The Impact of Four Interventions in Lower Back Pain Treatment: A Longitudinal Study

2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Reza Khalifeh ◽  
Armin Zareian ◽  
Nafiseh Hosseini Yekta
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Rating Scale ◽  
Pain Treatment ◽  
Numerical Rating Scale ◽  
Time Treatment ◽  
Lower Back ◽  
Effective Interventions ◽  
Numerical Rating ◽  
The Impact

: To study the effect of four interventions on lower back pain (LBP) alongside time and to identify whether changes in nutrition and doing traditional Persian remedies (massage and rubbing white Lily oil) could relieve the LBP using a short-time treatment. The population of this study consisted of 89 subjects with chronic LBP collected in traditional Persian medicine clinics. The outcomes were two indices for LBP, Oswestry disability index (ODI), and numerical rating scale (NRS), measured three times with an interval of four weeks. Age was not an effective variable in both LBP indices. Effective interventions for both indices are almost the same. For ODI, sex (= male), nutrition, massage, using White Lily oil, and time had decreasing effects on ODI, but interactions of sex with nutrition and massage had increasing effects on ODI. For NRS, sex (= female), using White Lily oil, time, and interactions of sex with massage and nutrition had decreasing effects, but nutrition, massage, and interactions of sex with White Lily oil had increasing effects on NRS.

scholarly journals Ultrasound-Guided Sacroiliac Joint Injection Technique

2008 ◽  
Vol 4;11 (8;4) ◽  
pp. 543-547
Author(s):  
Professor Dominic Harmon
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Sacroiliac Joint ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Chronic Lower Back Pain ◽  
Transverse Orientation ◽  
Ultrasound Guided ◽  
Lower Back ◽  
Numerical Rating

We describe a case report and technique for using a portable ultrasound scanner and a curvilinear transducer (4-5MHz) (SonoSite Micromaxx SonoSite, Inc. 21919 30th Drive SE Bothwell W. A.) to guide sacroiliac joint (SIJ) injection. A 42-year-old male presented with chronic lower back pain centered on his left SIJ. His pain averaged 7 out of 10 (numerical rating scale). For the ultrasound-guided SIJ injection the patient was placed in the prone position. The ultrasound transducer was oriented in a transverse orientation at the level of the sacral hiatus. Here the sacral cornuae were identified. Moving the transducer laterally from here, the lateral edge of the sacrum was identified. This bony edge was followed in a cephalad direction with the transducer maintained in a transverse orientation. A second bony contour, the ileum, was identified. The cleft between both bony contours represented the sacroiliac joint. This was found at 4.5 cm depth. Real-time imaging was used to direct a 22G spinal needle into the SIJ, where solution was injected under direct vision. The patient’s pain intensity decreased to a 2 out of 10 (numerical rating scale). Function improved and the patient was able to return to work. These improvements were maintained at 16 weeks. Ultrasound guidance does not expose patients and personnel to radiation and is readily accessible. Ultrasound-guided SIJ injections may have particular applications in the management of chronic lower back pain in certain clinical scenarios (e.g. pregnancy). Future studies to demonstrate efficacy and reproducibility are needed. Key words: Technique, visualization, real-time, ultrasound, sacroiliac joint.

scholarly journals NUMERICAL RATING SCALE AS A PREDICTOR OF AN UNDERLYING PATHOLOGY IN PEDIATRIC BACK PAIN USING MAGNETIC RESONANCE IMAGE AS DIAGNOSTIC TOOL

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0004
Author(s):  
Eduardo A. Lindsay ◽  
Gerardo Olivella ◽  
Manuel Rodríguez ◽  
Edwin Burgos-Rossy ◽  
Natalia Torres-Acevedo ◽  
...  
Keyword(s):  
Back Pain ◽  
Magnetic Resonance Image ◽  
Rating Scale ◽  
Chronic Back Pain ◽  
Numerical Rating Scale ◽  
Children And Adolescent ◽  
Constant Pain ◽  
Neurological Exam ◽  
Numerical Rating ◽  
Underlying Pathology

