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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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Effectiveness of manual therapies: the UK evidence report

March 8, 2010 by admin · Leave a Comment 

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…

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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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Lumbar facet syndromes.

February 26, 2010 by admin · Leave a Comment 

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3176555cid=c_1_42_ffid=34487url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfiledb=PubMedcmd=Retrievelist_uids=20071922dopt=Abstract Lumbar facet syndromes. /abrThis article reviews the anatomy and biomechanics of the lumbar facet joints, presenting symptoms and physical examination findings seen with facet pain. We also will discuss diagnostic and treatment paradigms that are helpful to the clinician treating low back pain in athletes. PMID: 20071922 [PubMed - in process] (Source: Current Sports Medicine Reports) br

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Low Back Pain Causes

February 16, 2010 by admin · Leave a Comment 

Low Back Pain Causes
Lower back pain has become such a common problem that almost every family one way or another has to deal with it. So what usually causes this annoying discomfort? Well, the reasons could range from a simple strain to complex conditions such as nerve irritation, lumbar strain, bony encroachment, lumbar radiculopathy and other problems associated with our joints and bones.

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Baby’s Giving Mom a Pain in the Back

January 25, 2010 by admin · Leave a Comment 

Baby’s Giving Mom a Pain in the Back
t is normal for expecting moms to experience back pain. When you are pregnant, you gain lots of weight fast, your way of walking changes, and your hormones relax the ligaments and joints in your body.

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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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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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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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Curing Back Pain With Asanas

December 28, 2009 by admin · Leave a Comment 

Curing Back Pain With Asanas
Back pain is one of the most frequent health problems in adults. About 8 out of 10 adults suffer from this problem one time or the other in their life. This may be due to muscle strain or spasm, sprains of ligaments (which attach bone to bone), joint problems or a “slipped disk.” The most common cause is lackluster lifestyle or using your back muscles in activities to which you are not used to. You get relief in back pain by doing following asanas if the pain is not due to any injury or other medical reasons.

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