scholarly journals Intractable Chronic Low-Back Pain Caused by Ligamentopathia Treated Using a Spinous Process Plate (S-plate)

2010 ◽  
Vol 3 ◽  
pp. CMAMD.S3831 ◽  
Author(s):  
Koichi Iwatsuki ◽  
Toshiki Yoshimine ◽  
Kazuhiro Yoshimura ◽  
Masahiro Ishihara ◽  
Yu-Ichiro Ohnishi ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Conservative Therapy ◽  
Spinous Process ◽  
Lumbar Vertebrae ◽  
Low Back ◽  
First Line ◽  
Acute Low Back Pain

We report a case of intractable chronic low-back pain in a gymnast that was caused by ligamentopathia in the interspinous region of the lumbar vertebrae. Sprained interspinous ligaments are a common mechanical cause of acute low-back pain in athletes. Although conservative therapy is generally effective in such cases, in this case it was not. The patient experienced severe low-back pain during lumbar flexion with tension between the L5/S interspinous ligaments. We performed interspinous fixation by using a spinous process plate system, which has been developed for short in situ fusions, and following which the low-back pain resolved. Conservative therapy for low-back pain caused by ligamentopathia is first-line choice, but interspinous fixation with instrumentation might be recommended in intractable cases with conservative therapy.

scholarly journals Treatment of degenerative chronic low back pain with fluoroscopically guided epidural procaine-corticosteroid injection

2008 ◽  
Vol 65 (7) ◽  
pp. 507-511 ◽  
Author(s):  
Slobodan Culafic ◽  
Dara Stefanovic ◽  
Dragan Dulovic ◽  
Ljubodrag Minic ◽  
Andrijana Culafic
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Conservative Therapy ◽  
Corticosteroid Injection ◽  
Pain Reduction ◽  
Lumbosacral Spine ◽  
Low Back ◽  
Military Medical Academy ◽  
Reduction Of Pain

Background/Aim. Low back pain is one of the most common painful conditions in the modern age. Therefore, it is very important to establish the most effective protocol for the treatment of this condition. The aim of this study was to find out if fluoroscopically, guided epidural procainecorticosteroid injection is effective in the treatment of degenerative chronic low back pain. Methods. This prospective cohort study was performed in the Military Medical Academy from September 2005 to June 2006 and included 60 patients of both sexes, 34-85 years of age. Degenerative changes of lumbosacral spine were determined by magnetic resonance imaging. The intensity of low back pain was evaluated by subjective (Roland's scale) and objective parameter (Lazarevic sign). Epidural procaine-corticosteroid injection was applied in the patients with low back pain not responding to conservative therapy. After the application of injection, effects of the therapy were followed up. Results. In 92% of the patients there was a reduction of pain intensity for three months, in 4.8% a reduction for a month, but after another injection they felt pain reduction for the next three months. One patient (2.3%) had pain reduction for one month. Conclusion. In the treatment of degenerative chronic low back pain, not responding to conservative therapy with nonsteroidal anti-inflammatory drugs, epidural procaine-corticosteroid injection have a satisfactory short-term as well as a long-term analgesic effect.

scholarly journals Is single-point acupuncture effective in treating acute low back pain? A case report

2021 ◽  
Author(s):  
Sagun Tiwari ◽  
Namrata Sapkota
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Adverse Events ◽  
Chronic Low Back Pain ◽  
Single Point ◽  
Low Back ◽  
Acute Low Back Pain ◽  
Short Time

Acupuncture is often used for acute and chronic low back pain; however, its efficacy is controversial, primarily for acute low back pain (ALBP). Our case study suggests that single acupuncture could relieve ALBP within a short time without any adverse events.

The economic burden of guideline-recommended first line care for acute low back pain

2016 ◽  
Vol 27 (1) ◽  
pp. 109-116 ◽  
Author(s):  
Chung-Wei Christine Lin ◽  
Qiang Li ◽  
Christopher M. Williams ◽  
Christopher G. Maher ◽  
Richard O. Day ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Economic Burden ◽  
Low Back ◽  
First Line ◽  
Acute Low Back Pain

Design Implementation and Analysis of a Universal Lumbosacral Support Device to Prevent Low Back Pain in Motorized Two-Wheeler Riders

2017 ◽  
Author(s):  
Krishna Pedaprolu ◽  
Satyam Rajput ◽  
Sharmila Nageswaran
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lower Back Pain ◽  
Chronic Low Back Pain ◽  
Compression Fracture ◽  
The Body ◽  
Low Back ◽  
Persistent Symptoms ◽  
Acute Low Back Pain ◽  
Lower Back

