Integrative treatment package for degenerative disc disease in the lumbar spine: a retrospective case series.

Conclusions This study describes the use of acupuncture-related modalities and raises the possibilities of their use in combination therapy for the improvement of function and pain management in patients with DDD. In light of these promising results, future clinical trials with attention to appropriate patient selection, guidelines for integrative treatment, and optimal standards for outcome measurement are necessary to evaluate the effectiveness of integrative treatment.
Source: European Journal of Integrative Medicine - Category: Complementary Medicine Source Type: research

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Despite optimal medical management (OMM), low back pain (LBP) can be disabling, particularly after spinal surgery. Spinal cord stimulation (SCS) is effective in reducing neuropathic leg pain; however, evidence is limited for LBP. This prospective, open-label, parallel-group trial randomized (1:1) failed back surgery syndrome (FBSS) patients with predominant LBP to SCS plus OMM (SCS group) or OMM alone (OMM group) at 28 sites in Europe and the Americas. If trial stimulation was successful, a multicolumn SCS system was implanted. Outcomes were assessed at baseline (before randomization) and at 1, 3, 6, and 12 months after ra...
Source: Pain - Category: Anesthesiology Tags: Research Paper Source Type: research
Pain is a significant public health problem affecting approximately 20% of adults in the United States (US).4,11,14 However, specific data are lacking on the incidence, prevalence, and outcomes of most common pain conditions. Health services research on chronic pain has typically focused on single pain conditions, such as low back pain or headache, despite an increasing recognition of multiple chronic overlapping pain conditions.13 Focusing on single pain conditions can limit understanding of the effects of chronic pain, as those who are most disabled by chronic pain and use the most health care services typically suffer f...
Source: The Journal of Pain - Category: Materials Science Authors: Tags: Original Reports Source Type: research
CONCLUSIONS: Return to work after discectomy is seen in more than two-thirds of patients and is related to factors such as pain intensity and body mass index. However, return to previous versus the modified job is a multi-factorial issue. PMID: 31112066 [PubMed - as supplied by publisher]
Source: International Journal of Occupational Safety and Ergonomics - Category: Occupational Health Tags: Int J Occup Saf Ergon Source Type: research
Sacroiliac (SI) joint pain is a difficult problem that is becoming increasingly recognized for its contribution to low back pain. In certain circumstances it may present independently. However, in many scenarios the SI joint represents one of many factors contributing to axial back pain and its various referral patterns. Low back pain remains a significant burden on the health care system, accounting for ∼12 million physician office visits per year in the United States. It remains among the leading causes of disability, with expenditures in excess of $80 billion dollars every year. Surgical management of low back pain ...
Source: Techniques in Orthopaedics - Category: Orthopaedics Tags: Symposium Source Type: research
Increased interest in the sacroiliac joint (SIJ) as a contributor to chronic low back pain has resulted in an expanding set of surgical and nonsurgical treatment options. Evidence for the effectiveness of nonsurgical treatment is limited, impeding assessment of the overall value of such treatments. For surgical treatment, only triangular titanium implants, used during minimally invasive SIJ fusion, have been the subject of rigorous clinical and economic evaluations. Randomized trials of triangular titanium implants have shown marked immediate and sustained improvements in pain, disability, and quality of life with incremen...
Source: Techniques in Orthopaedics - Category: Orthopaedics Tags: Symposium Source Type: research
This study brings to light the fact that there is very little information linking the relationship of the lumbar paraspinal muscles to low back pain (LBP). The results of the st udy revealed an inverse relationship between paraspinal muscle cross-sectional area and LBP disability, suggesting that treatment aimed at increasing the muscle size may be effective in reducing low back disability.
Source: The Spine Journal - Category: Orthopaedics Authors: Tags: Letters to the editor Source Type: research
AbstractPurposeA prospective, single-arm, open-label study to evaluate the effectiveness of intraosseous radio frequency (RF) ablation of the basivertebral nerve (BVN) for the treatment of vertebrogenic-related chronic low back pain (CLBP) in typical spine practice settings using permissive criteria for study inclusion.MethodsConsecutive patients with CLBP of at least 6  months duration and with Modic Type 1 or 2 vertebral endplate changes between L3 and S1 were treated with RF ablation of the BVN in up to four vertebral bodies. The primary endpoint was patient-reported change in Oswestry Disability Index (ODI) from b...
Source: European Spine Journal - Category: Orthopaedics Source Type: research
ConclusionsThese results may be the first step giving a lead to an undiscovered field. This treatment method should be kept in mind for FBSS patients before giving a decision of revision surgery.Graphical abstractThese slides can be retrieved under Electronic Supplementary Material.
Source: European Spine Journal - Category: Orthopaedics Source Type: research
Chronic low back pain (CLBP) is a major health problem. Identifying prognostic factors is essential for identifying people at risk of developing CLBP-related disability.
Source: The Spine Journal - Category: Orthopaedics Authors: Tags: Clinical Study Source Type: research
CONCLUSIONS: The SRS-30 proved to provide valid HRQoL scores for all adult patients with degenerative spinal disorders. Implications for Rehabilitation Degenerative spinal conditions associated with spinal deformities are common in patients over 60 years. Low back pain is globally the leading cause of disability. The applicability of the Scoliosis Research Society (SRS-30) questionnaire has not been tested in relation to different pain origins. The SRS-30 proved to provide valid health-related quality of life assessment among patients with degenerative spinal disease independent of pain location. The SRS-30 questionnaire c...
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Tags: Disabil Rehabil Source Type: research
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