Articles: back-pain.
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Chronic opioid therapy is associated with worse patient-reported outcomes (PROs) following spine surgery. However, little literature exists on the relationship between opioid use and PROs following epidural steroid injections for radicular pain. ⋯ Increased pre-injection opioid use does not impact long-term outcomes after ESIs for degenerative spine diseases. A pre-injection MEA around 50 mg/day may represent a threshold above which the 3-month effectiveness of ESI for back- and neck-related disability decreases. Epidural steroid injection is an effective treatment modality for pain in patients using opioids, and can be part of a multimodal strategy for opioid independence.
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Single-center retrospective analysis of consecutively collected data. ⋯ 3.
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Human volunteers were exposed experimentally to single-sided mechanical shocks (SSMS) and double-sided mechanical shocks (DSMS) while seated. ⋯ 4.
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Observational Study
Preoperative Opioid Use is a Predictor of Poor Return to Work in Workers' Compensation Patients after Lumbar Diskectomy.
A retrospective cohort. ⋯ 3.