scholarly journals Age Group Comparisons of TENS Response Among Individuals With Chronic Axial Low Back Pain

2015 ◽  
Vol 16 (12) ◽  
pp. 1268-1279 ◽  
Author(s):  
Corey B. Simon ◽  
Joseph L. Riley ◽  
Roger B. Fillingim ◽  
Mark D. Bishop ◽  
Steven Z. George
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Age Group ◽  
Group Comparisons

scholarly journals Opioid Prescribing Patterns for Low Back Pain Among Commercially Insured Children

Neurosurgery ◽  
2019 ◽  
Vol 66 (Supplement_1) ◽  
Author(s):  
Tej D Azad ◽  
Michael D Harries ◽  
Daniel Vail ◽  
Yi Jonathan Zhang ◽  
John K Ratliff
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pediatric Patients ◽  
Pediatric Population ◽  
Prescribing Patterns ◽  
Low Back ◽  
Age Group ◽  
Newly Diagnosed ◽  
Opioid Prescription ◽  
Opioid Prescribing

Abstract INTRODUCTION Low back pain (LBP) may affect up to 20% of the pediatric population. No specific guidelines exist regarding pharmacotherapy for acute LBP in the pediatric population. Given this observation and the lack of data available regarding pharmacotherapy for pediatric LBP, we sought to characterize patterns of opioid prescribing in the pediatric population. METHODS We used a national database to identify pediatric patients (age 5-17) with newly diagnosed with LBP between 2008 and 2015 who did not have a red flag diagnosis, had not received an opioid prescription in the 6 mo prior to diagnosis, and had 12-mo of continuous enrollment after diagnosis. We used logistic regression to model the association between sex, geographic region, categorical age, and our primary outcome, receipt of an opioid prescription in the year following diagnosis. RESULTS Our sample included 268 228 opioid-naïve pediatric patients diagnosed with LBP between 2008 and 2015. We observed that 47 631 (17.8%) patients received physical therapy, 29 903 (11.2%) patients received chiropractic manipulative therapy, 658 (0.25%) patients received epidural steroid injection, and 281 (0.10%) patients received surgery. A total of 35 274 (13.2%) pediatric LBP patients were prescribed opioids within 12 mo from their diagnosis. Opioid prescribing decreased in all age groups over the study period age group 5 to 9 decreased from 4.2% to 2.7%, age group 10 to 14 decreased from 10.3% to 7.7%, and age group 15 to 18 yr decreased from 20.9% to 17.1%. Female pediatric patients were more likely than male patients to receive an opioid prescription (OR, 1.12, P < .0001). Patients ages 10 to 14 (OR, 2.89, P < .0001) and 15 to 18 (OR, 6.98, P < .0001) were significantly more likely to be prescribed opioids compared to patients in the youngest age group. CONCLUSION To our knowledge, we report the first observational cohort study of opioids and LBP in the pediatric population. Our findings indicate that opioids are being used for newly diagnosed LBP and receipt of opioids are associated with patient demographic factors.

scholarly journals Prevalence and risk factors of low back pain

2018 ◽  
Vol 5 (5) ◽  
pp. 1120 ◽  
Author(s):  
Jella Ramdas ◽  
Vasantha Jella
Keyword(s):  
Young Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Lower Back Pain ◽  
Age Groups ◽  
Daily Basis ◽  
Low Back ◽  
Age Group ◽  
Lower Back ◽  
The World

Background: Low back pain is one of the most common health problems among all the population of the world. Men and women are equally reported to be affected by this condition. Of late, there has been rising incidence of LBP among many young adults and children, which is of concern. There have been a few studies regarding LBP but very few in this part of the world. This study was hence conducted to assess the prevalence of lower back pain among the young adults in our area.Methods: Detailed demographic picture was taken from all the patients which included the age, gender, smoking and alcoholic status, socio economic status, travelling, type of work, hours at work. Type and duration of sport, history of previous LBP, the intensity of pain, way it is relieved, duration of pain, i.e. the frequency of pain in a day are also taken into account.Results: The most common age group to be affected among the males was 31-40 years of age, where 38.6% were affected, while amongst the female the most common age group to be affected was 41-50 years with 38.1%. Most of the patients has strenuous physical exercise on daily basis for long period of time (70.9%). 58.3% patients were under stress and anxiety, while 56.3% lifted heavy weights regularly. 44.7% persons were either overweight or obese and had LBP due to the excess weight, while 28.6% had LBP due to sitting for long periods.Conclusions: This study shows that lower back pain is prevalent among all the age groups, especially among the younger adults. Identification of predisposing factors among the individuals which cause LBP can lead to diagnosing the condition at the earliest and preventing chronic pain, thereby improving the quality of life.

