Articles: back-pain.
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The high life-time prevalence of chronic back pain (25-30% according to surveys in small samples) suggests that it may be a major source of healthcare cost and that prevention of chronic back pain may be both ethically and economically recommendable. To obtain valid economic data on the cost of back pain in Germany, a retrospective claims data analysis was performed. ⋯ The results show the potential that could be made accessible by an early detection of back pain patients who bear a risk of pain becoming chronic, both in terms of quality-of-life as well as in financial terms.
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Zh Vopr Neirokhir Im N N Burdenko · Jan 2011
[Radiofrequency denervation of intervertebral joints in management of facet pain syndrome].
Back pain is very widespread and represents a socially significant problem of modern health care. During lifetime 90% of population experiences 1 or more episodes of back pain. This study focuses on assessment of effectiveness of radiofrequency denervation of intervertebral joints in management of patients with low back pain caused by facet pain syndrome. ⋯ In 112 (80%) patients pain regressed. Clinical series was analyzed using the scale for assessment of severity of lumbosacral spinal degenerative disease developed in Burdenko Neurosurgical Institute (Moscow, Russia). The performed study confirmed effectiveness of the assessed technique which allowed including of radiofrequency denervation of intervertebral joints in the algorithm of management of patients with degenerative changes in the lumbosacral spine as the surgical method used in case of ineffectiveness of conservative treatment.
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Bmc Musculoskel Dis · Jan 2011
Avoidable costs of physical treatments for chronic back, neck and shoulder pain within the Spanish National Health Service: a cross-sectional study.
Back, neck and shoulder pain are the most common causes of occupational disability. They reduce health-related quality of life and have a significant economic impact. Many different forms of physical treatment are routinely used. The objective of this study was to estimate the cost of physical treatments which, despite the absence of evidence supporting their effectiveness, were used between 2004 and 2007 for chronic and non-specific neck pain (NP), back pain (BP) and shoulder pain (SP), within the Spanish National Health Service in the Canary Islands (SNHSCI). ⋯ Sixty percent of the resources allocated by the SNHSCI to fund physical treatment for NP, BP and SP in private practices are spent on forms of treatment proven to be ineffective, or for which there is no evidence of effectiveness.
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Bmc Musculoskel Dis · Jan 2011
The influence of 'significant others' on persistent back pain and work participation: a qualitative exploration of illness perceptions.
Individual illness perceptions have been highlighted as important influences on clinical outcomes for back pain. However, the illness perceptions of 'significant others' (spouse/partner/close family member) are rarely explored, particularly in relation to persistent back pain and work participation. The aim of this study was to initiate qualitative research in this area in order to further understand these wider influences on outcome. ⋯ The findings from this exploratory study reveal how others and wider social circumstances might contribute both to the propensity of persistent back pain and to its consequences. This is an area that has received little attention to date, and wider support of these findings may usefully inform the design of future intervention programmes aimed at restoring work participation.
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Ann Agric Environ Med · Jan 2011
Work-related musculoskeletal disorders among dentists - a questionnaire survey.
Dentists at work are susceptible to the development of health disorders. Bad working habits, repetitive tasks and uncomfortable posture contribute to musculoskeletal disorders (MSDs), stress and loss of production. The paper deals with the assessment of health status among dentists in Poland regarding the symptoms of musculoskeletal pain. ⋯ Moreover, significance relationships were found between MSDs and both standing work position and non-use of rest breaks. It was concluded that limited ergonomics in the work environment of dentists results in MSDs, and its prevalence is very high. The symptoms of MSDs increased with the number of years of practice.