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

Study reveals inconsistencies in low back pain care

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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Medical Physicians Ignore Low Back Pain Guidelines

Medical Physicians Ignore Low Back Pain Guidelines
A February 2010 study of 3,533 general practice low back pain patients found that many providers are not following their own evidence based guidelines. Guidelines do provide the overall best evidence but are not meant to be a cookbook approach to care. There is also a need for flexibility so the physician can deviate from guidelines when the specific needs and desires of the patient dictate. In addition, the clinical judgment of the physician may override the guidelines when in a particular patient’s case they are inappropriate. (Source: ChiroACCESS: Tools for Better Patient Care)

Study protocol of effectiveness of a biopsychosocial multidisciplinary intervention in the evolution of non-speficic sub-acute low back pain in the working population: cluster randomised trial

Study protocol of effectiveness of a biopsychosocial multidisciplinary intervention in the evolution of non-speficic sub-acute low back pain in the working population: cluster randomised trial
This study will undertake an analysis of the effectiveness of a multidisciplinary intervention compared to usual clinical care to reduce disability, severity of pain, anxiety and depression, and to improve quality of life, reducing incidence of chronic low back pain in the working population with non-specific low back pain. Methods: A Cluster randomised clinical trial will be conducted in 38 Primary Health Care Centres located in Barcelona, Spain and surrounding area. They are randomly allocated to a multidisciplinary intervention or usual clinical care. Patients between 18 and 65 years old (n=932; 466 per arm) and with a diagnostic of a non-specific sub-acute low back pain are included. Patients in the intervention group are receiving the recommendations of clinical practice guidelines, i…

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…

Back Pain Causes and Treatment

Back Pain Causes and Treatment
There are many back pain causes - however, identifying causes is vital to the long term resolution of the problem, and your doctor or Chartered Physiotherapist will help you figure that out. More often than not the underlying problem has been present for some time before the pain evolves, or the problem is aggravated by a stressful movement or situation resulting in pain.

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Guideline Nixes TENS for Chronic Low Back Pain (CME/CE)

Guideline Nixes TENS for Chronic Low Back Pain (CME/CE)
Transcutaneous electric nerve stimulation (TENS) is not recommended for chronic low back pain that has lasted for at least three months, according to a new guideline issued by the American Academy of Neurology. (Source: MedPage Today State Required CME)

Practice: New AAN Guideline Examines Transcutaneous Electric Nerve Stimulation

Practice: New AAN Guideline Examines Transcutaneous Electric Nerve Stimulation
According to an evidence-based guideline published on the web on December 30, 2009, TENS is not recommended for the treatment of chronic low-back pain due to lack of proven efficacy. However, there is good evidence that TENS should be considered (Source: American Academy of Neurology)

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TENS Gets Thumbs Down as Back Pain Treatment

TENS Gets Thumbs Down as Back Pain Treatment
New guidelines from the American Academy of Neurology recommend against the use of transcutaneous electrical nerve stimulation for the treatment of chronic low-back pain. (Source: WebMD Health)

Device for Pain Therapy not Recommended for Chronic Lower Back Pain

Device for Pain Therapy not Recommended for Chronic Lower Back Pain
A new guideline issued by the American Academy of Neurology finds that transcutaneous electric nerve stimulation (TENS), a widely used pain therapy involving a portable device, is not recommended to treat chronic low-back pain, pain that has persisted for three months or longer, because research shows it is not effective. The guideline is published in the December 30, 2009, online issue of Neurology, the medical journal of the American Academy of Neurology. (Source: Disabled World)

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