Background & Objectives: Recently, constant and night pain has been discarded as adequate clinical markers to predict the presence of an underlying pathology in pediatric back pain. The pain intensity has been recognized as an important domain in the pain assessment. Numerical Rating Scale (NRS) is one of the most common validated tools to assess pediatric pain intensity in children above 8 years of age. The aim of this study is to assess NRS as a predictor of underlying pathologies found by magnetic resonance image (MRI) in pediatric back pain. We hypothesize that a higher NRS score is associated with a high sensitivity, specificity and likelihood ratio to identify the present of organic pathology in pediatric chronic back pain. Methodology: After obtaining Institutional Review Board approval, a retrospective electronical medical record review was conducted. All pediatric patients who reported back pain lasting > 4 weeks between 2009 to 2018 were enrolled in the study. As per regular protocol, a pediatric orthopedic surgeon evaluated all patients who presented with back pain. After a non-diagnostic history, physical examination and spinal x-ray; spine MRI was order. Pain was graded with the use of NRS from 0 to 10. Patients were divided in two groups: NRS (1-5) & NRS (6-10). Variables such as gender, age, pain frequency, night pain, neurological exam, and the presence of an underlying pathology were compared between both groups. Patients that presented with injury due to trauma, previous diagnosis of back pain or cervical pain were excluded. Results: A total of 467 patients were evaluated in the study. Mean age of subjects was 15 years; 69% being female. An underlying pathology was identified in 131/315 (41.6%) patients with NRS (6-10), and 55/152 (36.2%) patients with NRS (1-5) (P=0.27). Patients with NRS (6-10) had two times more probability of suffering constant pain (P<0.03) and three times more likely of having an abnormal neurological examination (P<0.05). See table 1. Conclusion: Evaluation and treatment of children and adolescent with chronic back pain is challenging. Our study shows a strong association between NRS high (6-10) and constant pain and/or abnormal neurological exam. However, the use of NRS of (6-10) was not found as adequate predictor for the presence of an underlying organic pathology in children and adolescent patients. Therefore, physicians should not rely only high NRS score to recommend advance imaging study to assess chronic back pain in children and adolescent patients. Summary [Table: see text]

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 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 EUS-Guided Versus Percutaneous Celiac Neurolysis for the Management of Intractable Pain Due to Unresectable Pancreatic Cancer: A Randomized Clinical Trial

2020 ◽  
Vol 9 (6) ◽  
pp. 1666
Author(s):  
Won Jae Yoon ◽  
Yul Oh ◽  
Changhoon Yoo ◽  
Sunguk Jang ◽  
Seong-Sik Cho ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Abdominal Pain ◽  
Back Pain ◽  
Cancer Patients ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Intractable Pain ◽  
Point Reduction ◽  
Pain Scores ◽  
Numerical Rating

Although endoscopic ultrasound-guided celiac neurolysis (EUS-CN) and percutaneous celiac neurolysis (PCN) are utilized to manage intractable pain in pancreatic cancer patients, no direct comparison has been made between the two methods. We compared the efficacy and safety of EUS-CN and PCN in managing intractable pain in such patients. Sixty pancreatic cancer patients with intractable pain were randomly assigned to EUS-CN (n = 30) or PCN (n = 30). The primary outcomes were pain reduction in numerical rating scale (NRS) and opioid requirement reduction. Secondary outcomes were: successful pain response (NRS decrease ≥50% or ≥3-point reduction from baseline); quality of life; patient satisfaction; adverse events; and survival rate at 3 months postintervention. Both groups reported sustained decreases in pain scores up to 3 months postintervention (mean reductions in abdominal pain: 0.9 (95% confidence interval (CI): −0.8 to 4.2) and 1.7 (95% CI: −0.3 to 2.1); back pain: 1.3 (95% CI: −0.9 to 3.4) and 2.5 (95% CI: −0.2 to 5.2) in EUS-CN, and PCN groups, respectively). The differences in mean pain scores between the two groups at baseline and 3 months were −0.5 (p = 0.46) and −1.4 (p = 0.11) for abdominal pain and 0.1 (p = 0.85) and −0.9 (p = 0.31) for back pain in favor of PCN. No significant differences were noted in opioid requirement reduction and other outcomes. EUS-CN and PCN were similarly effective and safe in managing intractable pain in pancreatic cancer patients. Either methods may be used depending on the resources and expertise of each institution.

