Articles: back-pain.
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In the present study, the influence of cytokines on 1-year recovery in lumbar radicular pain was examined. ⋯ High serum IL-6 levels, but not disc degeneration or Modic changes, were associated with less favourable recovery in patients with lumbar radicular pain. Intense initial back pain, non-surgical treatment, lower educational level and longer duration of radicular pain before treatment also correlated with a slower recovery the first year after disc herniation.
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To evaluate the relationship between back pain severe enough to restrict activity (restricting back pain) and subsequent mobility disability in community-living older persons. ⋯ Restricting back pain was strongly associated with mobility disability. Interventions that prevent or ameliorate restricting back pain may be effective for reducing the burden of mobility disability in older persons.
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Comparative Study
Demographic and health characteristics of rural- and urban-dwelling canadians with chronic back disorders: a population-based comparison.
This is a cross-sectional design based on analysis of a national survey. ⋯ 2.
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Review
Catastrophizing-a prognostic factor for outcome in patients with low back pain: a systematic review.
Psychological factors including catastrophizing thoughts are believed to influence the development of chronic low back pain (LBP). ⋯ There is some evidence that catastrophizing as a coping strategy might lead to delayed recovery. The influence of catastrophizing in patients with LBP is not fully established and should be further investigated. Of particular importance is the establishment of cutoff levels for identifying patients at risk.
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Psychological factors are believed to influence the development of chronic low back pain. To date, it is not known how fear-avoidance beliefs (FABs) influence the treatment efficacy in low back pain. ⋯ Evidence suggests that FABs are associated with poor treatment outcome in patients with LBP of less than 6 months, and thus early treatment, including interventions to reduce FABs, may avoid delayed recovery and chronicity. Patients with high FABs are more likely to improve when FABs are addressed in treatments than when these beliefs are ignored, and treatment strategies should be modified if FABs are present.