Listening to the body and talking to myself – the impact of chronic lower back pain: A qualitative study

2010 ◽  
Vol 47 (5) ◽  
pp. 586-592 ◽  
Author(s):  
Marie Crowe ◽  
Lisa Whitehead ◽  
Mary Jo Gagan ◽  
G. David Baxter ◽  
Avin Pankhurst ◽  
...  
Keyword(s):  
Back Pain ◽  
Qualitative Study ◽  
Lower Back Pain ◽  
The Body ◽  
Chronic Lower Back Pain ◽  
Lower Back ◽  
The Impact

scholarly journals Does early physical therapy intervention reduce opioid burden and improve functionality in the management of chronic lower back pain?

2020 ◽  
Vol 10 (4) ◽  
pp. 215-221
Author(s):  
Shedrick Martin ◽  
Kimberly Tallian ◽  
Victoria T. Nguyen ◽  
Jason van Dyke ◽  
Harminder Sikand
Keyword(s):  
Back Pain ◽  
Physical Therapy ◽  
Lower Back Pain ◽  
Medication Use ◽  
Chronic Lower Back Pain ◽  
Opioid Use ◽  
Pain Scores ◽  
Lower Back ◽  
Early Physical Therapy ◽  
The Impact

Abstract Introduction Chronic lower back pain is a leading cause of disability in US adults. Opioid use continues to be controversial despite the Centers for Disease Control and Prevention guidance on chronic pain management to use nonpharmacologic and nonopioid pharmacologic interventions. The objectives of the study were to assess the impact of early physical therapy (PT) intervention on improving functionality and reducing opioid burden in patients with chronic lower back pain. Methods A single-center, retrospective chart review of patients receiving ≥6 PT visits and treated with either opioids first (OF) or PT first (PTF) therapy for chronic lower back pain were evaluated. Concomitant use of nonopioid and nonpharmacologic therapy was permitted. The Oswestry Disability Index (ODI), a survey measuring functionality, was recorded for PTF group. Pain scores and medication use including opioids were collected at treatment initiation and completion. Results One hundred and eighty patients were included in three groups: OF group (n = 60), PTF group (n = 60), and PTF + ODI group (n = 60). The PTF + ODI group had mean ODI reduction of 11.9% (P < .001). More OF patients were lost to follow up (68.3%) or failed PT (60%) compared to the PTF group, 38.3% and 3.3% (P < .001). Reduction in both opioid and nonopioid medications as well as pain scores were observed but not statistically significant. Discussion Early PT resulted in improved functionality, decreased pain, and reduced medication use upon PT completion. These findings suggest PT, along with nonopioid modalities, are a viable first-line option for the management of chronic lower back pain.

scholarly journals The impact of modified exercise and relaxation therapy on chronic lower back pain in office workers: a randomized clinical trial

2019 ◽  
Vol 15 (5) ◽  
pp. 703-708 ◽  
Author(s):  
Ardalan Shariat ◽  
Reza Alizadeh ◽  
Vahideh Moradi ◽  
Elahe Afsharnia ◽  
Azadeh Hakakzadeh ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Back Pain ◽  
Randomized Clinical Trial ◽  
Lower Back Pain ◽  
Office Workers ◽  
Chronic Lower Back Pain ◽  
Relaxation Therapy ◽  
Lower Back ◽  
The Impact

scholarly journals FUNCTIONAL PROFILE OF POPULATION SUFFERING FROM CHRONIC LOWER BACK PAIN IN SALVADOR-BAHIA, BRAZIL: A POPULATION-BASED STUDY

2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Katia Nunes Sá ◽  
Renato Santos Dias ◽  
Israel Souza ◽  
Ines Lessa ◽  
Abrahão Fontes Baptista
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Population Based ◽  
The Body ◽  
Chronic Lower Back Pain ◽  
Functional Profile ◽  
Population Based Study ◽  
Lower Back ◽  
Sociodemographic Data ◽  
Body Map

Objective: To describe the chronic lower back pain functional profile in a population-based sample. Methods: A total of 2,297 individuals aged around ≥ 20 years were selected from 34 regions of Salvador, Bahia, Brazil. In order to characterize samples, sociodemographic data were collected. And, in order to describe functional profile, the body map and functional items were applied based on Oswestry questionnaire. Results: Between 28.6% and 68.8% of the population with CLBP presented disability, depending on the analyzed function. Chronic lower back pain was negatively associated with function in lifting objects (rarely, OR 2.39 IC 95%, 1.15-4.97) and remaining seated (OR 10.40 IC 95% 3.32- 32.46). In opposition to that, walking was associated to increased function (frequently, OR 0.47 IC 95% 0.30 – 0,72). Conclusions: Chronic lower back pain is frequently associated with disability. Lifting objects and remaining seated were the functional items that presented higher association with disability. Walking habits seem to be a protector from this disability in chronic lower back pain individuals.

scholarly journals The experience of lower back pain and its treatment among ambulance officers in New Zealand: a qualitative study

