Articles: low-back-pain.
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Case Reports
Dissociation between back pain and bone stress reaction as measured by CT scan in young cricket fast bowlers.
Bone stress reaction is prevalent among cricket fast bowlers. Few studies have addressed the sensitivity and specificity of imaging for diagnosis, and follow up assessment has been poorly investigated. ⋯ There is dissociation between back pain and bone stress reaction as measured by CT scan. Therefore, CT scan does not provide objective evidence for ongoing management or decision concerning return to sport in cricket fast bowlers.
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Comparative Study
Greater trochanter bursitis pain syndrome in females with chronic low back pain and sciatica.
Trochanteric bursitis is a clinical condition which simulates major hip diseases and low back pain, it may also mimic nerve root pressure syndrome. Patients with greater trochanteric bursitis pain syndrome (GTBPS) usually suffer from pain radiating to the posterolateral aspect of the thigh, paraesthesiae in the legs, and tenderness over the iliotibial tract.. The purpose of this study is to indicate the similarity between the clinical features of the GTBPS and those of chronic low back pain, and to highlight the importance of diagnosing GTBPS in patients complaining of low back conditions. ⋯ GTBPS is easy to diagnose and can be treated. Peritrochanteric infiltration with glucocorticoids mixed with 2% lidocaine relieves patients from their symptoms for a long period of time. Recurrence should always be expected, but treatment may be repeated.
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To describe the presence of musculoskeletal co-morbidity of the neck and upper extremities among industrial workers with low back pain, and to examine whether it has an impact on healthcare utilisation and sickness absence for low back pain. ⋯ This study provides no evidence that musculoskeletal co-morbidity of the neck and upper extremities influences the choice to seek care or take sick leave due to low back pain among industrial manual workers. For occupational health practitioners the finding of a high co-morbidity is important to consider when implementing workplace interventions aimed at the reduction of specific musculoskeletal complaints, since the controls for one musculoskeletal complaint may impact adversely on another musculoskeletal complaint. Researchers who perform low back pain intervention studies using generic health measures, should take into account the impact of musculoskeletal co-morbidity on these measures.
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Pain in normal labour can be relieved using many non-pharmacological methods including:- Techniques that reduce painful stimuli: Assuming various upright positions to ease the pain, encourage labour progress and increase the diameter of the pelvis. Techniques that activate peripheral sensory receptors: Of the various techniques used, intradermal injection of sterile water (ISW) results in over 50% of pain relief compared to 18% in the 'dry needling' group, Dahl V., Aarmes T. One RCT concluded that ISW is more effective than TENS for relieving low back pain in labour. Two trials, Erkkola et al and Bundsen et al found that mothers using TENS received good to moderate pain relief 48%: 37% and 31%: 55%. There were no ill effects produced in the newborn infant. The use of essential oils, lavender, frankincense and rose for relief of anxiety and fear were favourably reported by E. Burn et al. Also for the effectiveness rating of pain by parity and labour onset more women recorded a positive or equivocal score than a negative one. The use of Active Birth embraces many methods of non-pharmacological pain relief including using a humane approach and providing continuous emotional support by a companion or caregiver throughout labour. Two Bangkok hospitals, using Active Birth, showed a marked reduction in the use of pharmacological pain relief. ⋯ Pharmacological methods to help alleviate the pain of labour should only be used as a last resort.
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Randomised controlled trial of physiotherapy compared with advice for low back pain.
To measure the effectiveness of routine physiotherapy compared with an assessment session and advice from a physiotherapist for patients with low back pain. ⋯ Routine physiotherapy seemed to be no more effective than one session of assessment and advice from a physiotherapist.