Osteitis condensans ilii: current knowledge and diagnostic approach
AbstractOsteitis condensans ilii is a noninflammatory condition of an uncertain etiology, characterized by sclerotic bone lesions located mainly in the iliac region of the sacroiliac joints. In many patients, osteitis condensans ilii remains an incidental imaging finding; however, it has been associated with lower back pain and may mimic inflammatory rheumatic conditions such as axial spondyloarthritis. The diagnosis is based on the presence of the characteristic sclerotic lesions on radiographs and the exclusion of other conditions that are associated with back pain. Management is usually conservative with the use of physical therapy and analgesics, and it is associated with a favorable prognosis. Herein, we conducted a narrative literature review using the terms osteitis condensans ilii, and we identified case reports, case series, reviews, and original studies associated with the condition. The aim of this article is to raise the awareness of this underrecognized clinicoradiological condition and to enable the health-care providers to recognize clinical and radiological features that should raise suspicion of the osteitis condensans illi, and to describe the treatment options.
Publication date: Available online 14 July 2020Source: Journal of PhysiotherapyAuthor(s): Shaiane Silva Tomazoni, Matheus Oliveira Almeida, Jan Magnus Bjordal, Martin Bjørn Stausholm, Caroline dos Santos Monteiro Machado, Ernesto Cesar Pinto Leal-Junior, Leonardo Oliveira Pena Costa
LOWER back pain can be attributed to a wide range of causes, such as lifting something awkwardly. One often overlooked cause can have a negative impact on more than your back.
(Boston Medical Center) New research shows that people with chronic low back pain (cLBP) have better results from yoga and physical therapy compared to reading evidence-based self-help materials. While this finding was consistent across many patient characteristics, a much larger effect was observed among those already taking pain medication to treat their condition and those who did not fear that exercise would make their back pain worse.
ConclusionThe Arabic version of COMI-back represents a valid and reliable instrument for use in Arabic-speaking patients with non-specific LBP.
LOWER back pain will affect two out of three people during their lifetime but its prevalence does not come at the cost of solutions. Even the simplest lifestyle changes can help, and, to that end, a particular type of mattress is recommended.
1) Evaluate implementation of the Back Skills Training (BeST) programme, a group cognitive behavioural approach for patients with low back pain (LBP) developed for a clinical trial, into the National Health Service (NHS) in the United Kingdom; 2) Compare patient outcomes with the BeST Trial results.
Authors: Gu Y, Yao Q, Xu Y, Zhang H, Wei P, Wang L Abstract BACKGROUND This was a prospective comparative study of mixed reality (MR) technology assisted lumbar pedicle screws placement and traditional lumbar pedicle screws placement. MATERIAL AND METHODS Fifty cases of lumbar pedicle screws placement were randomly divided into 2 groups: 25 cases with MR technology in group A, and 25 cases without MR technology in group B. All patients had their scores on the Oswestry disability index (ODI) of low back pain and the visual analog scale (VAS) of the affected lower limb recorded at pre-operation. Blood loss, operative...
Conclusions. The use of the extension device for manual height adjustment of the hospital bed developed from this study helps to prevent LBP among healthcare workers across settings. PMID: 32646297 [PubMed - as supplied by publisher]
Publication date: Available online 10 July 2020Source: Journal of PhysiotherapyAuthor(s): Ronaldo Fernando de Oliveira, Leonardo Oliveira Pena Costa, Leonardo Penteado Nascimento, Lívia Leticia Rissato
If you have a bad hip and lower back pain, a new study suggests that hip replacement surgery may solve both issues at once.