Back Pain - Self Help Tips From an Osteopath

Back Pain - Self Help Tips From an Osteopath
If you are one of the millions that suffer low back pain then there are a few basic ways in which you can help yourself, but my first piece of advice has to be to get professional osteopathic help, in my experience the sooner you have treatment after an injury the better, it makes a vast difference to how quickly the recovery is. On the other hand if you have long term, chronic back pain then try getting help for that too, don’t just accept you have to live with it, take pain killers forever or that it is just…

4 Simple Exercises to Help Get Your Back in Tip Top Shape

4 Simple Exercises to Help Get Your Back in Tip Top Shape
Most people will suffer from some form of back pain in their life. This is because of muscle weakness and nerve pressure. Nagging back injuries (not even serious ones) have cut short many athletic careers.

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A systematic review on the effectiveness of pharmacological interventions for chronic non-specific low-back pain

A systematic review on the effectiveness of pharmacological interventions for chronic non-specific low-back pain
The objective of this review was to determine the effectiveness of pharmacological interventions [i.e., non-steroid anti-inflammatory drugs (NSAIDs), muscle relaxants, antidepressants, and opioids] for non-specific chronic low-back pain (LBP). Existing Cochrane reviews for the four interventions were screened for studies fulfilling the inclusion criteria. Then, the literature searches were updated. Only randomized controlled trials on adults (≥18 years) with chronic (≥12 weeks) non-specific LBP and evaluation of at least one of the main clinically relevant outcome measures (pain, functional status, perceived recovery, or return to work) were included. The GRADE approach was used to determine the quality of evidence. A total of 17 randomized controlled trials was include…

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Positions For Curing Lower Back Pain

Positions For Curing Lower Back Pain
You may be suffering from a chronic lower backache. Exercise is necessary for relieving or preventing lower back pain that might occur to you. I would like to recommend some effective practices in exercising as the basic for those who suffer from lower backache. However, exercise should be done correctly to avoid back injuries.

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Abstract  The primary objective of this study was to determine which questionnaire, the Roland Morris disability questionnaire (RMDQ) or the patient-specific functional scale (PSFS), was better at detecting change in activity limitation in a large cohort of patients with low back pain undergoing rehabilitation. A secondary aim was to determine if the responsiveness of the questionnaires was influenced by the patient’s level of activity limitation at baseline. Responsiveness statistics, including effect size statistics, Pearson’s r correlations and receiver operative characteristic (ROC) curve analysis were used to determine ability to detect change in activity limitation on 831 patients with low back pain. Data were analysed at two time points; directly after treatment (…

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Bilateral insufficiency fracture of the femoral head and neck in a case of oncogenic osteomalacia.

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We describe a case of oncogenic osteomalacia in an adult male who presented with low back pain and bilateral hip pain. Extensive investigations had failed to find a cause. A plain pelvic radiograph showed Looser’s zones in both femoral necks. MRI confirmed the presence of insufficiency fractures bilaterally in the femoral head and neck. Biochemical investigations confirmed osteomalacia which was unresponsive to treatment with vitamin D and calcium. A persistently low serum phosphate level suggested a diagnosis of hypophosphataemic osteomalacia. The level of fibroblast growth factor-23 was highly raised, indicating the cause as oncogenic osteomalacia. This was confirmed on positron-emission tomography, MRI and excision of a benign fibrous histiocytoma following a rapid recovery. The diagnos…

How little pain and disability do patients with low back pain have to experience to feel that they have recovered? Kamper SJ, Maher CG, Herbert RD, Hancock MJ, Hush JM, Smeets RJ. Eur Spine J 2010 Mar 13. [Epub ahead of print]

How little pain and disability do patients with low back pain have to experience to feel that they have recovered? Kamper SJ, Maher CG, Herbert RD, Hancock MJ, Hush JM, Smeets RJ. Eur Spine J 2010 Mar 13. [Epub ahead of print]
Epidemiological and clinical studies of people with low back pain (LBP) commonly measure the incidence of recovery. The pain numerical rating scale (NRS), scores from 0 to 10, and Roland Morris disability questionnaire (RMDQ), scores from 0 to 24, are two instruments often used to define recovery. On both scales higher scores indicate greater severity. There is no consensus, however, on the cutoff scores on these scales that classify people as having recovered. The aim of this study was to determine which cutoff scores most accurately classify those who had recovered from LBP. Subjects from four clinical studies were categorized as ‘recovered’ or ‘unrecovered’ according to their self-rating on a global perceived effect scale. Odd ratios were calculated for scores of 0, 1, 2, 3 and …

How is recovery from low back pain measured? A systematic review of the literature

How is recovery from low back pain measured? A systematic review of the literature
In conclusion, almost every study that measured recovery from LBP in the last 10 years did so differently. This lack of consistency makes interpretation and comparison of the LBP literature problematic. It is likely that the failure to use a standardised measure of recovery is due to the absence of an established definition, and highlights the need for such a definition in back pain research. Content Type Journal ArticleCategory Review ArticleDOI 10.1007/s00586-010-1477-8Authors Steven J. Kamper, University of Sydney The George Institute for International Health PO Box M201 Missenden Rd Sydney NSW 2050 AustraliaTasha R. Stanton, University of Sydney The George Institute for International Health PO Box M201 Missenden Rd Sydney NSW 2050 AustraliaChristopher M. Williams, Univer…

5 Tips to Prevent Back Injuries

5 Tips to Prevent Back Injuries
If you are looking for a quick fix, a quick way to lose weight, or a quick way to reduce your back pain, this article is not for you. If you want make a change that will last long term than keep reading. I guarantee everyone has heard these tips before many times. They are not new, but most have thought about them the wrong way, or gone about making these changes the wrong way.

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Recent advances in the evaluation and management of nonspecific low back pain and related disorders

Recent advances in the evaluation and management of nonspecific low back pain and related disorders
This issue of the journal aims to bring the busy clinician up to date with recent developments in key aspects of evaluation and management of non-specific low back pain, and presents a synthesis of the latest research on an array of clinical topics. Individual articles address the prognosis of low back pain; opportunities and challenges in identification of subgroups of patients who may benefit most from a particular treatment; the role of exercise in treatment and prevention; the influence of beliefs and expectations on recovery and how these can be addressed in the consultation; and the importance of work-related outcomes and ways to improve them. We continue the theme of evidence-informed decision making by providing up-to-date summaries of management of the common entities of sciatica,…

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