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.
Conclusion Based on our findings it seems that MSU classification can be used in patients' selection to achieve the best treatment outcome after intradiscal ozone injection among patients with lumbar disc herniation. PMID: 30227808 [PubMed - as supplied by publisher]
Conclusion. There was no difference between usual care and early PT after 1 year. PT provided greater improvement in disability after 4 weeks. As both groups improved, the impact of the education may have been underestimated. Patients in the PT group utilized greater back-pain-related healthcare resources, but overall healthcare costs did not differ compared to UC. Level of Evidence: 2
Conclusion. Selective ALIF limited to one or two levels in the lower lumbar spine provided improved pain and function when compared with continued nonsurgical care. ALIF may be a safe and effective treatment for low back pain associated with disc degeneration in select patients who fail nonsurgical management. Level of Evidence: 3
AbstractGlobally, in 2016, low back pain (LBP) contributed 57.6 million of total years lived with disability. Low Back Pain Guidelines regularly recommend the use of physical exercise for non-specific LBP. Early non-pharmacological treatment is endorsed. This includes education and self-management, and the recommencement of normal activities and exercise, with the addition of psychological programs in those whose symptoms persist. The aim of physical treatments is to improve function and prevent disability from getting worse. There is no evidence available to show that one type of exercise is superior to another, and parti...
Low back pain (LBP) is the leading cause of disability worldwide26, yet up to 90% of patients are diagnosed with non-specific LBP, meaning the pathoanatomical source is unclear10. Further, recurrence following an acute episode may be up to 80%25, with little understanding as to why some patients develop ongoing symptoms9. There has recently been increasing focus on alterations in pro-nociceptive and anti-nociceptive mechanisms, purported to explain or contribute to pain exacerbation and persistence across a range of acute to chronic pain conditions34,45,72.
CONCLUSIONS: In women with LDD, LEM sizes of the upper lumbar levels (L1-4) were larger than those of the lower levels (L4-S1) and were positively associated with muscle strength. The upper lumbar levels in patients with LDDs appear to play a compensatory role when degenerative lesions are present in the lower lumbar levels. PMID: 30213179 [PubMed]
This study evaluates the effect of paravertebral spinal injection (PSI), utilizing both subjective and objective assessments in chronic low back pain (LBP) associated with facet joint arthrosis over a one-month duration. Subjective questionnaires included the visual analogue scale (VAS) for pain, the Oswestry Disability Index, the Health Survey SF-12, and the short Falls Efficacy Scale International (FES-I). Objective assessments included in-clinic gait and Timed Up and Go (TUG) tests using wearable sensors, as well as 48 h daily physical activity (DPA) monitored using a chest-worn triaxial accelerometer. Subjective and ob...
To investigate the predictive value of preoperative fear-avoidance factors (self-efficacy for exercise, pain catastrophizing, kinesiophobia, and depression), walking capacity, and traditional predictor variables for predicting postoperative changes in physical activity level and disability six months after lumbar fusion surgery in patients with chronic low back pain (LBP).
DiscussionThe results of this trial will help to establish the clinical evidence regarding TEA in the treatment of patients with LHIVD.Trial registrationClinicalTrials.gov,NCT03236753. Registered on August 2, 2017.Clinical Research Information Service of the Republic of Korea,KCT0002439. Registered on August 1, 2017.
ConclusionLBP and lumbar degeneration are common in PD. Both are related to movement disorder symptoms. The knowledge about musculoskeletal conditions in Parkinson ’s disease is important for an interdisciplinary conservative or operative treatment decision of LBP.Graphical abstractThese slides can be retrieved under Electronic Supplementary Material.