Responsiveness of the Short-Form 36 and Oswestry Disability Questionnaire in Chronic Nonspecific Low Back and Lower Limb Pain Treated With Customized Foot Orthotics

Background Back and lower limb pain have a major impact on physical function and quality of life. While obesity is a modifiable risk factor for musculoskeletal pain, the role of adiposity is less clear. This systematic review aimed to examine the relationship between both adiposity and its distribution and back and lower limb pain. Methods A systematic search of electronic databases was conducted to identify studies that examined the association between anthropometric and/or direct measures of adiposity and site specific musculoskeletal pain. Risk of bias was assessed and a best evidence synthesis was performed. Results A total of 56 studies were identified which examined 4 pain regions, including the lower back (36 studies), hip (two studies), knee (13 studies) and foot (eight studies). 31(55%) studies were assessed as having low to moderate risk of bias. 17(30%) studies were cohort in design. The best evidence synthesis provided evidence of a relationship between central adiposity and low back and knee pain, but not hip or foot pain. There was also evidence of a longitudinal relationship between adiposity and the presence of back, knee and foot pain, as well as incident and increasing foot pain. Conclusions This systematic review provides evidence of an association between both body fat and its central distribution and low back and knee pain, and a longitudinal relationship between adiposity and back, knee and foot pain. These results highlight the potential for targeting adiposity in the development of novel treatments at these sites.

Download Full-text

Percutaneous pulsed radiofrequency applied to the L-2 dorsal root ganglion for treatment of chronic low-back pain: 3-year experience

Journal of Neurosurgery Spine ◽

10.3171/2009.9.spine08946 ◽

2010 ◽

Vol 12 (2) ◽

pp. 190-196 ◽

Cited By ~ 20

Author(s):

Hsi-Kai Tsou ◽

Shao-Ching Chao ◽

Chao-Jan Wang ◽

Hsien-Te Chen ◽

Chiung-Chyi Shen ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pain Relief ◽

Chronic Low Back Pain ◽

Lower Limb ◽

Low Back ◽

Pulsed Radiofrequency ◽

Limb Pain ◽

Lower Limb Pain

Object The authors assessed the effectiveness of percutaneous pulsed radiofrequency treatment for providing pain relief in patients with chronic low-back pain with or without lower-limb pain. Methods Data were obtained in 127 patients who had chronic low-back pain with or without lower-limb pain due to a herniated intervertebral disc or previous failed back surgery and who underwent pulsed radiofrequency treatment. Their conditions were proven by clinical features, physical examination, and imaging studies. Low-back pain was treated with pulsed radiofrequency applied to the L-2 dorsal root ganglion (DRG) and lower-limb pain was treated with pulsed radiofrequency applied to the L3–S1 DRG. Patients underwent uni- or bilateral treatment depending on whether their low-back pain was unilateral or bilateral. A visual analog scale was used to assess pain. The patients were followed up for 3 years postoperatively. Results In patients without lower-limb pain (Group A), 27 (55.10%) of 49 patients had initial improvement ≥ 50% at 3-month follow-up. At 1-year follow-up, 20 (44.44%) of 45 patients in Group A had pain relief ≥ 50%. An analysis of patients with pain relief ≥ 50% for at least 1 month showed that the greatest effect was at 3 months after treatment. In patients with low-back pain and lower-limb pain (Group B), 37 (47.44%) of 78 patients had initial improvement ≥ 50% at 3-month follow-up. At 1-year follow-up, 34 (45.95%) of 74 patients had pain relief effect ≥ 50%. An analysis of patients in Group B with pain relief ≥ 50% for at least 1 month showed that the greatest effect was at 1 month after treatment. Conclusions The results of this prospective analysis showed that treatment with pulsed radiofrequency applied at the L-2 DRG is safe and effective for treating for chronic low-back pain. Satisfactory pain relief was obtained in the majority of patients in Group A with the effect persisting for at least 3 months. The results indicate that pulsed radiofrequency provided intermediate-term relief of low-back pain. Further studies with long-term follow-up are necessary.

