Articles: back-pain.
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In the past decade in activities aiming at return-to-work (RTW), there has been a growing awareness to change the focus from sickness and work disability to recovery and work ability. To date, this process in occupational health care (OHC) has mainly been directed towards employees. However, within the working population there are two vulnerable groups: temporary agency workers and unemployed workers, since they have no workplace/employer to return to, when sick-listed. For this group there is a need for tailored RTW strategies and interventions. Therefore, this paper aims to describe the structured and stepwise process of development, implementation and evaluation of a theory- and practise-based participatory RTW program for temporary agency workers and unemployed workers, sick-listed due to musculoskeletal disorders (MSD). This program is based on the already developed and cost-effective RTW program for employees, sick-listed due to low back pain. ⋯ IM is a promising tool for the development of tailor-made OHC interventions for the vulnerable working population.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2009
Review[Radiological differential diagnosis of chronic back pain].
Back pain is a frequent phenomenon. Published guidelines should be used to avoid unnecessary diagnostic imaging ("European guidelines for the management of chronic non-specific low back pain" - www.backpaineurope.org). ⋯ Inflammation and tumour caused spine disease need special attention. A false choice of imaging procedure could delay the correct diagnosis.
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Zh Nevrol Psikhiatr · Jan 2009
Randomized Controlled Trial Comparative Study[Vitamin B complex (milgamma) in the treatment of vertebrogenic lumbosacral radiculopathy].
An open controlled study of efficacy of the vitamin B complex (milgamma) has been performed in 38 patients with vertebrogenic lumbosacral radiculopathy suffered from moderate or severe pain during 1 month or longer. Patients have been randomized into 2 equal groups: in the main group milgamma has been prescribed in the combination with diclofenac; patients of the control group have received diclofenac only. Treatment efficacy has been assessed by clinical scales in the 10th and 24th days, and by the results of telephone interview after 3 and 6 months. ⋯ At the 3rd months, between-group differences were still significant (the pain was absent or minimal in 63% patients of the main group and 34% of the control one). The results revealed the potentiation of analgesic effect of diclofenac by the vitamin B complex. Using of milgamma in combination with NSAIDS leads to the rapid and long-standing regress of pain syndrome in patients with lumbosacral radiculopathy.
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Zh Nevrol Psikhiatr · Jan 2009
Randomized Controlled Trial Multicenter Study Comparative Study[Baclosan (baclofen) in the treatment of back pains: results of a multicenter study BRAVO].
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Editorial Case Reports
Interventional treatment of back pain in a patient with cancer.