Articles: back-pain.
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Studies suggest that yoga is effective for moderate to severe chronic low back pain (cLBP) in diverse predominantly lower socioeconomic status populations. However, little is known about factors associated with benefit from the yoga intervention. ⋯ Poor physical health at baseline is associated with greater improvement from yoga in back-related function and pain. Race, income, and body mass index do not affect the potential for a person with low back pain to experience benefit from yoga.
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Ugeskrift for laeger · Jan 2014
[Implementation of the Danish national database Danespine for spinal surgery].
The purpose of this study was to evaluate the response rate at one year follow-up in Danespine (DS) and the outcome after spine surgery. Medical charts were compared to the number of patients in DS. Outcome was measured in pain reduction for legs/back and the improvement in EuroQol (EQ-5D) score. 99.5% of the patients were registered in DS at the time of surgery, 83.7% at one year follow-up. ⋯ The patients' EQ-5D score improved from 0.33 to 0.62. The complication rate was 12.7%. We have implemented DS in order to evaluate the patient satisfaction after surgery, and the patients' benefit from spine surgery.
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Reg Anesth Pain Med · Jan 2014
Comparative StudyMagnetic Positioning System and Ultrasound Guidance for Lumbar Zygapophysial Radiofrequency Neurotomy: A Cadaver Study.
Chronic low back pain related to degenerative spondylosis is commonly managed by the radiofrequency ablation of sensory nerves. Fluoroscopic guidance has been considered mandatory to ensure placement of the active tip of the cannula parallel to the nerve to provide adequate neurolysis. Conversely, analgesic (or diagnostic) blockade is usually accomplished by placing the needle perpendicular to the nerve using either fluoroscopy or ultrasound (US) guidance. The recently introduced disposable equipment of internally cooled radiofrequency allows the denervation procedure to be performed similarly to the routine diagnostic block. Consequently, US may now potentially be used for image-guided radiofrequency neurotomy. We sought to compare the accuracy using a novel US-based technique with the traditional fluoroscopy-guided placement. ⋯ A magnetic positioning system allows accurate and quick US-guided placement of radiofrequency cannula to the desired anatomical targets, sparing patients and personnel from exposure to ionized radiation.
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J. Med. Internet Res. · Jan 2014
Randomized Controlled TrialInteractive sections of an Internet-based intervention increase empowerment of chronic back pain patients: randomized controlled trial.
Chronic back pain (CBP) represents a significant public health problem. As one of the most common causes of disability and sick leave, there is a need to develop cost-effective ways, such as Internet-based interventions, to help empower patients to manage their disease. Research has provided evidence for the effectiveness of Internet-based interventions in many fields, but it has paid little attention to the reasons why they are effective. ⋯ Results suggest that interactive sections as part of Internet-based interventions can positively alter patients' feelings of empowerment and help prevent medication misuse. Detrimental effects were not observed.
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The aim of this study was to evaluate the prevalence of depressive symptoms and disability pre-operatively, at 3 months and at 1 year after lumbar spine fusion surgery. ⋯ One-third of our patients with chronic back pain undergoing spinal fusion had depressive symptoms pre-operatively. The prevalence of depressive symptoms decreased after surgery. Although disability remained higher in those patients who had reported depressive symptoms pre-operatively, disability did decrease significantly in both groups post-operatively. Thus, there is no need to exclude depressive patients from operation, but screening measures and appropriate treatment practises throughout both pre-operative and post-operative periods are encouraged.