Effective chronic low back pain and knee pain treatment with acupuncture in geriatric patients

2015 ◽  
Vol 28 (3) ◽  
pp. 517-520 ◽  
Author(s):  
Cemal Çevik ◽  
Afitap Anıl ◽  
Sevgin Özlem İşeri
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Knee Pain ◽  
Chronic Low Back Pain ◽  
Geriatric Patients ◽  
Pain Treatment ◽  
Low Back

P7.14 Use of Type A botulinum toxin for chronic low back pain treatment in Parkinsonian patients

2011 ◽  
Vol 122 ◽  
pp. S93
Author(s):  
R. Di Giacopo ◽  
A. Guidubaldi ◽  
T. Ialongo ◽  
A. Bentivoglio
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Botulinum Toxin ◽  
Chronic Low Back Pain ◽  
Pain Treatment ◽  
Type A ◽  
Low Back

scholarly journals Prevalence and Characterization of Breakthrough Pain Associated with Chronic Low Back Pain in the South of Spain: A Cross-Sectional, Multicenter, Observational Study

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Luis Miguel Torres ◽  
Antonio Javier Jiménez ◽  
Ana Cabezón ◽  
Manuel Jesús Rodríguez
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Pain Treatment ◽  
Breakthrough Pain ◽  
Treatment Compliance ◽  
Treatment Preferences ◽  
Low Back ◽  
The South

Chronic low back pain (CLBP) is highly prevalent in industrialized countries, where it is one of the main causes of disability. Patients with CLBP in treatment with opioids often experience episodes of breakthrough pain (BTP), but data on prevalence and treatment preferences are scarce. The objectives of this study were, first, the evaluation of the prevalence of BTP in patients with CLBP in the South of Spain (N=1,868) and, second, the characterization of BTP in these patients (N=295). Data was collected on presence of BTP, type and location of pain, treatment, compliance, and patient satisfaction. We found a prevalence of BTP in patients with CLBP of 37.5% (95% CI: 35.3%–39.7%), similar in men and women. 75% of the patients were older than 50 years. The preferred drug of patients who control BTP with opioids is fentanyl (78.3%) and its most common form of administration is nasal (53.2%). Therapeutic compliance was high and 46.3% of patients considered the control of their BTP very satisfactory. Our study showed that BTP is common in patients with CLBP and that current treatments seem adequate.

Efficacy of Duloxetine in Chronic Low Back Pain with a Neuropathic Component

2016 ◽  
Vol 124 (1) ◽  
pp. 150-158 ◽  
Author(s):  
Regina P. Schukro ◽  
Matthias J. Oehmke ◽  
Angelika Geroldinger ◽  
Georg Heinze ◽  
Hans-Georg Kress ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Pain Treatment ◽  
Treatment Phase ◽  
Radicular Pain ◽  
Leg Pain ◽  
Low Back ◽  
Double Blind ◽  
Vas Score

Abstract Background Among patients with chronic low back pain (CLBP), approximately 37% show signs of a neuropathic pain component (radicular pain). Treatment of this condition remains challenging. Therefore, the current study aimed to investigate the efficacy of duloxetine in the treatment of CLBP patients with neuropathic leg pain. Methods The study was conducted as a prospective, randomized, placebo-controlled, double-blind crossover trial. CLBP with a visual analog scale (VAS) score greater than 5 and a neuropathic component that was assessed clinically and by the painDETECT questionnaire (score > 12) were required for inclusion. Patients were randomly assigned to either duloxetine or placebo for 4 weeks followed by a 2-week washout period before they crossed over to the alternate phase that lasted another 4 weeks. Duloxetine was titrated up to 120 mg/day. The primary outcome parameter was mean VAS score during the last week of treatment in each phase (VASweek4). Results Of 41 patients, 21 patients completed both treatment phases. In the intention-to-treat analysis (n = 25), VASweek4 was significantly lower in the duloxetine phase compared with placebo (4.1 ± 2.9 vs. 6.0 ± 2.7; P = 0.001), corresponding to an average pain reduction of 32%. The painDETECT score at the end of each treatment phase was significantly lower in the duloxetine phase compared with placebo (17.7 ± 5.7 vs. 21.3 ± 3.6 points; P = 0.0023). Adverse events were distributed equally between the duloxetine (65%) and placebo phases (62%) (P = 0.5). Conclusion In this crossover study, duloxetine proved to be superior to placebo for the treatment of CLBP with a neuropathic leg pain.

