Effects of Physician Experience, Specialty Training, and Self-referral on Inappropriate Diagnostic Imaging
ConclusionsInappropriate imaging continues to be a driver of wasteful health care spending. Both physician experience and specialty training were highly associated with inappropriate imaging.
Condition: Low Back Pain Interventions: Other: osteopathic treatment + cognitive training; Other: osteopathic treatment; Other: usual care Sponsors: Come Collaboration; Hospital General Universitario Santa Lucia; Niguarda Hospital; Orthoplus Not yet recruiting
Conclusions: Our results can help direct health care professionals advice for women who are planning pregnancy towards walking as it seems to be sustained during pregnancy.
The sacroiliac joint is an important source of low back pain. In severe cases, sacroiliac joint fusion is used to reduce pain, but revision rates can reach 30%. The lack of initial mechanical stability may lead to pseudarthrosis, thus not alleviating the patient's symptoms. This could be due to the damage induced to the interosseous ligament during implant insertion. Decoupling instrumentation steps (drilling-tapping and implant insertion) would allow verifying this hypothesis. Moreover, no biomechanical studies have been published on sacroiliac joint fixation with an oblique lateral approach, while it has important clinic...
Altered pronociceptive and antinociceptive mechanisms are often implicated in painful conditions and have been increasingly studied over the past decade. For some painful conditions, alterations are well-established, but in populations with low back pain (LBP), there remains considerable debate whether these mechanisms are altered. The present systematic review aimed to address this issue by identifying studies assessing conditioned pain modulation (CPM) and/or temporal summation of pain (TSP) in patients with LBP, comparing with either a healthy control group or using a method with reference data available. Qualitative sy...
In conclusion, parents and coaches should be properly re-educated to help improve lower back, upper extremity, and shoulder pain among young basketball players. PMID: 32062615 [PubMed - in process]
Condition: Back Pain Lower Back Chronic Interventions: Device: HTC Vive with Karuna Virtual Reality Program; Device: HTC Vive with Lumen Program Sponsor: University of Pennsylvania Recruiting
Conditions: Lumbar Spinal Stenosis; Lumbar Disc Herniation; Radiculopathy; Back Pain Intervention: Procedure: Lumbar decompressive surgery Sponsor: Hospital Israelita Albert Einstein Not yet recruiting