Articles: back-pain.
-
Prosthet Orthot Int · Jun 2016
Successful management of iliocostal impingement syndrome: A case series.
Iliocostal impingement syndrome is a rare, painful, and disabling condition associated with thoracic hyperkyphosis and kyphoscoliosis. There is little published literature regarding management of this syndrome. The purpose of this case series is to report treatment outcomes for iliocostal impingement syndrome with improving posture and back muscle strength. ⋯ Iliocostal syndrome is a rare, painful, and disabling condition that severely affects quality of life. This report discusses our diagnostic and treatment approach to this syndrome, which has proven successful in our patient population.
-
Versicherungsmedizin · Jun 2016
[Differential diagnostic considerations using ICD-10 in chronic back pain with special regard to persistent somatoform pain disorder with somatic and psychological factors (ICD-10 F45.41)].
It is often difficult to pass an expert opinion in cases of chronic back pain. This article analyses the differential diagnostic considerations related to coding various causes in line with ICD-10. ⋯ Simultaneous coding of orthopoedic and psychiatric illnesses and disorders based on a distinct cluster of symptoms necessitates an interdisciplinary approach that consistently applies the ICD-10 definitions of mental an behavioural disorders in order to clearly identify the main reason for a functional impairment in the insurance and sociomedical context. Persistant somatoform pain disorder with somatic and psychological factors (ICD-10 F45.41) should be regarded as related to the underlying disease and be used primarily as an additional and descriptive diagnosis.
-
Bmc Musculoskel Dis · May 2016
ReviewClassification of patients with low back-related leg pain: a systematic review.
The identification of clinically relevant subgroups of low back pain (LBP) is considered the number one LBP research priority in primary care. One subgroup of LBP patients are those with back related leg pain. Leg pain frequently accompanies LBP and is associated with increased levels of disability and higher health costs than simple low back pain. Distinguishing between different types of low back-related leg pain (LBLP) is important for clinical management and research applications, but there is currently no clear agreement on how to define and identify LBLP due to nerve root involvement. The aim of this systematic review was to identify, describe and appraise papers that classify or subgroup populations with LBLP, and summarise how leg pain due to nerve root involvement is described and diagnosed in the various systems. ⋯ Numerous classification systems exist that include patients with leg pain, a minority of them focus specifically on distinguishing between different presentations of leg pain. Further work is needed to identify clinically meaningful subgroups of LBLP patients, ideally based on large primary care cohort populations and using recommended methods for classification system development.
-
Prospective randomized double-arm non-inferiority study OBJECTIVE.: To evaluate an additional surgical procedure (wedge-shaped resection of the cranial portion of the posterior bony arch) during open-door laminoplasty (ODLP), and to compare the outcomes with those of conventional ODLP surgery SUMMARY OF BACKGROUND DATA.: In clinical practice, spine surgeons sometimes encounter patients who show bony impingement on lateral radiographs after ODLP; bony impingement may lead to reduced motion of the cervical spine and posterior neck pain. However, this problem has not been well studied, and no methods have been developed to prevent it. ⋯ 2.