scholarly journals Analyzing the Influence of Modic Changes on Patients with Lower Back Pain Undergoing Conservative Treatment

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Yufeng Chen ◽  
Huilin Yang ◽  
Lianfang Zhang ◽  
Yue Wang ◽  
Jun Zou
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Modic Changes ◽  
Nonsurgical Treatment ◽  
Type I ◽  
Type Ii ◽  
Lower Back ◽  
Significant Difference ◽  
Modic Type ◽  
Vas Scores

Objective. This study aimed to investigate if the presence of Modic changes (MCs) was correlated with lower back pain (LBP) and LBP-related disability in patients who underwent nonsurgical treatment. Methods. In this study, 129 patients who experienced consecutive LBP and underwent lumbar spine magnetic resonance imaging in our institute were divided into three groups according to the presence or type of MCs. The Oswestry Disability Index (ODI) and visual analog scale (VAS) were used to assess the outcomes of the treatment. Results. Based on the achieved results, there was no significant difference between three groups before treatment (P>0.05). Three months after undergoing nonsurgical treatment, the rates of improved ODI and VAS scores were statistically significantly different (P=0.014,  0.023). After an additional 3 months of treatment, in patients with Modic type I changes, the symptoms significantly improved in comparison with those 3 months prior (P=0.037,  0.026), while that improvement did not occur in patients with Modic type II changes (P>0.05). Conclusions. The existence of MCs affects the outcomes of nonsurgical treatment in patients with LBP. However, symptoms can be improved after an additional round of treatment for Modic type I changes, while this is not confirmed for Modic type II changes.

scholarly journals Posterior chain flexibility and lower back pain in farm workers

2017 ◽  
Vol 30 (2) ◽  
pp. 219-226
Author(s):  
Marcia Regina da Silva ◽  
Lucimare Ferraz ◽  
Fátima Ferretti ◽  
Cristiane Sfredo
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Muscle Length ◽  
Cross Sectional Study ◽  
Farm Workers ◽  
Cross Sectional ◽  
Chain Flexibility ◽  
Lower Back ◽  
Significant Difference ◽  
Post Hoc

Abstract Introduction: Flexibility is an essential component of physical aptitude that reduces the incidence of muscle distention and improves movement efficiency and posture. Objective: To analyze posterior chain flexibility and lower back pain (LBP) in farm workers from a city in western Santa Catarina state, Brazil. Methods: Quantitative and cross-sectional study conducted with 185 rural workers, average age of 44.24 (±10.83) years. The Rural Worker Health Questionnaire, containing individual issues related to work; sit and reach box, goniometer, visual analog scale (VAS) and Oswestry and Roland-Morris questionnaires were used to evaluate posterior chain flexibility, hamstring muscle length, pain and lumbar spine dysfunction, respectively. Flexibility was compared with the degree of dysfunction using one-way ANOVA followed by the Bonferroni post hoc test. Results: 181 (97.8%) workers reported LBP symptoms: 100% of the women and 95.2% of the men. The average Oswestry score was 7.09 (±8.25), Roland-Morris 1.22 (±1.63), and VAS 5.81 (±2.5). Average flexibility by the sit and reach test (SRT) was 23.91cm (±18.81); straight leg raise (SLR), 66° (±11.77) and popliteal angle 123.21° (±12.45). There was a significant difference in the popliteal angle (p = 0.003) and SLR (0.001) when compared with the degree of dysfunction. Women showed significant differences in all tests; however, the post hoc test showed a significant difference only in the SRT (p = 0.013), and women with minimal dysfunction had greater flexibility in relation to those with severe dysfunction. Conclusion: Self-reported LBP was severe and women with higher levels of dysfunction exhibited less posterior chain flexibility.

scholarly journals Intervertebral disc vacuum phenomenon is associated with Modic changes in the adjacent endplate: implications for discogenic back pain

2020 ◽  
Author(s):  
Junhui Liu ◽  
Yufeng Xiang ◽  
Zhi Shan ◽  
Shunwu Fan ◽  
Fengdong Zhao
Keyword(s):  
Back Pain ◽  
Lumbar Disc ◽  
Intervertebral Discs ◽  
Modic Changes ◽  
Type I ◽  
Type Ii ◽  
Vacuum Phenomenon ◽  
Lower Lumbar Spine ◽  
Lumbar Degenerative Diseases ◽  
Lower Lumbar

