Quality of Low Back Pain Guidelines Improved

Quality of Low Back Pain Guidelines Improved
This study assessed the methodologic quality of clinical guidelines for the management of acute and chronic low back pain (LBP) in primary care and compared their recommendations. Spine (Source: Medscape Orthopaedics Headlines)

Correction of lumbar coronal plane deformity using unilateral cage placement.

Correction of lumbar coronal plane deformity using unilateral cage placement.
Authors: Heary RF, Karimi RJ The authors describe a surgical technique for the correction of symptomatic degenerative lumbar scoliosis. Using a single, unilateral, interbody cage placed on the concave side of the coronal deformity, combined with a dorsal decompression and instrumented posterolateral fusion, this technique has resulted in excellent curve correction, fusion results, and clinical outcomes in a series of 4 patients. Each of these patients presented with intractable, axial low-back pain and symptomatic unilateral nerve root compression on the concave side of a lumbar scoliotic deformity. The management is described in detail. PMID: 20192720 [PubMed - in process] (Source: Neurosurgical Focus)

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

Do You Have Severe Lower Right Back Pain? Get Quick and Effective Relief For Back Pain!

Do You Have Severe Lower Right Back Pain? Get Quick and Effective Relief For Back Pain!
So you have severe lower right back pain and you want permanent relief from it? Very often back pain sufferers can not enjoy the things, that others take for granted, like sports, hiking, playing with the kids. Fortunately you don’t have to suffer from severe and chronic pain no longer.

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Capitalising on effective treatment strategies for low back pain – How do we bridge the self-management gap?

Capitalising on effective treatment strategies for low back pain – How do we bridge the self-management gap?
Epidemiological evidence confirms that low back pain has a tendency to recur. Over the last decade, insights have increased significantly into diagnostic approaches and the development of effective treatment packages which are often multi-modal in nature. There has been a move into a bio-psychosocial philosophical approach to care, although, contrary to this integrated philosophy there are Instances where some clinicians take a completely hands-off approach to care, whilst others simply ignore the psychosocial dimension. Patients of course are not really in a position of awareness or knowledge to be able to comment or express their views and needs in relation to treatment and therefore, to a large extent, this polarity may go un-noticed. (Source: Manual Therapy)

New developments in multiple sclerosis and pain management

New developments in multiple sclerosis and pain management
Promising studies were reported at the 25th congress of the European Committee for Treatment and Research in MS (ECTRIMS), held on 9-12 September 2009 in Düsseldorf, Germany, while data on a new treatment for chronic low back pain was presented at the 6th Triennial congress of the European Federation of Chapters (EFIC) of the International Association for the Study of Pain (IASP), held on 9-12 September 2009 in Lisbon, Portugal. Copyright © 2009 John Wiley & Sons, Ltd. (Source: Future Prescriber)

Range of normality versus range of motion: A functional measure for the prevention and management of low back injury

Range of normality versus range of motion: A functional measure for the prevention and management of low back injury
Summary: The Range of Motion (ROM) is a popular measurement used in the determination of disability for low back pain subjects in spite of serious objections to its clinical usefulness. It is proposed to consider a different index called the Range of Normality (RON) which is defined to be the portion of the ROM that an injured subject is able to do quasi-normally. This permits a direct assessment of the return to work parameters and the restrictions that ought to be placed on activities. It also allows follow up since the RON is expected to fill up the ROM as the injured subject recovers from his injury. (Source: Journal of Bodywork and Movement Therapies)

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…

Medical Training Related to Musculoskeletal Conditions is Inadequate

Medical Training Related to Musculoskeletal Conditions is Inadequate
From Harvard Medical School in the U.S. to medical schools in Europe, medical education related to musculoskeletal conditions is inadequate. A 2009 survey tested physician’s knowledge related to simple low back pain management. The average survey score of family practitioners was 69.7 and the average score of orthopedists was far less at 44.3. Orthopedists were less likely to make the proper radiological referral and appropriate pharmacological prescription based upon the literature. (Source: ChiroACCESS: Tools for Better Patient Care)

Baby’s Giving Mom a Pain in the Back

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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