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

August 15, 2010 by admin · Leave a Comment 

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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Safety and efficacy of a new percutaneously implantable interspinous process device

August 14, 2010 by admin · Leave a Comment 

Safety and efficacy of a new percutaneously implantable interspinous process device
Conclusions  The In-space is a percutaneous treatment option of claudication in patients with lumbar spinal stenosis. Compared with microsurgical decompression surgery, recurrence rate within 1 year is, however, high and the device seems not suitable for the treatment of low back pain. Therefore, the authors suggest that the device should presently be used primarily in controlled clinical trials in order to get more information concerning the optimal indication. Content Type Journal ArticleCategory Clinical ArticleDOI 10.1007/s00701-010-0740-4Authors Sven Rainer Kantelhardt, Technical University Munich Department of Neurosurgery Ismaninger Straße 22 81675 Munich GermanyElisabeth Török, Technical University Munich Department of Neurosurgery Ismaninger Straße…

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Cost of Low Back Pain - Symptoms, Treatment & Pain Relief - Braces For Support

August 10, 2010 by admin · Leave a Comment 

Cost of Low Back Pain - Symptoms, Treatment & Pain Relief - Braces For Support
What is the cost of low back pain? This free article looks at this from a emotional and monetary stand point. This information can help you get pain relief as well without spending an arm and a leg.

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Common Facts About Back Pain and Ideas For Prevention

August 5, 2010 by admin · Leave a Comment 

Common Facts About Back Pain and Ideas For Prevention
If you are one of the millions of people who suffer chronic back pain you may feel as though you’ll never find relief. Whether you have lower or upper pain there are treatment options available to you.

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12. Pain Originating from the Lumbar Facet Joints

August 1, 2010 by admin · Leave a Comment 

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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The patient-specific functional scale is more responsive than the Roland Morris disability questionnaire when activity limitation is low

July 25, 2010 by admin · Leave a Comment 

The patient-specific functional scale is more responsive than the Roland Morris disability questionnaire when activity limitation is low
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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Lower Back Pain Treatment - Easy Steps to Making Lower Back Pain a Thing of the Past!

July 24, 2010 by admin · Leave a Comment 

Lower Back Pain Treatment - Easy Steps to Making Lower Back Pain a Thing of the Past!
This article is about lower back pain treatment. In this article, we will discuss the steps you need to take to ensure that your lower back pain ceases as quickly as possible. Contrary to popular opinion lower back pain can be treated, in fact if you read on till the end of this article, you will discover a way to access invaluable information which will ensure that this condition never reoccurs ever again.

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Clinical Prediction Rules Currently Fail to Predict

July 22, 2010 by admin · Leave a Comment 

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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Acupuncture For Back Pain - Back Pain Acupuncture Treatments

July 22, 2010 by admin · Leave a Comment 

Acupuncture For Back Pain - Back Pain Acupuncture Treatments
Acupuncture for back pain has become somewhat of a hot topic. It’s no wonder, actually, that back pain acupuncture treatments are gaining popularity in the current climate of organic and holistic lifestyles and treatments. It’s not just all about the drugs anymore! Let’s learn a little bit more about one of the new back pain remedies, though - and that’s acupuncture. It’s never a bad idea to have more information before proceeding down a path.

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Back Pain Exercise & Manipulation Effectiveness in Primary Care

July 16, 2010 by admin · Leave a Comment 

Back Pain Exercise & Manipulation Effectiveness in Primary Care
Spinal manipulation and exercise are two common methods used to treat low back pain. Little is known however, about the benefit these treatments provide over and above regular care (which includes advice to stay active, and perhaps oral pain or anti-inflammatory medications).

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