scholarly journals Outcomes of osteopathic manual treatment for chronic low back pain according to baseline pain severity: Results from the OSTEOPATHIC Trial

2013 ◽  
Vol 18 (6) ◽  
pp. 533-540 ◽  
Author(s):  
John C. Licciardone ◽  
Cathleen M. Kearns ◽  
Dennis E. Minotti
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Pain Severity ◽  
Low Back ◽  
Manual Treatment

scholarly journals Evaluation of the effectiveness of chiropractic manual treatment in patients with chronic low back pain

2021 ◽  
Vol 21 (2) ◽  
pp. 250-260
Author(s):  
Fatma Gülçin Ural ◽  
Gökhan Tuna Öztürk ◽  
Dilek Dizdar ◽  
İlkay Karabay ◽  
Hüseyin Nazlıkul
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Manual Treatment

scholarly journals Perceived Injustice Helps Explain the Association Between Chronic Pain Stigma and Movement-Evoked Pain in Adults with Nonspecific Chronic Low Back Pain

Pain Medicine ◽  
2020 ◽  
Vol 21 (11) ◽  
pp. 3161-3171
Author(s):  
Terence M Penn ◽  
Demario S Overstreet ◽  
Edwin N Aroke ◽  
Deanna D Rumble ◽  
Andrew M Sims ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Function ◽  
Indirect Effect ◽  
Chronic Low Back Pain ◽  
Pain Severity ◽  
Low Back ◽  
Perceived Injustice ◽  
Objective Basis

Abstract Objective For most patients with chronic low back pain (cLBP), the cause is “nonspecific,” meaning there is no clear association between pain and identifiable pathology of the spine or associated tissues. Laypersons and providers alike are less inclined to help, feel less sympathy, dislike patients more, suspect deception, and attribute lower pain severity to patients whose pain does not have an objective basis in tissue pathology. Because of these stigmatizing responses from others, patients with cLBP may feel that their pain is particularly unjust and unfair. These pain-related injustice perceptions may subsequently contribute to greater cLBP severity. The purpose of this study was to examine whether perceived injustice helps explain the relationship between chronic pain stigma and movement-evoked pain severity among individuals with cLBP. Methods Participants included 105 patients with cLBP who completed questionnaires assessing chronic pain stigma and pain-related injustice perception, as well as a short physical performance battery for the assessment of movement-evoked pain and physical function. Results Findings revealed that perceived injustice significantly mediated the association between chronic pain stigma and cLBP severity (indirect effect = 6.64, 95% confidence interval [CI] = 2.041 to 14.913) and physical function (indirect effect = −0.401, 95% CI = −1.029 to −0.052). Greater chronic pain stigma was associated with greater perceived injustice (P = 0.001), which in turn was associated with greater movement-evoked pain severity (P = 0.003). Conclusions These results suggest that perceived injustice may be a means through which chronic pain stigma impacts nonspecific cLBP severity and physical function.

Reverse transformation of Modic Type 2 changes to Modic Type 1 changes during sustained chronic low-back pain severity

2007 ◽  
Vol 6 (2) ◽  
pp. 152-155 ◽  
Author(s):  
Laurence A. G. Marshman ◽  
Matthew Trewhella ◽  
Tai Friesem ◽  
Chandra K. Bhatia ◽  
Manoj Krishna
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Reverse Transformation ◽  
Pain Severity ◽  
Low Back ◽  
Modic Type ◽  
Generating Capacity

✓Modic Type 2 (MT2) neuroimaging changes are considered stable or invariant over time and relatively quiescent, whereas Modic Type 1 (MT1) changes are considered unstable and more symptomatic. The authors report two cases in which MT2 changes were symptomatic and evidently unstable, and in which chronic low-back pain severity remained unaltered despite a MT2–MT1 reverse transformation. Two women (41 and 48 years old) both presented with chronic low-back pain. Magnetic resonance (MR) images demonstrated degenerating discs at L5–S1 associated with well-established MT2 changes in adjacent vertebrae. Repeated MR imaging in these two patients after 11 months and 7 years, respectively, revealed reverse transformation of the MT2 changes into more florid MT1 changes, despite unaltered chronic low-back pain severity. Following anterior discectomy and disc arthroplasty, immediate abolition of chronic low-back pain was achieved in both patients and sustained at 3-year follow up. Modic Type 2 changes are therefore neither as stable nor as quiescent as originally believed. Each type can change, with equal symptom-generating capacity. More representative imaging–pathological correlates are required to determine the precise nature of MT changes.

