Articles: back-pain.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Sep 2020
[Early Interdisciplinary Assessment for Secondary Prevention of Chronic Pain - Scientific Background, Concept of Delivery, Target Population and Status of Health Care Provision].
Pain is agreed to be understood as a multi-causal, biopsychosocial phenomenon. A sufficient health care delivery shall therefore contain a corresponding interdisciplinary approach in diagnostic and therapy, respectively. ⋯ The article introduces into existing knowlegde about pain and risk factors for chronicity. The background (evidence and theoretical) of corresponding health care approaches and a detailed concept of interdisciplinary pain diagnostic by a multiprofessional team consisting of pain physician, physiotherapist and clinical psychologist are described and discussed.
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Bmc Musculoskel Dis · Aug 2020
Observational StudyA prospective observational study on trajectories and prognostic factors of mid back pain.
Although mid back pain (MBP) is a common condition that causes significant disability, it has received little attention in research and knowledge about trajectories and prognosis of MBP is limited. The purpose of this study was to identify trajectories of MBP and baseline risk factors for an unfavorable outcome in MBP patients undergoing chiropractic treatment. ⋯ This prospective exploratory study identified two distinct MBP trajectories, representing a favourable and an unfavourable outcome over the course of one year after chiropractic treatment. Pain chronicity was the factor that influenced outcome measures using NRS or PGIC.
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Registry-based repeated-measures psychometric validation of the Danish Oswestry Disability Index (ODI). ⋯ 4.
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Cross-sectional survey. ⋯ 4.
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Case Reports
Spontaneous spinal epidural hematoma masquerading as atypical abdominal pain in a child: A case report.
There have been few case reports of abdominal pain as a symptom of spontaneous intraspinal hemorrhage. We herein describe a case involving a girl with paraplegia caused by spontaneous epidural hemorrhage in the thoracic spinal canal, characterized by abdominal pain. ⋯ The symptoms caused by intraspinal hemorrhage are mainly back pain with or without neurological dysfunction. However, sometimes atypical symptoms, such as abdominal and chest pain, can be identified in clinical settings. Emergency surgery is recommended as the treatment of choice for intraspinal hemorrhage with neurological dysfunction.