The Anatomical Basis for Low Back Pain: Studies on the presence of sensory nerve endings in ligamentous, capsular and intervertebral disc structures in the human lumbar spine

1963 ◽  
Vol 33 (1-4) ◽  
pp. 1-17 ◽  
Author(s):  
Carl Hirsch ◽  
Bo-Eric Ingelmark ◽  
Malcolme Miller
2002 ◽  
Vol 13 (2) ◽  
pp. 1-8 ◽  
Author(s):  
Frank J. Tomecek ◽  
C. Scott Anthony ◽  
Chris Boxell ◽  
Jennifer Warren

The authors provide an indepth analysis of discography, a provocative diagnostic tool to determine the origin of low-back pain. Injecting the intervertebral disc with radiopaque dye provides physicians with several useful pieces of information. First, the modality provides radiographic evaluation of the integrity of the nucleus pulposus and anular rings to determine tears or other lesions that could be creating low-back pain. Second, and very important, is its measure of disc nociception. A normal disc should not cause pain when injected; however, a disc that is physiologically compromised can mimic the pain previously experienced by a patient. The authors review the indications, technique, and interpretation of discography to allow a better understanding of when to use this diagnostic test and what to do with the results.


Author(s):  
Eglė Štafėlaitė ◽  
Saulė Sipavičienė

Research background. A popular physiotherapy mean is spine stability exercises, but still not so many studies have been carried out about the benefts of this technique in patients after L4/L5 spinal hernia surgery during the acute period. The aim was to assess the effectiveness of spine stabilizing exercises in patients after spinal L4/L5 intervertebral disc hernia surgery for back pain and functional status. Methods. The motion of fear evaluation, using physical therapy questionnaire (TAMPA), functional disability evaluation, using Oswestry functional disability index questionnaire, pain assessment using a symptom assessment scale (SAS), lumbar spine motility measurement, using Sober test, static endurance measurement of the waist muscles. Results. After physical therapy program back pain and functional disability decreased, back and abdominal muscle endurance and lumbar spine mobility increased. Conclusions. The patients after spinal L4/L5 intervertebral disc hernia surgery low back pain decreased and functional disability increased after applied to the spine stabilization exercises.Keywords: intervertebral disc hernia, low back pain, spine stabilizing exercises. 


1996 ◽  
Author(s):  
◽  
Bradley Stuart Beira

Focus during this investigation was directed towards determining alterations in the size of the lumbar intervertebral disc in patients symptomatic with low back pain and sciatic distribution pain, in response to chiropractic management of this condition. The efficacy of chiropractic management for low back pain with associated radiculopathy has been examined. Flexion distraction technique and side posture rotatory adjustment technique of the lumbar spine have been used during this trial.


2016 ◽  
Vol 50 (1) ◽  
pp. 115-123 ◽  
Author(s):  
Mansoorehossadat Rozan ◽  
Vahid Rouhollahi ◽  
Amit Rastogi ◽  
Dilip Kumar Dureha

AbstractThe lumbar spine is subjected to considerable stress during many athletic efforts. The purpose of this study was to assess the effects of physiological loading on the lumbar spine in national male players of different games, which may be predictive of the future development of low back pain and injury symptoms. Thirty-four national players (12 cricket players, 12 field hockey players, and 10 basketball players) underwent magnetic resonance imaging, and selected geometric variables including intervertebral disc angles, the Farfan ratio, the lumbar body index, the compression deformity ratio, the biconcave deformity ratio and the anterior wedge deformity ratio were measured using KINOVEA-0.8.15 software and syngo fast view software and calculated using specific formulas. The results indicated a significant difference in the intervertebral disc angle between the three groups at the L2/3, L3/4 and L4/5 levels. In relation to the lumbar vertebral body shape and size, significant differences were found in the lumbar index at the L2 level, in the biconcave deformity at the L1 and L2 levels and in relation to the anterior wedge deformity at L2 between the three selected groups. Our data suggest that the different physiological loadings in the selected sports play an important role in the development of degenerative changes of the lumbar spine, which may be considered a risk factor for future injury and/or low back pain in each specific sport because of the unique demands of each discipline.


Author(s):  
Ryo Kanematsu ◽  
Junya Hanakita ◽  
Toshiyuki Takahashi ◽  
Manabu Minami ◽  
Kazuhiro Miyasaka ◽  
...  

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