Articles: low-back-pain.
-
A 15-year follow-up study. ⋯ Findings showed that the strongest prognostic indicators of later sick-listing because of low back trouble involve information from the person about previous sick-listing behavior in general and previous experience of low back trouble episodes, especially if these had been accompanied by sciatic pain, use of analgesics, or previous low back trouble sick-listing.
-
Confusion surrounding low back pain syndrome may partially be resolved in a select small group of patients by instituting a provocative intraarticular injection of a combination of a local anesthetic and a steroid. This approach enables one to determine whether the sacroiliac joint (SIJ) is the site of origin of the low back pain syndrome. We carried out a study of 71 computed tomography (CT)-guided injections in 58 patients with noninflammatory etiology. ⋯ The effect wore off in 2-14 days in 90% of the patients. We conclude that CT guidance is the best method of precise needle placement, and thus CT-guided anesthetic injection is the most specific confirmatory test for diagnosing the SIJ arthritis. In addition, in noninflammatory conditions, the role of intraarticular injection is primarily for diagnostic purposes and it has little or no therapeutic benefit.
-
Randomized Controlled Trial Clinical Trial
Randomised controlled trial of exercise for low back pain: clinical outcomes, costs, and preferences.
To evaluate effectiveness of an exercise programme in a community setting for patients with low back pain to encourage a return to normal activities. ⋯ The exercise class was more clinically effective than traditional general practitioner management, regardless of patient preference, and was cost effective.
-
A systematic review of the epidemiologic literature on smoking and low back pain. ⋯ Presently, smoking should be considered a weak risk indicator and not a cause of low back pain.