An insight into adolescents' knowledge and attitudes on low back pain and its occurrence

2013 ◽  
Vol 20 (5) ◽  
pp. 246-254
Author(s):  
Michelle Emelia Lobo ◽  
Rengaramanujam Kanagaraj ◽  
Viswambharan Jidesh
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Knowledge And Attitudes ◽  
Insight Into

scholarly journals Cognitive–Evaluative Dimension of Pain in Neuropathic Pain Relapse in Sciatica: A Case Report

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 658
Author(s):  
Tsubasa Kawasaki ◽  
Takuya Yada ◽  
Masahiro Ohira
Keyword(s):  
Neuropathic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Acute Phase ◽  
Low Back ◽  
Evaluative Dimension ◽  
Long Duration ◽  
Improvement Process ◽  
Insight Into

The cognitive–evaluative (C–E) dimension of pain is commonly observed in patients with a relatively long duration of pain. However, little is known about the effects of pain relapse on the C–E dimension of pain. Moreover, the improvement process of the C–E dimension of pain following treatment is unknown. The objective of this case report was to (a) demonstrate that the C–E dimension was affected in the acute phase of neuropathic pain in cases of pain relapse, and (b) demonstrate the improvement process of the C–E dimension of pain. A woman was diagnosed with low back pain (LBP) and sciatica. The patient had previously experienced symptoms of LBP and sciatica; thus, this episode was a case of pain relapse. At the beginning of rehabilitation, the C–E dimension of pain was present in addition to the sensory–discriminative (S–D) dimension of pain. It was observed that improvement of the C–E dimension of pain was delayed in comparison with that of the S–D dimension of pain. The C–E dimension of pain was observed with pain relapse even though it was in the acute phase of pain. This case provides a novel insight into the C–E dimension of pain. Moreover, the delay in improving the C–E dimension of pain indicates a difference in the improvement process for each pain dimension.

scholarly journals Managing low back pain: knowledge and attitudes of hospital managers

2008 ◽  
Vol 58 (4) ◽  
pp. 282-288 ◽  
Author(s):  
C. Cunningham ◽  
C. Doody ◽  
C. Blake
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Hospital Managers ◽  
Knowledge And Attitudes ◽  
Pain Knowledge

Intervertebral Disc Residual and Equilibrium Viscoelastic Parameters Specific to Location and Degeneration Severity

2010 ◽  
Author(s):  
A. M. Ellingson ◽  
D. J. Nuckley
Keyword(s):  
Residual Stress ◽  
Low Back Pain ◽  
Back Pain ◽  
Intervertebral Disc ◽  
Low Back ◽  
Viscoelastic Parameters ◽  
Viscoelastic Modeling ◽  
Insight Into

Chronic low back pain affects an estimated 15–65% of the U.S. population. Disc degeneration is often accredited as the origin of low back pain. With degeneration comes the breakdown of proteoglycans, loss of water content, and a decrease in the height of the intervertebral disc (IVD). These changes likely affect the disc’s viscoelastic response, making modeling and subsequent prediction of degeneration mechanics difficult. Unfortunately, much of the previous mechanical testing of IVD tissues has involved excision of the tissue and disruption of annular fibers. To gain insight into the in situ viscoelastic material properties, we have developed a new methodology of hybrid confined / in situ compression. This technique also allows for the quantification of the residual stress and strain that the IVD experiences in vivo and improved viscoelastic modeling parameters. Residual measurements, to the knowledge of the authors, have yet to be reported in previous studies. Therefore, the purpose of this study was to define the viscoelastic properties of the intact intervertebral disc as well as the residual stress/strain specific to degeneration grade and location.

Understanding overuse of diagnostic imaging for patients with low back pain in the Emergency Department: a qualitative study

2021 ◽  
pp. emermed-2020-210345
Author(s):  
Johan Blokzijl ◽  
Rachael H Dodd ◽  
Tessa Copp ◽  
Sweekriti Sharma ◽  
Elise Tcharkhedian ◽  
...  
Keyword(s):  
Emergency Department ◽  
Low Back Pain ◽  
Back Pain ◽  
Insurance Companies ◽  
Low Back ◽  
Framework Analysis ◽  
Diverse Backgrounds ◽  
Training And Support ◽  
Robust Evidence ◽  
Insight Into

BackgroundOveruse of lumbar imaging in the Emergency Department is a well-recognised healthcare challenge. Studies to date have not provided robust evidence that available interventions can reduce overuse. For an intervention aimed at reducing imaging to be effective, insight into how both patients and clinicians view lumbar imaging tests is essential.AimTo explore factors that might influence overuse of lumbar imaging in the Emergency Department.MethodsParticipants were recruited from three hospitals in Sydney, Australia between April and August 2019. We conducted focus groups and/or interviews with 14 patients and 12 clinicians. Sessions were audio-recorded and transcribed verbatim. Data were analysed using framework analysis by a team of four researchers with diverse backgrounds.ResultsPatients described feeling that the decision about lumbar imaging was made by their Emergency Department clinician and reported little involvement in the decision-making process. Other potential drivers of lumbar imaging overuse from the patients’ perspective were strong expectations for lumbar imaging, a reluctance to delay receiving a diagnosis, and requirements from third parties (eg, insurance companies) to have imaging. Emergency Department clinicians suggested that the absence of an ongoing therapeutic relationship, and the inability to manage perceived patient pressure could drive overuse of lumbar imaging. Suggested protective factors included: involving patients in the decision, ensuring clinicians have the ability to explain the reasons to avoid imaging and collaborative approaches to care both within the Emergency Department and with primary care.Conclusion and key findingsWe found several factors that could contribute to overuse of lumbar imaging in the Emergency Department. Solutions to overuse of lumbar imaging in the Emergency Department could include: (1) strategies to involve patients in decisions about imaging; (2) training and support to provide thorough and well explained clinical assessment for low back pain; and (3) systems that support collaborative approaches to care.

scholarly journals Knowledge and attitudes of low back pain in physicians based in clinical practice guidelines

2014 ◽  
Vol 13 (2) ◽  
pp. 116-119 ◽  
Author(s):  
Jorge Ruiz Sabido ◽  
Edgar Reyes Padilla ◽  
Fátima Adriana Muñoz Carvajal ◽  
José Manuel Pérez Atanasio
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Study Data ◽  
Low Back ◽  
Cross Sectional ◽  
Knowledge And Attitudes ◽  
Full Knowledge

Objective: To determine the level of knowledge and attitudes of physicians in Tijuana based on Clinical Practice Guidelines (CPG) for the prevention, diagnosis and treatment of Nonspecific Low Back Pain (NLBP). Methods: Prospective, cross-sectional, descriptive study. Data were obtained from doctors who practice in clinics, private surgeries, and/or government institutions. Results: Of a total of 56 doctors surveyed, 37 were men and 19 women. None of the doctors said they had not seen a patient with Back Pain. 49% knew the GPC, and 51% did not know of its existence. Conclusions: Although some physicians reported knowledge of the GPC, according to the results, there was a lack of full knowledge of, and adherence to these guidelines. Not knowing the GPC did not make it impossible to complete the questionnaire. The doctors felt more connected to the health system, but with less confidence in the management of cases of NLBP.

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