scholarly journals The Symmetry of Lower Back Pain as a Potential Screening Factor for Serious Pathology: A Survey Study

Symmetry ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 1994
Author(s):  
Grzegorz Miękisiak ◽  
Rafał Załuski ◽  
Dariusz Szarek ◽  
Samuel D. Pettersson ◽  
Justyna Fercho ◽  
...  
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Screening Tools ◽  
Survey Study ◽  
Red Flags ◽  
Web Based ◽  
Pain Location ◽  
Lower Back ◽  
History Of ◽  
Screening Factor

Background: Pain maps provide reliable information on pain location in various conditions. This study explored the feasibility of pain maps as a screening tools for serious underlying conditions. The pain symmetry was evaluated as the possible distinguishing feature. Methods: A Web-based survey on the correlation of pain-related disability and pain pattern was developed. Respondents with lower back pain were asked to mark the exact location of their pain over the pain chart. The symmetry index was calculated and used to divide subjects into two groups that were then compared in terms of the prevalence of red flags for serious pathologies, as well as the pain-related disability measured with COMI and ODI instruments. Results: Of the 4213 respondents who completed the survey, 1018 were included in the study. The pain related disability was greater in respondents with asymmetrical pain patterns, as shown with all instruments. The distribution of red flags was also dependent on pain symmetry. The history of weight loss (6.70 vs. 1.76 p < 0.001) and fever (4.91 vs. 2.14 p < 0.001) were more prevalent with symmetrical pain patterns, and the history of trauma was more frequent with asymmetrical pain (21.41 vs. 10.71 p < 0.001). Conclusions: It was shown that the symmetry of pain is correlated to the prevalence of red flags and pain-related disability.

A man with a short history of lower back pain

BMJ ◽  
2016 ◽  
pp. i1722
Author(s):  
Alison Edwards ◽  
Preethi Nalla ◽  
L D Premawardhana
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Short History ◽  
Lower Back ◽  
History Of

Patients’ experiences of the management of lower back pain in general practice: use of diagnostic imaging, medication and provision of self-management advice

2015 ◽  
Vol 21 (3) ◽  
pp. 342 ◽  
Author(s):  
Mariko Carey ◽  
Heidi Turon ◽  
Stacy Goergen ◽  
Rob Sanson-Fisher ◽  
Sze Lin Yoong ◽  
...  
Keyword(s):  
General Practice ◽  
Back Pain ◽  
Diagnostic Imaging ◽  
Lower Back Pain ◽  
Self Management ◽  
Red Flags ◽  
Cross Sectional ◽  
Lower Back ◽  
Australian General Practice ◽  
Management Advice

Lower back pain is prevalent in the general community. Guidelines recommend against the use of diagnostic imaging unless ‘red flags’ are present that may indicate a potentially serious cause. This paper reports on a cross-sectional electronic survey to investigate self-reported experiences of lower back pain management among Australian general practice patients. Of the 872 participants, 551 (63%) reported that they had experienced lower back pain in the past 12 months. Approximately 40% of patients who had experienced lower back pain reported that they had consulted their general practitioner (GP) regarding this issue. Among those who sought general practice care, 67% reported being referred for diagnostic imaging. Those who received imaging were more likely to have been prescribed medication by their GP, but received self-management advice at the same rate as those who had not been referred. Rates of self-reported referral for diagnostic imaging were higher than expected, given the low prevalence of potentially serious causes for lower back pain reported in the international literature. However, it remains unclear whether this is due to poor guideline adherence by GPs or lack of specificity in the red flags identified in guidelines. Findings suggest the need for improvements in the provision of evidence-based self-management advice.

Sensitivity and specificity of patient-entered red flags for lower back pain

2019 ◽  
Vol 19 (2) ◽  
pp. 293-300 ◽  
Author(s):  
John T. Tsiang ◽  
Tyler G. Kinzy ◽  
Nicolas Thompson ◽  
Joseph E. Tanenbaum ◽  
Nitya L. Thakore ◽  
...  
Keyword(s):  
Back Pain ◽  
Sensitivity And Specificity ◽  
Lower Back Pain ◽  
Red Flags ◽  
Lower Back

The History of Lower Back Pain

2012 ◽  
Vol 39 (3) ◽  
pp. 463-470 ◽  
Author(s):  
Donald C. Maharty
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Lower Back ◽  
History Of

scholarly journals Perforated Diverticulitis Complicated by Pylephlebitis and Splenic Infarction