scholarly journals AB0970 THE RELATION BETWEEN CONGENITAL STRUCTURAL MALFORMATIONS, DISC-VERTEBRA DEGENERATION AND DISC HERNIATION IN THE PEDIATRIC AGE GROUP

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1780.2-1780
Author(s):  
O. G. Illeez ◽  
F. E. Bahadir Ulger ◽  
I. Aktas
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Disc Degeneration ◽  
Disc Herniation ◽  
Congenital Malformations ◽  
Low Back ◽  
Age Group ◽  
Pediatric Age ◽  
Pediatric Age Group ◽  
Vertebral Degeneration

Background:Disc/vertebral degeneration and disc herniation are rare causes of low back pain in childhood. Their relationship with congenital anomalies were reviewed in few studies in literature (1-3).Objectives:To examine the relation between congenital structural malformations in the lumbar spine, early degeneration and lumbar disc herniation in pediatric age group patients with low back pain, and to determine the incidence of congenital structural malformations, disc/vertebral degeneration, and disc herniation.Methods:Four hundred patients with LBP persisting for at least six weeks were included in the study. Demographic characteristics, physical examination findings, and laboratory and imaging results were recorded for all patients. Severity of pain was determined using a visual analog scale (VAS). Lumbosacral X-rays were examined for the presence of lumbosacral transitional vertebrae (LSTV) and spina bifida occulta (SBO). The incidence of disc/vertebral degeneration and disc herniation was investigated at the L4-5 and L5-S1 level in lumbosacral magnetic resonans imaging of patients with and without congenital malformation (LSTV-SBO).Results:The study population consisted of 219 girls and 181 boys aged 10-17 years (mean age 14.9±1.9). Presentation symptoms were low back pain in 90.5% (n= 362), and low back-leg pain in 9.5% (n=38). The mean VAS score was 5.3±1.0. LSTV was determined in 67 (16.8%) patients and SBO in 62 (15.5%). Disc herniation was determined in 68 patients, at the L4-5 level in 26.5% (n=18), at the L5-S1 level in 48.5% (n=33), and at both levels in 25% (n=17). Vertebral degeneration was present at the L4-5 level in 14 (8.6%) patients and at the L5-S1 level in 39 (23.9%), while disc degeneration was present at the L4-5 level in 21 (12.8%) patients and at the L5-S1 level in 31 (19.0%). No significant difference was observed in the incidence of disc/vertebral degeneration and disc herniation in patients with congenital malformation. Disc herniation was significantly more common in patients with disc degeneration (p=0.003, p<0.001). Congenital malformations were not observed in approximately 80% of patients without disc herniation and disc/vertebral degeneration.Conclusion:The presence of congenital malformations does not appear to represent a risk factor for early degeneration and disc herniation in pediatric age group. Congenital malformations, early degeneration, and disc herniation may constitute an underlying pathology in pediatric patients with persistent low back pain.References:[1]Milicić G, et al. Causal connection of non-specific low back pain and disc degeneration in children with transitional vertebra and/or Spina bifida occulta: role of magnetic resonance--prospective study. Coll Antropol. 2012.[2]Dang L, et al. Lumbar Disk Herniation in Children and Adolescents: The Significance of Configurations of the Lumbar Spine. Neurosurgery. 2015.[3]Zhang B, et al. Lumbosacral Transitional Vertebra: Possible Role inthe Pathogenesis of Adolescent Lumbar Disc Herniation. World Neurosurg. 2017.Disclosure of Interests:None declared

scholarly journals GAMBARAN FOTO LUMBAL PASIEN DENGAN GEJALA KLINIS NYERI PUNGGUNG BAWAH DI BAGIAN/SMF RADIOLOGI BLU RSUP PROF. DR. R. D. KANDOU MANADO PERIODE JANUARI 2012 – DESEMBER 2012

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Sri C. Mutmainna ◽  
Ramli Hadji Ali ◽  
Elvie Loho
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Analytical Study ◽  
Low Back ◽  
X Rays ◽  
Age Group ◽  
Pain Sensation ◽  
Cross Sectional ◽  
X Ray ◽  
Cross Sectional Design

