Articles: back-pain.
-
J Bone Joint Surg Am · Jan 1985
Randomized Controlled Trial Clinical TrialThe use of epidural steroids in the treatment of lumbar radicular pain. A prospective, randomized, double-blind study.
Seventy-three patients with lumbar radicular pain syndromes were treated in a prospective, randomized, double-blind fashion with either seven milliliters of methylprednisolone acetate and procaine or seven milliliters of physiological saline solution and procaine. All patients had radiographic confirmation of lumbar nerve-root compression, consistent with the clinical diagnosis of either an acute herniated nucleus pulposus or spinal stenosis. ⋯ Long-term follow-up, averaging twenty months, failed to demonstrate the efficacy of a second injection of epidural steroids administered to the patients whose pain did not respond within twenty-four hours to an injection of either eighty milligrams of methylprednisolone acetate combined with five milliliters of 1 per cent procaine or two milliliters of sterile saline combined with five milliliters of 1 per cent procaine. Therefore, a decision to use epidural steroids must be made with the realization that we failed to demonstrate its clinical efficacy in this study and that reports of serious complications of this procedure have been published.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Transcutaneous electrical nerve stimulation for low back pain. A comparison of TENS and massage for pain and range of motion.
Patients with acute or chronic low back pain were treated in a double-blind study that compared transcutaneous electrical nerve stimulation at intense levels and gentle, mechanically administered massage. Transcutaneous electrical nerve stimulation produced significantly greater pain relief, based on two measures of the McGill Pain Questionnaire, and significant improvement in straight leg raising. ⋯ Pain-relief scores and range-of-motion scores were significantly correlated. The results indicate that pain-relief scores provide valuable information and can easily be obtained from patients for whom pain is a major symptom.
-
Tidsskr. Nor. Laegeforen. · Jul 1979
Randomized Controlled Trial Clinical Trial[Epidural analgesia and epidural steroid injection for treatment of chronic low back pain and sciatica].
-
Randomized Controlled Trial Comparative Study Clinical Trial Controlled Clinical Trial
A double-blind, between-patient comparison of alclofenac ('Prinalgin') and indomethacin in the treatment of low back pain and sciatica.