Articles: low-back-pain.
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Randomized Controlled Trial
Evaluation of the effectiveness and efficacy of Iyengar yoga therapy on chronic low back pain.
The effectiveness and efficacy of Iyengar yoga for chronic low back pain (CLBP) were assessed with intention-to-treat and per-protocol analysis. Ninety subjects were randomized to a yoga (n = 43) or control group (n = 47) receiving standard medical care. Participants were followed 6 months after completion of the intervention. ⋯ Yoga improves functional disability, pain intensity, and depression in adults with CLBP. There was also a clinically important trend for the yoga group to reduce their pain medication usage compared to the control group.
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Somatoform disorders are characterized by patterns of persistent bodily complaints. Organic illness attributions are assumed to represent a central supporting factor in the development and maintenance of somatoform disorders. Using group control design, we aimed to investigate the processing of illness-belief-related word stimuli in somatoform pain disorder patients. ⋯ We conclude that the observed impairment of memory performance in somatoform pain patients with an organic illness attribution may play an important role in the illness behavior of this patient group and ultimately result in the maintenance of symptoms and a more critical clinical outcome.
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The prevalence rate of low back pain in a number of studies ranged from 22% to 65% in one year, and lifetime prevalence ranged from 11% to 84%. Over the years many percutaneous minimally invasive therapeutic modalities have evolved. Intradiscal oxygen-ozone therapy has also showed promising results. ⋯ Similarly the Oswestry disability index showed a remarkable improvement in the functional status of the patients (p<0.05). No major complication was observed in this case series. Oxygen-ozone treatment is highly effective in relieving low back pain due to lumber disc herniation.
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Repeated measures study design. ⋯ A meaningful change in P(n) was defined as 0.14.
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Estimates suggest that, at any one time, 12-33% of the population have back pain. About 5% of a GP's workload involves consultations for the condition, and around 32% of patients who first present with back pain consult again within 3 months. ⋯ Indeed, patients who have been off work with chronic back pain for 1-2 years are unlikely to return to any form of work in the foreseeable future, whatever treatment they receive. Here we discuss the place of non-drug management for patients with the condition.