scholarly journals The main clinical and diagnostic characteristics of patients with low back pain and sacroiliac joint diseases (results of the IOLANTA-II study)

2020 ◽  
Vol 12 (4) ◽  
pp. 57-64
Author(s):  
I. A. Zolotovskaya ◽  
I. L. Davydkin
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Bone Resorption ◽  
Pain Syndrome ◽  
Low Back ◽  
Disease Group ◽  
Bone Resorption Markers ◽  
Diagnostic Characteristics ◽  
Group 2 ◽  
Tgf Β1

Objective: to investigate the clinical and diagnostic characteristics of patients with low back pain in the presence of sacroiliac joint (SIJ) disease.Patients and methods. The investigation design involved three visits: V 1 (inclusion); V 2 (after 7 days), and V 3 (after 3 months); after the screening period, the investigation enrolled 259 patients aged 65.5 [62.5; 69.5] years; of them there were 165 (63.7%) women. At V 1 , according to magnetic resonance imaging findings, the patients were divided into two groups: 1) 157 patients without confirmed SIJ disease; 2) 102 patients with confirmed SIJ disease. During all visits, the investigators made general clinical and neurological examinations and assessed the intensity of pain syndrome according to a visual analogue scale (VAS) for pain in millimeters, a neuropathic pain component according to the DN4 questionnaire, by determining the blood parameters: transforming growth factor-β1 (TGF-β1), interleukin-1β (IL-1β), IL-6, Beta-Crosslaps, the indicator of bone matrix formation procollagen type 1 N-terminal propeptide (P1NP) and by estimating the urinary level of deoxypyridinoline.Results and discussion. At all visits, Group 2 patients with higher VAS pain scores had a pain history that was statistically significantly longer (p<0.001). The ANOVA analysis showed that the patients in Group 2 had statistically significantly higher values of TGF-β1, IL-1β, IL-6, and bone resorption markers than those in Group 1, which suggests the relationship between pain syndrome and the presence of an inflammatoryresorptive process in patients with SIJ disease.Conclusion. A high (39.4%) prevalence of SIJ disease was noted in patients over 60 years of age with low back pain. During the follow-up period, there was a decrease in bone resorption markers and cytokines; however, the SIJ disease group showed less pronounced changes with statistically significant differences in all parameters than in the non-SIJ disease group. It is advisable to consider an algorithm for diagnosing a patient over 60 years of age with low back pain, by mandatorily examining his/her SIJ. Treatment policy, including methods for correction with drugs, should be discussed based on the findings.

scholarly journals SACROILIAC JOINT PATHOLOGY IN ELDERLY PATIENTS WITH LOW BACK PAIN (OBSERVATION PROGRAM “IOLANTA”)

2018 ◽  
Vol 24 (3) ◽  
pp. 55-64
Author(s):  
G. P. Kotelnikov ◽  
I. A. Zolotovskaia ◽  
I. L. Davydkin ◽  
I. E. Poverennova ◽  
D. A. Dolgushkin
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Bone Resorption ◽  
Elderly Patients ◽  
Sacroiliac Joint ◽  
Transforming Growth Factor ◽  
Type I ◽  
Low Back ◽  
Joint Pathology ◽  
Tgf Β1

Pain in the lower back is one of the frequent reasons for seeking medical help among people over 60 years of age. The study of this problem is of interest to specialists of various profiles, including neurologists, rheumatologists, orthopedic surgeons and therapists. Purpose — to determine prevalence rate of sacroiliac joint pathology in elderly patients with low back pain (LBP) in conjunction with evaluation of clinical significance of bone resorption and cytokines markers. Materials and Methods.The study was conducted with consecutive inclusion of patients (n = 259) with mean age of 65.5 year old [62.5; 69.5] who addressed the hospital for the first time in calendar year with complaints for low back pain. The authors performed MRI examination of lumbar-sacral spine and sacroiliac joint, assessed transforming growth factor β1 (TGF β1), interleukin (IL) 1β and IL-6, Beta-Crosslaps (β-CrossLaps) criteria, P1NP (N-terminal propeptide of procollagen type I) concentration and deoxypyridinoline (DPD) level. Results. 39.4% of patients older 60 years with low back pain on MRI demonstrated changes in sacroiliac joints with statistically significant higher (p = 0.037) pain level as compared to patients without pathology of sacroiliac joint, as well as higher values of TGF-β1 (p = 0.033), IL-1β (p = 0.028), IL-6 (p = 0.041), β-CrossLaps (p = 0.028), P1NP (p = 0.037) and DPD (p = 0.002). Conclusion. Reported alterations in sacroiliac joint conditioned by degenerative and dystrophic processes are associated with distinctive signs of osteoarthrosis and confirm non-specific inflammation active with bone resorption in patients with low back pain.