Abstract Background Back pain often arises from degenerative changes in lumbar intervertebral discs and their adjacent endplates. A painful endplate is not easy to identify in patients, but could possibly be revealed by inflammatory-like ‘Modic’ changes and by a ‘vacuum phenomenon’ within the disc. We hypothesize that Modic changes and a VP often co-exist in those lumbar levels most closely associated with back pain Methods We scanned 1023 consecutive inpatients of the Department of Orthopaedics from 2015 August to 2018 August, all patients suffered from lumbar degenerative diseases, whether the patients had back pain or not were evaluated, and the prevalence and location of vacuum phenomenon(VP) and Modic changes were compared at each spinal level. Results 5115 discs were studied from 1023 patients. The number of discs showed to have a VP was 430 using CT, of the 430 discs with a CT-diagnosed VP, 116 were L4-5, and 171 were L5-S1. 522 of the 5115 discs exhibited Modic changes, with prevalence of type I, type II and type III Modic changes being 1.6%, 8.2% and 0.4% respectively. Modic changes usually occurred adjacent to L4-5 discs or L5-S1 discs. The prevalence of back pain was higher in the VP group than no-VP group, VP were significantly associated with Modic changes Type II at L4/5 and at L5/S1. Conclusion VP are closely associated with back pain and Modic changes in the lower lumbar spine. Further investigations may be warranted when radiographs or CT identify a VP in a lumbar disc.

scholarly journals PENGARUH SIT STRETCHING TERHADAP PERUBAHAN SKALA NYERI PUNGGUNG BAWAH PADA KARYAWAN DI PT. RIFAN FINANCINDO BERJANGKA CABANG SEMARANG

2018 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Gamalia Anggriya Dwi Putra ◽  
Asti Nuraeni ◽  
Mamat Supriyono
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Intervention Group ◽  
P Value ◽  
Research Subjects ◽  
Lower Back ◽  
Group Research ◽  
Significant Difference ◽  
Post Test ◽  
Female Employees

Lower back pain is one of musculoskeletal disorder in the shape of pain in the back bone, to be exact is in the forth lumbar to the first sacrum. It is caused by the not appropriate posture (not ergonomic) while working or doing the activities, such as very long standing or sitting. This complaint can be reduced by sit stretching regularly. The aim of this study is to find out impact of sit stretching towards the changes of scale of lower back pain on employees at PT. Rifan Financindo Berjangka Branch Semarang. The method of research is quasy experiment designed in pre test and post test with compare group. Research subjects are 30 male and female employees. Sample taking uses total sampling. Statisitic test utilizes Mann Whitney with level of meaning (α=0,05). The result of pre test statisitc test is p-value = 0,467 (> 0,05), it means that  there is no significant difference scale of lower back pain between intervention group and compare group  before performing sit stretching to intervention  group. The post test statisitic the result is p-value = 0,001 (> 0,05), it means there is a significant difference scale of lower back pain at intervention group with compare group after performing sit stretching on the intervention group. Based on result of p-value on post test can be concluded that there is an impact of sit stretching towards the changes in scale of lower back pain on the employees at PT. Rifan Financindo Berjangka Branch Semarang.

Prevalence of Lower Back Pain in Pregnant Women with Pre-Eclampsia

2021 ◽  
Vol 15 (9) ◽  
pp. 2773-2776
Author(s):  
Parveen Shafi ◽  
Rahim Khan ◽  
Tariq Ahmad ◽  
Syed Alam Zeb ◽  
Ahsan Sajjad
Keyword(s):  
Back Pain ◽  
Pregnant Women ◽  
Lower Back Pain ◽  
Gestational Age ◽  
Domestic Work ◽  
Cross Sectional ◽  
Lower Back ◽  
Group I ◽  
Significant Difference ◽  
Group Ii

