Articles: back-pain.
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Wien Med Wochenschr · Jan 2000
Review[Acupuncture and other forms of treatment for patients with chronic back pain].
As in all pain sites, one has to distinguish between acute and chronic pain in spinal pain syndromes. The treatment of chronic spinal pain is dominated by non-operative procedures. There are three main procedures in this field of treatment: the manual medicine, the therapeutic application of local anesthetics and acupuncture. ⋯ The symptomatology of these diseases is described. The indications for the individual cases and circumstances are discussed. Lastly, the various operative techniques are also described shortly.
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Comparative Study
Health-related quality of life using the SF-36 in patients with bipolar disorder compared with patients with chronic back pain and the general population.
The purpose of this study was to assess and compare the health-related quality of life of patients with bipolar disorder and chronic back pain and, in turn, to compare these results with those previously generated for the general population. ⋯ Patients with bipolar disorder had substantial impairment in health-related quality of life in comparison with the general population. Bipolar patients were less compromised in areas of physical and social functioning than chronic back pain patients but had similar impairment in mental health.
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Subjective well-being is an essential ingredient in the quality of life concept. The Marburg questionnaire, a seven item scale for the assessment of the trait dimension of well-being, claims to possess good psychometric properties. This is investigated in two studies with chronic pain patients. ⋯ The good psychometric quality of the questionnaire along with its brevity allows its application as part of a quality of life assessment.
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Case Reports
Spinal cord stimulation for treatment of failed back surgery syndrome--two case reports.
Severe, persistent back pain following back surgery is often referred to as Failed Back Surgery Syndrome (FBSS). Conservative measures such as physiotherapy, back strengthening exercises, transcutaneous electrical nerve stimulation and epidural steroids may be inadequate to alleviate pain. Spinal Cord Stimulators were implanted into two patients suffering from FBSS. Both patients responded successfully to spinal cord stimulation with reduction of pain and disability.
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Objective. Follow-up of 80 patients using multiple program spinal cord stimulation (SCS). Methods. ⋯ Conclusions. In spinal cord stimulation the use of multiple electrodes and multiple stimulation programs, together with advanced programmability, increases paresthesia overlap, reduces pain scores, and may improve patient satisfaction with SCS therapy. This study indicates a significant patient preference for multiple program SCS, if patients are given the option to choose between a single program SCS system or a multiple program SCS system.