EVALUATION OF THE EFECTS OF EMBEDDING THERAPY AND ELECTRONIC ACUPUNCTURE COMBINED WITH “DOC HOAT TANG KY SINH” REMEDY IN THE TREATMENT OF LOW BACK PAIN BY OSTEOARTHRITIS

2016 ◽  
pp. 33-38
Author(s):  
Thi Ngoc Dung Thai ◽  
Thi Tan Nguyen
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Effective Treatment ◽  
Key Words ◽  
Low Back ◽  
Good Level ◽  
Embedding Therapy ◽  
The World ◽  
Group 2 ◽  
Group 1

Background: Low back pain by osteoarthristis is one of the most common diseases in the world as well as in Vietnam, estimated 70-85% people in the world have low back pain sometime in their lives. Obiectives: To evaluate the effects of embedding therapy and electronic acupuncture combined with “Doc hoat tang ky sinh” remedy in the treatment of low back pain by spondylosis. Materials and methods: 72 patients diagnosed of low back pain by spondylosis, were examined and treated at Phu Yen Traditional Medicine Hospital, divided equally into 2 groups (group 1 and group 2). Results: In group 1: Effective treatment at good and fair good level accounted for 41.7% and 41.7%. In group 2: Good level occupied 33.3% and fair good level occupied 55.6%. Conclusion: The ratios of good and fair good in 2 groups were equal (p >0.05) Key words: Low back pain, spondylosis, embedding therapy, electronic acupuncture

Thoracolumbar Fascia Enthesopathy as a Cause of Low Back Pain: A Retrospective and Follow-up Study

2021 ◽  
Author(s):  
Ouidade A. Tabesh ◽  
Roba Ghossan ◽  
Soha H Zebouni ◽  
Rafic Faddoul ◽  
Michel Revel ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Iliac Crest ◽  
Pain Syndrome ◽  
Clinical Findings ◽  
Complete Relief ◽  
Low Back ◽  
Thoracolumbar Fascia ◽  
The Mean

Abstract Aim. To evaluate ultrasonography findings of Thoracolumbar Fascia (TLF) enthesis in patients with low back pain (LBP) due to iliac crest pain syndrome (ICPS). Method. The ultrasonographic and clinical findings of 60 patients with LBP due to ICPS were compared to those of 30 healthy volunteers with no LBP. Thickness of the TLF was measured with ultrasound (US) at its insertion on the iliac crest. Results. Forty-eight women and 12 men with a mean age of 42.1±11.3 years were diagnosed with ICPS. In patients, the mean thickness of the TLF was 2.51±0.70mm in affected sides compared to 1.81±0.44mm in the contralateral unaffected sides. The mean thickness difference of 0.82mm between the affected and non-affected sides was statistically significant (95%CI, 0.64-0.99, P<0.0001). In volunteers, the mean thickness of the TLF was 1.6±0.2mm. The mean thickness difference of 0.89mm between the affected sides of patients and volunteers was statistically significant (95%CI, 0.73-1.06, P<0.0001). Forty-two patients who didn’t improve with conservative therapy, received injections of methylprednisolone acetate and 1% lidocaine around the TLF enthesis. All patients reported complete relief of their LBP within 20 minutes of the injections thanks to the lidocaine anesthetic effect. Fifty-six (93.3%) patients were reached by phone for a long-term follow-up. Among them, 33 (58.9%) patients experienced a sustained complete pain relief after a mean follow-up of 45±19.3 months (range, 3-74 months). Conclusion. our findings suggest that TLF enthesopathy is a potential cause of nonspecific LBP that can be diagnosed using US.