Abstract: Low back pain (LBP) is pain sensation that involves the lower part of the back and spreads to the lower extremity especially on the back and outer parts. LBP is one of the musculoskeletal disorders caused by inappropriate activities. The pain sensation is classified as local, radicular, referred, or spasmodic pain. LBP is not a diagnosis but a symptom which is commonly found among the population. This study aimed to obtain the lumbar X-ray profile of patients with clinical diagnosis of LBP at the Department of Radiology Prof. Dr. R.D. Kandou Hospital, Manado, in 2012. This was an observational analytical study with a cross-sectional design. The results showed that among the LBP cases, based on gender, females (64.35%) were more frequent than males; and based on ages, >50 years was the most frequent age group (71.3%). Lumbar X-rays showed that spondylosis lumbalis was found in 42.96% of cases, other abnormalities 46.88%, meanwhile no abnormalities 10.16%. Conclusion: At the Department of Radiology Prof. Dr. R.D. Kandou Hospital, Manado, in 2012, the most frequent lumbar X-ray among the LBP patients was spondylosis lumbalis.Keywords: low back pain, clinical symptom, lumbar X-ray  Abstrak : Nyeri punggang bawah (NPB) adalah rasa nyeri yang terjadi di daerah punggung bagian bawah dan dapat menjalar ke kaki, terutama sebelah belakang dan samping luar. NPB termasuk salah satu gangguan muskuloskeletal yang disebabkan oleh aktivitas tubuh yang kurang baik. Keluhan nyeri dapat beragam dan diklasifikasikan sebagai nyeri yang bersifat lokal, radikular, menjalar (referred pain), atau spasmodik. NPB bukan suatu diagnosis namun merupakan suatu gejala yang banyak ditemukan di masyarakat. Penelitian ini bertujuan untuk mengetahui gambaran foto lumbal penderita dengan gejala klinis nyeri punggung bawah di Bagian Radiologi BLU RSUP Prof. Dr. R.D. Kandou Manado tahun 2012. Penelitian ini bersifat analitik observasional yang menggunakan desain cross-sectional. Hasil penelitian memperlihatkan bahwa pada kasus NBP: berdasarkan jenis kelamin tersering didapatkan pada perempuan (64,35%), dan berdasarkan usia, tersering pada kelompok usia >50 tahun (71,3%). Hasil foto lumbal menunjukkan bahwa spondilosis lumbalis ditemukan pada 42,96% kasus, abnormalitas lainnya 4,88%, sedangkan tanpa kelainan 10,16%. Simpulan: Di Bagian/SMF Radiologi BLU RSUP Prof Dr. R.D. Kandou Manado, gambaran foto lumbal penderita dengan gejala klinis nyeri punggung bawah yang tersering ialah spondilosis lumbalis.Kata kunci: nyeri pinggang bawah, gejala klinis, foto lumbal

Effect of Ḥijāma (wet cupping), Dalk (massage) & Bukhūr (medicated steam) in amelioration of Waja al-Zahr (non-specific low back pain) – an open prospective clinical trial

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Noor Zaheer Ahmed ◽  
Noman Anwar ◽  
Shahida Begum ◽  
Athar Parvez ◽  
Radhakrishnan Ezhil ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Therapeutic Response ◽  
Conventional Medicine ◽  
Chief Complaint ◽  
Low Back ◽  
Age Group ◽  
Rest Pain ◽  
Inclusion Criteria ◽  
Anethum Graveolens

Abstract Objectives Low back pain is the most widespread musculoskeletal ailment and a common cause of disability worldwide. Conventional medicine typically treats low back pain with a combination of physical therapy; activity modification and rest; pain-relieving and anti-inflammatory medications which are associated with huge socioeconomic implications and adverse drug reactions. In contrast Ḥijāma, Dalk and Bukhūr are ancient medical techniques recommended in the management of musculoskeletal disorders with little or no adverse effects. To evaluate the safety and effectiveness of Ḥijāma bi’l Shart (wet cupping), followed by Dalk (Massage) with Roghan Dafli and Bukhūr (medicated steam) with Tukhm Soya (Anethum graveolens Linn) in patients of Waja al-Zahr (Non-specific Low back pain). Methods Patients of either gender in the age group of 18–50 years with low back pain persisting for four weeks or more as chief complaint were recruited in the trial. The study was GCP compliant. The duration of the protocol therapy carried out was 14 days. Results Ninty two patients of NSLBP were screened, of which 34 who fulfilled the inclusion criteria and were willing to participate in the study were recruited. Three participants were lost to follow-ups due to personal reasons and 31 patients completed the trial during the study period. Overall therapeutic response observed in this study was 97% while 3% of the patients did not respond to intervention. Conclusions The study findings imply that there is a credible evidence to ensure that the regimens intervened are safe and effective in ameliorating the symptoms of Waja al-Zahr.

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