Rheumatological disorders

2013 ◽  
pp. 268-289
Author(s):  
Steve Ryder ◽  
Karen Walker-Bone
Keyword(s):  
Back Pain ◽  
Upper Limb ◽  
Inflammatory Arthritis ◽  
Spinal Disorders ◽  
Pain Syndromes ◽  
Recent Developments ◽  
Rheumatic Conditions ◽  
Upper Limb Disorders

Musculoskeletal pain affects up to 50 per cent of the population at any one time. Consequently, low back pain, neck pain, and upper limb disorders are important causes of sickness absence. Spinal disorders, including back pain, are covered in detail in Chapter 11, and will not be discussed further here. Instead this chapter will focus on the other common rheumatological disorders, including upper limb disorders (specific and non-specific), osteoarthritis (OA), inflammatory arthritis, connective tissue disorders, and widespread pain syndromes. Many rheumatological conditions are chronic and potentially disabling but there have been recent developments in medical therapies, especially in the inflammatory rheumatic conditions, which offer the prospect of controlling disease activity, reducing disability, improving quality of life, and enabling work.

scholarly journals Back Pain, Causes, Symptoms and Physiotherapy

2019 ◽  
Vol 3 (3) ◽  
pp. 1-7
Author(s):  
Karski Tomasz
Keyword(s):  
Back Pain ◽  
Lumbar Spine ◽  
Low Temperature ◽  
Brain Dysfunction ◽  
Flexion Contracture ◽  
Minimal Brain Dysfunction ◽  
Spinal Disorders ◽  
Pain Syndromes ◽  
The World ◽  
Lumbar Hyperlordosis

Every fourth woman and every sixth man in the world coming to the Orthopedic or Neurology Departments complain of spinal pains - information from WHO, D ecade of Bones and Joints 2000 - 2010 (Lars Lidgren). According to our observations there are six main causes of such spinal disorders: 1. Lumbar Hyperlordosis causes by flexion contracture of hips and in result anterior tilt of the pelvis. Common in persons with Minimal Brain Dysfunction (MBD). Pain syndromes appear after overstress in some kinds of jobs or in sport. 2. Lumbar or thoracic - lumbar left convex “C” scoliosis in 2nd/A etiopathological group (epg) or ”S” scoliosis in 2nd/B epg in Lublin classification. Pain syndromes appear after overstr ess in some kinds of jobs or in sport. 3. Stiffness of the spine as clinical sign of “I” scoliosis in 3rd epg group in Lublin classification. 4. Spondylolisth esis or spodylolisis in sacral - lumbar or lumbar spine. 5. Urgent “nucleus prolapsed” (in German “Hexen Sch uss”). 6. Extremely cooling of the back part of trunk during work or intensive walking in low temperature. In many of patients in clinical examination we see positive Laseguae test. Sometimes we see weakness of extensors of the feet or paresis of the foot. Our observations confirm that not surgery, but physiotherapy can be beneficial to the patients with spinal problems.

Spinal disorders and back pain

2018 ◽  
pp. 605-622
Author(s):  
Gavin Clunie ◽  
Nick Wilkinson ◽  
Elena Nikiphorou ◽  
Deepak R. Jadon
Keyword(s):  
Chronic Pain ◽  
Back Pain ◽  
Children And Adolescents ◽  
Chronic Back Pain ◽  
Holistic Approach ◽  
Musculoskeletal Symptoms ◽  
Spinal Disorders ◽  
Specific Diagnosis ◽  
Pain Syndromes ◽  
Chronic Pain Syndromes

The Oxford Handbook of Rheumatology, 4th edition, chapter on ‘Spinal disorders and back pain’ brings together a pragmatic approach to categorizing back pain, how to investigate disorders presenting with back pain, and how to treat adults, children, and adolescents with back pain. In the chapter, the management of back pain is separated into acute, subacute, and chronic presenting scenarios and the text makes reference to other chapters in the book where there may be some additional useful information (e.g. spondyloarthritis-associated back pain in Chapter 8 and chronic pain syndromes in Chapter 22). Notably the chapter is best read in conjunction with relevant sections in Chapter 3 (‘Regional musculoskeletal symptoms: making a working diagnosis’). The chapter makes reference to the need for a rigorous diagnostic approach to all the conditions which cause back pain, and at whatever age. There are subsections on how to assess paediatric spinal disorders and how to take a broad holistic approach to managing chronic back pain where there is no specific diagnosis.

