scholarly journals Tissue Stiffness is Not Related to Pain Experience: An Individually Controlled Study in Patients with Chronic Neck and Back Pain

2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Ann-Kathrin Lederer ◽  
Christian Maly ◽  
Tomas Weinert ◽  
Roman Huber
Keyword(s):  
Back Pain ◽  
Neck Pain ◽  
Lower Back Pain ◽  
Contralateral Side ◽  
Controlled Study ◽  
Tissue Stiffness ◽  
Disability Score ◽  
Pain Experience ◽  
Control Side ◽  
Lower Back

Background. Massage therapies such as cupping are often applied in patients with chronic neck and back pain with the assumption that they can reduce increased tissue stiffness and, therefore, improve pain. The aim of this study was to clarify whether tissue stiffness is related to pain experience in patients with chronic (>3 months) back and neck pain and whether it can be altered by a cupping massage. Methods. The tissue stiffness of the point of subjectively felt maximum pain intensity of 40 patients with neck (n = 20) or lower back pain (n = 20) was measured by a myometer. Exact contralateral side served as an individual control. Side of higher stiffness was then treated with a cupping massage. 5, 10, 15, and 20 minutes as well as 24 hours after treatment, tissue stiffness was measured again. Patients rated their pain on a standardized pain questionnaire (neck pain disability score (NDI) or Oswestry disability index (ODI), respectively) before and 24 hours after treatment. Results. Compared to the contralateral control side, the more painful side did not exhibit an increased stiffness of myofascial tissue before treatment (p=0.827). The tissue stiffness and the side difference between treated and nontreated control sides decreased significantly after cupping (p=0.002 and p=0.001, respectively) but returned to baseline after 24 hours. NDI and ODI scores significantly decreased 24 hours after cupping (NDI: p=0.012, ODI: p=0.002). Conclusion. Tissue stiffness might not be related to pain experience in patients with chronic neck and lower back pain. Trial registration: German Clinical Trial Register (DRKS00011281).

Effects of elastic tape in pregnant women with low back pain: A randomized controlled trial

2020 ◽  
pp. 1-9
Author(s):  
Matchimamart Chamnankrom ◽  
Nuttaset Manimmanakorn ◽  
Apiwan Manimmanakorn ◽  
Kiattisak Kongwattanakul ◽  
Michael J. Hamlin
Keyword(s):  
Low Back Pain ◽  
Placebo Group ◽  
Back Pain ◽  
Pregnant Women ◽  
Lower Back Pain ◽  
Controlled Trial ◽  
Low Back ◽  
Disability Score ◽  
Kinesio Tape ◽  
Lower Back

BACKGROUND: Low back pain is a common problem in pregnant woman. Elastic tape is an alternative method that may reduce low back pain. OBJECTIVES: To compare the effect of elastic tape to placebo tape in the treatment of low back pain in pregnant women. METHODS: Forty pregnant women were allocated into two groups: elastic group (n= 20) and placebo group (n= 20). All participants were taped by either stretched (elastic group) or non-stretched (placebo group) Kinesio tape at the lower back area for one week. RESULTS: After the application of stretched elastic tape, lower back pain was significantly reduced by 29.4% (p= 0.003) immediately post-taping and by a further 75.4% after wearing the tape for a week. Compared to the placebo group, lower back pain was significantly reduced in the elastic group after one week of wearing the tape (p< 0.001). Compared to placebo, the application of elastic tape significantly reduced the disability score (Roland-Morris Disability Questionnaire) after one week of wearing the tape (p= 0.018). Taping to the back improved walking speed (immediately and after one week) in both the elastic (p< 0.001, p< 0.001) and placebo groups (p< 0.001, p= 0.001); however, the application of either tape had little effect on posture change. CONCLUSION: Elastic tape reduced back pain and improved physical function in pregnant women compared to the placebo tape.

Continuity of physical activity practice from childhood to adolescence is associated with lower neck pain in both sexes and lower back pain in girls

2020 ◽  
Vol 33 (2) ◽  
pp. 269-275
Author(s):  
Bruna Thamyres Ciccotti Saraiva ◽  
Rafael Z. Pinto ◽  
Crystian Bitencourt Oliveira ◽  
Edner Fernando Zanuto ◽  
Catarina Covolo Scarabottolo ◽  
...  
Keyword(s):  
Physical Activity ◽  
Back Pain ◽  
Neck Pain ◽  
Lower Back Pain ◽  
Lower Back ◽  
Lower Neck

scholarly journals Discussion on the Teaching of Traditional Chinese Medicine (Acupuncture and Moxibustion) in Myanmar

