Articles: low-back-pain.
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Facet syndrome is an apparently common although not readily identifiable cause of low back pain. To evaluate the efficacy of corticosteroid facet joint injection for the treatment of low back pain, we retrospectively studied 206 patients with low back pain ascribed to facet syndrome. Effectiveness was evaluated on the basis of a clinical score and of a questionnaire completed 10 to 34 months after treatment. ⋯ These broad ranges denote substantial variations in evaluation criteria and patient selection. Only two placebo-controlled trials have been performed. There is a need for a prospective study with strict inclusion criteria and appropriate evaluation criteria taking quality of life into account to determine the role of facet joint injection in low back pain.
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500 lumbosacral plain x-ray injured patients and 1000 myelography of patients suffering from low back pain and nerve root sign were reviewed to evaluate the rate of transitional lumbosacral vertebra. This anomaly appeared in 4.6% in the normal population. ⋯ The authors consider, that the role of the transitional vertebra is twofold: it can be consider primary in low back and sciatic pain, but in the formation of lumbar disc herniation is secondary. They find the analysis of the lumbosacral plain x-ray is necessary even in cases with CT and MRI.
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Randomized Controlled Trial Clinical Trial
[Neuro-reflexotherapy intervention in the treatment of non specified low back pain: a randomized, controlled, double-blind clinical trial].
Nonspecific low back pain is a very common disorder for which no completely satisfactory treatment has been established. A randomized, double-blind, controlled clinical trial was design to assess the efficacy of neuro-reflexotherapic intervention in the treatment of this condition. ⋯ According to results of this study, neuro-reflexotherapic intervention has proved to be an effective method for treating low back pain.
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Southern medical journal · Nov 1993
Compensation status as a predictor of outcome in nonsurgically treated low back injury.
Whether the compensation status of patients injured in occupational accidents influences treatment outcome remains a controversial issue. This article describes the treatment outcome status of compensated versus noncompensated patients who received comprehensive functional restoration treatment of low back pain in a hospital-based, interdisciplinary, occupational rehabilitation and pain management program. Results of this investigation revealed treatment outcome differences between the two groups in two of three measures at discharge (subjective pain intensity and return-to-work), and outcome differences in one of five measures at 6-month follow-up (subjective pain intensity). Interestingly, significant group differences in return-to-work rates noted at the time of treatment discharge were not found during the follow-up period, with no group outcome difference in return-to-work rates noted at 6-month follow-up.
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J Bone Joint Surg Br · Nov 1993
Repeat decompression of lumbar nerve roots. A prospective two-year evaluation.
In a prospective, consecutive study 93 patients who had had previous lumbar spinal surgery underwent repeat decompression for persistent or recurrent back and leg pain. The previous operations had been discectomies in 65 patients and decompression for spinal stenosis in 28; two of the latter group had also had posterolateral fusion. At the repeat operation, disc herniation was found in 19 patients, lateral spinal stenosis in 19, central spinal stenosis in 20 and periradicular fibrosis in 35. ⋯ Nerve-root compression due to recurrent disc herniation or to bony compression responded well to repeat decompression. In patients with a single nerve-root compression the results were similar to those obtained in primary operations. Sciatica due to nerve-root scarring was seldom improved by the repeat operation.