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The Back 2 Activity Trial: Education and Advice versus Education and Advice plus a Structured Walking Programme for Chronic Low Back Pain

September 3, 2010 by admin · Leave a Comment 

The Back 2 Activity Trial: Education and Advice versus Education and Advice plus a Structured Walking Programme for Chronic Low Back Pain
DiscussionThis paper describes the rationale and design of a study which will test the feasibility of using a structured, pedometer-driven walking programme in participants with chronic low back pain.Trial Registration: [ISRCTN67030896] (Source: BMC Musculoskeletal Disorders)

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

August 19, 2010 by admin · Leave a Comment 

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

August 19, 2010 by admin · Leave a Comment 

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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Pfizer has announced the suspension of its investigation of tanezumab for chronic lower back pain and painful diabetic peripheral neuropathy

August 17, 2010 by admin · Leave a Comment 

Pfizer has announced the suspension of its investigation of tanezumab for chronic lower back pain and painful diabetic peripheral neuropathy
(Source: Reactions)

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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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Deconditioning in chronic low back pain: might there be a relationship between fitness and magnetic resonance imaging findings?

August 12, 2010 by admin · Leave a Comment 

Deconditioning in chronic low back pain: might there be a relationship between fitness and magnetic resonance imaging findings?
Abstract  The presence of persistent low back pain leads to avoidance of daily activities, contributes to further exercise intolerance and subsequent further loss of functional capacity. We sought to search for the relationship between lumbar magnetic resonance imaging findings and deconditioning in a homogeneous subset of patients with low back pain. We studied 20 sedentary, nonsmoking patients with chronic low back pain using symptom-limited cardiopulmonary exercise testing using treadmill breath-by-breath analysis using modified Bruce protocol. Lumbar facet and disc degeneration involving L1-S1 levels were assessed using 1.5 Tesla MRI. The total number of levels involved was positively correlated with age (r = 0.478, P = 0.033). The Pfirrmann grading o…

A little adversity bodes well for those with chronic back pain

August 10, 2010 by admin · Leave a Comment 

A little adversity bodes well for those with chronic back pain
(University at Buffalo) A new study by researchers at the University at Buffalo and the University of California, Irvine, to be published in the September issue of the journal Pain, reveals that, for people with chronic back pain, having a little adversity in your life can be protective and beneficial. (Source: EurekAlert! - Medicine and Health)

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Change Your Attitude, Relieve Your Back Pain

August 8, 2010 by admin · Leave a Comment 

Change Your Attitude, Relieve Your Back Pain
(Ivanhoe Newswire) — Ten percent of those with lower back pain never feel relief and often experience disability as a result. New research now shows chronic sufferers’ beliefs and behaviors towards their disorder have a greater impact on their disability than the intensity of their pain. (Source: Medical Headlines From Ivanhoe.com)

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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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13. Sacroiliac Joint Pain

August 4, 2010 by admin · Leave a Comment 

13. Sacroiliac Joint Pain
The sacroiliac joint accounts for approximately 16% to 30% of cases of chronic mechanical low back pain. Pain originating in the sacroiliac joint is predominantly perceived in the gluteal region, although pain is often referred into the lower and upper lumbar region, groin, abdomen, and/ or lower limb(s). Because sacroiliac joint pain is difficult to distinguish from other forms of low back pain based on history, different provocative maneuvers have been advocated. Individually, they have weak predictive value, but combined batteries of tests can help ascertain a diagnosis. Radiological imaging is important to exclude “red flags” but contributes little in the diagnosis. Diagnostic blocks are the diagnostic gold standard but must be interpreted with caution, because false-positive as well a…

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