Articles: low-back-pain.
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To identify core elements of what patients with chronic low back pain perceive as good clinical communication and interaction with a specialist ("The Good Back-Consultation"). ⋯ The findings may represent an important potential for enhancing clinical communication with patients.
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Radiofrequency neurotomies are used to help reduce pain caused by structures innervated by the medial branch of the dorsal spinal nerve. The duration of effect may vary proportionally to the length of nerve coagulated. Techniques used to maximize the length of nerve within the radius of maximal heat include making multiple lesions, using larger needles, positioning the exposed needle parallel to the target nerve, and attempting more precise placement using 50 hertz test stimulation. A variation of the technique uses two needles that are simultaneously placed to lie parallel to one another and parallel to the probable area the target nerve is known to traverse. Heating both needles at the same time would be a faster method that theoretically might also include more tissue within the heating radius of the needle lengths. ⋯ This research confirms the efficacy of utilizing two needle electrodes during lumbar facet rhizotomy in an experimental model. Heating the two electrodes sequentially appears to coagulate a wider area and thus would be more likely to include a longer length of the target nerve and thus potentially could achieve better results in less time.
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Review Meta Analysis
Spa therapy and balneotherapy for treating low back pain: meta-analysis of randomized trials.
Low back pain is a major public health concern and complementary treatments are frequently used for this condition. The objective of this systematic review and meta-analysis was to assess the evidence for or against the effectiveness of spa therapy and balneotherapy for treating low back pain. ⋯ Even though the data are scarce, there is encouraging evidence suggesting that spa therapy and balneotherapy may be effective for treating patients with low back pain. These data are not compelling but warrant rigorous large-scale trials.
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Randomized Controlled Trial Comparative Study Clinical Trial
Topiramate in treatment of patients with chronic low back pain: a randomized, double-blind, placebo-controlled study.
Chronic low back pain (CLBP) is a widespread ailment. The aim of this study was to assess the efficacy of topiramate in the treatment of CLBP and the changes in anger status and processing, body weight, subjective pain-related disability and health-related quality of life during the course of treatment. ⋯ Topiramate seems to be a relatively safe and effective agent in the treatment of CLBP. Significantly positive changes in pain sensitivity, anger status and processing, subjective disability, health-related quality of life, and loss of weight were observed.
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J Orthop Sports Phys Ther · Jul 2006
Randomized Controlled TrialPilates-based therapeutic exercise: effect on subjects with nonspecific chronic low back pain and functional disability: a randomized controlled trial.
A randomized controlled trial, prestest-posttest design, with a 3-, 6-, and 12-month follow-up. ⋯ The individuals in the specific-exercise-training group reported a significant decrease in LBP and disability, which was maintained over a 12-month follow-up period. Treatment with a modified Pilates-based approach was more efficacious than usual care in a population with chronic, unresolved LBP.