Balneotherapy and Physiotherapy in Chronic Pain Syndrome of the Lumbosacral Spine. Review of the literature

2020 ◽  
Vol 62 (2) ◽  
pp. 119-126
Author(s):  
Anna Zduńska ◽  
Sebastian Zduński ◽  
Katarzyna Nowicka ◽  
Agnieszka Rudnicka
Keyword(s):  
Back Pain ◽  
Pain Syndrome ◽  
Intervertebral Discs ◽  
Common Disease ◽  
Lumbosacral Spine ◽  
Health Resort ◽  
Important Place ◽  
Pain Disability ◽  
Pain Syndromes

Back pain is a common disease and although it can be located in any of its cervical, thoracic and lumbosacral sections, however the vast majority of patients complain of lumbosacral pain. Back pain syndromes has become a challenge for modern rehabilitation, both in the issue of the prevention as well as therapy. A major problem for people with back pain is progressive disability, and thus a deterioration in the quality of life. Despite many treatment methods and health care resources devoted to back pain, disability and burden are increasing. An important place in the therapy of back pain syndromes is occupied by physical methods and health resort treatment. The work presents the use of balneotherapy and physiotherapy in the most common back pain syndromes, i.e. in chronic diseases of the intervertebral discs and degenerative changes of the lumbosacral spine.

Musculoskeletal disorders

2013 ◽  
Author(s):  
Julia Smedley ◽  
Finlay Dick ◽  
Steven Sadhra
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Musculoskeletal Disorders ◽  
Upper Limb ◽  
Annual Incidence ◽  
Low Back ◽  
Osteoarthritis Of The Hip ◽  
Common Cause ◽  
Work Related ◽  
Upper Limb Disorders

Low back pain 254Work-related upper limb disorders 1 256Work-related upper limb disorders 2 258Osteoarthritis of the hip 260Bursitis 262• LBP has a lifetime prevalence of 60–80%, point prevalence of 15–40%, and annual incidence of 5%. It is:• the second most common cause of work-related ill health (prevalence 207 000, annual incidence 51 000)...

Radicular Pain Syndromes: Cervical, Lumbar, and Spinal Stenosis

2018 ◽  
Vol 38 (06) ◽  
pp. 634-639 ◽  
Author(s):  
Ekta Patel ◽  
Michael Perloff
Keyword(s):  
Back Pain ◽  
Spinal Stenosis ◽  
Conservative Therapy ◽  
Treatment Options ◽  
Signs And Symptoms ◽  
Radicular Pain ◽  
Urgent Care ◽  
Clinical Approach ◽  
Pain Syndromes

AbstractBack pain is a top primary and urgent care complaint; radicular pain can be caused by herniation of the nucleus pulposus (intervertebral disc), spinal stenosis, or degenerative changes to the vertebrae. The focus of this clinical review will be the clinical approach and treatment of lumbar radicular pain, cervical radicular pain, and spinal stenosis. Usually localized through neurological history, exam, and imaging, specific signs and symptoms for lumbar radicular, spinal stenosis, and cervical radicular pain can help determine etiology. Once radicular back pain has been diagnosed, a multitude of treatment options are available from rest and physical therapy to medications, epidurals, and surgery. The most common and accepted are reviewed. With accurate diagnosis, safe and effective pain management can be employed to shorten radicular episodes and manage recurrent or chronic radicular syndromes. Using a step-wise approach from diagnosis to conservative therapy to potential surgery, radicular pain syndromes can improve or resolve, and patients may achieve a better functional status and quality of life.

Regional musculoskeletal conditions: making a working diagnosis

2011 ◽  
pp. 19-148
Author(s):  
Alan J. Hakim ◽  
Gavin P.R. Clunie ◽  
Inam Haq
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chest Pain ◽  
Neck Pain ◽  
Peripheral Nerve ◽  
Upper Limb ◽  
Wrist Pain ◽  
Spinal Disorders ◽  
Nerve Lesions ◽  
Peripheral Nerve Lesions

Introduction 20 Neck pain 22 Shoulder pain 30 Pain around the elbow 42 Wrist pain 48 Symptoms in the hand 54 Upper limb peripheral nerve lesions 66 Thoracic back and chest pain 72 Low back pain and disorders in adults 78 Spinal disorders in children and adolescents ...