scholarly journals Acupuncture for Chronic Pain in Japan: A Review

2007 ◽  
Vol 4 (4) ◽  
pp. 431-438 ◽  
Author(s):  
Kazunori Itoh ◽  
Hiroshi Kitakoji
Keyword(s):  
Chronic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Animal Studies ◽  
Pain Treatment ◽  
Trigger Point ◽  
Case Reports ◽  
Low Back ◽  
Acupuncture And Moxibustion

Many Japanese reports of acupuncture and moxibustion for chronic pain are not listed in medical databases such as Medline. Therefore, they are not easily accessible to researchers outside of Japan. To complement existing reviews of acupuncture and moxibustion for chronic pain and to provide more detailed discussion and analysis, we did a literature search using ‘Igaku Chuo Zasshi Wed’ (Japana Centra Revuo Medicina) and ‘Citation Information by National Institute of Information’ covering the period 1978–2006. Original articles and case reports of acupuncture and moxibustion treatment of chronic pain were included. Animal studies, surveys, and news articles were excluded. Two independent reviewers extracted data from located articles in a pre-defined structured way, and assessed the likelihood of causality in each case. We located 57 papers written in Japanese (20 full papers, 37 case reports). Conditions examined were headache (12 trials), chronic low back pain (9 trials), rheumatoid arthritis (8 trials), temporomandibular dysfunction (8 trials), katakori (8 trials) and others (12 trials). While 23 were described as clinical control trials (CCTs), 11 employed a quasi-random method. Applying the 5-point Jadad quality assessment scoring system, the mean score was 1.5 ± 1.3 (SD). Eleven (52%) of the CCTs were conducted to determine a more effective procedure for acupuncture; these compared a certain type of acupuncture with another type of acupuncture or specific additional points. In particular, the trigger point acupuncture was widely used to treat chronic low back pain in Japan. Many reports of chronic pain treatment by acupuncture and moxibustion are listed in Japanese databases. From the data, we conclude that there is limited evidence that acupuncture is more effective than no treatment, and inconclusive evidence that trigger point acupuncture is more effective than placebo, sham acupuncture or standard care.

scholarly journals The Psychological Inflexibility in Pain Scale (PIPS): Validity and Reliability of the Japanese Version for Chronic Low Back Pain and Knee Pain

2021 ◽  
Vol Volume 14 ◽  
pp. 325-332
Author(s):  
Yasuhiro Nagasawa ◽  
Ai Shibata ◽  
Hanako Fukamachi ◽  
Kaori Ishii ◽  
Rikard K Wicksell ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Knee Pain ◽  
Chronic Low Back Pain ◽  
Japanese Version ◽  
Pain Scale ◽  
Low Back ◽  
Validity And Reliability ◽  
Psychological Inflexibility

Chronic low-back pain and its response to custom-made foot orthoses

1999 ◽  
Vol 89 (3) ◽  
pp. 109-117 ◽  
Author(s):  
HJ Dananberg ◽  
M Guiliano
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Functional Disability ◽  
Pain Treatment ◽  
Foot Orthoses ◽  
Low Back ◽  
New Approach ◽  
Pain Disability ◽  
Custom Made

A new approach to treating chronic low-back pain with custom-made foot orthoses was investigated. The Quebec Back Pain Disability Scale was used to objectively assess the functional disability of 32 subjects at different times. Subjects in this prospective study experienced more than twice the improvement in alleviation of pain, and for twice as long, compared with subjects in a study using traditional back-pain treatment. The authors believe that the findings of this study may provide a new method by which patients with chronic low-back pain can be evaluated and treated.

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