scholarly journals THE USE OF ANALGESICS TO MANAGE BACK PAIN IN PREHOSPITAL, IN-HOSPITAL AND OUTPATIENT CARE. CONTINUITY AND CONTROL

2019 ◽  
Vol 20 (2) ◽  
pp. 31-38
Author(s):  
A. A. Tarakanov ◽  
A. V. Tarakanov ◽  
V. V. Efremov
Keyword(s):  
Back Pain ◽  
Outpatient Care ◽  
Correlation Coefficients ◽  
Deep Body Temperature ◽  
Lower Back ◽  
Continued Use ◽  
And Control ◽  
Deep Body ◽  
Multiple Therapy

Ketoprofen («Ketonal») proved to be significantly efficient in pre-hospital care when administered intramuscularly at a dose of 100 mg to treat pain in the neck (n=31), thoracic spine (n=53), and lower back (n=50), according to a visual analogue scale (VAS). During the in-hospital and outpatient care (n=33), a continued use of Ketoprofen in multiple therapy (muscle relaxants and chondroprotective agents) for lower back pain significantly improved the quality of life (Roland–Morris questionnaire) and reduced the pain twice according to VAS. At the end of the 3-week treatment, the maximum deep body temperature (measured by microwave radiothermometry) decreased in the lower back but did not return to normal. High correlation coefficients between the deep and skin temperature did not return to normal after treatment. Stabilometric parameters remained ‘rigid’, except for patient’s overall equilibrium (R) that became reliably normal in all directions. The control methods used indicate the need for a longer therapy.   

scholarly journals Therapeutic Effectiveness of AxioBionics Wearable Therapy Pain Management System in Patients with Chronic Lower Back Pain

2021 ◽  
Vol 14 ◽  
pp. 117954412199377
Author(s):  
Philip Muccio ◽  
Josh Schueller ◽  
Miriam van Emde Boas ◽  
Norm Howe ◽  
Edward Dabrowski ◽  
...  
Keyword(s):  
Back Pain ◽  
Pain Management ◽  
Lower Back Pain ◽  
Chronic Lower Back Pain ◽  
Analog Scale ◽  
System A ◽  
System Reduction ◽  
Lower Back ◽  
Muscular Function

Chronic lower back pain is one of the most common medical conditions leading to a significant decrease in quality of life. This study retrospectively analyzed whether the AxioBionics Wearable Therapy Pain Management (WTPM) System, a customized and wearable electrical stimulation device, alleviated chronic lower back pain, and improved muscular function. This study assessed self-reported pain levels using the visual analog scale before and during the use of the AxioBionics WTPM System when performing normal activities such as sitting, standing, and walking (n = 69). Results showed that both at-rest and activity-related pain were significantly reduced during treatment with the AxioBionics WTPM System (% reduction in pain: 64% and 60%, respectively; P < .05). Thus, this study suggests that the AxioBionics WTPM System is efficacious in treating chronic lower back pain even when other therapies have failed to sufficiently decrease reported pain levels.

scholarly journals Oxygen-ozone therapy: our experience in the treatment of hard-root conflicts

Ozone Therapy ◽  
2016 ◽  
Vol 1 (2) ◽  
pp. 34
Author(s):  
Maria Laura Rosato ◽  
Marco Mainini ◽  
Margherita Luongo ◽  
Luigi Mascolo ◽  
Silvana Mattera ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Back Pain ◽  
Lower Back Pain ◽  
Positive Response ◽  
Clinical Symptoms ◽  
Significant Extent ◽  
Ozone Therapy ◽  
Lower Back ◽  
Herniated Discs

Lower back pain and sciatica are clinical symptoms with debilitating effects on the quality of life; they are extremely common in the population. The treatment of patients affected by sciatica, and in particular of those incurred by herniated discs, may be medical, physiatric, percutaneous minimally invasive surgery. In recent years, for the treatment of disc-radicular conflicts the Oxygen-Ozone (O<sub>2</sub>-O<sub>3</sub>) therapy is spreading to a more and more significant extent. We report our experience with O<sub>2</sub>-O<sub>3</sub> therapy in the treatment of herniated lumbar discs, evaluating the efficacy of the therapy in lower back pain and sciatica. We treated 32 patients with paravertebral intramuscular infiltrations of about 15 cc of the mixture of O<sub>2</sub>-O<sub>3</sub> at a concentration of 30 µg/cc: 66.6 % of the patients had a positive response to the treatment.

scholarly journals Assessment of a combined manual therapy and taping method for the treatment of chronic lower back pain A randomized controlled trial

2020 ◽  
Author(s):  
Stefan Schmidt ◽  
Nicolas Keim ◽  
Claudia Schultz ◽  
Dieter Sielmann ◽  
Roman Huber ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Back Pain ◽  
Lower Back Pain ◽  
Pelvic Obliquity ◽  
Chronic Lower Back Pain ◽  
Manual Treatment ◽  
Lower Back ◽  
End Of Treatment

