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

March 3, 2010 by admin · Leave a Comment 

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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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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Ultrasound identification of traumatic pneumobilia

February 21, 2010 by admin · Leave a Comment 

Ultrasound identification of traumatic pneumobilia
A 65-year-old woman presented to the emergency department with low back pain after being hit by a truck at low speed. Although her abdominal examination showed benign results, an extended Focused Assessment With Sonography in Trauma ultrasound examination was performed and incidentally demonstrated evidence of pneumobilia. There were no additional intra-abdominal injuries noted. Subsequent computed tomography and magnetic resonance cholangiopancreatography confirmed these findings. The etiology of traumatic pneumobilia is discussed with a brief review of the literature on the subject. (Source: The American Journal of Emergency Medicine)

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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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Children, Backpacks and Back Pain

February 6, 2010 by admin · Leave a Comment 

Children, Backpacks and Back Pain
Over a third of the children in the United States have back pain they associate with wearing backpacks. Recently several studies were published that provide a better picture of the risks associated with the ergonomic loading of backpacks. From this research there is additional information that each chiropractor should be aware of in order to prevent unnecessary backpack related injuries to children. (Source: ChiroACCESS: Tools for Better Patient Care)

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Whiplash injury: 2% are permanently disabled

January 5, 2010 by admin · Leave a Comment 

Whiplash injury: 2% are permanently disabled
Whiplash and whiplash-associated disorders (WAD) represent a range of injuries to the neck caused by or related to a sudden distortion of the neck. Whiplash is commonly associated with motor vehicle accidents, usually when the vehicle has been hit in the rear; however, the injury can be sustained in many other ways, including falls from bicycles or horses.Most cases of whiplash injury occur as the result of rear-end vehicle collisions at speeds of less than 14 mph. Patients present with:- neck pain and stiffness- occipital headache- thoracolumbar back pain and upper-limb pain- paraesthesiaOver 66% make a full recovery and 2% are permanently disabled.References:Whiplash injury. G. Bannister et al. Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 7, 845-850. doi: 10.1302/0…

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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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Annual Evidence Update on Spinal Diseases: 14-18 December 2009

December 17, 2009 by admin · Leave a Comment 

Annual Evidence Update on Spinal Diseases: 14-18 December 2009
Source: NHS Evidence Area: News NHS Evidence - trauma and orthopaedics and the Musculoskeletal Specialist Collection have produced an Annual Evidence Update on Spinal Diseases.  This includes guidelines and systematic reviews published within the last year covering low back pain, ankylosing spondylitis, disc herniation and spinal fractures.  Please see the link below for details. (Source: NeLM - News)

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Spinal Decompression Therapy and Back Pain

December 15, 2009 by admin · Leave a Comment 

Spinal Decompression Therapy and Back Pain
The mystique of technology as a fix for everything extends to back pain — in particular, as spinal decompression therapy, an offering that has gained visibility as among the latest in spine care (along with laser treatment — this article applies to that approach, too). The method involves a mechanical device intended to separate vertebrae and thereby to relieve pain.

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