Mechanical or inflammatory low back pain. What are the potential signs and symptoms?

2009 ◽  
Vol 14 (3) ◽  
pp. 314-320 ◽  
Author(s):  
Bruce F. Walker ◽  
Owen D. Williamson
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Signs And Symptoms ◽  
Low Back

scholarly journals Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 8: Lumbar fusion for disc herniation and radiculopathy

2014 ◽  
Vol 21 (1) ◽  
pp. 48-53 ◽  
Author(s):  
Jeffrey C. Wang ◽  
Andrew T. Dailey ◽  
Praveen V. Mummaneni ◽  
Zoher Ghogawala ◽  
Daniel K. Resnick ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Lumbar Fusion ◽  
Signs And Symptoms ◽  
Herniated Disc ◽  
Spinal Instability ◽  
Low Back ◽  
Low Level ◽  
Disc Herniations

Patients suffering from a lumbar herniated disc will typically present with signs and symptoms consistent with radiculopathy. They may also have low-back pain, however, and the source of this pain is less certain, as it may be from the degenerative process that led to the herniation. The surgical alternative of choice remains a lumbar discectomy, but fusions have been performed for both primary and recurrent disc herniations. In the original guidelines, the inclusion of a fusion for routine discectomies was not recommended. This recommendation continues to be supported by more recent evidence. Based on low-level evidence, the incorporation of a lumbar fusion may be considered an option when a herniation is associated with evidence of spinal instability, chronic low-back pain, and/or severe degenerative changes, or if the patient participates in heavy manual labor. For recurrent disc herniations, there is low-level evidence to support the inclusion of lumbar fusion for patients with evidence of instability or chronic low-back pain.

A Modified Delphi Survey on the Signs and Symptoms of Low Back Pain: Indicators for an Interventional Management Approach

Pain Practice ◽  
2013 ◽  
Vol 15 (1) ◽  
pp. 12-21 ◽  
Author(s):  
José Cid ◽  
José L. De La Calle ◽  
Esther López ◽  
Cristina Del Pozo ◽  
Alfredo Perucho ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Signs And Symptoms ◽  
Delphi Survey ◽  
Management Approach ◽  
Low Back ◽  
Modified Delphi ◽  
Interventional Management

scholarly journals A COMPARATIVE CLINICAL STUDY ON PARISHEKA SWEDA WITH VISHAGARBHA TAILA AND TILA TAILA IN KATIGRAHA

2020 ◽  
Vol 8 (8) ◽  
pp. 4098-4106
Author(s):  
Prabin. M. M ◽  
Vikram Kumar
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Signs And Symptoms ◽  
Body Part ◽  
Whole Body ◽  
Treatment Modalities ◽  
Low Back ◽  
Sacral Region ◽  
Significant Difference ◽  
Comparative Clinical Study

Swedana Karma is one among the Shadupakrama (Six treatment modalities), indicated in the management of various diseases caused by Vata. Parisheka Sweda is a type of Drava Sweda which can be applied as Ekanga (over a body part) or Sarvanga (whole body). Katigraha (low back pain with stiffness) is a condi-tion which is characterized by Shoola (pain) and Stabdhata (stiffness) in Kati Pradesha (lumbo - sacral region) due to vitiated Vata. Swedana helps to relieve the pain and stiffness. Parisheka Sweda acts over whole Kati Pradesha (lumbo - sacral region), hence it will be more beneficial in this condition. Vishagarbha Taila contains Tikshna and Ushna Guna drugs and is specially indicated in Katigraha (low back pain with stiffness). Tila Taila is best among Vatahara Dravyas. Hence this study was undertaken to compare the efficacy of Parisheka Sweda with Vishagarbha Taila and Tila Taila in the management of Katigraha (low back pain with stiffness) to ascertain the better modality. Total 40 patients were randomly selected and divided in two equal groups. Group VT patients were given Vishagarbha Taila Parisheka Sweda and group TT patients were given Tila Taila Parisheka Sweda for half an hour once a day for 1 week over Kati Pradesha (lumbo - sacral region). Statistical analysis showed that both groups showed good improvement in various parameters of Katigraha (low back pain with stiffness). When comparison was done between the groups, it revealed that there was no statistically significant difference between the groups except in stiffness (p<0.001) and left lateral flexion (p<0.05). Hence it can be concluded that both Vishagarbha Taila Parisheka Sweda and Tila Taila Parisheka Sweda may be accepted in treating patients with Katigraha (low back pain with stiffness) to reduce both signs and symptoms successfully.