2019 ◽  
Vol 16 ◽  
Author(s):  
Sarkaw Mohammad Randhawa ◽  
Jean Hay-Smith ◽  
Rebecca Grainger
Keyword(s):  
Back Pain ◽  
New Zealand ◽  
Qualitative Study ◽  
Lower Back Pain ◽  
Job Insecurity ◽  
Structured Interview ◽  
Health Condition ◽  
Chronic Lower Back Pain ◽  
Lower Back ◽  
The Right

IntroductionParamedics have physically demanding jobs. Lower back pain is an occupation-related health condition that may cause difficulty with, or inability to, lift. Existing literature on lower back pain in paramedics is scant; no qualitative study specifically of lower back pain experiences or treatment was found. This qualitative study aimed to explore paramedics’ experience of chronic lower back pain, with a focus on their expectations of musculoskeletal treatment.Methods Nine paramedics (seven men, two women) who had sought chiropractic, physiotherapy, or osteopathy treatment for one or more episodes of chronic lower back pain, while working as a paramedic, were recruited from the national ambulance service. A general inductive qualitative approach was used and semi-structured interview data were thematically analysed. ResultsThe core theme was ‘frustration’. For paramedics, frustration stemmed from the difficulties and delays finding a musculoskeletal practitioner who could ‘help’; the widespread experience of lower back pain among paramedics that apparently went unacknowledged; their inability to make alterations at work; their risk of re-injuring their back at any time; and concerns about their future and job insecurity because they might not be able to continue working as a paramedic in the future due to their lower back pain. ConclusionThe experience of the nine New Zealand paramedics interviewed for this study was frustration due to difficulties and delays in finding the right provider of helpful treatment, and persistent uncertainty about their future. Participants wished that the industry had better and more explicit organisational processes for managing lower back pain at work, and supporting them to better back health and being fit for work.  

scholarly journals Effects of Prolonged Sitting with Slumped Posture on Trunk Muscular Fatigue in Adolescents with and without Chronic Lower Back Pain

Medicina ◽  
2020 ◽  
Vol 57 (1) ◽  
pp. 3
Author(s):  
Kyoung-Sim Jung ◽  
Jin-Hwa Jung ◽  
Tae-Sung In ◽  
Hwi-Young Cho
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Transversus Abdominis ◽  
Muscular Fatigue ◽  
Trunk Muscles ◽  
Control Group ◽  
Chronic Lower Back Pain ◽  
Median Frequency ◽  
Prolonged Sitting ◽  
Lower Back

Background and Objectives: This study investigated the effects of prolonged sitting on trunk muscular fatigue and discomfort in participants with and without chronic lower back pain (LBP). Material and Methods: This study included 15 patients with LBP and 15 healthy controls. All participants were instructed to sit on a height-adjustable chair with their knee and hip joints bent at 90° for 30 min, in slumped sitting postures. Surface electromyography was used to assess the median frequency of the internal obliques (IO)/transversus abdominis (TrA) and multifidus (MF) muscles. Perceived discomfort was measured using a Borg category ratio-scale. Median frequency of the trunk muscles and perceived discomfort after 30 min of sitting were compared with baseline. Result: There were no significant differences within the group and between both groups in the median frequency of bilateral IO and MF muscles. The LBP group showed significantly greater perceived discomfort after prolonged sitting, as compared to the control group. Conclusions: Prolonged sitting with slumped posture could increase the risk of experiencing lower back discomfort.

scholarly journals Therapeutic Effectiveness of AxioBionics Wearable Therapy Pain Management System in Patients with Chronic Lower Back Pain

2021 ◽  
Vol 14 ◽  
pp. 117954412199377
Author(s):  
Philip Muccio ◽  
Josh Schueller ◽  
Miriam van Emde Boas ◽  
Norm Howe ◽  
Edward Dabrowski ◽  
...  
Keyword(s):  
Back Pain ◽  
Pain Management ◽  
Lower Back Pain ◽  
Chronic Lower Back Pain ◽  
Analog Scale ◽  
System A ◽  
System Reduction ◽  
Lower Back ◽  
Muscular Function

Chronic lower back pain is one of the most common medical conditions leading to a significant decrease in quality of life. This study retrospectively analyzed whether the AxioBionics Wearable Therapy Pain Management (WTPM) System, a customized and wearable electrical stimulation device, alleviated chronic lower back pain, and improved muscular function. This study assessed self-reported pain levels using the visual analog scale before and during the use of the AxioBionics WTPM System when performing normal activities such as sitting, standing, and walking (n = 69). Results showed that both at-rest and activity-related pain were significantly reduced during treatment with the AxioBionics WTPM System (% reduction in pain: 64% and 60%, respectively; P < .05). Thus, this study suggests that the AxioBionics WTPM System is efficacious in treating chronic lower back pain even when other therapies have failed to sufficiently decrease reported pain levels.

Sign in / Sign up

Export Citation Format

Share Document