Objective: The aim of this study is to determine the prevalence of lower back pain in pregnant women with pre-eclampsia. Study Design: Cross sectional study Place and Duration: Mardan Medical Complex/BKMC, Tahseel Headquarter Hospital, Takht Bhai Mardan, Swabi Medical Complex /GKMC, from October 2019 to October 2021. Methods: Total 160 pregnant women were presented in this study. Patients were aged between 18-45 years. Detailed demographics of enrolled cases age, body mass index, gestational age, and residency and education status were calculated after taking informed written consent. Patients were divided into two groups. Group I had 80 patients with pre-eclampsia and group II had 80 patients with normotensive. Gravidity among both groups was assessed. Symptoms and prevalence of lower back pain among both groups were assessed and compared. Complete data was analyzed by SPSS 22.0 version. Results: Mean age of the patients in group I was 27.09±5.66 years with mean gestational age 33.14±7.41 weeks while in group II mean age was 26.55±8.26 years with mean gestational age 32.47±8.33 weeks. Thirty seven patients (46.3%) in group I was primigravida and 40 (50%) in group II was primigravida. Thirty nine patients (48.8%) had urban residency in group I and in group II thirty seven (46.3%) cases were from urban area. Frequency of literacy among both groups were 42 (52.5%) and 44 (55%). Prevalence of lower back pain in group I was 55 (68.8%) higher as compared to group II 53 (66.3%) with no any significant difference. Domestic work was the most common cause among both groups followed by social work (Job), lifting of heavy object and medication pain. Conclusion: We concluded in this study the prevalence of lower back pain among pregnant women was significantly high among both pre-eclampsia and normotensive cases. Most common causes of lower back among women was domestic work. Health professionals must be proactive in diagnosing LBP and providing proper management due to the enormous impact of it on the quality of life. Keywords: Pregnant Women, Low Back Pain, Prevalence, Symptoms, causes.

scholarly journals Short-Term Effect of Laser Acupuncture on Lower Back Pain: A Randomized, Placebo-Controlled, Double-Blind Trial

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Jae-Young Shin ◽  
Boncho Ku ◽  
Jaeuk U. Kim ◽  
Yu Jung Lee ◽  
Jae Hui Kang ◽  
...  
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Pressure Pain Threshold ◽  
Acupuncture Group ◽  
Laser Acupuncture ◽  
Double Blind Trial ◽  
Double Blind ◽  
Blind Trial ◽  
Lower Back ◽  
Significant Difference

Purpose. This trial was performed to investigate the efficacy of laser acupuncture for the alleviation of lower back pain.Methods. This was a randomized, placebo-controlled, double-blind trial. Fifty-six participants were randomly assigned to either the laser acupuncture group (n=28) or the sham laser acupuncture group (n=28). Participants in both groups received three treatment sessions over the course of one week. Thirteen acupuncture points were selected. The visual analogue scale for pain, pressure pain threshold, Patient Global Impression of Change, and Euro-Quality-of-Life Five Dimensions questionnaire (Korean version) were used to evaluate the effect of laser acupuncture treatment on lower back pain.Results. There were no significant differences in any outcome between the two groups, although the participants in both groups showed a significant improvement in each assessed parameter relative to the baseline values.Conclusion. Although there was no significant difference in outcomes between the two groups, the results suggest that laser acupuncture can provide effective pain alleviation and can be considered an option for relief from lower back pain. Further studies using long-term intervention, a larger sample size, and rigorous methodology are required to clarify the effect of laser acupuncture on lower back pain.

scholarly journals The Effect of Back Massage on Lower Back Pain in Intrapartum

2018 ◽  
Vol 11 (3) ◽  
pp. 163-166
Author(s):  
Hotma Sauhur Hutagaol ◽  
Hanna Sriyanti Saragih
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Intervention Group ◽  
Control Group ◽  
Stressful Event ◽  
Control Group Design ◽  
Lower Back ◽  
Significant Difference ◽  
Post Test ◽  
Back Massage

Child birth is a painful and stressful event in a woman life which is accompanied with fatigue, fear and negative feelings and as labor proceeds, the state worsens (Mortavazi, 2012).  The majority of pregnant women would prefer to experience labour without medical intervention, including pharmacological pain relief. The aim of this study is to analyze the effects of back massage to reduce lower-back pain in active phase of first stage of labour. A quasi-experimental design which involves both pre-test post-test control group design, an experimental group was used to study the effect of back massage intervention on  first stage in intrapartum women and no intervention in control group. Data were analyzed Paired sample t-test was used to compare the pre-test and post-test data.  Thus the hypotheses which stated that there is significant difference between the intervention group and the control group on were accepted. However, the hypotheses which stated that there is significant difference between the ntervention group and control group on hemoglobin levels were rejected. Thus, it can be concluded from the results of the present study that back massage has a significant effect in reducing back pain  in intrapartum.