AbstractBackgroundChronic lower back pain is the most frequent medical problem and the condition with the most years lived with disability. A pragmatic RCT was performed to assess a new treatment, Medi-Taping, which aims at reducing complaints by treating pelvic obliquity with a combination of manual treatment of trigger points and kinesio taping.Methods110 patients were randomized at two study centers either to Medi-Taping or to a standard treatment consisting of psychoeducation and physiotherapy as control. Treatment duration was three weeks. Measures were taken at baseline, end of treatment and at follow-up after two months. Main outcome criteria were lower back pain measured with VAS, the Chronic Pain Grade Scale and the Oswestry Low Back Pain Disability Questionnaire.ResultsPatients of both groups benefited from the treatment by medium to large effect sizes. All effects were pointing towards the intended direction with patients receiving Medi-Taping doing better. But at end of treatment and follow-up there were no significant differences for the primary endpoints between groups. Health related quality of life was significantly higher (p=.004) in patients receiving Medi-Taping compared to controls.ConclusionsMedi-Taping, a purported way of correcting pelvic obliquity and chronic tension resulting from it, is a treatment modality similar in effectiveness as a complex physiotherapy and patient education program.SignificanceThis RCT evaluated the effect of a combined therapy consisting of manual treatment and kinesio tape in patients with lower back pain. Patients receiving this treatment benefitted substantially but so did patients in the active control condition receiving physiotherapy and patient education. However, patients receiving the combined treatment had a significant higher quality of life.

scholarly journals A deep learning approach for lower back-pain risk prediction during manual lifting

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247162
Author(s):  
Kristian Snyder ◽  
Brennan Thomas ◽  
Ming-Lun Lu ◽  
Rashmi Jha ◽  
Menekse S. Barim ◽  
...  
Keyword(s):  
Back Pain ◽  
The Body ◽  
Back Injury ◽  
Manual Lifting ◽  
Lower Back ◽  
Increased Risk ◽  
Compensation Claims ◽  
Novel Method ◽  
Deep Cnn

Occupationally-induced back pain is a leading cause of reduced productivity in industry. Detecting when a worker is lifting incorrectly and at increased risk of back injury presents significant possible benefits. These include increased quality of life for the worker due to lower rates of back injury and fewer workers’ compensation claims and missed time for the employer. However, recognizing lifting risk provides a challenge due to typically small datasets and subtle underlying features in accelerometer and gyroscope data. A novel method to classify a lifting dataset using a 2D convolutional neural network (CNN) and no manual feature extraction is proposed in this paper; the dataset consisted of 10 subjects lifting at various relative distances from the body with 720 total trials. The proposed deep CNN displayed greater accuracy (90.6%) compared to an alternative CNN and multilayer perceptron (MLP). A deep CNN could be adapted to classify many other activities that traditionally pose greater challenges in industrial environments due to their size and complexity.

scholarly journals Caudal Epidural for Pain Management of Prostate Cancer

2020 ◽  
Vol 3 (2) ◽  
pp. 64-67
Author(s):  
Rajesh Kumar Muniandy ◽  
Nagarajan Nagalingam
Keyword(s):  
Quality Of Life ◽  
Prostate Cancer ◽  
Back Pain ◽  
Bone Pain ◽  
Lower Back ◽  
Stage 4 ◽  
Metastatic Bone Pain ◽  
Advanced Stages ◽  
Caudal Epidural

Prostate cancer is the second commonest cancer found in men. Pain can occur in both early and advanced stages of prostate cancer, with an incidence of 30-50%. The pain can be caused directly by the cancer or related to the cancer treatment. Currently, pain in prostate cancer is managed with surgery, medication, radiotherapy or chemotherapy. It can also be managed by intra-thecal morphine, psoas sheet catheter and superior hypogastric block. However, all these procedures involve risks. We present a case of Stage 4 Prostate Cancer who presented with severe lower back pain. We performed a caudal epidural, which was very successful to reduce the patient's pain and improve his quality of life. We recommend a caudal epidural should be considered as an option to manage metastatic bone pain in prostate cancer patients.

The contemporary management of nonspecific lower back pain

2019 ◽  
Vol 9 (5) ◽  
pp. 475-482 ◽  
Author(s):  
Ronaldo Fernando de Oliveira ◽  
Junior Vitorino Fandim ◽  
Iuri Fioratti ◽  
Lívia Gaspar Fernandes ◽  
Bruno Tirotti Saragiotto ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Back Pain ◽  
Best Practices ◽  
Epidemiological Data ◽  
Evidence Based ◽  
Low Back ◽  
Societal Costs ◽  
Lower Back ◽  
Contemporary Management

Low back pain (LBP) is extremely common and causes an enormous burden on the society. This perspective article aims to provide an evidence-based summary in the field of LBP. More specifically, we aimed to present epidemiological data on cost, diagnosis, prognosis, prevention and interventions for patients with LBP. It is critical that both clinicians and policymakers follow best practices by using high-value care for patients with LBP. In addition, nonevidence-based procedures must be immediately abandoned. These actions are likely to reduce societal costs and will improve the quality of life of these patients.

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