scholarly journals The experience of lower back pain and its treatment among ambulance officers in New Zealand: a qualitative study

2019 ◽  
Vol 16 ◽  
Author(s):  
Sarkaw Mohammad Randhawa ◽  
Jean Hay-Smith ◽  
Rebecca Grainger
Keyword(s):  
Back Pain ◽  
New Zealand ◽  
Qualitative Study ◽  
Lower Back Pain ◽  
Job Insecurity ◽  
Structured Interview ◽  
Health Condition ◽  
Chronic Lower Back Pain ◽  
Lower Back ◽  
The Right

IntroductionParamedics have physically demanding jobs. Lower back pain is an occupation-related health condition that may cause difficulty with, or inability to, lift. Existing literature on lower back pain in paramedics is scant; no qualitative study specifically of lower back pain experiences or treatment was found. This qualitative study aimed to explore paramedics’ experience of chronic lower back pain, with a focus on their expectations of musculoskeletal treatment.Methods Nine paramedics (seven men, two women) who had sought chiropractic, physiotherapy, or osteopathy treatment for one or more episodes of chronic lower back pain, while working as a paramedic, were recruited from the national ambulance service. A general inductive qualitative approach was used and semi-structured interview data were thematically analysed. ResultsThe core theme was ‘frustration’. For paramedics, frustration stemmed from the difficulties and delays finding a musculoskeletal practitioner who could ‘help’; the widespread experience of lower back pain among paramedics that apparently went unacknowledged; their inability to make alterations at work; their risk of re-injuring their back at any time; and concerns about their future and job insecurity because they might not be able to continue working as a paramedic in the future due to their lower back pain. ConclusionThe experience of the nine New Zealand paramedics interviewed for this study was frustration due to difficulties and delays in finding the right provider of helpful treatment, and persistent uncertainty about their future. Participants wished that the industry had better and more explicit organisational processes for managing lower back pain at work, and supporting them to better back health and being fit for work.  

Listening to the body and talking to myself – the impact of chronic lower back pain: A qualitative study

2010 ◽  
Vol 47 (5) ◽  
pp. 586-592 ◽  
Author(s):  
Marie Crowe ◽  
Lisa Whitehead ◽  
Mary Jo Gagan ◽  
G. David Baxter ◽  
Avin Pankhurst ◽  
...  
Keyword(s):  
Back Pain ◽  
Qualitative Study ◽  
Lower Back Pain ◽  
The Body ◽  
Chronic Lower Back Pain ◽  
Lower Back ◽  
The Impact

scholarly journals Effects of Prolonged Sitting with Slumped Posture on Trunk Muscular Fatigue in Adolescents with and without Chronic Lower Back Pain

Medicina ◽  
2020 ◽  
Vol 57 (1) ◽  
pp. 3
Author(s):  
Kyoung-Sim Jung ◽  
Jin-Hwa Jung ◽  
Tae-Sung In ◽  
Hwi-Young Cho
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Transversus Abdominis ◽  
Muscular Fatigue ◽  
Trunk Muscles ◽  
Control Group ◽  
Chronic Lower Back Pain ◽  
Median Frequency ◽  
Prolonged Sitting ◽  
Lower Back

Background and Objectives: This study investigated the effects of prolonged sitting on trunk muscular fatigue and discomfort in participants with and without chronic lower back pain (LBP). Material and Methods: This study included 15 patients with LBP and 15 healthy controls. All participants were instructed to sit on a height-adjustable chair with their knee and hip joints bent at 90° for 30 min, in slumped sitting postures. Surface electromyography was used to assess the median frequency of the internal obliques (IO)/transversus abdominis (TrA) and multifidus (MF) muscles. Perceived discomfort was measured using a Borg category ratio-scale. Median frequency of the trunk muscles and perceived discomfort after 30 min of sitting were compared with baseline. Result: There were no significant differences within the group and between both groups in the median frequency of bilateral IO and MF muscles. The LBP group showed significantly greater perceived discomfort after prolonged sitting, as compared to the control group. Conclusions: Prolonged sitting with slumped posture could increase the risk of experiencing lower back discomfort.

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 Emotional and Neurobehavioural Status in Chronic Pain Patients

2011 ◽  
Vol 16 (1) ◽  
pp. 41-43 ◽  
Author(s):  
He Shuchang ◽  
He Mingwei ◽  
Jia Hongxiao ◽  
Wu Si ◽  
Yang Xing ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Back Pain ◽  
Lower Back Pain ◽  
Mood State ◽  
Control Group ◽  
Chronic Lower Back Pain ◽  
Control Subjects ◽  
Lower Back ◽  
Chronic Pain Patients ◽  
Pain Patients

