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13. Sacroiliac Joint Pain

August 4, 2010 by admin · Leave a Comment 

13. Sacroiliac Joint Pain
The sacroiliac joint accounts for approximately 16% to 30% of cases of chronic mechanical low back pain. Pain originating in the sacroiliac joint is predominantly perceived in the gluteal region, although pain is often referred into the lower and upper lumbar region, groin, abdomen, and/ or lower limb(s). Because sacroiliac joint pain is difficult to distinguish from other forms of low back pain based on history, different provocative maneuvers have been advocated. Individually, they have weak predictive value, but combined batteries of tests can help ascertain a diagnosis. Radiological imaging is important to exclude “red flags” but contributes little in the diagnosis. Diagnostic blocks are the diagnostic gold standard but must be interpreted with caution, because false-positive as well a…

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Pfizer suspends tanezumab osteoarthritis clinical trial programme

August 2, 2010 by admin · Leave a Comment 

Pfizer suspends tanezumab osteoarthritis clinical trial programme
Source: Pfizer Area: News Pfizer Inc. has announced the suspension of the osteoarthritis clinical programme for its investigational compound tanezumab following a request by the FDA. The worldwide suspension follows a small number of reports of patients on tanezumab experiencing a worsening of osteoarthritis leading to joint replacement. To date, this adverse event has not been observed in non-osteoarthritis patient populations taking the drug. The FDA has asked the company to present its assessment of the potential implications of this adverse event for the other tanezumab clinical programmes involving non-osteoarthritis patients (cancer pain, interstitial cystitis, chronic low back pain and painful diabetic peripheral neuropathy). (Source: NeLM - News)

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12. Pain Originating from the Lumbar Facet Joints

August 1, 2010 by admin · Leave a Comment 

12. Pain Originating from the Lumbar Facet Joints
Although the existence of a “facet syndrome” had long been questioned, it is now generally accepted as a clinical entity. Depending on the diagnostic criteria, the zygapophysial joints account for between 5% and 15% of cases of chronic, axial low back pain. Most commonly, facetogenic pain is the result of repetitive stress and/or cumulative low-level trauma, leading to inflammation and stretching of the joint capsule. The most frequent complaint is axial low back pain with referred pain perceived in the flank, hip, and thigh. No physical examination findings are pathognomonic for diagnosis. The strongest indicator for lumbar facet pain is pain reduction after anesthetic blocks of the rami mediales (medial branches) of the rami dorsales that innervate the facet joints. Because false-positiv…

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Burden of childhood-onset arthritis

July 28, 2010 by admin · Leave a Comment 

Burden of childhood-onset arthritis
Juvenile arthritis comprises a variety of chronic inflammatory diseases causing erosive arthritis in children, often progressing to disability. These children experience functional impairment due to joint and back pain, heel pain, swelling of joints and morning stiffness, contractures, pain, and anterior uveitis leading to blindness. As children who have juvenile arthritis reach adulthood, they face possible continuing disease activity, medication-associated morbidity, and life-long disability and risk for emotional and social dysfunction. In this article we will review the burden of juvenile arthritis for the patient and society and focus on the following areas: patient disability; visual outcome; other medical complications; physical activity; impact on HRQOL; emotional impact; pain and …

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Chiropractic Treatment Has Mixed Reviews

June 25, 2010 by admin · Leave a Comment 

Chiropractic Treatment Has Mixed Reviews
There have been many scientific studies into chiropractic treatment, the evidence to support and reject the treatment varies in its quality. Some Oxford university scientific studies prove that Oxford chiropractic treatment is an effective treatment for lower back paint and the National Health Institute recommends chiropractic treatment for this condition. A pain in the lower back will either come from the muscles, bones, joints or nerves; any pain that lasts less than 3 months is referred to as acute back pain.

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The Nordic back pain subpopulation program: Can low back pain patterns be predicted from the first consultation with a chiropractor? A longitudinal pilot study.

May 7, 2010 by admin · Leave a Comment 

The Nordic back pain subpopulation program: Can low back pain patterns be predicted from the first consultation with a chiropractor? A longitudinal pilot study.
The objectives of this pilot study were to investigate the interobserver reliability of a diagnostic classification system and to evaluate whether diagnostic classes or other baseline characteristics are associated with the LBP course pattern over a period of 18 weeks. Methods: Patients visiting one of 7 chiropractors because of LBP were classified according to a diagnostic classification system, which includes end-range loading, SI-joint pain provocation tests, neurological examination and tests for muscle tenderness and abnormal nerve tension. In addition, age, gender, duration of pain and presence of leg pain were registered in the patient’s file. By weekly SMS-messages on their mobile phones, patients were asked how many days they had LBP the preceding week, and these answers were tran…

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Back Pain Information

May 2, 2010 by admin · Leave a Comment 

Back Pain Information
Dorsalgia is another term for back pain or back suffering. Nerves, muscles, bones, joints or other structure in the spine are the locations where the pain usually originates.

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A 54-year-old woman with degenerative back pain.

April 21, 2010 by admin · Leave a Comment 

A 54-year-old woman with degenerative back pain.
Authors: Tuck CM Back pain is a common symptom: up to 70% of UK adults experience this symptom by the age of 60 and most have moderate to severe pain. Back pain accounted for 12% of consultations to traditional acupuncturists in 2001 and is one of the most common reasons for consultation with an acupuncturist. This case report concerns a 54-year-old woman with metastatic breast cancer and degenerative lower back pain, which remained painful despite intensive pharmaceutical management and facet joint injection and was ultimately successfully managed with two 30 min acupuncture treatments 2 weeks apart, using eight points on the BL meridians. Acupuncture treatment using tender points was later trialled for neuropathic pain secondary to local recurrence in her mastectomy scar, however thi…

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Back Pain and Sciatica - Why Stretching is Bad Advice

April 4, 2010 by admin · Leave a Comment 

Back Pain and Sciatica - Why Stretching is Bad Advice
People who suffer from the worst pain and recurring injury problems caused by muscle imbalances are usually those who exercise the most but don’t support that exercise with the right nutrition. Those who have hyper mobile joints which can be put out of place more easily when put under pressure; people genetically predisposed to the hyper mobility or from constant long term stretching. These people are also more predisposed to getting conditions like back pain and sciatica.

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Paradigm for assessment and treatment of SIJ mechanical dysfunction

April 1, 2010 by admin · Leave a Comment 

Paradigm for assessment and treatment of SIJ mechanical dysfunction
Summary: The sacroiliac joint (SIJ) is an integral part of both the lumbar spine and the pelvic girdle. It is frequently the source of low back pain and pelvic girdle pain. Recent research has permitted a deeper understanding of its function and assessment. The mechanical assessment of the SIJ as a transmitter of load between trunk and lower limbs, and as a means to absorb torsion stresses of the pelvis absorber of torsion is examined; history, clinical examination and imaging modalities are explored and the role of exercise and some interventional therapies are described in general terms. (Source: Journal of Bodywork and Movement Therapies)

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