Articles: low-back-pain.
-
J Manipulative Physiol Ther · May 2000
Comparative Study Clinical TrialPatient characteristics, practice activities, and one-month outcomes for chronic, recurrent low-back pain treated by chiropractors and family medicine physicians: a practice-based feasibility study.
Chronic low-back pain is a significant public health problem for which few therapies are supported by predictable outcomes. In this report, practice activities and 1-month outcomes data are presented for 93 chiropractic patients and 45 medical patients with chronic, recurrent low-back pain. ⋯ Patients with chronic low-back pain treated by chiropractors show greater improvement and satisfaction at 1 month than patients treated by family physicians. Nonclinical factors may play an important role in patient progress. Findings from the Health Resources and Services Administration-funded project will include a report on the influence of practice activities, including more frequent visits by chiropractic patients, on the clinical course of low-back pain and patient outcomes. (J Manipulative Physiol Ther 2000;23:239-45).
-
A correlative design using stepwise regression analysis. ⋯ The results of this study strongly support the hypothesis that spinal physical capacity in chronicity is not explained solely by the sensory perception of pain. The anticipation of pain and the fear-avoidance belief about physical activities were the strongest predictors of the variation in physical performance.
-
Clinical Trial
Percutaeous radiofrequency facet rhizotomy--experience with 118 procdedures and reappraisal of its value.
There have been many reports of percutaneous radiofrequency facet rhizotomy, perhaps better referred to as facet denervation, usually performed under general anaesthesia, with inconsistent success rates. ⋯ Percutaneous radiofrequency facet denervation is simple and safe, still worth considering in patients with disabling spinal pain that fails to respond to conservative treatment. The use of general anaesthesia shortens the operating time and the patient's discomfort without impairing success rate.
-
Klinische Pädiatrie · May 2000
Case Reports[Sacral osteoid osteoma--a rare cause of back pain in childhood and adolescence].
Osteoid-osteoma should be included in the differential diagnosis of any young patient with pain in the back. The tumor is the most common cause of painful scoliosis in adolescents. In spite of typical symptoms the diagnosis is often delayed. ⋯ Scintigraphy and computed tomography can establish the diagnosis. Therapeutic procedures are medical treatment, operative excision or percutaneous radiofrequency coagulation. We report the case of a thirteen year old boy who suffered from an osteoid-osteoma in the sacrum.