Virtual reality — new possibilities in the treatment of pain

2021 ◽  
Vol LIII (2) ◽  
pp. 88-93
Author(s):  
Tatiana S. Trepalina ◽  
Eduard Z. Yakupov
Keyword(s):  
Virtual Reality ◽  
Low Back Pain ◽  
Back Pain ◽  
Pain Treatment ◽  
Low Back ◽  
Pain Syndromes ◽  
Long Time ◽  
Years Lived With Disability ◽  
Treatment Use

The purpose of this research is to present virtual reality technology as one of the modern and novel option for pain syndromes treatment. Low back pain is one of the most frequent reasons for seeking medical help. According to the literature 90% of people experience back pain at least once in their life and 10% of them have a chronic course of pain. There may be many reasons for this: inadequate pain treatment, poor compliance with treatment, drug resistance, self-treatment, use of alternative medicine, etc. Pain that bothers a person for a long time significantly reduces the quality of life, affects cognitive functions and emotional state, and leads to a distorted perception of oneself body. Patients with pain contribute significantly to the financial losses of society in the form of lost wages and productivity. Low back pain is recognized worldwide as the most significant condition in relation to the number of years lived with disability. When patients are insensitive to treatment or its effectiveness is low, doctors resort to the use of non-pharmacological approaches. One of the modern and new options is the use of virtual reality. This technology allows the patient to distract himself from his pain and thus be out of the fear of movement. Studying and applying new non-pharmacological pain management methods may allow patients to reduce their medication use and increase compliance with treatment, as well as help to reduce the number of people with chronic pain.

Musculoskeletal conditions, part 1: rheumatological disorders

2019 ◽  
pp. 424-438
Author(s):  
Syed Nasir ◽  
Karen Walker-Bone
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Upper Limb ◽  
Lupus Erythematosus ◽  
Work Disability ◽  
Inflammatory Arthritis ◽  
Management Plan ◽  
Work Participation ◽  
Systemic Lupus ◽  
Upper Limb Disorders ◽  
Key Features

Upper limb disorders are common and therefore contribute importantly to fitness for work. Other rheumatological conditions, including inflammatory arthritis, fibromyalgia syndrome, and systemic lupus erythematosus, are less common but may cause significant work disability for those affected. This chapter summarizes the key features of the history, examination, and investigations to guide the reader in diagnosis of these conditions and reviews current rheumatological management. A summary of what is known about the work impacts of these conditions is provided together with guidance as to how to assess and mange workers with these conditions in their workplace and develop a management plan to enable their work participation. In general, the management of most of these conditions has improved so that people diagnosed with these conditions will now have a much greater chance of maintaining their function, enabling them to stay at work in the future. However, assessment should be individualized and biopsychosocial.

scholarly journals Back pain: easy is the new difficult?

2021 ◽  
Vol 5 (10) ◽  
pp. 642-647
Author(s):  
O.V. Kurushina ◽  
◽  
A.E. Barulin ◽  
Keyword(s):  
Back Pain ◽  
Pain Treatment ◽  
Population Aging ◽  
B Vitamins ◽  
Treatment Manual ◽  
Published Data ◽  
Treatment Regimens ◽  
Pain Syndromes ◽  
Russian Medical

Back pain is one of the most common pain syndromes affecting significantly working capacity and quality of life. In the future, back pain is predicted to grow due to a higher rate of comorbidities and conditions (i.e., obesity, smoking, sedentary lifestyle) and population aging. Therefore, back pain relief is an essential issue for various specialists. However, despite a growing body of studies and published data, the issue of the management of patients with back pain is far from being resolved. This paper discusses the efficacy and safety of various therapeutic strategies for back pain treatment, focusing on B vitamins. Analgesic properties plus the enhancement of painkiller effects and lower risk of pain chronicity (as a result of reduced peripheral and central sensitization) favor including B vitamins into treatment regimens for back pain. The authors also address non-pharmacological approaches to back pain and emphasize that a long-lasting effect of analgesics cannot be achieved without switching from reducing acute pain to preventing future exacerbations. KEYWORDS: back pain, B vitamins, biopsychosocial model, adjuvant treatment, manual therapy. FOR CITATION: Kurushina O.V., Barulin A.E. Back pain: easy is the new difficult? Russian Medical Inquiry. 2021;5(10):642–647 (in Russ.). DOI: 10.32364/2587-6821-2021-5-10-642-647.

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