The History of Lower Back Pain

2012 ◽  
Vol 39 (3) ◽  
pp. 463-470 ◽  
Author(s):  
Donald C. Maharty
BMJ ◽  
2016 ◽  
pp. i1722
Author(s):  
Alison Edwards ◽  
Preethi Nalla ◽  
L D Premawardhana

2021 ◽  
Author(s):  
Catarina Janicas ◽  
David Campos-Correia ◽  
Ana Paula Vasconcelos

64-year-old male presented to our emergency department with a 6-day history of generalized malaise, worsened by left lower back pain and anorexia for the last 2 days. Other symptoms were denied, and analytical evaluation only showed leucocytosis and elevated C-reactive protein. […]


Symmetry ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 1994
Author(s):  
Grzegorz Miękisiak ◽  
Rafał Załuski ◽  
Dariusz Szarek ◽  
Samuel D. Pettersson ◽  
Justyna Fercho ◽  
...  

Background: Pain maps provide reliable information on pain location in various conditions. This study explored the feasibility of pain maps as a screening tools for serious underlying conditions. The pain symmetry was evaluated as the possible distinguishing feature. Methods: A Web-based survey on the correlation of pain-related disability and pain pattern was developed. Respondents with lower back pain were asked to mark the exact location of their pain over the pain chart. The symmetry index was calculated and used to divide subjects into two groups that were then compared in terms of the prevalence of red flags for serious pathologies, as well as the pain-related disability measured with COMI and ODI instruments. Results: Of the 4213 respondents who completed the survey, 1018 were included in the study. The pain related disability was greater in respondents with asymmetrical pain patterns, as shown with all instruments. The distribution of red flags was also dependent on pain symmetry. The history of weight loss (6.70 vs. 1.76 p < 0.001) and fever (4.91 vs. 2.14 p < 0.001) were more prevalent with symmetrical pain patterns, and the history of trauma was more frequent with asymmetrical pain (21.41 vs. 10.71 p < 0.001). Conclusions: It was shown that the symmetry of pain is correlated to the prevalence of red flags and pain-related disability.


2018 ◽  
pp. bcr-2018-225801
Author(s):  
Omid Salaami ◽  
Dennis Michael Manning

A 62-year-old woman was admitted with a 3-week history of atraumatic bilateral lower back pain, progressive ascending flaccid paralysis, hyponatraemia and constipation. She was otherwise in good health with only a recent diagnosis of acute gastroenteritis that preceded her presenting symptoms. Her initial laboratory evaluation was consistent with Syndrome of Inappropriate Antidiuretic Hormone (SIADH) but was otherwise unremarkable. MRI of the spine revealed bilateral diffuse nerve root enhancement from at least C6 to the conus level, suggesting an inflammatory process. Lumbar puncture demonstrated high protein (629 mg/dL) with marked pleocytosis (363 cells/mcL) incompatible with albuminocytological dissociation typically seen in Guillain-Barre syndrome. A thorough diagnostic evaluation was undertaken to explore potential infectious, malignant and autoimmune conditions. Lyme disease serology (ELISA and Western Blot, IgM and IgG) was positive leading to a final diagnosis of lymphocytic meningoradiculitis or Bannwarth syndrome.


2015 ◽  
Vol 36 (1) ◽  
pp. 103-106 ◽  
Author(s):  
Vanda Farahmand Torous ◽  
Natasha Darras

Author(s):  
M.Yu. Delva ◽  
I.I. Delva

Introduction. Chronic tension headache is a significant medical and social challenge. There are many factors, which interact resulting in the chronicity of tension headache. The aim of the study was to investigate social, demographic and comorbid characteristics of the patients with frequent episodic tension headache and chronic tension headache. Material and methods. We examined 93 patients with frequent episodic tension headache and 34 patients with chronic tension headache. We analyzed patients’ sex, age, marital status, educational level, employment, smoking habits, anxiety and depressive disorders (according to the Hospital Anxiety and Depression Scale), migraine, musculoskeletal pains (cervical and lower back), arterial hypertension, diabetes mellitus, abdominal obesity, and history of traumatic brain injury. Results. The patients with chronic tension headache in comparison with the patients having frequent episodic tension headache had significantly more common (p <0.05) having no family (47% vs. 23%), smokers (35% vs. 16%), had significantly more common anxiety disorders (82% vs. 27%), depressive disorders (79% vs. 27%), abdominal obesity (41% vs. 13%) and episodes of lower back pain during the last calendar year (53% vs. 22%). Conclusions. Timely identification and adequate correction of lifestyle and some conditions (smoking, anxiety and depressive disorders, abdominal obesity) as well as pathogenetically grounded treatment of lower back pain in the patients with frequent episodic tension headache may reduce the risk of headache chonicity.


