymphocytes may play an important role in the development of symptoms in patients with lumbar intervertebral disc herniation. (Source: Orthopaedic Surgery)

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Changes in paraspinal muscles and their association with low back pain and spinal degeneration: CT study

December 30, 2009 by admin · Leave a Comment 

Changes in paraspinal muscles and their association with low back pain and spinal degeneration: CT study
This study was an ancillary project to the Framingham Study. A sample of 3,529 participants aged 40–80 years had a CT scan performed to assess aortic calcification. 187 individuals were randomly enrolled in this study. LBP in the last 12 months was evaluated using self-report questionnaire. Density (in Hounsfield units) of multifidus and erector spinae was evaluated on CT. The prevalence of intervertebral disc narrowing, facet joint osteoarthritis (FJOA), spondylolysis, spondylolisthesis and spinal stenosis were also evaluated. We used linear regression models to examine the association of paraspinal muscles density with age, sex, BMI, LBP, and spinal degeneration features. The results show that in our study, men have higher density of paraspinal muscles than women, young…

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New Director’s Message: Oh My Aching Back!

December 26, 2009 by admin · Leave a Comment 

New Director’s Message: Oh My Aching Back!
Oh, my aching back! I am sure you have all heard this from a family member—or said it yourself.In previous messages, I’ve mentioned the high use of complementary and alternative medicine (CAM) for treating back pain. Back pain is a very common and bothersome symptom; it is a symptom that really matters and a major health burden in the United States. It is the leading cause of work-related disability and missed days of work, the fifth-most-common reason for physician visits, and a leading factor in health care costs. (Source: NCCAM Featured Content)

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