scholarly journals SPECIFICS OF THERAPY FOR BACK PAIN IN PATIENTS WITH FACET SYNDROME

2021 ◽  
Vol 14 (5) ◽  
pp. 74-80
Author(s):  
TATIANA G. SAKOVETS ◽  
◽  
GULNARA R. KHUZINA ◽  
ELENA N. BARYSHEVA ◽  
◽  
...  
Keyword(s):  
Back Pain ◽  
Age Groups ◽  
The Elderly ◽  
Developed Countries ◽  
Adequate Treatment ◽  
Analytical Review ◽  
Facet Syndrome ◽  
Clinical Dilemma ◽  
Pain In The Elderly

Back and neck pain are among the most common medical complaints in developed countries, with up to 66% of the population suffering from acute nonspecific back pain. As early as 1911, Goldthwaite J.E. proved that the articular joints of the spine can serve as a source of pain impulsation, with the proportion of facet syndrome increasing in older age groups, which can cause a clinical dilemma in identifying causes of back pain in the elderly. Like other synovial joints, the bicuspid joints, which are richly innervated by nociceptors, are also at risk of developing dystrophic changes with destruction of articular cartilage and, accordingly, the development of pain, which is provoked by stretching of the bicuspid joint capsule against the background of inflammatory modulators activation. Aim. The aim of the study was to investigate the efficacy of different methods of treatment of facet syndrome. Material and methods. An analytical review of publications in the scientific medical literature was performed. Results and discussion. In facetsyndrome, both local injection therapy with glucocorticosteroids, hyaluronic acid, local anesthetics, mesenchymal stem cells, and platelet-derived autoplasma are effective. Additional application of non-pharmacological treatments such as therapeutic gymnastics, physiotherapy, and therapeutic massage potentiates the effects of conventional conservative therapy. Radiofrequency laser neurotomy has been recognized as an alternative effective treatment for facet syndrome with a long-term positive effect. The choice of drugs and cellular substances for therapeutic blocks is wide enough and provides an adequate therapeutic approach to the treatment of nonspecific back pain caused by articular joint lesions. Conclusion. The diagnosis of facet syndrome is a diagnosis of exclusion, which requires a thorough differential diagnosis to choose further adequate treatment strategy.

Back pain in the elderly

2014 ◽  
pp. 146-152
Author(s):  
Keli M. Kwok ◽  
Joseph H. Kahn ◽  
Jonathan S. Olshaker
Keyword(s):  
Back Pain ◽  
The Elderly ◽  
Pain In The Elderly

LOSS OF MASTICATORY APPARATUS INTEGRITY - DISABILITY OR DISABLEMENT?

2021 ◽  
pp. 232-238
Author(s):  
Р.А. Розов ◽  
М.Ю. Кабанов ◽  
В.Н. Трезубов
Keyword(s):  
Visual Analysis ◽  
Age Groups ◽  
Health Assessment ◽  
The Elderly ◽  
Treatment Result ◽  
Adequate Treatment ◽  
Assessment Index ◽  
Chewing Efficiency ◽  
Major Alteration ◽  
Edentulous Patients

Были обследованы 408 пациентов (151 мужчина и 257 женщин) 54-85 лет (средний возраст 73,9±4,9 года) с помощью клинических (опрос, осмотр, пальпация, перкуссия, аускультация), социологических («GOHAI»), параклинических (определение эффективности жевания, чистоты речи, исследование дефицита массы тела, ортопантомография, КТ) методов. Все пожилые пациенты были с двумя патологическими состояниями - декомпенсированным зубным рядом и полной потерей зубов. У 322 человек рабочий синдромологический диагноз - декомпенсированный зубной ряд - относился к 167 нижним челюстям, 65 верхним челюстям и у 90 человек - и к верхним, и к нижним челюстям (всего 412 зубных рядов). Эффективность жевания у контингента беззубых также была невысокой, несмотря на наличие у большинства из них съемных зубных протезов. Согласно гериатрическому показателю здоровья полости рта («GOHAI»), ответы обследуемых колебались от 7 до 25 баллов (в среднем 18,23±4,19 балла), что относилось к низкому уровню. Общими синдромами пациентов оказались грубые, уродующие, старящие изменения внешнего вида лица, значительное нарушение эстетических норм. Не менее важны инвалидизирующие факторы почти полного отсутствия способности к жеванию, звукообразования, речи, затруднённого проглатывания пищи. В силу явных морфофункциональных и психосоциальных нарушений, социальной дезадаптации, сопровождающих эти заболевания, таких пациентов следовало бы считать инвалидами для повышения доступности геронтостоматологической реабилитации и включения их в программу государственных гарантий оказания стоматологической ортопедической помощи. Необходимо также ввести квотирование имплантационного зубного протезирования для пациентов пожилого и старческого возраста, которое по своей результативности и эффективности вписывается в систему адекватной реабилитации указанного контингента лиц и является мерой профилактики инвалидности. We examined 408 patients (151 male, 257 female) in an age range from 54 to 85 years (mean age 73,9±4,9) performing clinical (anamnesis, visual analysis, palpation, percussion, auscultation) sociological (GOHAI), additional (chewing efficiency evaluation, phonetic analysis, weight deficit of body calculation, OPG, CBCT) assessment. Among 322 of examined subjects working syndromological diagnosis was «decompensated dentition» related to lower jaw in 167 cases, 65 to upper jaw, 90 to both upper and lower jaws (altogether 412 dental arches). Chewing efficiency among edentulous patients was low considering that majority of patients had dentures. Score range for Geriartric General Oral Health Assessment Index (GOHAI) was from 7 to 25 points (mean 18,23±4,19) which is attributed as low level. General syndromes among patients were rough, disfiguring, ageing changes in facial appearance, major alteration of aesthetic norms. Equally important or even more was incapacitation impact of total loss of proper mastication, speech problems, phonetic alteration, problematic food swallowing. In our research we highlighted two pathological conditions among elderly and senile age groups: decompensated dentition, and fully edentulous jaws. Taking into consideration suffering of the patients due to morphological functional and psychosocial disabling conditions, accompanying these diseases, we might consider this group of patients as handicapped and that could lead to the need to introduction of setting quotas of implant prosthetics treatment of the elderly and senile patients. The result, efficacy and efficiency of such rehabilitation are considered in compliance with the system of adequate treatment result for this part of population.

