Articles: low-back-pain.
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Randomized Controlled Trial Comparative Study Clinical Trial
The effects of spinal flexion and extension exercises and their associated postures in patients with acute low back pain.
A prospective randomized clinical trial compared the effects of flexion and extension back exercises and postures among soldiers with acute low back pain. ⋯ There was no difference for any outcomes between the flexion or extension exercise groups. However, either exercise was slightly more effective than no exercise when patients with acute low back pain were treated.
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Gen Hosp Psychiatry · Nov 1995
The reliability of depression diagnosis in chronic low back pain. A pilot study.
The variability in estimated rates of major depressive disorder (MDD) in chronic pain samples may be accounted for by sample and methodological differences. Most studies rely on a single measure of depression and lack independent or repeated measures. This study investigated the prevalence of psychiatric disorders in a convenience sample of 18 patients disabled by low back pain (LBP) referred to, evaluated, and treated in a comprehensive pain rehabilitation program specifically designed to restore work readiness and return to work. ⋯ Both the SCID and Pain Medicine Evaluation accurately diagnosed the MDD cases they identified; 9 of 13 MDD cases (69%) were precipitated by a physical factor other than their pain. Three episodes of MDD were ruled out by confounding. These findings are discussed in relation to their implications for assessing pain patients for psychiatric comorbidity.
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Arch Phys Med Rehabil · Nov 1995
Case ReportsLumbar-sacral radiculopathy secondary to intraspinal synovial cyst.
The presentation of a patient with acute low back pain and distal radiation to the lower extremities is often attributed to a herniated nucleus pulposus (NHP). The purpose of this report is to illustrate how an intraspinal lumbar synovial cyst can have a similar presentation. ⋯ An intraspinal lumbar synovial cyst can present with symptoms of nerve root compression. Given the presentation of lumbar-sacral radicular symptoms such as radiating pain, muscle weakness, and numbness, surgical excision of the lumbar synovial cyst remains the definitive treatment of choice.
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Meta Analysis
The prevalence of low back pain in the literature. A structured review of 26 Nordic studies from 1954 to 1993.
A systematic review was done for all prevalence studies on low back pain in the Nordic population between 1954 and 1992 that could be identified. ⋯ A more stringent, systematic, and uniform methodologic approach to studying the prevalence (or incidence) of back pain is needed.
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The lumbar zygapophysial joints are a potential cause of back and lower extremity pain. Absolute diagnosis of lumbar zygapophysial joint-mediated pain is based on selective analgesic injections of these joints or their nerve supply. ⋯ A critical review of previous studies assessing the role of diagnostic and potentially therapeutic zygapophysial joint injection procedures is presented. The need for future studies is addressed, and current recommendations for the role of zygapophysial joint injection procedures based on this critical scientific review are provided.