2018 ◽  
Vol 4 (1) ◽  
pp. 46-51
Author(s):  
Dr Ravindra S Mohite ◽  
◽  
Dr Dhanashree P Inamdar ◽  
Dr V.A. Kulkarni ◽  
Dr. Pankaj Joshi ◽  
...  

2021 ◽  
Vol 2021 ◽  
pp. 1-19
Author(s):  
Mihretu Jegnie ◽  
Mekbeb Afework

Introduction. Low back pain is the commonest musculoskeletal disorder affecting every socioeconomic group of the world’s population. The lifetime risk of developing low back pain is about 60%–80%. The pooled prevalence and associated factors of low back pain have not yet been determined in Ethiopia. Thus, this study was aimed at assessing the overall prevalence of low back pain and its associated factors in Ethiopia. Methods. A systematic search of PubMed, Scopus, Science Direct, and Google Scholar for observational studies reporting data on the prevalence and associated factors of low back pain was conducted. Relevant data were extracted with a standardized data extraction excel form. Stata 14 was employed for the meta-analysis. Heterogeneity was assessed by Cochran’s Q test and I2 values of a forest plot. Publication bias was checked using a funnel plot and Egger’s test. A random-effects model was used in the analysis. Result. A total of thirty-two studies were included for the systematic review. Twenty-four and sixteen studies were used to pool the overall low back pain prevalence and associated factors, respectively. The overall pooled annual prevalence of low back pain in Ethiopia was estimated to be 54.05% (95% CI: 48.14–59.96). Age, sex, body mass index, work experience, working hours, lack of safety training, awkward working posture, work shift, prolonged standing, lifting heavy objects, sleeping disturbance, history of back trauma, previous medical history of musculoskeletal disorder, and lack of adequate rest interval at work were significantly associated with low back pain. Conclusion. The current systematic review and meta-analysis revealed a higher prevalence of lower back pain in Ethiopia. Most of the low back pain epidemiological studies conducted in Ethiopia focused on specific occupational settings, making pooling of data and comparison with other countries challenging. Thus, further general population studies are recommended.


2020 ◽  
Vol 9 (2) ◽  
pp. 135-141
Author(s):  
Md Joynul Islam ◽  
Fariha Haseen ◽  
Sanat Kumar Saha ◽  
Moshiur Rahman Khasru ◽  
Mahboob Morshed ◽  
...  

Background: Health care workers are most frequently suffering from lower back pain. Objective: The purpose of the present study was to determine the prevalence and the effects of low back pain among health care providers working in Dhaka city. Methodology: This descriptivecross sectional study was conducted in Department of Neurosurgery at National Institute of Neurosciences & Hospital, Dhaka, Bangladesh from July 2012 to June 2013 for a period of one (1) year. The physicians and nurses who were working in the public hospital at any age group of both male and female were selected as study population. The details of the history of the physicians and nurses regarding their life style, hour of practising, and the mode of work and so on were asked in face to faced interview. A survey was carried out to174 conveniently selected participants to be filled and completed. Both descriptive and inferential tests were reported. Result:A total number of 117 medical professional were recruited from 5 hospital in Dhaka city. Majority medical professionals were from BSMMU (48.0%).The majority study subjects were mentioned that they had spent 6 to 12 hours every day for work which was 92(53.8%). Most of the respondents mentioned that the working environment was very good to fair. The prevalence of low back pain was found in almost every respondents which was 113(66.1) subjects. Interestingly most of the respondents were clearly stated that the LBP was occurred after joining in the work. In this study majority of the respondents were given the history of localized low back pain which was 86(76.1%) subjects. Moderate intensity of pain was reported by most of the respondents which was 67(59.3%) subjects. Intermittent nature of pain was mostly recorded which was 70(61.9%) subjects.There were several individual and profession risks factors were retrieved from the respondents. Many study subjects were given the answer about lifting objects or patients from bed to bed or wheel chair which was 55(48.7%) subjects. About 91(80.5%) respondents had said that pain was due to bad body posture. Conclusion: In conclusion most of the medical professionals are suffering from moderate intensity lower back pain after joining of their job Bang. J Neurosurgery 2020; 9(2): 135-141


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