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Low Back Pain

Lumbago


Presentation

  • We present this case for the rare site of Brodie's abscess and for its unusual presentation as low back pain.[ncbi.nlm.nih.gov]
  • To present the fourth in a series of articles designed to deconstruct chronic low back pain (CLBP) in older adults.[ncbi.nlm.nih.gov]
  • The following day, he presented to the emergency department again, his pain had not responded to the analgaesics; this time he also presented with massive bilateral swelling of lower limbs and left testicle that started 3 h earlier.[ncbi.nlm.nih.gov]
  • The current case report presents a 32-year-old patient who presented with back and low back pain that began in the last trimester of the pregnancy and worsened at two months postpartum and who was diagnosed with pregnancy- and lactation-associated osteoporosis[ncbi.nlm.nih.gov]
  • OBJECTIVE : To present the 11th in a series of articles designed to deconstruct chronic low back pain (CLBP) in older adults.[ncbi.nlm.nih.gov]
Multiple Congenital Anomalies
  • Due to her multiple congenital anomalies, excessive loading occurred at the facet joint. Therefore, we opted for conservative management, including mobilization of the thoracic spine and stretching of hamstrings and quadriceps.[ncbi.nlm.nih.gov]
Increased Appetite
  • Adverse events for systemic corticosteroids were not well-reported in RCTs, but the largest trial found that oral prednisone was associated with increased risk for any adverse event, insomnia, nervousness, and increased appetite ( 66 ).[doi.org]

Workup

  • An urgent workup revealed extensive thrombosis of the inferior vena cava.[ncbi.nlm.nih.gov]
  • The absence of red flags justified the initiation of treatment, but when symptoms of unrelenting LBP emerged, he was referred to his primary care physician with a request for further medical workup.[ncbi.nlm.nih.gov]
  • The algorithm considers both subtle and overt signs of dementia, dementia screening tools to use in practice, referrals to appropriate providers for a complete a workup for dementia, and clinical considerations for persons with dementia who report pain[ncbi.nlm.nih.gov]
  • Another issue that comes up in both the medical world and among spine patients is the need for a complete workup the first time you walk in the doctor's door.[verywellhealth.com]
  • At this point, a medical workup may be considered, and is advisable if the pain is severe and limits one’s ability to participate in activities of daily living, sleeping, and working. Chronic back pain.[spine-health.com]

Treatment

  • […] there is moderate evidence for the effectiveness of a multidisciplinary treatment compared to no treatment and other active treatments at reducing pain at short-term in the treatment of chronic low back pain.[ncbi.nlm.nih.gov]
  • The treatment effects were measured with a numerical rating scale, and the technical accuracy of intra-articular pulsed radiofrequency treatment was evaluated independently by 2 radiologists. Any adverse events or complications also were checked.[ncbi.nlm.nih.gov]
  • Given that most patients with acute or subacute low back pain improve over time regardless of treatment, clinicians and patients should select nonpharmacologic treatment with superficial heat (moderate-quality evidence), massage, acupuncture, or spinal[ncbi.nlm.nih.gov]
  • The comparison treatments included exercise, electrical treatments, spinal manipulation and “placebo treatments”. Placebo treatments are also called “dummy treatments”.[doi.org]

Prognosis

  • Low back pain investigations and prognosis: a review K M Refshauge, C G Maher School of Physiotherapy, University of Sydney, Sydney, NSW, Australia Correspondence to: Professor Refshauge School of Physiotherapy, University of Sydney, PO Box 170, Sydney[dx.doi.org]
  • Randomized trials often have narrow inclusion criteria and low rates of participation, which make them less suitable for inferring prognosis.[doi.org]
  • We therefore conducted a rigorous systematic review of studies of the prognosis of acute LBP 52 and of the factors that increase the risk of poor prognosis.[ncbi.nlm.nih.gov]

