What to Expect When Dealing With Low Back Pain

What to Expect When Dealing With Low Back Pain
Low Back Pain is an epidemic in the United States. Nine out of ten Americans will suffer from low back pain at some point. What can be expected with Low Back Pain? How often does it go away on its own and how often does it become chronic? This article discusses the typical outcomes from low back pain and the current recommendations for management.

Beliefs and Behaviors Influence Back Pain Disability (CME/CE)

Beliefs and Behaviors Influence Back Pain Disability (CME/CE)
Among patients with low back pain, negative beliefs and behaviors (MedPage Today) — such as believing their problem will not get better — are important correlates of increased disability, according to an Australian study. (Source: MedPage Today State Required CME)

Diagnostic Nerve Blocks Costly — And Controversial (CME/CE)

Diagnostic Nerve Blocks Costly — And Controversial (CME/CE)
While some guidelines recommend two diagnostic nerve blocks before radiofrequency treatment for chronic low back pain, a randomized trial showed greater success without use of the prior blocks. (Source: MedPage Today State Required CME)

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Back-pain guidelines may delay treatment

Back-pain guidelines may delay treatment
BALTIMORE, July 28 (UPI) — Skipping long-held diagnostic guidelines may speed up pain relief for some with back pain, U.S. researchers say. Pain management - United States - Health - Medicine - Medical Specialties (Source: Health News - UPI.com)

Pfizer suspends tanezumab osteoarthritis clinical trial programme

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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Doubt Cast on Common Back Pain Management
Many people with arthritis-related back pain might be prevented from getting long-lasting pain relief under the current management guidelines, US researchers said Friday.Source: Reuters Health Related MedlinePlus Pages: Arthritis, Back Pain (Source: MedlinePlus Health News)

12. Pain Originating from the Lumbar Facet Joints

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

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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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Glucosamine Fails to Ease Aching Backs (CME/CE, with video)

Glucosamine Fails to Ease Aching Backs (CME/CE, with video)
Although it is widely used, glucosamine has no effect on chronic low back pain and degenerative lumbar osteoarthritis, researchers said. (Source: MedPage Today State Required CME)

Daily functioning and self-management in patients with chronic low back pain after an intensive cognitive behavioral programme for pain management

Daily functioning and self-management in patients with chronic low back pain after an intensive cognitive behavioral programme for pain management
Abstract  Chronic low back pain (CLBP) is associated with persistent or recurrent disability which results in high costs for society. Cognitive behavioral treatments produce clinically relevant benefits for patients with CLBP. Nevertheless, no clear evidence for the most appropriate intervention is yet available. The purpose of this study is to evaluate the mid-term effects of treatment in a cohort of patients with CLBP participating in an intensive pain management programme. The programme provided by RealHealth-Netherlands is based on cognitive behavioral principles and executed in collaboration with orthopedic surgeons. Main outcome parameters were daily functioning (Roland and Morris Disability Questionnaire and Oswestry Disability Questionnaire), self-efficacy (Pain Sel…

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