The chronic low back pain syndrome(CLBPS) and its correlation with the apparent etiologic diagnosis

Pain ◽  
1987 ◽  
Vol 30 ◽  
pp. S87
Author(s):  
P. F. Bejarano ◽  
L. N. Cardona ◽  
L. Casasbuenas
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Pain Syndrome ◽  
Low Back ◽  
Etiologic Diagnosis

scholarly journals Therapeutic guidelines in chronic low back pain

Pharmacia ◽  
2021 ◽  
Vol 68 (1) ◽  
pp. 117-120
Author(s):  
Daniela Taneva ◽  
Angelina Kirkova ◽  
Petar Atanasov
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Multidisciplinary Treatment ◽  
Pain Syndrome ◽  
Industrial Society ◽  
Low Back ◽  
Active Recovery ◽  
Therapeutic Guidelines ◽  
Recurrent Low Back Pain

Chronic low back pain is a heterogeneous group of disorders with recurrent low back pain over 3 months. The high incidence of lumbago is an important phenomenon in our industrial society. Patients with chronic low back pain often receive multidisciplinary treatment. The bio approach, the psycho-approach, and the social approach optimally reduce the risk of chronicity by providing rehabilitation for patients with persistent pain after the initial acute phase. Damage to the structures of the spinal cord and the occurrence of low back pain as a result of evolutionary, social and medical causes disrupt the rhythm of life and cause less or greater disability. Recovery of patients with low back pain is not limited only to influencing the pain syndrome but requires the implementation of programs to eliminate the complaints that this pathology generates in personal, family and socio-professional terms. This paper aims to familiarize the audience with the medication used, and the programs for active recovery in patients suffering from chronic low back pain.

Wie sinnvoll ist die Zweipunktdiskrimination als diagnostisches Mittel bei der Epicondylopathia humeri radialis?

2021 ◽  
Vol 25 (04) ◽  
pp. 181-189
Author(s):  
Kirsten Börms ◽  
Michael Richter
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Complex Regional Pain Syndrome ◽  
Chronic Low Back Pain ◽  
Pain Syndrome ◽  
Low Back ◽  
Epicondylopathia Humeri Radialis

ZusammenfassungDie diagnostische Aussagekraft der Zweipunktdiskrimination (ZPD) als Indikator für chronische Krankheitsprozesse (z. B. Complex Regional Pain Syndrome, Chronic Low Back Pain) ist mehrfach untersucht und gilt als belegt. Das Ziel der vorliegenden Arbeit war es, die ZPD als diagnostisches Mittel in der Ellenbogenregion zu untersuchen.Mithilfe eines Ästhesiometers (Schieblehre) wurde die ZPD im Bereich des lateralen Ellenbogens bei einer Patientengruppe (N = 21) mit der Diagnose Epicondylopathia humeri radialis sowie einer gesunden Kontrollgruppe (N = 40) mit folgender primärer Fragestellung untersucht: Kann die ZPD am Ellenbogen gesunde Proband(inn)en von Proband(inn)en mit Epicondylopathia humeri radialis unterscheiden? Als Basis wurden ZPD-Normwerte anhand der Kontrollgruppe am lateralen Ellenbogen erstellt. In einer vertiefenden Datenanalyse der Patientenpopulation wurden die Daten der Patient(inn)en mit einem akuten (N = 13) mit den Daten der Patient(inn)en mit einem chronischen (N = 8) Zustand verglichen.Im Ergebnis scheint die ZPD kein geeignetes Diagnostikinstrument zur Differenzierung der Fall- von der Kontrollgruppe sowie von akuten und chronischen Verläufen in der lateralen Ellenbogenregion zu sein.

scholarly journals Psychosomatic aspects of chronic low back pain syndrome

2010 ◽  
Vol 64 (5-6) ◽  
pp. 202-208
Author(s):  
Daina Šmite ◽  
Gunta Ancāne
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Emotional Distress ◽  
Chronic Low Back Pain ◽  
Pain Syndrome ◽  
Low Back ◽  
Characteristic Parameters ◽  
Psychosomatic Aspects ◽  
Specific Symptoms

Psychosomatic aspects of chronic low back pain syndrome The purpose of the study was to determine the relationships between emotional distress and pain syndrome, its characteristic parameters and impact on the quality of life in patients with chronic low back pain. The study included 110 patients, mean age 44.2 ± 8.0 years, with clinical diagnosis of lumbar spine disk pathology with chronic low back pain syndrome. The results showed that the studied patients differed by their emotional state. Emotional distress was associated with high intensity and specific symptoms of low back pain syndrome. Musculoskeletal dysfunction was associated with both physical and psychoemotional factors. The interaction of chronic low back pain syndrome complexity and biopsyhosocial factors is shown by a correlation between cytokines IL-10 and IL-8 level in blood serum and both pain intensity and duration, characteristics of emotional and physical status, and level of physical activities.

