Articles: low-back-pain.
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J Pain Palliat Care Pharmacother · Jan 2004
Case ReportsModafinil for the treatment of pain-associated fatigue: review and case report.
Fatigue is a symptom that is frequently found in chronic pain patients with low back pain and/or neck pain. At the present time, no specific psychopharmacological treatment for this problem has been identified. Modafinil is a wakefulness-promoting agent that the FDA has approved for the treatment of excessive daytime sleepiness associated with narcolepsy. ⋯ This case is described. It is the first such case report in the literature. The significance of this finding to the treatment of pain-associated fatigue is discussed.
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Few empirical data are available that document changes in population-based rates for the evaluation and treatment of nonspecific back pain. ⋯ The national pattern of health care for nonspecific low back pain observed in the present study serves as a basis for future investigations into the management of this major public health problem. Findings suggest that perhaps a duplication of care is partly responsible for the high degree of health care utilization in this population.
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Comparative Study
Effects on sick-leave of a multidisciplinary rehabilitation programme for chronic low back, neck or shoulder pain: comparison with usual treatment.
To test the outcome of active multidisciplinary treatment in an outpatient setting upon sick-leave status among patients with neck, shoulder and low back pain. ⋯ Long-term effects of active multidisciplinary treatment were superior to treatment as usual in all diagnostic groups.
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Zh Vopr Neirokhir Im N N Burdenko · Jan 2004
Clinical Trial[Percutaneous laser denervation of the zygapophyseal joints in the pain facet syndrome].
Percutaneous laser denervation of archoappendicular joints in spinal pain was made in 15 patients from a study group. Percutaneous high-frequency denervation of archoappendicular joints was performed in a control group consisting of 15 patients with facet syndrome. A preoperative protocol for each patient included at least two diagnostic segmental blocks. ⋯ The similar results were obtained in the control group. There were no postoperative infectious complications in the patients of both groups; transient pain dysesthesia was registered in one case. The findings have led to the conclusion that laser denervation of archoappendicular joints is effective in the pain facet syndrome.
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J Occup Environ Hyg · Jan 2004
Risk factors for work-related low back pain in registered nurses, and potential obstacles in using mechanical lifting devices.
Back pain disability is a serious and costly problem affecting the nursing profession. The purposes of this study were to determine risk factors for work-related low back pain (WRLBP) in registered nurses and to record the reported use or reasons for nonuse of mechanical lifts. Our hypothesis was that workers who attributed the cause of WRLBP to their own actions would be knowledgeable about back safety, would be more likely to use lifts, and would report less WRLBP. ⋯ Among the risk factors significantly associated with WRLBP were more years worked in nursing, frequent lifting, and low social support. Only 11% reported that they routinely used mechanical lifting devices, and the primary reason given for failure to use lifting equipment was unavailability of equipment. The reasons for the lack of use of mechanical lifts should be investigated and addressed.