Download Full-text

Compression of Dorsal Root Ganglion as a Cause of Low Back and/or Lower Limb Pain

Orthopedics & Traumatology ◽

10.5035/nishiseisai.36.498 ◽

1987 ◽

Vol 36 (2) ◽

pp. 498-503

Author(s):

Takashi Shimauchi ◽

Masanobu Oyama ◽

Shinnosuke Kurose ◽

Hiroshi Nakamura

Keyword(s):

Dorsal Root Ganglion ◽

Lower Limb ◽

Dorsal Root ◽

Low Back ◽

Limb Pain ◽

Lower Limb Pain

Download Full-text

MRI Diagnosis of Lumbar Vertebral Margin Dissection in Athletes

Journal of Medical Imaging and Health Informatics ◽

10.1166/jmihi.2020.3101 ◽

2020 ◽

Vol 10 (8) ◽

pp. 1933-1937

Author(s):

Ligang Wang ◽

Puente Toress

Keyword(s):

Lower Limb ◽

Low Back ◽

Resonance Imaging ◽

Limb Pain ◽

Invasive Treatment ◽

Obvious Effect ◽

Lower Limb Pain ◽

Significant Difference ◽

Mri Diagnosis ◽

Magnetic Resonance Imaging Mri

In order to provide molecular pathological basis for the study of the pathogenesis of posterior vertebrolysis and explore the feasibility of minimally invasive treatment (MED) for posterior vertebrolysis, MacNab modified three months after operation is used to evaluate the effect of operation. All patients undergo lumbar spine radiography and magnetic resonance imaging (MRI). The results show that there is significant difference between one week after operation and one week after operation (P < 0.05), and there is significant difference between three months after operation and one week after operation (P < 0.05). Surgical treatment has obvious effect on relieving low back pain and lower limb pain. It can be concluded that the MRI diagnosis of athletes’ posterior vertebrolysis can reflect the pathological morphology more comprehensively and is of great significance for clinical diagnosis and treatment.

Download Full-text

Effectiveness of pregabalin for the treatment of chronic low back pain with accompanying lower limb pain (neuropathic component): a non-interventional study in Japan

Journal of Pain Research ◽

10.2147/jpr.s88642 ◽

2015 ◽

pp. 487

Author(s):

Alesia Sadosky ◽

Toshihiko Taguchi ◽

Ataru Igarashi ◽

Stephen Watt ◽

Bruce Parsons ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Lower Limb ◽

Low Back ◽

Limb Pain ◽

Interventional Study ◽

Lower Limb Pain

Download Full-text

Examination of the regression model to quantify the degree of low back pain and lower limb symptoms in patients with lumbar disc herniation by the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ)

PLoS ONE ◽

10.1371/journal.pone.0243861 ◽

2020 ◽

Vol 15 (12) ◽

pp. e0243861

Author(s):

Hayato Ishitani ◽

Toshiyo Tamura ◽

Shigehiko Kanaya ◽

Hiroshi Fujimoto

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Regression Model ◽

Lower Limb ◽

Lumbar Disc ◽

Low Back ◽

Limb Pain ◽

Pain Evaluation ◽

Lower Back ◽

Lower Limb Pain

The Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) was created to evaluate specific treatment outcomes in terms of physical functioning, social ability, and mental health in patients with back pain-related diseases. In this study, we investigated whether the JOABPEQ could be used to construct a regression model to quantify low back pain and lower limb symptoms in patients with lumbar disc herniation (LDH). We reviewed 114 patients with LDH scheduled to undergo surgery at our hospital. We measured the degrees of 1) lower back pain, 2) lower limb pain, and 3) lower limb numbness using the visual analog scale before the surgery. All answers and physical function data were subjected to partial least squares regression analysis. The degrees of lower back and lower limb pain could be used as a regression model from the JOABPEQ and had a significant causal relationship with them. However, the degree of lower limb numbness could not be used for the same. Based on our results, the questions of the JOABPEQ can be used to multilaterally understand the degree of lower back pain and lower limb pain in patients with LDH. However, the degree of lower limb numbness has no causal relationship, so actual measurement is essential.

Download Full-text