Extradural lipomatosis simulating an acute herniated nucleus pulposus

1982 ◽  
Vol 57 (4) ◽  
pp. 559-562 ◽  
Author(s):  
Carol R. Archer ◽  
Kenneth R. Smith
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Acute Exacerbation ◽  
Signs And Symptoms ◽  
Low Back ◽  
Review Of The Literature ◽  
Content Type ◽  
History Of ◽  
Herniated Nucleus Pulposus ◽  
Fine Print

✓ A 48-year-old laborer presented with a 1-year history of low-back pain radiating into the posterior aspects of both thighs. Two weeks before admission, acute exacerbation resulted in signs and symptoms of compressive radiculopathy at L-5. Myelography revealed concentric constriction of the lower thecal sac due to abundant fat, as shown by computerized tomography. Laminectomy produced immediate relief of pain. The significance of these findings and a review of the literature are presented.

scholarly journals Efficacy and tolerability of eperisone versus tizanidine in patients suffering from low back pain with muscle spasm

2017 ◽  
Vol 5 (6) ◽  
pp. 2694
Author(s):  
Abdul F. Khan ◽  
Khaneta Parveen ◽  
Abdul S. Khan
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Signs And Symptoms ◽  
Mean Value ◽  
Muscle Spasm ◽  
Muscle Stiffness ◽  
Low Back ◽  
Statistical Significant Difference ◽  
Significant Difference ◽  
Pain At Rest

Background: Low back pain (LBP), a high prevalent condition, is usually associated with 'muscle spasm' that is responsible for giving rise to pain. Eperisone hydrochloride is widely used for treatment associated muscle stiffness and pain. The aim of the study was to compare the efficacy and safety of eperisone tablets 50 mg three times daily versus tizanidine 2 mg tablets thrice daily for the treatment of low back pain with muscle spasm.Methods: The study was carried in 50 patients from a private hospital at Mumbai. Only patients satisfying the inclusion criteria were enrolled into the study. Subjects suffering from low back pain with spasm were divided in two groups. The patients were then followed up on Day-14.Results: Patients receiving eperisone showed a mean value of 16.48±1.15 in the Roland Morris low back pain and disability questionnaire both groups on day 1 and was reduced to 7.92±1.15 (51.94%) on day 7 and 2.56±1.53 (84.46%) on day 14. Similarly, the patients in tizanidine group had mean value of 15.96±1.62 on day 1, which was reduced to 6.76±1.66 (57.64%) on day 7, and 2.88±1.92 (81.95%) on day 14, as similar to eperisone group. There was no statistical significant difference between the two groups, (p>0.05) for pain at rest, pain at night, restriction of movement, changes in stiffness, changes in numbness and changes in tenderness. There was statistical significant difference between the two groups, (p<0.05) for pain on movement and kinesalgia.Conclusions: Eperisone was found to be comparable to Tizanidine in improving the signs and symptoms of changes in pain Self-assessment by the patient on different applied parameters.

Clinical efficacy of Katibasti and yog basti in the management of Katigraha (lumbar spondylosis)

2019 ◽  
Vol 7 (02) ◽  
Author(s):  
Sachin Lone
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Special Reference ◽  
Pain Intensity ◽  
Signs And Symptoms ◽  
Low Back ◽  
Lumbar Spondylosis ◽  
Vertebral Bodies ◽  
Cardinal Symptoms

Katigraha is degenerative condition in which affecting vertebral bodies, and vertebral discs and its associates with lumbar spine. We can correlate katishoola with lumbar spondylosis, Low back pain affects approximately 60.85% of adults during some point of their life and 10% of this is because of Lumbar Spondylosis (LS).   In current study, the assessment of kati basti  and yog basti in the management of Kati Graha with special reference to Lumbar spondylasis  has been attempted on a patient female patient  has age of 50yrs. having signs and symptoms of L.S. were selected and were administered katibasti and yogbasti for a period of 8 days. Highly significant results were observed and improvement in cardinal symptoms of Kati Graha was observed. It also provided highly significant results in improving range of movements rand pain intensity this procedure appears to provide good clinical improvement in pacifying pure Vataja Kati Graha.

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