CT in Low Back Pain Syndrome

1985 ◽  
Vol 16 (3) ◽  
pp. 395-416
Author(s):  
Neil I. Chafetz ◽  
John R. Mani ◽  
Harry K. Genant ◽  
James M. Morris ◽  
Franklin T. Hoaglund
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Syndrome ◽  
Low Back

scholarly journals Therapeutic guidelines in chronic low back pain

Pharmacia ◽  
2021 ◽  
Vol 68 (1) ◽  
pp. 117-120
Author(s):  
Daniela Taneva ◽  
Angelina Kirkova ◽  
Petar Atanasov
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Multidisciplinary Treatment ◽  
Pain Syndrome ◽  
Industrial Society ◽  
Low Back ◽  
Active Recovery ◽  
Therapeutic Guidelines ◽  
Recurrent Low Back Pain

Chronic low back pain is a heterogeneous group of disorders with recurrent low back pain over 3 months. The high incidence of lumbago is an important phenomenon in our industrial society. Patients with chronic low back pain often receive multidisciplinary treatment. The bio approach, the psycho-approach, and the social approach optimally reduce the risk of chronicity by providing rehabilitation for patients with persistent pain after the initial acute phase. Damage to the structures of the spinal cord and the occurrence of low back pain as a result of evolutionary, social and medical causes disrupt the rhythm of life and cause less or greater disability. Recovery of patients with low back pain is not limited only to influencing the pain syndrome but requires the implementation of programs to eliminate the complaints that this pathology generates in personal, family and socio-professional terms. This paper aims to familiarize the audience with the medication used, and the programs for active recovery in patients suffering from chronic low back pain.

scholarly journals Stimulasi Magnetik Lebih Meningkatkan Kemampuan Fungsional pada Pasien Nyeri Punggung Bawah Dibanding Stimulasi Elektris

2020 ◽  
Vol 5 (1) ◽  
pp. 21-27
Author(s):  
Aditya Johan Romadhon
Keyword(s):  
Electrical Stimulation ◽  
Low Back Pain ◽  
Back Pain ◽  
Functional Activity ◽  
Magnetic Stimulation ◽  
Wilcoxon Test ◽  
Low Back ◽  
Group 2 ◽  
Pain Patients ◽  
Group 1

AbstractIntroduction : A long with the development of physical agents modalities, there are many recent modalities that has many beneficial for physical therapy practice, generally physical agents modalities are suit for musculoskeletal cases, one of beneficial effect for musculoskeletal case is maintaining of muscle’s physiology, electrical stimulations are familiar modalities we find in physiotherapy practice, this modality is use to inhibit pain signal and produce muscle contraction. Recently a new physical agent modality such as magnetic stimulation also has smiliar effect such as electrical stimulations, however there are less evidence to compare magnetic and electrical stimulation for musculoskeletal problems. Objective : Purpose of this study to compare magnetic and electrical stimulation effect for reducing pain and improve functional activity in low back pain patients. Methods : 60 low back pain patients recruited as subjects, devided into two groups, Group 1 given magnetic stimulation and Group 2 given electrical stimulation, after four mounth intervention two days in every weeks, pain index and functional activity measured with Oswestry instrument. Result : After 4 mounth intervention we find reducing pain index and improvement of functional activity in two groups, Group 1 the Oswestry score is 0.2 ± 0.08, while Group 2 the Oswestry score is 0.3 ± 0.05, based on the result we analyzed with Wilcoxon test, we find significant different between two groups, the significant value is 0.001 (p<0.05). Conclussion : magnetic stimulation is more effective to reduce pain index and improve functional activity by using Oswestry instrument than electrical stimulation. Keyword : Magnetic, Electrical, Stimulation, C fiber, A delta fiber

Wie sinnvoll ist die Zweipunktdiskrimination als diagnostisches Mittel bei der Epicondylopathia humeri radialis?