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Ningyi Wei ◽  
Mei Yang ◽  
Lingzhi Zeng ◽  
Yuanyuan Zuo
Keyword(s):  
Back Pain ◽  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Neck Pain ◽  
Lower Back Pain ◽  
Neurological Diseases ◽  
Acupuncture And Moxibustion ◽  
Lower Back ◽  
Foreign Countries ◽  
Overseas Teaching

Acupuncture has been popular in foreign countries in recent years, especially in the treatment of neck pain, lower back pain, and other neurological diseases. As a result, many countries have started to invite TCM teachers from China to train their medical workers in Traditional Chinese Medicine (Acupuncture). The teaching of Traditional Chinese Medicine (Acupuncture and Moxibustion) in Myanmar has been carried out for 2 years. Through the feedback from students in the teaching process, this paper analyzes and summarizes the problems in the hope of drawing on and developing the overseas teaching system of traditional Chinese medicine in the future.

A novel radiofrequency thermocoagulation method for treatment of lower back pain: thermal conduction after instillation of saline solution into the nucleus pulposus—preliminary results

2008 ◽  
Vol 49 (8) ◽  
pp. 934-939
Author(s):  
N. Azulay ◽  
M. Forgerit ◽  
E. G. Alava ◽  
A. Deplas ◽  
R. Vialle ◽  
...  
Keyword(s):  
Back Pain ◽  
Intervertebral Disc ◽  
Nucleus Pulposus ◽  
Lower Back Pain ◽  
Clinical Benefit ◽  
New Method ◽  
Disability Score ◽  
Lumbar Intervertebral Disc ◽  
Lower Back ◽  
Radiofrequency Heating

Background: Radiofrequency heating of the intervertebral disc has been proposed for the treatment of chronic low back pain using two methods: a flexible needle inserted into the annulus fibrosus achieving a full 360° penetration, or a rigid needle inserted into the nucleus pulposus. The first technique is effective on pain, but the clinical benefit of the second is uncertain. Purpose: To evaluate a technique for radiofrequency heating of the lumbar intervertebral disc by a needle placed into the nucleus pulposus. Material and Methods: The method was tested in 17 patients according to the criteria used in previous intradiscal radiofrequency studies. Before and after treatment, disability was assessed by the Oswestry disability score. A pain reduction of at least 50% was considered a success. Results: Fifteen patients were responders at 1 month (88%), nine at 3 months (53%), and 12 at 6 months (70.6%). No complications were observed. Conclusion: A new method of providing discal radiofrequency treatment for lower back pain had a substantial clinical benefit in 71% of the observed patients. A prospective study comparing this new method with placebo should be conducted to confirm these initial results.

Treatment of Chronic Lower Back Pain: Study Protocol of a Comparative Effectiveness Study on Yoga, Eurythmy Therapy, and Physiotherapeutic Exercises

2017 ◽  
Vol 25 (1) ◽  
pp. 24-29 ◽  
Author(s):  
Arndt Büssing ◽  
Désirée Poier ◽  
Thomas Ostermann ◽  
Matthias Kröz ◽  
Andreas Michalsen
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Controlled Trial ◽  
Self Regulation ◽  
Chronic Lower Back Pain ◽  
Disability Score ◽  
Satisfaction Scale ◽  
Visual Analog Scales ◽  
Lower Back

Background: We aim to compare the effectiveness of 3 active interventions, i.e., yoga, eurythmy therapy, and physiotherapeutic exercise, on chronic lower back pain. Methods: In this randomized controlled trial over 16 weeks (8 weeks of intervention, 8 weeks of follow-up), data of individuals with chronic lower back pain will be analyzed. Interventions are implemented as group sessions (75 min) once per week. Participants receive a manual for home-based practice and are assessed before and at the end of the 8-week intervention period, and at the end of an 8-week follow-up period. Standardized questionnaires are: the Roland-Morris Disability Score, visual analog scales measuring intensity of pain, the Brief Multidimensional Life Satisfaction Scale, the Perceived Stress Scale, the Inner Correspondence with the Practices questionnaire, the Freiburg Mindfulness Questionnaire, the General Self-Efficacy Scale, a self-regulation questionnaire, the Internal Coherence Scale, a pain diary (registering the need of analgesic medication), and a questionnaire on the patients' expectation that the interventions will be effective in reducing pain and how strong this reduction might be (2 single items), etc. Discussion: This large multicenter study will provide evidence on the effectiveness of 3 contrasting movement-orientated treatments that share some similarities but differ in essential details: yoga, eurythmy therapy, and physiotherapeutic exercises. It will provide important data on non-pharmacological options to treat lower back pain in a large group of affected individuals.

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