Process evaluation of a Participatory Ergonomics programme to prevent low back pain and neck pain among workers

Process evaluation of a Participatory Ergonomics programme to prevent low back pain and neck pain among workers
Conclusions: PE can be a successful method to develop and to prioritise ergonomic measures to prevent LBP and NP. Despite the positive rating of the PE programme the implementation of the prioritised ergonomic measures was lower than expected.Trial registrationCurrent Controlled Trials ISRCTN27472278 (Source: Implementation Science)

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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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Goal scaling for low back pain in primary care: development of a semi-structured interview incorporating minimal important change

Goal scaling for low back pain in primary care: development of a semi-structured interview incorporating minimal important change
Conclusions The formation of individualized goal scales was successful in all of the participants in this study. Patients were able to understand the concept of ‘minimal important change’, and identify a specific target to reflect this for two-thirds of their chosen goals. (Source: Journal of Evaluation in Clinical Practice)

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Clinical Prediction Rules Currently Fail to Predict

Clinical Prediction Rules Currently Fail to Predict
Many musculoskeletal conditions represent only symptoms related to a myriad of possible underlying pathologies. For example, due to the many underlying causes of low back pain, no single treatment option including drugs, surgery, exercise or spinal manipulation successfully treats all patients. (Source: ChiroACCESS: Tools for Better Patient Care)

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Back Pain Exercise - Temporary Relief and Muscle Building

Back Pain Exercise - Temporary Relief and Muscle Building
Back pain exercise is one of the most successful treatments for back pain relief. By doing exercise, you can take care of the pain that you are currently experiencing, but you can also eliminate future risks for back pain by making your muscles stronger and making your body more fit. While some exercises aren’t good to do when you have back pain issues, there are a great variety of stretching and strength training exercises that can actually help the situation and take away your back pain. You don’t have to look far to find programs and medical professionals who can offer you the back pain exercise that you need.

Multiple intradural-extramedullary ependymomas: proven dissemination by genetic analysis.

Multiple intradural-extramedullary ependymomas: proven dissemination by genetic analysis.
Authors: Vural M, Arslantas A, Ciftci E, Artan S, Adapinar B This 45-year-old woman was admitted with neck and back pain and difficulty in ambulation that had been progressively worsening for 2 years. Admission MR imaging revealed a cervicomedullary junction tumor and 2 intradural-extramedullary spinal tumors located separately at the levels of T5-6 and T8-9. All masses were successfully resected in a 2-stage operation. Histopathological examination of the surgical specimens revealed that all the lesions were ependymomas. Genetic analysis was performed to determine if the tumors were related. Conventional cytogenetics, multiplex fluorescence in situ hybridization (M-FISH), interphase-FISH specific to 22q11, and epidermal growth factor receptor loci analyses of the tumor samples reveale…

Outcome measures in chronic low back pain

Outcome measures in chronic low back pain
Abstract  The purpose of this prospective, single site cohort quasi-experimental study was to determine the responsiveness of the numerical rating scale (NRS), Roland–Morris disability questionnaire (RMDQ), Oswestry disability index (ODI), pain self-efficacy questionnaire (PSEQ) and the patient-specific functional scale (PSFS) in order to determine which would best measure clinically meaningful change in a chronic low back pain (LBP) population. Several patient-based outcome instruments are currently used to measure treatment effect in the chronic LBP population. However, there is a lack of consensus on what constitutes a “successful” outcome, how an important improvement/deterioration has been defined and which outcome measure(s) best captures the effectiveness of th…

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

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…

Resolution of low back and radicular pain in a 40-year-old male United States Navy Petty Officer after collaborative medical and chiropractic care

Resolution of low back and radicular pain in a 40-year-old male United States Navy Petty Officer after collaborative medical and chiropractic care
Conclusion: Integrative care, using medical and chiropractic services, was successful in the conservative management of a patient with low back pain and radicular symptoms secondary to disk extrusion. (Source: Journal of Chiropractic Medicine)

Scoliosis Back Pain

Scoliosis Back Pain
Scoliosis back pain is a great conundrum for dorsopathy patients, since this spinal curvature condition is often blamed for sourcing symptoms, yet treatments are rarely, if ever, successful. Scoliosis describes a spinal abnormality in which the patient suffers an atypical side to side curvature of the spine at one or more locations. Some patients have a single abnormal curve, generally referred to as a “C” curve, while others have 2 or more abnormal curves, generally referred to as an “S” curve.

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