Etiology

  • The etiology of chronic back pain is often unknown but can include failed spinal surgery. Pain can often be of mixed type and it is important to evaluate pain mechanisms. Comorbid factors often contribute to pain chronicity.[ncbi.nlm.nih.gov]
  • A variety of nonsurgical interventions may ensue depending on the etiology of the LLD, including shoe inserts, customized shoes, manual therapy, or a combination.[ncbi.nlm.nih.gov]
  • Instrumentation-related soft-tissue irritation is a well-known etiology of this frustrating condition. Treatment options vary from conservative treatment till instrumentation removal, with no consensus on their efficacy.[ncbi.nlm.nih.gov]
  • The etiology of low back pain (LBP) is complicated and the diagnosis can be difficult.[ncbi.nlm.nih.gov]
  • Of these red flags, a prior history of cancer is the strongest risk factor for a malignant etiology and requires urgent evaluation with MRI.[ncbi.nlm.nih.gov]

Epidemiology

  • KEYWORDS: Disability; Epidemiology; General well-being; Low back pain; Pain intensity[ncbi.nlm.nih.gov]
  • […] acetaminophen, muscle relaxant, opioid, fusion, discectomy, laminectomy, epidural steroid injection » Download Full Topic PDF » Take CME Test » Authors and Peer Reviewers » Case Presentation and Conclusion » Introduction » Critical Appraisal Of The Literature » Epidemiology[web.archive.org]
  • The intervertebral disc has been implicated as an etiology of chronic lumbar spine pain based on clinical, basic science, and epidemiological research.[ncbi.nlm.nih.gov]
  • Scope of problem The most frequently quoted epidemiological studies cite lifetime adult prevalence rates varying from 50% to 80%, and point prevalence rates from 15% to 30%. 1 Yet even these statistics may underestimate the problem.[doi.org]
  • In concert with these epidemiological shifts, the incidence of CD is increasing.[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Pathophysiology

  • Low back pain is very common, but the pathophysiology is poorly understood.[ncbi.nlm.nih.gov]
  • BACKGROUND: Sacral stress fracture during pregnancy is an uncommon condition with unclear pathophysiology, presenting with non-specific symptoms and clinical findings.[ncbi.nlm.nih.gov]
  • CONCLUSIONS: Although the exact pathophysiology was not demonstrated, cervical myelopathy surgery may directly and indirectly improve msLBP. Copyright 2018 Elsevier Inc. All rights reserved.[ncbi.nlm.nih.gov]
  • […] relaxant, opioid, fusion, discectomy, laminectomy, epidural steroid injection » Download Full Topic PDF » Take CME Test » Authors and Peer Reviewers » Case Presentation and Conclusion » Introduction » Critical Appraisal Of The Literature » Epidemiology » Pathophysiology[web.archive.org]
  • Assessment of functional EP characteristics is important in order to understand its relation to IVD degeneration, which in turn might deepen the understanding of the pathophysiology behind low back pain (LBP).[ncbi.nlm.nih.gov]

Prevention

  • Author information 1 Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Alfred Hospital, Melbourne, VIC 3004, Australia; Monash Alfred Psychiatry Research Centre, Central Clinical School[ncbi.nlm.nih.gov]
  • Relative Risk for Sick Leave in Controlled Trials on Efficacy of Low Back Pain Prevention Strategies Studies are ordered chronologically within prevention strategies.[doi.org]
  • Existing guidelines and systematic reviews lack clear recommendations for prevention of low back pain (LBP). To investigate the effectiveness of interventions for prevention of LBP.[ncbi.nlm.nih.gov]
  • Objectives To investigate the effectiveness of exercises for preventing new episodes of low‐back pain or low‐back pain‐associated disability.[doi.org]
  • Côté UOIT‐CMCC Centre for the Study of Disability Prevention and Rehabilitation, University of Ontario Institute of Technology (UOIT) and Canadian Memorial Chiropractic College (CMCC), Oshawa, ON, Canada Canada Research Chair in Disability Prevention[dx.doi.org]

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