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 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.

Management Approach Combining Prognostic Screening and Targeted Treatment for Patients with Low Back Pain Compared with Standard Physiotherapy: A Systematic Review & Meta-analysis

2021 ◽  
pp. 7
Author(s):  
Collins Ogbeivor
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Usual Care ◽  
English Language ◽  
Weighted Mean Difference ◽  
Economic Benefits ◽  
Management Approach ◽  
Controlled Trials ◽  
Low Back ◽  
Stratified Care

Introduction: Research evidence suggests that a stratified care management approach is better at improving clinical and economic outcomes for low back pain (LBP) patients compared with usual care in the short term. However, it is unclear if these health and economic benefits are sustainable in the longer term. The aim of this study was, therefore, to determine the effectiveness of stratified care compared with standard physiotherapy for LBP treatment. Methodology: A comprehensive search was undertaken of seven electronic databases (CINAHL, MEDLINE, Pedro, EMBASE, PsycINFO, Cochrane Register for Controlled Trials, and Web of Science with full text). Although no time limits were applied, studies were limited to English language publications and those involving human participants only. Study selection, data extraction, and appraisal of study were independently undertaken by both reviewers (CO and LE). Result: In total, 6842 patients (aged 18 years and above) were included in the eight trials reviewed;  four were randomized controlled trials (RCTs) and four were non-RCTs. The pooled analysis of three studies (n = 2460) demonstrated a strong evidence in favor of stratified care over standard care at improving overall pain (Weighted Mean Difference (WMD) [random] 0.46 [95% CI 0.21, 0.71]; P < 0.0003), with overall effect (Z = 3.6) and (Roland-Morris disability questionnaire (RMDQ) scores (WMD [random] 0.71 [95% CI 0.05, 1.37]; P < 0.03), with overall effect (Z = 2.11) at three-, four-, and six-months’ follow-up periods. Conclusion: This current review demonstrated that a stratified care approach provides substantial clinical, economic, and health-related cost benefits in the medium- and high-risk subgroups compared with usual care. Further research is needed for longer-term benefits.

scholarly journals A modified Delphi approach to standardize low back pain recurrence terminology

2010 ◽  
Vol 20 (5) ◽  
pp. 744-752 ◽  
Author(s):  
Tasha R. Stanton ◽  
Jane Latimer ◽  
Chris G. Maher ◽  
Mark J. Hancock
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Modified Delphi ◽  
Delphi Approach

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.

scholarly journals Disruptive Impacts of Living With Chronic Low Back Pain and Experience of Psychologically Informed Physical Therapy – A Qualitative Process Evaluation of a Randomised Control Trial

2021 ◽  
Author(s):  
Marco John Petrozzi ◽  
Grace Spencer ◽  
Martin G Mackey
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Process Evaluation ◽  
Chronic Low Back Pain ◽  
Chronic Back Pain ◽  
Randomised Control Trial ◽  
Management Approach ◽  
Low Back ◽  
The Mind

Abstract Background: Chronic low back pain (LBP) is a significant and complex health condition affecting one in ten people worldwide. Research has shown that LBP can negatively impact the physical, psychological and social aspects of people’s lives. Clinical practice guidelines recommend a combined physical and psychological management approach (psychologically informed physical therapy) for chronic LBP. A recent multi-site randomised controlled trial (Mind Your Back) aimed to investigate whether combining multimodal physical treatments with an internet-delivered psychosocial intervention (MoodGYM) was more effective for improving disability and self-efficacy in people with chronic LBP, compared to standard treatment. The aim of this study was to conduct a process evaluation to explore the participants’ experiences of living with chronic LBP and their response to interventions provided in the Mind Your Back Trial.Methods: Twenty-five participants volunteered to take part in a semi-structured telephone interview about their experiences of taking part in the Mind Your Back trial and to understand their perspectives of living with chronic back pain. Interviews were transcribed verbatim and data analysed thematically. Results: Three main themes were identified: (1) Ongoing back pain disrupts all aspects of life, (2) Personalised support and therapeutic alliance are important, and (3) MoodGYM lacked relevant, personalised and tailored support. Conclusion: Living with chronic LBP has significant disruptive impacts on everyday life. It is crucial to deliver tailored support and management strategies that are grounded in the everyday lived experiences of people with chronic LBP.

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
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