2021 ◽  
Vol 25 (04) ◽  
pp. 181-189
Author(s):  
Kirsten Börms ◽  
Michael Richter
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Complex Regional Pain Syndrome ◽  
Chronic Low Back Pain ◽  
Pain Syndrome ◽  
Low Back ◽  
Epicondylopathia Humeri Radialis

ZusammenfassungDie diagnostische Aussagekraft der Zweipunktdiskrimination (ZPD) als Indikator für chronische Krankheitsprozesse (z. B. Complex Regional Pain Syndrome, Chronic Low Back Pain) ist mehrfach untersucht und gilt als belegt. Das Ziel der vorliegenden Arbeit war es, die ZPD als diagnostisches Mittel in der Ellenbogenregion zu untersuchen.Mithilfe eines Ästhesiometers (Schieblehre) wurde die ZPD im Bereich des lateralen Ellenbogens bei einer Patientengruppe (N = 21) mit der Diagnose Epicondylopathia humeri radialis sowie einer gesunden Kontrollgruppe (N = 40) mit folgender primärer Fragestellung untersucht: Kann die ZPD am Ellenbogen gesunde Proband(inn)en von Proband(inn)en mit Epicondylopathia humeri radialis unterscheiden? Als Basis wurden ZPD-Normwerte anhand der Kontrollgruppe am lateralen Ellenbogen erstellt. In einer vertiefenden Datenanalyse der Patientenpopulation wurden die Daten der Patient(inn)en mit einem akuten (N = 13) mit den Daten der Patient(inn)en mit einem chronischen (N = 8) Zustand verglichen.Im Ergebnis scheint die ZPD kein geeignetes Diagnostikinstrument zur Differenzierung der Fall- von der Kontrollgruppe sowie von akuten und chronischen Verläufen in der lateralen Ellenbogenregion zu sein.

Chronic Disabling Low Back Pain Syndrome Caused by Internal Disc Derangements

Spine ◽  
1995 ◽  
Vol 20 (3) ◽  
pp. 356-360 ◽  
Author(s):  
Casey K. Lee ◽  
Paul Vessa ◽  
June Kyu Lee
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Syndrome ◽  
Low Back

scholarly journals MULLIGAN BENT LEG RAISE LEBIH MENINGKATKAN LINGKUP GERAK SENDI LUMBOSAKRAL DAN MENURUNKAN DISABILITAS DIBANDINGKAN DENGAN SLUMP STRETCHING PADA PENGRAJIN GENTENG DENGAN MECHANICAL LOW BACK PAIN DI DESA DARMASABA

2017 ◽  
Author(s):  
I Made Dhita Prianthara ◽  
I Made Jawi ◽  
Wahyuddin ◽  
I Nengah Sandi ◽  
I Putu Adiartha Griadhi ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Range Of Motion ◽  
Control Group ◽  
Low Back ◽  
Control Group Design ◽  
Significant Difference ◽  
Group 2 ◽  
Lumbar Range Of Motion ◽  
Group 1

Background: Mechanical low back pain is pain that resulting from poor posture which cause decreased disability and limitation of lumbar range of motion. Purpose: The purpose of this study was to prove mulligan bent leg raise more effective to increase lumbosacral range of motion and decreased disability than slump stretching among tile craftsman with Mechanical low back pain in Darmasaba village. Methods: This research was an experimental study with pre and post test control group design. Sample of this study is tile craftsman with mechanical low back pain with 20 samples aged 30-55. Samples were divided into two groups, which the first group (n = 10) was given Mulligan bent leg raise, while the second group was given slump stretching. Do exercise 3 times a week for 4 weeks. Lumbar range of motion was measured with modified-modified schober test while level of disability was measured with modified oswestry disability index. Result: Paired Sample T-test in Group 1 and Group 2 obtained p=0,000 that showed in each Group 1 and Group 2 there is significant difference. Independent Samples Test of Group 1 and Group 2 showed the result p=0,000 which mean that there is significant difference in increased lumbar range of motion and decreased disability. Conclusion: Mulligan bent leg raise more effective to increase lumbosacral range of motion and decreased disability than slump stretching to tile craftsman with mechanical low back pain in Darmasaba village.

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