Diagnostic and treatment recommendations from international guidelines for chronic low back pain

Orv Hetil. 2021 Dec 5;162(49):1951-1961. doi: 10.1556/650.2021.32280.ABSTRACTÖsszefoglaló. Nemzetközi kutatások szerint a deréktáji fájdalom 2019-ben 568 millió embert érintett világszerte. Magyarországon a lakosság 20%-a él krónikus derékfájdalommal, ami nemcsak egészségügyi, de szociális és ökonómiai krízist is jelent. A probléma aktualitását jól mutatja az is, hogy a Nemzetközi Fájdalomkutatási Társaság a 2021. évet a derékfájdalomról szóló globális évnek kiáltotta ki. A derékfájdalmak megfelelő kezelése és a krónikussá válás megelőzése tehát kiemelten fontos. Ebben nyújthatnak segítséget az evidenciákon alapuló irányelvek. Magyarországon azonban jelenleg nincs hatályos, egységes irányelv, mely a derékfájdalmakkal, azon belül is a krónikus derékfájdalom kezelésével foglalkozna. A jelen közleményben a krónikus derékfájdalom evidenciákon alapuló diagnosztikai és kezelési lehetőségeinek áttekintését tűztük ki c...
Source: Orvosi Hetilap - Category: General Medicine Authors: Source Type: research

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Conclusions: The findings suggest that different types of exercise rehabilitation were not significantly different on pain reduction, functional disability, and movement control impairment. It is suggested that the participant ’s preference for an approach should also be considered for encouraging them to adhere to exercise.
Source: International Journal of Preventive Medicine - Category: International Medicine & Public Health Source Type: research
Conclusion: Patients with chronic low back pain have a high prevalence of depressive symptoms in China. Duration of pain, pain severity, family function and pain self-efficacy were predictors of depressive symptoms among chronic low back pain patients in China. Early identification of the associated factors may be helpful for the timely management of depressive symptoms.
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Conclusions: Acupuncture at various points, corresponding to the stellate ganglion, which is ST 10 Shuitu, and corresponding to the splanchnic nerve and the facet joint of the lumbar vertebra-which are Ex-B2 paravertebra-can be applied for pain management in the head-and-neck area and in the lower-back area. According to various research findings, acupuncture is effective and safe for reducing pain in the head and neck area, as well as in the lower back.PMID:35003500 | PMC:PMC8729902 | DOI:10.1089/acu.2021.0004
Source: Acupuncture in Medicine - Category: Complementary Medicine Authors: Source Type: research
In this study, we examined individuals who were provided with legal; medical cannabis certifications in the state of Delaware between June 2018 and October 2019 and were concurrently being treated with opioid medications for chronic pain at a private pain management practice. Using a posthoc analysis, we conducted a retrospective cohort study on the individuals (n = 81) to determine if there was a decrease in their opioid use following medical cannabis certification. Opioid use was measured in morphine milligram equivalent (MME) through the Delaware prescription monitoring program (PMP) database. Results Overall, the avera...
Source: Pain Physician - Category: Anesthesiology Authors: Source Type: research
A patient who failed conventional SCS for non-surgical chronic low back pain and now desires a trial of PNS. Updates on the Role of Spinal Cord Stimulation in the Management of Non-Surgical Chronic Lower Back Pain Studies have shown that spinal cord stimulation (SCS) therapy is effective in the management of chronic low back pain. It plays a role by minimizing the intensity of chronic pain, improving the quality of life index, reducing the intake of narcotic analgesics, and increasing the functional... ...
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
ConclusionsDespite chiropractic interns providing guideline concordant care for the majority of LBP patients, interventions classified as not recommended and without recommendation are still frequently offered. This study provides a starting point to understand the treatment interventions provided by chiropractic interns. Further research should be conducted to improve our understanding of the use of LBP guideline recommended care in the chiropractic profession.Trial registrationOpen Science Framework # g74e8.
Source: Chiropractic and Manual Therapies - Category: Complementary Medicine Source Type: research
Anybody have this article full text? Saw this glimpse of it on Doximity, curious how they came to their conclusions about pain procedures.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
CONCLUSION: A group-based pain management programme was no more effective than standard care for patients with persistent LBP and psychological risk factors.PMID:34967224 | DOI:10.1177/02692155211056202
Source: Clinical Rehabilitation - Category: Rehabilitation Authors: Source Type: research
Asian Spine J. 2021 Dec 30. doi: 10.31616/asj.2021.0371. Online ahead of print.ABSTRACTWe aimed to determine the recommendation level for the treatment of acute and chronic low back pain (LBP). A systematic review (SR) of the literature was performed and all English-language articles that discuss acute and chronic LBP, including MEDLINE and the Cochrane Database of Systematic Reviews, were searched. Of the 873 searched literature reports, 259 articles, including 131 clinical trials, 115 SRs, nine meta-analyses, and four clinical guidelines were analyzed. In these articles, high-quality randomized controlled trials, SRs, an...
Source: Asian Spine Journal - Category: Orthopaedics Authors: Source Type: research
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