Social Support is Inversely Associated with Sleep Disturbance, Inflammation, and Pain Severity in Chronic Low Back Pain

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Anitha Saravanan ◽  
Prempreet Bajaj ◽  
Herbert L. Mathews ◽  
Dina Tell ◽  
Angela Starkweather ◽  
...  
Keyword(s):  
Social Support ◽  
Low Back Pain ◽  
Back Pain ◽  
Sleep Disturbance ◽  
Chronic Low Back Pain ◽  
Pain Severity ◽  
Low Back

scholarly journals Functional Pain Severity and Mobility in Overweight Older Men and Women with Chronic Low-Back Pain—Part I

2013 ◽  
Vol 92 (5) ◽  
pp. 430-438 ◽  
Author(s):  
Heather K. Vincent ◽  
Amanda N. Seay ◽  
Cindy Montero ◽  
Bryan P. Conrad ◽  
Robert W. Hurley ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Older Men ◽  
Pain Severity ◽  
Low Back ◽  
Men And Women ◽  
Functional Pain ◽  
Older Men And Women

scholarly journals Osteopathic Manual Treatment and Ultrasound Therapy for Chronic Low Back Pain: A Randomized Controlled Trial

2013 ◽  
Vol 11 (2) ◽  
pp. 122-129 ◽  
Author(s):  
J. C. Licciardone ◽  
D. E. Minotti ◽  
R. J. Gatchel ◽  
C. M. Kearns ◽  
K. P. Singh
Keyword(s):  
Randomized Controlled Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Controlled Trial ◽  
Ultrasound Therapy ◽  
Low Back ◽  
Randomized Controlled ◽  
Manual Treatment

scholarly journals Biopsychosocial Profiles and Functional Correlates in Older Adults with Chronic Low Back Pain: A Preliminary Study

Pain Medicine ◽  
2018 ◽  
Vol 20 (7) ◽  
pp. 1300-1310 ◽  
Author(s):  
Debra K Weiner ◽  
Angela Gentili ◽  
Katherine Coffey-Vega ◽  
Natalia Morone ◽  
Michelle Rossi ◽  
...  
Keyword(s):  
Older Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Gait Speed ◽  
Cognitive Strategies ◽  
Community Dwelling ◽  
Pain Severity ◽  
Low Back ◽  
And Performance

Abstract Objective To describe key peripheral and central nervous system (CNS) conditions in a group of older adults with chronic low back pain (CLBP) and their association with pain severity and self-reported and performance-based physical function. Design Cross-sectional. Setting Outpatient VA clinics. Subjects Forty-seven community-dwelling veterans with CLBP (age 68.0 ± 6.5 years, range = 60–88 years, 12.8% female, 66% white) participated. Methods Data were collected on peripheral pain generators—body mass index, American College of Rheumatology hip osteoarthritis criteria, neurogenic claudication (i.e., spinal stenosis), sacroiliac joint (SIJ) pain, myofascial pain, leg length discrepancy (LLD), and iliotibial band pain; and CNS pain generators—anxiety (GAD-7), depression (PHQ-9), insomnia (Insomnia Severity Index), maladaptive coping (Fear Avoidance Beliefs Questionnaire, Cognitive Strategies Questionnaire), and fibromyalgia (fibromyalgia survey). Outcomes were pain severity (0 to 10 scale, seven-day average and worst), self-reported pain interference (Roland Morris [RM] questionnaire), and gait speed. Results Approximately 96% had at least one peripheral CLBP contributor, 83% had at least one CNS contributor, and 80.9% had both peripheral and CNS contributors. Of the peripheral conditions, only SIJ pain and LLD were associated with outcomes. All of the CNS conditions and SIJ pain were related to RM score. Only depression/anxiety and LLD were associated with gait speed. Conclusions In this sample of older veterans, CLBP was a multifaceted condition. Both CNS and peripheral conditions were associated with self-reported and performance-based function. Additional investigation is required to determine the impact of treating these conditions on patient outcomes and health care utilization.

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