Use of particulate corticosteroid injections to treat low back pain in a low-income setting: 8 years of experience in Mozambique

2019 ◽  
Vol 35 (6) ◽  
pp. 283-284
Author(s):  
Serguei Otchirov ◽  
Damiano Pizzol ◽  
Mario Antunes
Pain Medicine ◽  
2020 ◽  
Vol 21 (10) ◽  
pp. 2529-2537
Author(s):  
Jonathan Berlowitz ◽  
Daniel L Hall ◽  
Christopher Joyce ◽  
Lisa Fredman ◽  
Karen J Sherman ◽  
...  

Abstract Objective Perceived stress and musculoskeletal pain are common, especially in low-income populations. Studies evaluating treatments to reduce stress in patients with chronic pain are lacking. We aimed to quantify the effect of two evidence-based interventions for chronic low back pain (cLBP), yoga and physical therapy (PT), on perceived stress in adults with cLBP. Methods We used data from an assessor-blinded, parallel-group randomized controlled trial, which recruited predominantly low-income and racially diverse adults with cLBP. Participants (N = 320) were randomly assigned to 12 weeks of yoga, PT, or back pain education. We compared changes in the 10-item Perceived Stress Scale (PSS-10) from baseline to 12- and 52-week follow-up among yoga and PT participants with those receiving education. Subanalyses were conducted for participants with elevated pre-intervention perceived stress (PSS-10 score ≥17). We conducted sensitivity analyses using various imputation methods to account for potential biases in our estimates due to missing data. Results Among 248 participants (mean age = 46.4 years, 80% nonwhite) completing all three surveys, yoga and PT showed greater reductions in PSS-10 scores compared with education at 12 weeks (mean between-group difference = −2.6, 95% confidence interval [CI] = −4.5 to −0.66, and mean between-group difference = −2.4, 95% CI = −4.4 to −0.48, respectively). This effect was stronger among participants with elevated pre-intervention perceived stress. Between-group effects had attenuated by 52 weeks. Results were similar in sensitivity analyses. Conclusions Yoga and PT were more effective than back pain education for reducing perceived stress among low-income adults with cLBP.


2016 ◽  
Vol 24 ◽  
pp. 34-39 ◽  
Author(s):  
Julia E. Keosaian ◽  
Chelsey M. Lemaster ◽  
Danielle Dresner ◽  
Margo E. Godersky ◽  
Ruth Paris ◽  
...  

2008 ◽  
Vol 75 (4) ◽  
pp. 403-407 ◽  
Author(s):  
Jean-Pierre Valat ◽  
Sylvie Rozenberg

2020 ◽  
Author(s):  
Xie Chen ◽  
Shi-Bin Wang ◽  
Xue-Li Li ◽  
Zhuo-Hui Huang ◽  
Wen-Yan Tan ◽  
...  

Abstract Background: Sleep is vital for maintaining individual’s physical and mental health. Prior studies have reported close relationships between sleep duration and chronic diseases. However, in China, the prevalence of irregular sleep duration and the associations between sleep duration and chronic conditions still merit studying in Guangdong province. This study aimed at examining the relationship between sleep duration and multiple dimensions of sociodemographic characteristics, mental health and chronic diseases in Guangdong province in China, with a large population-based data of individuals aged from 18 to 85 years old conducted in Guangdong province.Methods: Multistage stratified cluster sampling was applied for this study. 13,768 participants from Guangdong province were interviewed with standardized assessment tools. Basic socio-demographic information, mental health and chronic diseases information were collected. Self-reported sleep duration was classified as three types: short (<7h), normative (7-8h) and long (>8h). Results: The mean sleep duration was 6.75±1.11h. Short sleepers had a higher prevalence of chronic diseases, including anemia (6.2%, P=0.024), gout (2.8%, P=0.010), hyperlipidemia (3.9%, P=0.003) and low back pain (5.6%, P=0.020) than other types of sleeper. Multinomial logistic regression analysis revealed that short sleepers were more likely to have low income level, have depressive symptoms, be ex- or current drinkers and be overweight. Anemia, hyperlipidemia and low back pain were all risk factors for short sleep, while malignant tumor was risky for long sleep. Conclusions: Low income level, drinking status, being overweight, and chronic conditions may be associated with abnormal sleep duration in Guangdong province general population. Short sleepers have a higher risk of suffering from anemia, hyperlipidemia, and low back pain, while long sleepers are more likely to have malignant tumor. Health professionals should value the sleep patterns in general health care and attach importance to conduct further epidemiologic surveys to explore the relationship between sleep duration and health.


2007 ◽  
Vol 5;10 (9;5) ◽  
pp. 651-660
Author(s):  
Dr. Panagiotis Spyropoulos

Background: Epidemiological studies have provided information on the prevalence and risk factors of low back pain (LBP) in white collar workers in industrialized countries. Little information has related individual, work ergonomic, and psychosocial factors to the incidence of LBP in low income countries. Objectives: To assess the prevalence of LBP among Greek public office workers. To identify and relate the individual, work ergonomic, and psychosocial factors to the occurrence of LBP. Design: Cross-sectional study of Greek office workers in the public sector. Methods: A self-reported standardized questionnaire was constructed to record risk factors associated with the occurrence of LBP. Personal characteristics, work ergonomics, and psychosocial traits were collected and related to LBP prevalence. Results: Of the 771 office workers, 648 responded (84% return rate). The majority of the participants were women (75.8%). Among all responders, 33%, 37.8%, 41.8%, and 61.6% presented with point, one-year, two-year, and lifetime prevalence respectively. Sleep disturbances due to pain were reported in 37% of the office clerks with chronic low back pain. Multiple logistic regression models have revealed that significant determinants for predicting LBP occurrence are age, gender, body mass index, body distance from computer screen, adjustable back support, clerk body position while sitting, sitting time of greater than 6 hours, job satisfaction, repetitive work, and anger during last 30 days. Conclusion: High proportions of Greek office workers suffer from LBP which might affect the Greek economy. The incidence of LBP status is significantly associated with some anthropometric, ergonomic, and psychosocial factors. Key words: Office workers, risk factors, low back pain, epidemiology


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