Impact of a value-based insurance design for physical therapy to treat back pain on care utilization and cost

Source: Journal of Pain Research - Category: Anesthesiology Tags: Journal of Pain Research Source Type: research

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Abstract Chronic nonspecific low back pain (CNLBP) is defined as pain or discomfort originating from the waist, which lasts for at least 12 weeks, but no radiculopathy or specific spinal diseases. CNLBP is a complicated medical problem and places a huge burden on healthcare systems. Clinical manifestation of CNLBP includes discogenic LBP, zygapophyseal joint pain, sacroiliac joint pain, and lumbar muscle strain. Further evaluation should be completed to confirm the diagnosis including auxiliary examination, functional assessment, and clinical assessment. The principle of the management is to relieve pain, restore ...
Source: Pain Research and Management - Category: Anesthesiology Authors: Tags: Pain Res Manag Source Type: research
DISCUSSION: Vitamin D deficiency and insufficiency can cause or worsen neck and back pain and muscle spasm. The correction of vitamin D deficiency and insufficiency plays an important role in the treatment of chronic neck and back pain and muscle spasm among patients having concurrent vitamin D deficiency and insufficiency because it can be prevented and treated easily.Given the high health care expenditure on the treatment of chronic neck and back pain, prompt and accurate diagnosis and treatment of vitamin D deficiency and insufficiency not only increase the quality of care but also reduce the cost. PMID: 31496497 [PubMed - in process]
Source: The Permanente journal - Category: General Medicine Tags: Perm J Source Type: research
Arecent study comparing low back pain systematic review abstracts to their full text was published in the Journal of Orthopaedic&Sports Physical Therapy. Looking at 66 systematic reviews reserchers found that 80% of abstracts presented spin and inconsistencies when compared to their full text. 9 of the systematic reviews investigated were Cochrane Reviews and it was found that   " Cochrane review abstracts had substantial to almost perfect agreement with the full text. "Back pain systematic reviews are overseen byCochrane Back and Neck (CBN). CBN coordinates the publication of literature reviews of diagn...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news
We present a rare case of acute onset SCD that occurred in a relatively short period of several weeks with vitamin E deficiency related to small bowel obstruction. Patient concerns: A 50-year-old woman had abdominal pain. A small bowel obstruction was suspected and conservative treatment was performed. She underwent bowel surgery after 2 weeks without any improvement. Following the operation, she was in a state of reduced consciousness. She was treated in an intensive care unit. Her consciousness level gradually recovered to alert in a week, but other symptoms such as ataxia, weakness on limbs, severe dysarthria, and dy...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
I don't remember what it feels like to live without pain. At 15, I began feeling aching, stabbing, and burning sensations in my lower back and down my legs. Swallowing a few Aleve didn't help —in fact, nothing did. If I sit or stand for any period of time, or lift something heavy or fall, I pay for it, sometimes for weeks or months. I've slept on the kitchen linoleum, because the carpet felt too soft to stand.For 17 years, I went to doctor after doctor, undergoing scans, physical therapy, and just about every"alternative" treatment that promised relief. Despite some amazing doctors and the expen...
Source: Psychology of Pain - Category: Anesthesiology Source Type: blogs
Journal of Orthopaedic&Sports Physical Therapy, Ahead of Print.
Source: The Journal of Orthopaedic and Sports Physical Therapy - Category: Physiotherapy Authors: Source Type: research
Journal of Orthopaedic&Sports Physical Therapy, Ahead of Print.
Source: The Journal of Orthopaedic and Sports Physical Therapy - Category: Physiotherapy Authors: Source Type: research
Journal of Orthopaedic&Sports Physical Therapy, Ahead of Print.
Source: The Journal of Orthopaedic and Sports Physical Therapy - Category: Physiotherapy Authors: Source Type: research
Journal of Orthopaedic&Sports Physical Therapy, Ahead of Print.
Source: The Journal of Orthopaedic and Sports Physical Therapy - Category: Physiotherapy Authors: Source Type: research
Pain and disability can persist after spinal surgery for which physical therapy (PT) is commonly prescribed. Currently, there is limited evidence to support the effectiveness of postoperative PT following cervical spine surgery.
Source: The Spine Journal - Category: Orthopaedics Authors: Source Type: research
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