scholarly journals Anti-Nociceptive Effects of Elcatonin Injection for Postmenopausal Women with Back Pain: A Randomized Controlled Trial

2010 ◽  
Vol 4 (1) ◽  
pp. 132-136 ◽  
Author(s):  
Shota Ikegami ◽  
Mikio Kamimura ◽  
Shigeharu Uchiyama ◽  
Hiroyuki Nakagawa ◽  
Hiroyuki Hashidate ◽  
...  
Keyword(s):  
Placebo Group ◽  
Back Pain ◽  
Postmenopausal Women ◽  
Lower Back Pain ◽  
Trigger Point ◽  
Controlled Study ◽  
Analgesic Effects ◽  
Lower Back ◽  
Vas Scores ◽  
The Mean

Background: Eel calcitonin (elcatonin) injection is widely used for elderly patients suffering from somatic pain in Japan. However, there have been few reports on the analgesic effects of elcatonin injection. The purpose of this study was to examine the analgesic effects of elcatonin injection in postmenopausal women with lower back pain. Methods: This study was designed as a double-blind, randomized, placebo-controlled study. Thirty-six women aged ≥50 years with acute lower back pain participated in this study. They were randomly divided into two treatment groups according to whether they received a placebo or a weekly trigger point injection of elcatonin (20 units). They were observed for 5 weeks and the extent of pain at motion and at rest according to the visual analog scale (VAS) was evaluated. The mean VAS scores for the elcatonin group were then compared with those of the placebo group. Results: There were no statistically significant differences in the mean VAS scores for pain at rest between the two groups during the 5-week treatment course. However, the mean VAS scores for motion pain in the elcatonin group were significantly lower than those in the placebo group at the third, fifth and sixth weeks. Conclusions: Elcatonin injection (20 units) significantly relieved motion pain in the lower back in postmenopausal women after three weeks of treatment. This analgesic effect continued for the subsequent 3 weeks.

scholarly journals Autologous BMAC Therapy Improves Spinal Degenerative Joint Disease in Lower Back Pain Patients

2021 ◽  
Vol 8 ◽  
Author(s):  
Abed El-Hakim El-Kadiry ◽  
Carlos Lumbao ◽  
Moutih Rafei ◽  
Riam Shammaa
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Cellular Therapy ◽  
Facet Joint ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Opioid Use ◽  
Therapeutic Benefits ◽  
Lower Back ◽  
Significant Difference

Spinal degenerative joint disease (DJD) is associated with lower back pain (LBP) arising from the degeneration of intervertebral discs (IVD), facet joints, intertransversarii muscles, and interspinous ligaments among other anatomical structures. To circumvent the socioeconomic burdens and often-problematic surgical options imposed by DJD therapy, cell-based biologic modalities like bone marrow aspirate concentrate (BMAC) have been investigated in pre-clinical and clinical settings, mostly for IVD degeneration (IDD), with encouraging outcomes. In this study, we evaluated the differences in therapeutic benefits of BMAC between IVD- and facet joint-originating chronic LBP. Eighteen patients diagnosed with chronic LBP met the selection criteria. Following discography and provocation testing, 13 patients tested positive and were assigned into IDD-associated LBP (1st arm), while the remaining 5 tested negative and were assigned into facetogenic LBP (2nd arm). Autologous BMAC was injected intradiscally in the 1st arm, while the 2nd arm received posterior spinal chain injections. No procedure-related serious events ensued. Clinical improvement was evaluated over 12 months based on pain and functionality questionnaires (VAS, BPI, RAND-36), opioid use, and changes in disc parameters assessed by magnetic resonance imaging (MRI). Ameliorated VAS and BPI scores differed significantly between both arms in favor of IDD patients who also took significantly less opioids. Average RAND-36 scores showed no significant difference between groups albeit a trend suggesting improvement was observed in IDD patients. MRI scans conducted on IDD patients demonstrated marked elevation in disc height and spinal canal space size without worsening disc quality. Overall, this is the first study investigating the potency of BMAC as an IDD treatment in Canada and the first globally for addressing facetogenic pain using cellular therapy.