2021 ◽  
Author(s):  
Catarina Janicas ◽  
David Campos-Correia ◽  
Ana Paula Vasconcelos
Keyword(s):  
Emergency Department ◽  
Back Pain ◽  
Lower Back Pain ◽  
Splenic Infarction ◽  
Perforated Diverticulitis ◽  
Analytical Evaluation ◽  
C Reactive Protein ◽  
Reactive Protein ◽  
Lower Back ◽  
History Of

64-year-old male presented to our emergency department with a 6-day history of generalized malaise, worsened by left lower back pain and anorexia for the last 2 days. Other symptoms were denied, and analytical evaluation only showed leucocytosis and elevated C-reactive protein. […]

scholarly journals Woman with lower back pain, SIADH and a twist of Lyme

2018 ◽  
pp. bcr-2018-225801
Author(s):  
Omid Salaami ◽  
Dennis Michael Manning
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Good Health ◽  
Final Diagnosis ◽  
Laboratory Evaluation ◽  
Presenting Symptoms ◽  
Lower Back ◽  
Autoimmune Conditions ◽  
History Of ◽  
Recent Diagnosis

A 62-year-old woman was admitted with a 3-week history of atraumatic bilateral lower back pain, progressive ascending flaccid paralysis, hyponatraemia and constipation. She was otherwise in good health with only a recent diagnosis of acute gastroenteritis that preceded her presenting symptoms. Her initial laboratory evaluation was consistent with Syndrome of Inappropriate Antidiuretic Hormone (SIADH) but was otherwise unremarkable. MRI of the spine revealed bilateral diffuse nerve root enhancement from at least C6 to the conus level, suggesting an inflammatory process. Lumbar puncture demonstrated high protein (629 mg/dL) with marked pleocytosis (363 cells/mcL) incompatible with albuminocytological dissociation typically seen in Guillain-Barre syndrome. A thorough diagnostic evaluation was undertaken to explore potential infectious, malignant and autoimmune conditions. Lyme disease serology (ELISA and Western Blot, IgM and IgG) was positive leading to a final diagnosis of lymphocytic meningoradiculitis or Bannwarth syndrome.

A lumbar canal cystic mass lesion in a man with a history of chronic lower back pain

2015 ◽  
Vol 36 (1) ◽  
pp. 103-106 ◽  
Author(s):  
Vanda Farahmand Torous ◽  
Natasha Darras
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Cystic Mass ◽  
Mass Lesion ◽  
Chronic Lower Back Pain ◽  
Lower Back ◽  
History Of

scholarly journals Prevalence of Self-Reported Work-Related Lower Back Pain and Its Associated Factors in Ethiopia: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-19
Author(s):  
Mihretu Jegnie ◽  
Mekbeb Afework
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Lower Back Pain ◽  
Associated Factors ◽  
Musculoskeletal Disorder ◽  
Meta Analysis ◽  
Low Back ◽  
Lower Back ◽  
History Of

Introduction. Low back pain is the commonest musculoskeletal disorder affecting every socioeconomic group of the world’s population. The lifetime risk of developing low back pain is about 60%–80%. The pooled prevalence and associated factors of low back pain have not yet been determined in Ethiopia. Thus, this study was aimed at assessing the overall prevalence of low back pain and its associated factors in Ethiopia. Methods. A systematic search of PubMed, Scopus, Science Direct, and Google Scholar for observational studies reporting data on the prevalence and associated factors of low back pain was conducted. Relevant data were extracted with a standardized data extraction excel form. Stata 14 was employed for the meta-analysis. Heterogeneity was assessed by Cochran’s Q test and I2 values of a forest plot. Publication bias was checked using a funnel plot and Egger’s test. A random-effects model was used in the analysis. Result. A total of thirty-two studies were included for the systematic review. Twenty-four and sixteen studies were used to pool the overall low back pain prevalence and associated factors, respectively. The overall pooled annual prevalence of low back pain in Ethiopia was estimated to be 54.05% (95% CI: 48.14–59.96). Age, sex, body mass index, work experience, working hours, lack of safety training, awkward working posture, work shift, prolonged standing, lifting heavy objects, sleeping disturbance, history of back trauma, previous medical history of musculoskeletal disorder, and lack of adequate rest interval at work were significantly associated with low back pain. Conclusion. The current systematic review and meta-analysis revealed a higher prevalence of lower back pain in Ethiopia. Most of the low back pain epidemiological studies conducted in Ethiopia focused on specific occupational settings, making pooling of data and comparison with other countries challenging. Thus, further general population studies are recommended.

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