Articles: low-back-pain.
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Arch Phys Med Rehabil · Mar 2003
Randomized Controlled Trial Multicenter Study Clinical TrialContinuous low-level heatwrap therapy for treating acute nonspecific low back pain.
To evaluate the efficacy of 8 hours of continuous low-level heatwrap therapy for the treatment of acute nonspecific low back pain (LBP). ⋯ Continuous low-level heatwrap therapy was shown to be effective for the treatment of acute, nonspecific LBP.
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Clinical Trial
Challenges to early prevention and intervention: personal experiences with adherence.
To describe potential adherence-related difficulties encountered in the implementation of a secondary prevention, early intervention study with acute low back pain patients. An additional goal is to provide recommendations, based on the authors' experience, on how best to overcome these potential obstacles for future research. ⋯ Potential difficulties are discussed in the contextual framework of treatment adherence and factors affecting it, including the impact of personality factors, satisfaction, comprehension, side effects, financial issues, length of treatment, type of regimen, social issues, patient beliefs, and biologic factors. It is hoped that the present authors' experience will enable future investigators to anticipate these common problems, and structure their research endeavors accordingly.
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Reg Anesth Pain Med · Mar 2003
Lateral branch blocks as a treatment for sacroiliac joint pain: A pilot study.
Pain arising from the sacroiliac (SI) joint is a common cause of low back pain for which there is no universally accepted, long-term treatment. Previous studies have shown radiofrequency (RF) procedures to be an effective treatment for other types of spinal pain. The purpose of this study was to determine the efficacy of reducing SI joint pain by percutaneous RF lesioning of the nerves innervating the SI joint. ⋯ In patients with SI joint pain who respond to L4-5 dorsal rami and S1-3 LBB, RF denervation of these nerves appears to be an effective treatment. Randomized, controlled trials are needed to further evaluate this procedure.
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The literature on the efficacy of traction in the treatment of low back pain (LBP) is conflicting. The aim of this study was to examine its efficacy in this disorder. Forty-two patients with at least 6 weeks of nonspecific LBP were selected. ⋯ Pain and global improvement were also better in this group, but the difference was not statistically significant. In conclusion, no specific effect of traction on standard physical therapy was observed in our study group. We suggest focusing on back education and exercise therapy in the management of patients suffering from this chronic condition.
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Arch Phys Med Rehabil · Mar 2003
Randomized Controlled Trial Multicenter Study Clinical TrialOvernight use of continuous low-level heatwrap therapy for relief of low back pain.
To evaluate of the efficacy and safety of 8 hours of continuous, low-level heatwrap therapy administered during sleep. ⋯ Overnight use of heatwrap therapy provided effective pain relief throughout the next day, reduced muscle stiffness and disability, and improved trunk flexibility. Positive effects were sustained more than 48 hours after treatments were completed.