51. Fostering physical activity after complex lumbar spine surgery: a randomized trial

Patients are instructed to restrict activity for several months after lumbar surgery to safely recuperate. However, after recuperation many patients continue sedentary lifestyles because of fear of spine injury, persistent pain, deconditioning, and habit. Lack of activity has serious long-term adverse consequences for spine health and other physical and mental diagnoses (ie, Sedentary Death Syndrome). Because surgeons comprehensively understand the spine condition and extent of surgery, they and their surgical team are uniquely positioned to address apprehensions and advise/encourage prudent activity.
Source: The Spine Journal - Category: Orthopaedics Authors: Tags: Wednesday, September 25, 2019 9:00 – 10:00 Improving Surgical Outcomes Source Type: research

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Authors: Hao J, Dong B, Zhang J, Luo Z Abstract OBJECTIVES:   To evaluate whether pre-emptive analgesia is an effective technique to reduce postoperative delirium (PD) in geriatric patients with hip fracture. METHODS: This is a double-blind randomized clinical trial. Ninety elderly patients scheduled for hipfracture surgery at HongHui Hospital, Xi'an Jiaotong University, Xi'an, China  between March 2018 and January 2019 were divided into 2 groups. On arrival at the emergency department, the experimental group (n=44) received ultrasound-guided continuous fascia iliaca compartment block (...
Source: Saudi Medical Journal - Category: Middle East Health Tags: Saudi Med J Source Type: research
Conditions:   Headache Disorders, Secondary;   Post-Dural Puncture Headache;   Migraine Disorders;   Back Pain;   Anesthesia Intervention:   Sponsor:   Stanford University Active, not recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Low Back Pain Interventions:   Other: Dry needling in hamstring muscle trigger points;   Other: Dry needling in hamstring muscle not trigger points Sponsor:   University of Alcala Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Headache Disorders, Secondary;   Post-Dural Puncture Headache;   Migraine Disorders;   Back Pain;   Anesthesia Intervention:   Sponsor:   Stanford University Active, not recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Low Back Pain Interventions:   Other: Dry needling in hamstring muscle trigger points;   Other: Dry needling in hamstring muscle not trigger points Sponsor:   University of Alcala Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
World's First Commercial Implants of the Evoke System Completed in The Netherlands ARTARMON, Australia, Sept. 16, 2019 -- (Healthcare Sales &Marketing Network) -- Saluda Medical Pty Limited ("Saluda Medical") today announced the award of CE ... Devices, Regulatory, Product Launch Saluda Medical, Evoke , Spinal Cord Stimulation
Source: HSMN NewsFeed - Category: Pharmaceuticals Source Type: news
Keith Rumley, of Grimsby, was given painkillers when he visited his GP with back pain. His death certificate revealed he had cancer, but his family claim they were kept in the dark about his diagnosis.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
ConclusionNo patient was newly prescribed Versatis ® during their admission. The MMP directive for the prescribing of Versatis® influenced prescribing practice across our hospital sites. Community practice for prescribing off-label is still evident for chronic pain, reflecting the difficulty of pain control in older adults. The cost of individual plasters increased by 0.88€ since 2017.
Source: Age and Ageing - Category: Geriatrics Source Type: research
Although prescribing opioid medication on a limited basis for postoperative pain control is common practice, few studies have focused on chronic opioid use following anterior cervical discectomy and fusion (ACDF).
Source: The Spine Journal - Category: Orthopaedics Authors: Source Type: research
ConclusionBony stress in the lumbar spine was prevalent in 11% of patients under 25  years of age. It was commonly undiagnosed in radiology reports (not reported in 36% of the cases). Being significantly associated and with an increased likelihood of IVD degeneration and LBP, we posit that bony stress is likely a symptomatic and clinically meaningful diagnostic entity in the asses sment of LBP.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material.
Source: European Spine Journal - Category: Orthopaedics Source Type: research
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