scholarly journals Clinical Effectiveness of Percutaneous Full-endoscopy Spine Surgery Combined With Holmium Laser in the Treatment of Lumbar Disc Herniation

2021 ◽  
Author(s):  
Song Guo ◽  
Kai Zhu ◽  
Fu Qiang ◽  
Meiju Yan ◽  
Donghua Hang
Keyword(s):  
Back Pain ◽  
Lower Extremity ◽  
Spine Surgery ◽  
Lower Back Pain ◽  
Lumbar Disc ◽  
Holmium Laser ◽  
Lower Back ◽  
Group A ◽  
Vas Scores ◽  
Group B

Abstract Background Oxidative stress has been considered a critical mediator in the pathogenesis of lumbar disc degeneration, which can lead to the severe lower back pain. Inhibition of the excessive oxidative stress has become a therapeutic target for controlling discogenic lower back pain. Recently, more studies have shown that holmium laser can effectively suppress oxidative stress. This work aims to study the clinical outcomes of percutaneous full-endoscopy spine surgery combined with holmium laser for treating symptomatic lumbar disc degeneration (IDD). Methods We designed and conducted a retrospective study on the patients with lumbar disc herniation who had been treated by percutaneous full-endoscopy spine surgery at Shanghai General Hospital from June 2018 to March 2020. The patients were divided into group A (holmium laser treatment group) and group B (Elliquence radiofrequency group) according to the medical record. Operation time and hospitalization time of both groups were recorded and compared. Additionally, VAS scores and ODI scores were used to evaluate the lower back pain, lower extremity radiation pain and quality of life before and 3 days, 6 months, and 12 months after surgery. Results Forty-five patients were included in group A while the other 55 patients were included in group B. Operation time of group A was significantly shorter than that of group B (40.60±5.59 minutes vs. 50.80±3.19 minutes). VAS scores of lower back pain and lower extremity radiation pain at postoperative 3 days, 6 months, and 12 months were significantly lower than those before surgery in both groups. The postoperative lower back pain VAS scores of group A were significantly lower than those of group B, while the postoperative lower extremity radiation pain VAS scores had no significant difference between both groups. The ODI scores of both groups at postoperative 3 days, 6 months, and 12 months were significantly lower than those before surgery. Conclusions These findings confirmed that application of holmium laser can significantly improve the clinical outcomes in percutaneous full-endoscopy spine surgery.

scholarly journals The effects of McKenzie and Brunkow exercise program on spinal mobility comparative study

2004 ◽  
Vol 4 (1) ◽  
pp. 62-68 ◽  
Author(s):  
Emela Mujić Skikić ◽  
Suad Trebinjac ◽  
Dijana Avdić ◽  
Slavica Čakota
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Exercise Program ◽  
Spinal Mobility ◽  
Spinal Motion ◽  
Lower Back ◽  
Significant Difference ◽  
Paravertebral Muscles ◽  
In Series ◽  
Pre Treatment

This study encompassed 64 participants with symptoms of low back pain, 33 in McKenzie group and 31 in Brunkow group. Patients attended exercise program daily and they were asked to do the same exercise at home--five times a day in series of 5 to 10 repetition each time, depending of stage of disease and pain intensity. All patients were assessed for the spinal motion, before and after the treatment. All parameters for spinal movements showed improvement after exercising McKenzie program for lower back pain with a significant difference of p<0.01 for all motions. Also, in Brunkow group, all of the parameters showed statistically significant improvement at the end of treatment in relation to pre-treatment values, with significant difference of p<0.01 for all motions. Statistically comparison between McKenzie and Brunkow difference in score at the end of the treatment showed statistically significant improvement in McKenzie group, for extension, right and left side flexion, while flexion score didn't show statistically significant difference. McKenzie exercises seemed to be more effective than Brunkow exercises for improvement in spinal motion. Both, McKenzie and Brunkow exercises can be used for spinal mobility improvement in patients with lower back pain, but is preferable to use McKenzie exercises first, to decrease the pain and increase spinal mobility, and then Brunkow exercises to strengthen the paravertebral muscles.

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