According to National Institute of Neurological Disorders and Stroke (NINDS), a division of National Institutes of Health (NIH), about 80% adults suffer from low back pain at some point in time and about 2 out of 10 people who are affected by acute low back pain develop chronic low back pain with persistent symptoms at one year [1]. Though in some cases, treatment does relieve chronic low back pain, but in other cases, pain persists despite treatment. Mostly, the lower back pain is of mechanical nature, i.e., disruption in the way the components of the back (the spine, muscle, intervertebral discs, and nerves) fit together and move. The causes of lower back pain can be imputed to various conditions such as sprains and strains, osteoarthritis, herniated discs, whiplash, compression fracture, scoliosis, stenosis, inflammation of joints, osteoporosis. It not only causes pain, but also severs the economy of a nation. It is a major contributor to missed workdays [1]. Research indicates that the total indirect costs due to back pain accrue to more than $100 billion annually [2]. Not many people can afford traveling by car or taxi to office, especially in developing countries and in cities with high traffic, where people prefer to travel by two-wheelers for their access to work and other amenities. However, people with lumbar problems are recommended not to use two-wheelers as the movement of the body on uneven roads or while braking/accelerating may increase the pain and discomfort. This reduces the productivity of not only the individual and the firm but also the productivity of the country as a whole.

scholarly journals A krónikus derékfájdalom korszerű diagnosztikája és kezelése a nemzetközi irányelvek tükrében

2021 ◽  
Vol 162 (49) ◽  
pp. 1951-1961
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Treatment Guidelines ◽  
The United States ◽  
Chronic Lower Back Pain ◽  
Evidence Based ◽  
Low Back ◽  
Agree Ii ◽  
Acute Low Back Pain

Összefoglaló. Nemzetközi kutatások szerint a deréktáji fájdalom 2019-ben 568 millió embert érintett világszerte. Magyarországon a lakosság 20%-a él krónikus derékfájdalommal, ami nemcsak egészségügyi, de szociális és ökonómiai krízist is jelent. A probléma aktualitását jól mutatja az is, hogy a Nemzetközi Fájdalomkutatási Társaság a 2021. évet a derékfájdalomról szóló globális évnek kiáltotta ki. A derékfájdalmak megfelelő kezelése és a krónikussá válás megelőzése tehát kiemelten fontos. Ebben nyújthatnak segítséget az evidenciákon alapuló irányelvek. Magyarországon azonban jelenleg nincs hatályos, egységes irányelv, mely a derékfájdalmakkal, azon belül is a krónikus derékfájdalom kezelésével foglalkozna. A jelen közleményben a krónikus derékfájdalom evidenciákon alapuló diagnosztikai és kezelési lehetőségeinek áttekintését tűztük ki célul. Az irodalomkutatást követően, a jelenleg is hatályos, AGREE II. rendszer szerinti magas minőségű besorolást elérő, krónikus deréktáji fájdalomra vonatkozó, angol nyelvű nemzetközi irányelvek ajánlásainak összehasonlítását végeztük el. Tanulmányunkban hét irányelvet dolgoztunk fel (négy európai, kettő amerikai, egy kanadai), melyek mindegyikében a következő közös ajánlások kerültek megfogalmazásra: a súlyos patológiák kizárása az alarm tünetek alapján, a pszichoszociális tényezők figyelembevétele, a szükségtelen képalkotó vizsgálat visszaszorítása, az elsősorban aktív, nem gyógyszeres terápiák preferálása és a nemszteroid gyulladáscsökkentők körültekintő felírása. Az európai irányelvekben új elemként szerepelt a krónikussá válás korai rizikóbecslése. Orv Hetil. 2021; 162(49): 1951–1961. Summary. In 2019, low back pain caused the highest burden globally, among musculoskeletal disorders, affecting 568 million people. According to Hungarian sociodemographic data, 20% of the Hungarian adults live with chronic low back pain that is a global health priority. Therefore, the International Association for the Study of Pain announced 2021 as the global year about back pain. Evidence-based guidelines about the appropriate treatment of acute low back pain and prevention of chronic low back pain are therefore of paramount importance. However, there are currently no valid, uniform treatment guidelines in Hungary about acute and chronic lower back pain. In this paper, we aimed at summarizing up-to-date, evidence-based diagnostic and treatment recommendations for chronic low back pain. Using a literature review, we identified seven international treatment guidelines (four from Europe, two from the United States and one from Canada) in English for the management of chronic low back pain that were previously assessed by the AGREE II quality assessment tool. We found consistent recommendations in the guidelines such as exclusion of alarm symptoms, assessment of psycho-social factors, reduction of unnecessary imaging, initialization of primarily active, non-pharmacological therapies, and careful and cautious prescription of non-steroidal anti-inflammatory medications. A new recommendation in the European guidelines is the early risk assessment of low back pain becoming chronic. Orv Hetil. 2021; 162(49): 1951–1961.