scholarly journals A Comparative Analysis on Residents’ Reservation Willingness for Bus Service Based on Option Price

2019 ◽  
Vol 11 (1) ◽  
pp. 260 ◽  
Author(s):  
Xun Zheng ◽  
Tomio Miwa
Keyword(s):  
Comparative Analysis ◽  
Local Governments ◽  
Population Decline ◽  
Age Groups ◽  
Option Price ◽  
The Elderly ◽  
Developed Countries ◽  
City Size ◽  
Bus Service ◽  
Bus Services

Population decline is a pressing issue facing Japan and other developed countries. Local governments in Japan are seeking solutions to insure they meet the daily travel demands of the elderly. Although subsidy for local bus companies is a highly practical policy, a careful investigation to determine its reasonable level is required. This paper investigates the option price of local bus services, that is, the willingness of residents to pay to maintain the services and attempts to gain insights on a reasonable level of subsidy for local bus companies. A comparative analysis among age groups and different city size groups was made. The result showed that elderly residents show a higher option price value than younger and middle-age residents.

A randomized comparative trial of acupuncture versus transcutaneous electrical nerve stimulation for chronic back pain in the elderly

Pain ◽  
1999 ◽  
Vol 82 (1) ◽  
pp. 9-13 ◽  
Author(s):  
David Jonathan Grant ◽  
Jane Bishop-Miller ◽  
David Magnus Winchester ◽  
Margaret Anderson ◽  
Steven Faulkner
Keyword(s):  
Back Pain ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Chronic Back Pain ◽  
Comparative Trial ◽  
The Elderly ◽  
Electrical Nerve Stimulation ◽  
Pain In The Elderly

Back pain in the elderly: A review

Maturitas ◽  
2014 ◽  
Vol 78 (4) ◽  
pp. 258-262 ◽  
Author(s):  
Luke D. Jones ◽  
Hemant Pandit ◽  
Christopher Lavy
Keyword(s):  
Back Pain ◽  
The Elderly ◽  
Pain In The Elderly

La mortalité violente des personnes âgées dans les pays industrialisés durant la période 1985–1989

1996 ◽  
Vol 15 (2) ◽  
pp. 274-298
Author(s):  
Valérie Courville ◽  
Robert Bourbeau
Keyword(s):  
Excess Mortality ◽  
Geographical Area ◽  
Age Groups ◽  
The Elderly ◽  
Developed Countries ◽  
Wide Scope ◽  
Risk Of Death ◽  
Injury Mortality ◽  
Mortality Ratio

ABSTRACTA comparative analysis of injury mortality in 24 developed countries during the period 1985–1989 shows the importance of this cause of death among the elderly. One out of four men and one out of two women who dies from injury is aged 65 and over. There is an over-representation of the elderly among injury-related deaths and the risk of death is still increasing after age 65. Some differences can be noted for the elderly as compared to other age groups: a lower male excess mortality ratio and a much larger proportion of violent deaths related to accidental falls. Among developed countries, a wide scope of variations exists in age groups and cause-specific patterns. Hierarchical clustering is used to obtain different aggregations of countries, based on the level, the structure and the causes of violent mortality. Although the classification of countries varies according to a chosen criteria, we often find aggregations of countries belonging to the geographical area.

scholarly journals A Randomised Comparative Trial of Acupuncture Versus Tens for Chronic Back Pain in the Elderly

1998 ◽  
Vol 27 (suppl 1) ◽  
pp. P13-P13
Author(s):  
D. Grant ◽  
J Bishop-Miller ◽  
D Winchester ◽  
M Anderson ◽  
S Faulkner
Keyword(s):  
Back Pain ◽  
Chronic Back Pain ◽  
Comparative Trial ◽  
The Elderly ◽  
Pain In The Elderly
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