OBJECTIVE: To investigate the emotional and neurobehavioural status of patients suffering from chronic pain.METHODS: Fifteen male patients with chronic lower back pain and 15 healthy control subjects were studied for approximately six months. Pain was measured using a visual analogue scale. The WHO Neurobehavioral Core Test Battery (NCTB) was used to assess neurobehavioural effects of environmental and occupational exposures.RESULTS: Visual analogue scale results demonstrated a modest range of reported pain (mean [± SD] 62.0±10.8) in chronic pain patients, whereas control subjects reported no measurable pain. With the NCTB, it was found that scores of negative mood state, including anger-hostility, depression-dejection, fatigue-inertia and tension-anxiety in pain patients were significantly higher than scores in the control subjects. By contrast, scores of positive mood state (vigour-activity) in chronic pain patients were lower than those in the control group. The NCTB scores of the Santa Ana Dexterity and Pursuit Aiming II tests in chronic lower back pain patients were lower than those of the control group. Scores for other NCTB sub-tests, including the Digit Span, Benton Visual Retention and Digit Symbol tests, were not significantly different compared with controls.CONCLUSIONS: Chronic lower back pain patients had more negative mood and less positive mood than controls. These patients also demonstrated neuromotor deficits in coordination and reaction time. Further studies are required to examine possible neurological mechanisms and research potential intervention strategies for patients suffering from chronic pain.

Sleep efficiency and physical performance differences between pain-free individuals and individuals with chronic lower back pain

2021 ◽  
Vol 22 (5) ◽  
pp. 610-611
Author(s):  
Katherine O'Neal ◽  
Deanna Rumble ◽  
Demario Overstreet ◽  
Terence Penn ◽  
Pamela Jackson ◽  
...  
Keyword(s):  
Back Pain ◽  
Physical Performance ◽  
Lower Back Pain ◽  
Sleep Efficiency ◽  
Chronic Lower Back Pain ◽  
Lower Back ◽  
Performance Differences

scholarly journals Lower back pain with sciatic disorder following L5 dermatome caused by herpes zoster infection

2015 ◽  
Vol 7 (3) ◽  
Author(s):  
Roslind Karolina Hackenberg ◽  
Arnd Von den Driesch ◽  
Dietmar Pierre König
Keyword(s):  
Back Pain ◽  
Herpes Zoster ◽  
Lower Back Pain ◽  
Pain Treatment ◽  
Acute Onset ◽  
Mri Scan ◽  
Lower Back ◽  
Acyclovir Treatment ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

We report the case of a 62-year-old patient with lower back pain radiating into the right leg accompanied by numbness. The pain had an acute onset and was resistant to conservative pain treatment. A magnetic resonance imaging (MRI) scan of the lumbar spine showed no degenerative discovertebral lesions, but a swelling of the nerve root supplying the affected dermatome. For pain treatment the patient received lumbar epidural infiltrations. During this treatment the patient suddenly developed a skin rash with grouped vesicular blisters on an erythematous ground. After the diagnosis of a lumbar herpes zoster and an acyclovir treatment, the patient could be discharged in an ameliorated condition. This case demonstrates the importance to consider rare causes of lumbosciatic pain and disorders and to acknowledge unspecific changes in a MRI scan.

scholarly journals Optimising treatment expectations in chronic lower back pain through observing others: a study protocol for a randomised clinical trial

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e059044
Author(s):  
Julia Stuhlreyer ◽  
Marie Schwartz ◽  
Till Friedheim ◽  
Christian Zöllner ◽  
Regine Klinger
Keyword(s):  
Clinical Trial ◽  
Treatment Outcome ◽  
Back Pain ◽  
Lower Back Pain ◽  
Observational Learning ◽  
Placebo Treatment ◽  
Chronic Lower Back Pain ◽  
Open Label ◽  
Treatment Expectations ◽  
Lower Back

IntroductionChronic lower back pain (CLBP) is a frequent cause of medical consultations worldwide, and it results in decreased quality of life and disability. Current treatments for CLBP are often not effective, and alternatives are urgently needed. Three promising possibilities have emerged: (1) open-label placebo treatment reduces chronic pain, (2) placebo treatment is as efficacious as opioid treatment with a high correlation between patient expectation and treatment outcome, and (3) observing positive effects in another patient can improve functional capacity. We hypothesise that treatment expectations can be positively influenced through social observation and improve treatment outcome.Methods and analysisIn our clinical trial, we will randomise patients with CLBP into five groups. Two groups receive either a 3 week course of treatment with an analgesic (ANA) (metamizole/dipyrone) or with open-label placebos (OLP). For one of each group, we will build treatment expectations through observational learning and assess its impact on the treatment. For this purpose, one group each will watch either a positive or a neutral video. The intervention groups will be compared with a control group that will not be given any medication or observational learning. Participants will be recruited via all institutions in the Hamburg metropolitan area that treat patients with CLBP. Patients are eligible for inclusion if they are at least 18 years or older, have CLBP (of at least 3 months duration), and agree to potentially receive an active ANA or an OLP. Patients with pain-related “red flags” will be excluded. The study requires 150 participants (30 participants per group) to assess the differences in the primary outcome, pain intensity. Secondary outcomes include changes in treatment expectations, anxiety, comorbid depression, stress-related neuroendocrine measures, functional and structural connectivity, functional capacity, and ANA consumption. All outcomes and treatment expectations will be measured before and after the intervention and 3 months post-intervention.Ethics and disseminationEthical approval was obtained in January 2020 from the Hamburg Medical Ethics Council (ref number PV7067). Outcomes will be disseminated through publications in peer-reviewed journals and presentations at national and international conference meetings.Trial registration numberThe approved trial protocol was registered at the German Clinical Trials Register (DRKS) and can be found at drks.de (Identifier: DRKS00024418).

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