Articles: back-pain.
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Vopr Kurortol Fizioter Lech Fiz Kult · Jul 2003
[Effect reflexotherapy on cervical-thoracic and lumbar pain syndromes in spinal osteochondrosis].
Acupuncture used in cervical-thoracic and lumbar pain arrested the pain completely in 41.7 and partially in 53% patients with spinal osteochondrosis of the neck and chest spine. In lumbosacral osteochondrosis pain eliminated in 33 and 61.2% patients, respectively. If acupuncture is ineffective, vacuum blood letting is recommended as an adjuvant treatment to relieve pain.
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Anesteziol Reanimatol · Jul 2003
[Use of epidural analgesia for the arresting of pronounced lumbar pains].
A combination of local anesthetics (2% lydokaine solution, 2 mg/kg; 0.5% bupivakaine solution, 0.4 mg/kg or 0.75% ropivakaine solution, 0.55 mg/kg), promedol (20 mg) and corticosteroids (125 mg hydrocortisone or 80 mg kenalog) was epidurally administered in 78 patients to arrest the pronounced root pain syndrome of the lumbar-sacral localization provoked by intervertebral disk hernias. The most prolonged analgesic effect was registered in groups, whose patients received bupivakaine or ropivakaine, which prevented the onset of pain before the antiinflammatory effect of corticosteroids started. The patient must be informed well in advance about the possibility of a momentary relapse of pains and about the intensification (at the same time moment) of pharmacotherapy prescribed by neuropathologist.
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Comparative Study Guideline
Updated method guidelines for systematic reviews in the cochrane collaboration back review group.
Descriptive method guidelines. ⋯ Systematic reviews need to be conducted as carefully as the trials they report and, to achieve full impact, systematic reviews need to meet high methodologic standards.
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Few treatments for back pain are supported by strong scientific evidence. Conventional treatments, although widely used, have had limited success. Dissatisfied patients have, therefore, turned to complementary and alternative medical therapies and providers for care for back pain. ⋯ Initial studies have found massage to be effective for persistent back pain. Spinal manipulation has small clinical benefits that are equivalent to those of other commonly used therapies. The effectiveness of acupuncture remains unclear. All of these treatments seem to be relatively safe. Preliminary evidence suggests that massage, but not acupuncture or spinal manipulation, may reduce the costs of care after an initial course of therapy.