scholarly journals Development and validation of a screening tool to predict the risk of chronic low back pain in patients presenting with acute low back pain: a study protocol

BMJ Open ◽  
2015 ◽  
Vol 5 (7) ◽  
pp. e007916 ◽  
Author(s):  
Adrian Traeger ◽  
Nicholas Henschke ◽  
Markus Hübscher ◽  
Christopher M Williams ◽  
Steven J Kamper ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Study Protocol ◽  
Chronic Low Back Pain ◽  
Screening Tool ◽  
Low Back ◽  
Acute Low Back Pain ◽  
Development And Validation

scholarly journals The Biomechanics of the Lumbosacral Region In Acute And Chronic Low Back Pain Patients

2008 ◽  
Vol 4;11 (8;4) ◽  
pp. 505-511
Author(s):  
Güldal Funda Nakipoglu
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Lumbar Lordosis ◽  
Low Back ◽  
Lumbosacral Region ◽  
Acute Low Back Pain ◽  
Significant Difference ◽  
Segmental Lordosis ◽  
Pain Patients

Background: A previous study examined the relationship between the sacral inclination angle (SIA), lumbosacral angle (LSA) and sacral horizontal angle (SHA) and spinal mobility in acute low back pain and chronic low back pain patients. We chose to investigate the lumbar lordosis angle, segmental lumbar lordosis angle, SIA, LSA and SHA in acute and chronic low back pain (LBP) patients as well as the correlation between spinal stability and these angles. Objectives: To investigate the biomechanics of the lumbosacral spine region in acute and chronic LBP patients, as well as to examine the correlation between spinal stability and lumbosacral angles. Study Design: Randomized controlled evaluation Setting: Physical Medicine and Rehabilitation outpatient clinic Methods: Sixty participants with LBP were recruited and categorized as either acute LBP (pain < 3 months) or chronic LBP (pain > 6 months), with 30 subjects in each group. All subjects underwent standing, lateral lumbosacral x-rays, which were analyzed for lumbar stability, SIA, LSA, SHA, lumbar lordosis angle and segmental lumbar lordosis angles. Results: The mean age of the ALBP subjects was 41.00 ± 11.63 (18 – 66) and that of the chronic LBP subjects 49.26 ± 15.6 (22-74), with females comprising 50% of the acute LBP group and 73.3% of the chronic LBP group. Lumbar stability was observed in 62.1% of acute LBP patients and 36.8% of chronic LBP patients. A statistically significant difference was found between the 2 groups in terms of age, gender, and lumbar stability. There was no statistical difference regarding SIA, LSA, SHA, total and segmental lordosis angles between acute and chronic LBP patients (p>0.05). Conclusion: We were unable to find a difference between the radiological values for the shape of the SIA, LSA, SHA, and total and segmental lordosis as noted on screening x-ray techniques regarding the occurrence of acute or chronic LBP, but a statistically significant difference was found for lumbar stability. Further extensive studies are needed to examine lumbar stability and its relationship between angles of lumbosacral region. Key words: biomechanic, acute low back pain, chronic low back pain, lumbar stability, lumbosacral, sacral, lumbar lordosis

scholarly journals Congenital Fusion of Lumbar Vertebrae Leading to Chronic Low Back Pain

2021 ◽  
Author(s):  
Ruben H. Schwartz ◽  
Jamal Hasoon ◽  
Amnon A. Berger ◽  
Alan D. Kaye
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Lumbar Vertebrae ◽  
Low Back ◽  
Congenital Fusion

Significant differences of brain blood flow in patients with chronic low back pain and acute low back pain detected by brain SPECT

2014 ◽  
Vol 19 (3) ◽  
pp. 384-389 ◽  
Author(s):  
Yukio Nakamura ◽  
Hiroyuki Kato ◽  
Kenya Nojiri ◽  
Takeshi Takahata ◽  
Hiroyuki Yoshihara ◽  
...  
Keyword(s):  
Blood Flow ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Brain Spect ◽  
Brain Blood Flow ◽  
Low Back ◽  
Acute Low Back Pain
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