‘Tell me your story’ - How osteopaths apply the BPS model when managing low back pain - A qualitative study
This study aimed to understand osteopaths' experiences of the practical application of the BPS model to patients with LBP, and to describe any challenges in operationalisation.
The paper by Khalil et al. is a definite step forward in terms of substantiation of basivertebral nerve ablation as a reasonable, nonsurgical, interventional treatment option for a specific lumbar vertebral body pathoanatomy which is likely responsible for a portion of patients with low back pain (LBP).
Condition: Low Back Pain Interventions: Other: Percutaneous neuromuscular electrical stimulation (PNMES); Other: Sham PNMES (introducing the needle) plus motor control exercise program; Other: TENS plus motor control exercise program; Other: Placebo PNMES (without inserting the needle) plus motor control exercise progra m Sponsor: Universidad Rey Juan Carlos Not yet recruiting
Conclusion: This study of community-based patients in a pain research registry supports the effectiveness of OMT as an integral component of osteopathic medical care for chronic low back pain. Patients treated by DOs who did not use OMT did not experience better results than patients treated by MDs in any primary outcome measure. Further research is needed to more specifically compare the effects of OMT with other treatment effects that may be attributed to patient-DO interactions during medical encounters. PMID: 31985765 [PubMed - in process]
What ’s the Bottom Line?What do we know about the effectiveness of complementary health approaches for low-back pain?
This article discusses the assessment and treatment of patients with LBP, including nonpharmacologic and pharmacologic approaches.
Chronic neuropathic low back pain (CNLBP) is a debilitating condition in which established medical treatments seldom alleviate symptoms. Evidence demonstrates that high-frequency 10 kHz spinal cord stimulation...
Choosing Wisely Canada (CWC) guidelines recommend that in the absence of clinical indicators suggestive of serious underlying pathology, physicians should not order radiological imaging for patients presenting with nonspecific low back pain (LBP).
Conclusion: Functional tasks, such as bending, sit-to-stand, reaching, and putting on sock, assessed with the RGB-D camera, revealed acceptable validity, reliability, and responsiveness in the assessment of patients with low back pain (LBP). Trial registration: ClinicalTrials.gov NCT03293095 “Functional Task Kinematic in Musculoskeletal Pathology” September 26, 2017
Abstract INTRODUCTION: We investigated the effects of lower back pain (LBP) on measures of pain, disability, and function in highly symptomatic hip OA patients receiving intra-articular steroid injection (IASI) therapy. We also investigated the effect of radiographic severity of hip OA for comparison to LBP. METHODS: 97 consenting subjects with symptomatic hip OA presenting for IASI were evaluated at baseline, assessed over an 8-week period, and followed at least 1 year later for new arthroplasty. At baseline and 8 weeks follow-up patient demographics, presence/absence of back pain, physical fun...
ConclusionErgonomic interventions focusing on modification of workstations, and promoting and delivering ongoing ergonomic education are very important to reduce the problem.