Ultrasound identification of traumatic pneumobilia

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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Whiplash injury: 2% are permanently disabled

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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Meeting the ranging of informational needs of chronic low back pain sufferers: Conceptual design and rationale of the interactive website ONESELF.

Meeting the ranging of informational needs of chronic low back pain sufferers: Conceptual design and rationale of the interactive website ONESELF.
Conclusion. Online interactional tools such as ONESELF are a promising source of health communication, provided that the content manager of the website and the health professionals collaborate in a rigorously structured manner. ONESELF can benefit traditional medical consultations in helping screen requests from patients that do not need to see a doctor, and in acting as a repository of background information that saves consultation time for more urgent matters. PMID: 19888842 [PubMed - in process] (Source: Disability and Rehabilitation)

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Does physical activity change predict functional recovery in low back pain? Protocol for a prospective cohort study

Does physical activity change predict functional recovery in low back pain? Protocol for a prospective cohort study
DiscussionThis research will investigate levels and changes in activity levels of an acute LBP cohort and the predictive relationship to LBP recovery. The results will assess whether occupational, psychological and behavioural factors affect the relationship between free living PA and LBP recovery. Results from this research will help to determine the strength of evidence supporting international guidelines that recommend restoration of normal activity in managing LBP.Trial registration: [Clinical Trial Registration Number, ACTRN12609000282280] (Source: BioMed Central)

Beliefs about back pain predict the recovery rate over 52 consecutive weeks.

Beliefs about back pain predict the recovery rate over 52 consecutive weeks.
CONCLUSIONS: Negative beliefs about the inevitability of adverse consequences of low-back pain and work-related, fear-avoidance beliefs are independent risk factors for poor recovery from low-back pain. PMID: 19806279 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Work, Environment and Health)

Four Out Of 10 Back Pain Sufferers Will Recover Within A Year

Four Out Of 10 Back Pain Sufferers Will Recover Within A Year
Over a third (35%) of patients will recover from chronic low back pain within nine months and four out of 10 (41%) will do so within a year, according to research published on BMJ.com. This is the first study of its kind and the results go against the common view that recovery from an episode of chronic low back pain is unlikely. (Source: Health News from Medical News Today)

Acute low back pain: clinical course and prognostic factors.

Acute low back pain: clinical course and prognostic factors.
CONCLUSIONS: Acute LBP patients with disability generally recover in the first weeks. General health perception (NHP) - pain subgroup score was identified in particular as the best prognostic factor for non-recovery in the short term. Hence, pain should be given particular consideration in baseline assessments of acute LBP patients. PMID: 19736660 [PubMed - in process] (Source: Disability and Rehabilitation)

Can Yoga Cure My Back Pain?

Can Yoga Cure My Back Pain?
I recently finished six weeks of physical therapy after my back surgery. The therapist sat me down for a “discharged interview”. We discussed a variety of things that would help me continue my recovery. One of the questions I asked him was “Can yoga cure my back pain”?

Conventional Microdiskectomy May Be Better Than Tubular Diskectomy for Sciatica

Conventional Microdiskectomy May Be Better Than Tubular Diskectomy for Sciatica
A study shows no significant improvement on the Roland-Morris Disability Questionnaire after tubular diskectomy and less favorable results for patient self-reported leg pain, back pain, and recovery. Medscape Medical News (Source: Medscape Today Headlines)

ORIGINAL CONTRIBUTION: Tubular Diskectomy vs Conventional Microdiskectomy for Sciatica: A Randomized Controlled Trial

ORIGINAL CONTRIBUTION: Tubular Diskectomy vs Conventional Microdiskectomy for Sciatica: A Randomized Controlled Trial
Conclusions  Use of tubular diskectomy compared with conventional microdiskectomy did not result in a statistically significant improvement in the Roland-Morris Disability Questionnaire score. Tubular diskectomy resulted in less favorable results for patient self-reported leg pain, back pain, and recovery. Trial Registration  isrctn.org Identifier: ISRCTN51857546 (Source: JAMA)

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