Articles: back-pain.
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Some patients with osteoporotic vertebral compression fractures still suffer from back pain after percutaneous vertebroplasty. We have found that osteoporotic vertebral compression fractures with thoracolumbar fascia injury are common and that thoracolumbar fascia injury may account for the residual pain after percutaneous vertebroplasty. ⋯ There may be a relationship between TL fascia injury and residual back pain after PVP.
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Randomized Controlled Trial Comparative Study
Comparison of spinal manipulation methods and usual medical care for acute and subacute low back pain: a randomized clinical trial.
Randomized controlled trial with follow-up to 6 months. ⋯ 2.
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Cross-sectional design. ⋯ N/A.
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Human brain mapping · Feb 2015
Observational StudySmoking increases risk of pain chronification through shared corticostriatal circuitry.
Smoking is associated with increased incidence of chronic pain. However, the evidence is cross-sectional in nature, and underlying mechanisms remain unclear. In a longitudinal observational study, we examined the relationship between smoking, transition to chronic pain, and brain physiology. ⋯ Mediation analysis indicated the prediction of BP persistence by smoking was largely due to synchrony of fMRI activity between two brain areas (nucleus accumbens and medial prefrontal cortex, NAc-mPFC). In SBP or CBP who ceased smoking strength of NAc-mPFC decreased from precessation to postcessation of smoking. We conclude that smoking increases risk of transitioning to CBP, an effect mediated by corticostriatal circuitry involved in addictive behavior and motivated learning.
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Review Meta Analysis
Epidural injections in prevention of surgery for spinal pain: systematic review and meta-analysis of randomized controlled trials.
Low back pain is debilitating and costly, especially for patients not responding to conservative therapy and requiring surgery. ⋯ Epidural steroid injections may provide a small surgery-sparing effect in the short term compared with control injections and reduce the need for surgery in some patients who would otherwise proceed to surgery.