Articles: low-back-pain.
-
Randomized Controlled Trial Multicenter Study Clinical Trial
Local and remote sustained trigger point therapy for exacerbations of chronic low back pain. A randomized, double-blind, controlled, multicenter trial.
A randomized, double-blind, controlled, multicenter trial was conducted. ⋯ Neuroreflexotherapy intervention seems to be a simple and effective treatment for rapid amelioration of pain episodes in patients with chronic low back pain. At this time, the duration of pain relief beyond 45 days has not been evaluated.
-
Seventy-one patients with low back pain were examined by two physiotherapists (50 patients) and two physicians (21 patients). The two physiotherapists had worked together for many years, but the two physicians had not. The interexaminer reliability of the clinical tests included in the physical examination was evaluated. ⋯ On the basis of the physiotherapists series, the reliability was acceptable for a number of clinical tests that are used in the evaluation of patients with low back pain. The results suggest that clinical tests should be standardized to a much higher degree than they are today.
-
Int J Psychophysiol · Apr 1997
Clinical TrialSomatotosensory evoked potentials during baroreceptor stimulation in chronic low back pain patients and normal controls.
Nineteen chronic low back pain patients (aged 19-63) and 17 controls (aged 20-41) received electrical pain stimuli during manipulation of their carotid baroreceptors. The non-invasive mechanical manipulation of baroreceptors, using the PRES technique (Phase Related External Suction), simulates the end-effects of phasic blood pressure changes. This technique was developed to assess pain responses induced by changes in blood pressure without the typical shortcomings of pharmacological manipulation or lack of a control condition. ⋯ Results showed that lower tonic blood pressures are associated with greater baroreceptor activity amplifying pain, while higher blood pressure is associated with pain dampening during high baroreceptor activity. Data suggested that the differences in pain responses found in low back pain patients were associated with their lower tonic blood pressure levels. It is proposed that in general, lower blood pressures may be associated with greater pain during baroreceptor activation.
-
Zh Vopr Neirokhir Im N N Burdenko · Apr 1997
Case Reports[Transcutaneous radiofrequency destruction of the articular nerves in treating low back pains].
Lumbar pain is a most common suffering which frequently becomes chronic. In the mechanical low back syndrome caused by an abnormality in the intervertebral joints, lumbar pain may be rather easily differentiated from pain induced by to spinal root compression due to discal hernia or intervertebral foramen stenosis. The absence of benefits from conservative treatment of lumbar pain caused by intervertebral joint abnormalities is an indication for the highly effective and low-traumatic surgical technique transcutaneous radiofrequency destruction of intervertebral facette nerves. The technique yields good results in small displacements of the lumbar vertebra which cannot undergo orthopedic interventions, as well as in severe vertebral deformities which cause a higher load on the intervertebral joints.
-
To assess the efficacy of non-steroidal anti-inflammatory drugs (NSAIDs) for low back pain. ⋯ There are flaws in the design of most studies. The pooled odds ratio must be interpreted with caution because the trials at issue, including the high quality trials, did not use identical outcome measures. The results of the 26 randomised trials that have been carried out to date, suggest that NSAIDs might be effective for short-term symptomatic relief in patients with uncomplicated low back pain, but are less effective or ineffective in patients with low back pain with sciatica and patients with sciatica with nerve root symptoms.