scholarly journals Does early physical therapy intervention reduce opioid burden and improve functionality in the management of chronic lower back pain?

2020 ◽  
Vol 10 (4) ◽  
pp. 215-221
Author(s):  
Shedrick Martin ◽  
Kimberly Tallian ◽  
Victoria T. Nguyen ◽  
Jason van Dyke ◽  
Harminder Sikand
Keyword(s):  
Back Pain ◽  
Physical Therapy ◽  
Lower Back Pain ◽  
Medication Use ◽  
Chronic Lower Back Pain ◽  
Opioid Use ◽  
Pain Scores ◽  
Lower Back ◽  
Early Physical Therapy ◽  
The Impact

Abstract Introduction Chronic lower back pain is a leading cause of disability in US adults. Opioid use continues to be controversial despite the Centers for Disease Control and Prevention guidance on chronic pain management to use nonpharmacologic and nonopioid pharmacologic interventions. The objectives of the study were to assess the impact of early physical therapy (PT) intervention on improving functionality and reducing opioid burden in patients with chronic lower back pain. Methods A single-center, retrospective chart review of patients receiving ≥6 PT visits and treated with either opioids first (OF) or PT first (PTF) therapy for chronic lower back pain were evaluated. Concomitant use of nonopioid and nonpharmacologic therapy was permitted. The Oswestry Disability Index (ODI), a survey measuring functionality, was recorded for PTF group. Pain scores and medication use including opioids were collected at treatment initiation and completion. Results One hundred and eighty patients were included in three groups: OF group (n = 60), PTF group (n = 60), and PTF + ODI group (n = 60). The PTF + ODI group had mean ODI reduction of 11.9% (P &lt; .001). More OF patients were lost to follow up (68.3%) or failed PT (60%) compared to the PTF group, 38.3% and 3.3% (P &lt; .001). Reduction in both opioid and nonopioid medications as well as pain scores were observed but not statistically significant. Discussion Early PT resulted in improved functionality, decreased pain, and reduced medication use upon PT completion. These findings suggest PT, along with nonopioid modalities, are a viable first-line option for the management of chronic lower back pain.

scholarly journals Single vertebral manipulative therapy (Kitchener’s Technique): a new technique for treatment of acute and subacute spinal root compression

2021 ◽  
Vol 11 (2) ◽  
pp. 31-35
Author(s):  
Nabil Kitchener
Keyword(s):  
Back Pain ◽  
Physical Functioning ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Roland Morris Disability Questionnaire ◽  
Spinal Root ◽  
Functional Scale ◽  
Manipulative Therapy ◽  
Numerical Rating ◽  
Disability Questionnaire

