Articles: low-back-pain.
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Treatment-based classification, one approach to subgrouping patients with "nonspecific" lower back pain, focuses on identifying clusters of findings from the history and clinical examination that predict a more favorable outcome with a specific treatment approach. By matching patients with the appropriate specific exercise, stabilization exercise, spinal manipulation, or traction treatment, providers may expect a high probability of a successful clinical outcome. This article reviews the evidence for various interventions commonly used in the treatment of lower back pain.
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Reg Anesth Pain Med · Jul 2008
Evaluation of magnetic resonance imaging following neuraxial steroid administration: does epidural injection produce pathologic findings?
Infection or hematoma following epidural anesthesia is a rare but potentially devastating complication unless diagnosed early. In order to diagnose spinal cord involvement, the currently recommended imaging test is magnetic resonance imaging (MRI). Despite this, no previous studies have been performed to define typical MRI findings following uneventful epidural injection. The purpose of this pilot study was to compare magnetic resonance images before and after epidural injection to define the characteristic appearance of MRI following an uneventful epidural steroid injection. ⋯ The results of this pilot study demonstrated that after uneventful epidural injection in otherwise healthy patients, there were no new pathologic findings on MRI scans. Further MRI studies in large populations and in different clinical situations should be performed to confirm these preliminary findings.
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Consecutive case series. ⋯ The new technique may offer a safe and effective treatment for intractable SIJ pain.
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J Altern Complement Med · Jul 2008
Randomized Controlled TrialEffect of short-term intensive yoga program on pain, functional disability and spinal flexibility in chronic low back pain: a randomized control study.
The aim of this study was to compare the effect of a short-term intensive residential yoga program with physical exercise (control) on pain and spinal flexibility in subjects with chronic low-back pain (CLBP). ⋯ Seven (7) days of a residential intensive yoga-based lifestyle program reduced pain-related disability and improved spinal flexibility in patients with CLBP better than a physical exercise regimen.