Articles: low-back-pain.
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A retrospective review of prospectively collected data. ⋯ 4.
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Validation study with cross-sectional and longitudinal measurements. ⋯ N/A.
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Chronic low back pain (LBP) is a common musculoskeletal impairment in people with lower limb amputation. Given the multifactorial nature of LBP, exploring the factors influencing the presence and intensity of LBP is warranted. ⋯ II.
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Comparative Study
Comparison of spatial summation properties at different body sites.
The nociceptive system appears to have evolved a range of protective characteristics that are of great interest in understanding both acute and chronic pain. Spatial summation is one important characteristic, whereby increasing area of a stimulus, or distance between multiple stimuli, results in more intense pain-not only greater area of pain. One of the mysteries of chronic pain is why spinal pain is so prevalent relative to pain at other sites. Since pathological tissue models have failed to fully explain spinal pain, we theorized that body region specific differences in sensory processing-such as a greater propensity for spatial summation-may help to explain its vulnerability. We aimed to examine this by comparing the properties of summation at different body parts: the dorsal forearm, neck, and back. ⋯ While data from this project suggest that there are no regional differences in the properties of spatial summation of noxious stimuli, regional differences in other characteristics of the nociceptive system may yet provide insight into why some spinal pain is so highly prevalent; nociceptive distance-based summation may be highly relevant where two or more conditions co-exist in close proximity.
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J Orthop Sports Phys Ther · Oct 2017
Case ReportsLumbar Spine Osteomyelitis in an Adolescent Girl With Nonspecific Low Back Pain.
A 13-year-old adolescent girl presented to the emergency department with low back pain of acute onset after bending forward. Lumbar spine radiographs were taken and found to be unremarkable, and the patient was referred to physical therapy. ⋯ Further testing and bone biopsy confirmed osteomyelitis. J Orthop Sports Phys Ther 2017;47(10):814. doi:10.2519/jospt.2017.6883.