Typological Description of the Chronic Low Back-Pain Syndrome Using the Millon Behavioral Health Inventory

1995 ◽  
Vol 76 (3_suppl) ◽  
pp. 1227-1234 ◽  
Author(s):  
Michael A. Murphy ◽  
Donald J. Tosi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Behavioral Health ◽  
Chronic Low Back Pain ◽  
Demographic Data ◽  
Pain Syndrome ◽  
Minimum Variance ◽  
Rehabilitation Program ◽  
Low Back ◽  
Millon Behavioral Health Inventory

The Millon Behavioral Health Inventory was administered to 67 individuals with chronic low back pain who participated in a rehabilitation program on pain and stress. Base-rate scores from the 20 scales, submitted to cluster analysis using Ward's minimum variance method, gave four subtypes. Discriminant analysis accurately classified 98.51% of the sample. The discriminant functions were interpreted and labeled as I: somatic distress and II: inhibition-dependency. The groups were then examined for differences and similarities with respect to those dimensions, and the groups were labeled I–introversive, II–denial/minimizers, III–conformers, and IV–severe psychophysiological reaction. The types were next compared across medical, vocational, and demographic data. With the exception of sex of subject, no other data were significant by type. The results were discussed, and recommendations for research were made.

scholarly journals Assessment of the neuropathic component in a chronic low back pain syndrome

2020 ◽  
pp. 69-69
Author(s):  
Zoran Vukojevic ◽  
Aleksandra Dominovic-Kovacevic ◽  
Stojan Peric ◽  
Ivo Bozovic ◽  
Sanja Grgic ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Pain Syndrome ◽  
Low Back

scholarly journals Interactions between Musculoskeletal Dysfunction, Emotional Distress and Cytokines in Patients with Chronic Low Back Pain Syndrome

2020 ◽  
Vol 1 (6) ◽  
Author(s):  
Daina Šmite ◽  
Gunta Ancāne ◽  
Pēteris Tretjakovs
Keyword(s):  
Chronic Pain ◽  
Low Back Pain ◽  
Motor Control ◽  
Back Pain ◽  
Lumbar Spine ◽  
Emotional Distress ◽  
Chronic Low Back Pain ◽  
Pain Syndrome ◽  
Low Back

Despite different treatment methods, for approximately 30% of patients acute back pain turns into chronic pain syndrome which accompanied by disability creates remarkable material damage to patients themselves, to health care and to the society. The aim of the study was to analyse the interaction between musculoskeletal dysfunction, emotional distress and related disability, and their underlying neuroimonological pathophysiological mechanisms, in patients with chronic low back pain syndrome. The subjects were 43 patients, mean age 45 ± 1.3 years, with clinical diagnosis of lumbar spine disk pathology with chronic low back pain syndrome and present manifestation of emotional distress. All patients had complex assessment that included lumbar spine and pelvic motor control tests, muscle and ligaments palpation tests, Hospital Anxiety and Depression Scale, PF subscale of SF-36 survey, Visual Analogue Scale, immunological analysis of blood to detect the level of cytokines. The results approved interaction (p < 0.05) between motor control and palpation tests results, emotional distress features and pain intensity. Therefore musculoskeletal dysfunction in patients with chronic low back pain is connected both with physical and psycho-emotional factors, which has to be taken into account both when evaluating functional tests and during the treatment process. Clinically important finding is that limitation in physical activities in chronic low back pain patients are affected both by motor control impairment and depression symptoms, as well as pain intensity, which has to be remembered during rehabilitation planning process. Some of cytokines (TNF-a, IL-6, IL-8, IL-10, IL-2) correlated with emotional disturbances physical disturbances, pain syndrome characteristics and physical disability in patients with chronic low back pain. IL-10 and IL-8 appeared to be two of the most characteristic cytokines. It is interesting to note, that in literature studies have approved the role of IL-10 in the pathogenesis of chronic, widespread pain syndrome, but IL-8 has been shown in the role of the pathogenesis of radicular pain syndrome in patients with lumbar spine disk pathology [1, 2]. Studies of cytokines extend the understanding of bio-psycho-social aspects of chronic pain syndrome pathogenesis therefore improving process of assessment, clinical reasoning and therapy.Keywords: musculoskeletal dysfunction, emotional distress, chronic pain, cytokines.

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