Introduction: Spinal Root Compression Syndromes (SRCS) are common, costly, and significant cause of long-term sick leave and work loss. There is No consensus on the best approach. One intervention often used is manipulative therapy. Objective: The aim of this study was to determine if Single Vertebral Manipulative Therapy (Kitchener’s Technique) (SVMT) is effective in alleviating pain levels and regaining physical functioning in comparison to standard medical care (SMC), among 18-55-year-old active working personnel. Methods: Prospective, longitudinal, 2-arm controlled study comparing SMC plus SVMT (32 patients) with only SMC (21 patients). The primary outcome measures were changes in root-related pain on the numerical rating scale and physical functioning at 6 weeks on the Roland-Morris Disability Questionnaire and back pain functional scale (BPFS). Results: Mean Roland-Morris Disability Questionnaire scores decreased in both groups during the course of the study, but adjusted mean scores were significantly better in the SMC plus SVMT group than in the SMC group at both week 2 (P<0.001) and week 6 (P=0.001). Mean numerical rating scale pain scores were also significantly better in the group that received SVMT. Adjusted mean back pain functional scale scores were significantly higher (improved) in the SMC plus SVMT group than in the SMC group at both week 2 (P<0.001) and week 6 (P=0.001). Conclusion: Results suggest that SVMT in conjunction with SMC offers a significant advantage for decreasing pain and improving physical functioning when compared with only SMC, for patients aged 18-55 years with SRCS.

scholarly journals Association between telecommuting environment and low back pain among Japanese telecommuting workers: A cross-sectional study

2021 ◽  
Author(s):  
Ryutaro Matsugaki ◽  
Keiji Muramatsu ◽  
Seiichiro Tateishi ◽  
Tomohisa Nagata ◽  
Mayumi Tsuji ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Cross Sectional Study ◽  
Mixed Effects ◽  
Low Back ◽  
Sectional Study ◽  
Cross Sectional ◽  
Numerical Rating

Objectives: We evaluated the relationship between telecommuting environment and low back pain (LBP) among desk-based workers in Japan. Methods: This cross-sectional study included 3,663 desk-based, telecommuting workers. LBP was assessed using a 0 to 10 numerical rating scale. The telecommuting environment was evaluated using subjective questions. Mixed-effects logistic regression analysis was used. Results: Mixed-effects logistic model results revealed that not having a place or room to concentrate on work, desk not well-lit enough for work, not having enough space on the desk to work, not having enough legroom, and not having comfortable temperature and humidity conditions in the workspace were significantly associated with higher odds of LBP. Conclusions: Our findings suggest that telecommuting environment is associated with the prevalence of LBP.

scholarly journals Antisipasi Pada Keluhan Low Back Pain Dapat Mengurangi Kelelahan dan Meningkatkan Motivasi Kerja

2020 ◽  
Vol 6 (1) ◽  
pp. 68
Author(s):  
I Ketut Widana ◽  
Ni Wayan Sumetri ◽  
I Ketut Sutapa ◽  
Gusti Ayu Oka Cahya Dewi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Working Conditions ◽  
Rating Scale ◽  
Work Motivation ◽  
Descriptive Analysis ◽  
Wilcoxon Test ◽  
Low Back ◽  
Lower Back ◽  
The Impact

Low back pain has become a central issue of physiological health. Almost all the discussion of musculoskeletal complaints places more emphasis on the need to pay attention to the importance of health in the lower back. One of the causes of workers' complaints on the lower back is a less natural posture when on the move. The impact that is most easily observed as a result of the emergence of low back pain is the emergence of fatigue and decreased work motivation. Observation of the impact of low back pain on workers was examined using the same subject design. The subject are 11 people who work as wood carving artists. In period 1 the subjects worked in conventional working conditions, while in period 2 the subjects were given treatment, namely anticipation of complaints of low back pain, working in ergo-anthropometric working conditions, ie given ergonomic work tables and chairs with additional nutrition intake, active rest and work uniform. The fatigue variable was measured using a 30 items rating scale questionnaire and crafters' motivation was measured by a questionnaire on 4 Likert scales. Data analysis begins with descriptive analysis and normality test data with ShapiroWilk. Data with normal distribution are used t-paired analysis and data with abnormal distribution use Wilcoxon test. In this study it was found that ergo-anthropometric working conditions can reduce fatigue by 27.34% and increase work motivation by 20.39%. It can be concluded that efforts to anticipate complaints of low back pain can reduce fatigue and maintain work motivation of carving craftsmen.

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