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Journal articles on the topic 'Chronic lower back pain'

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Author: Grafiati

Published: 10 December 2022

Last updated: 20 February 2023

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1

Wirick, Dawn M., and Lee A. Teufel-Prida. "Chronic Lower Back Pain." Family Journal 26, no. 1 (January 2018): 86–89. http://dx.doi.org/10.1177/1066480718756845.

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Chronic lower back pain is a major health concern involving physical, financial, and social costs for many patients and their family members. Contemporary pain management is guided by the biopsychosocial model in which a professional counselor can contribute to recovery through integrated behavioral health care. Cognitive behavioral therapy (CBT) and behavioral activation interventions are effective in breaking the cycle of chronic pain. Successful outcomes involve partners and family members in CBT, education, and structural family interventions. A case study is presented to examine thoughts and feelings associated with chronic lower back pain. CBT and family interventions contribute to recovery of functions, meaningful roles, and health in relationships.

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2

Alemo, S., and A. Sayadipour. "Chronic Mechanical Lower Back Pain." Regional Anesthesia and Pain Medicine 33, Sup 1 (September 2008): e194. http://dx.doi.org/10.1097/00115550-200809001-00375.

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3

Mirza, Raoof R. "The Relation Between Lower Spinal Congenitalanomalies and Chronic Low Back Pain." Journal of Zankoy Sulaimani - Part A 4, no. 2 (September 19, 2000): 19–27. http://dx.doi.org/10.17656/jzs.10076.

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4

Vyshlova, Irina, Sergey Karpov, Anton Shatokhin, and Anastasia Raevskaya. "Reflexotherapy and chronic lower back pain." Journal of the Neurological Sciences 429 (October 2021): 118639. http://dx.doi.org/10.1016/j.jns.2021.118639.

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5

Singh Joy, Subhashni D. "Predictors of Chronic Lower Back Pain." AJN, American Journal of Nursing 110, no. 11 (November 2010): 56. http://dx.doi.org/10.1097/01.naj.0000390528.29561.5c.

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6

Alemo, S., and A. Sayadipour. "148. Chronic Mechanical Lower Back Pain." Regional Anesthesia & Pain Medicine 33, Suppl 1 (September 2008): e194.2-e194. http://dx.doi.org/10.1136/rapm-00115550-200809001-00375.

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ALEMO, S., and A. SAYADIPOUR. "148: Chronic Mechanical Lower Back Pain." Regional Anesthesia and Pain Medicine 33, no. 5 (September 2008): e194-e194. http://dx.doi.org/10.1016/j.rapm.2008.07.390.

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8

Alpert, Patricia T. "Management of Chronic Lower Back Pain." Home Health Care Management & Practice 26, no. 2 (October 3, 2013): 114–16. http://dx.doi.org/10.1177/1084822313505199.

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&NA;. "Duloxetine significantly reduces chronic lower back pain,." Inpharma Weekly &NA;, no. 1653 (August 2008): 12. http://dx.doi.org/10.2165/00128413-200816530-00037.

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10

Gevirtz, Richard N., David R. Hubbard, and R. Edward Harpin. "Psychophysiologic treatment of chronic lower back pain." Professional Psychology: Research and Practice 27, no. 6 (December 1996): 561–66. http://dx.doi.org/10.1037/0735-7028.27.6.561.

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11

amir, Seyed. "Intervertebral Surgical Disc Management: A Systemic Review of Treatment of Chronic Lower Back Pain." Spinal Diseases and Research 1, no. 2 (September 24, 2018): 01–02. http://dx.doi.org/10.31579/jsdr.2018/009.

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12

Jastrzębska, Ilona, Magdalena Kołodziej, and Halina Piecewicz-Szczęsna. "Acupuncture as complementary treatment for lower back pain." Journal of Education, Health and Sport 12, no. 8 (July 2, 2022): 179–84. http://dx.doi.org/10.12775/jehs.2022.12.08.017.

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Abstract Introduction: Lower back pain is one of the most common disorders in the world. Acupuncture is one the methods of treatment, but its efficiency is still researched. Aim of the study: To verify the effectiveness of acupuncture on low back pain. Material and Methods: Search of the PubMed database using the following keywords: acupuncture, lower back pain. Only full-length articles were taken into consideration. Results: The studies show that acupuncture is effective in the treatment of chronic low back pain and is not inferior to the usual care. However its efficiency in treatment of acute low back pain is not satisfactory and patients still require additional pharmacotherapy. Conclusion: Acupuncture is efficient in the treatment of chronic low back pain, however more research is needed on its efficiency in treatment of acute low back pain. Keywords: acupuncture, lower back pain

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Bernardo, Wanderley M., Roberto Del Valhe Abi Rached, Chennyfer Dobbins Paes da Rosa, Fabio Marcon Alfieri, Silvia Maria Camillo Amaro, Bruno Nogueira, Luciana Dotta, Marta Imamura, Linamara Rizzo Battistella, and Nathalia Carvalho de Andrada. "Update on chronic nonspecific lower back pain: rehabilitation." Revista da Associação Médica Brasileira 60, no. 1 (February 2014): 3. http://dx.doi.org/10.1590/1806-9282.60.01.003.

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14

Ismail Bakr, Kermanj, and Israa Mohammed Sadiq. "Lumbosacral MRI Findings in Chronic Lower Back Pain." Indian Journal of Public Health Research & Development 11, no. 2 (February 1, 2020): 1278. http://dx.doi.org/10.37506/v11/i2/2020/ijphrd/194997.

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Bakr, Kermanj Ismail, Israa Mohammed Sadiq, and Saman Anwer Nooruldeen. "Lumbosacral MRI Findings in Chronic Lower Back Pain." Indian Journal of Public Health Research & Development 11, no. 1 (January 1, 2020): 1206. http://dx.doi.org/10.37506/v11/i1/2020/ijphrd/194005.

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16

Austin, Adam, Patrick R. Martone, and Prashant Kaushik. "Chronic lower back pain in a young adult." International Journal of Rheumatic Diseases 19, no. 9 (February 18, 2016): 929–31. http://dx.doi.org/10.1111/1756-185x.12833.

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Bakr, Kermanj Ismail, Israa Mohammed Sadiq, and Saman Anwer Nooruldeen. "Lumbosacral MRI Findings in Chronic Lower Back Pain." Indian Journal of Public Health Research & Development 10, no. 11 (2019): 2035. http://dx.doi.org/10.5958/0976-5506.2019.03856.7.

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18

ROY, SERGE H., CARLO J. DE LUCA, and DAVID A. CASAVANT. "Lumbar Muscle Fatigue and Chronic Lower Back Pain." Spine 14, no. 9 (September 1989): 992–1001. http://dx.doi.org/10.1097/00007632-198909000-00014.

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19

Srivastava, Sarandha, Prerak Yadav, Bharat Panchal, Ashok Vala, Imran ratnani, and Pushpa Khania. "Association of depression and chronic lower-back pain." Archives of Psychiatry and Psychotherapy 20, no. 4 (December 12, 2018): 37–46. http://dx.doi.org/10.12740/app/94399.

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20

Waisbrod, H., J. U. Krainick, and H. U. Gerbershagen. "Sacroiliac joint arthrodesis for chronic lower back pain." Archives of Orthopaedic and Traumatic Surgery 106, no. 4 (June 1987): 238–40. http://dx.doi.org/10.1007/bf00450461.

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21

Varallo, Giorgia, Emanuele Maria Giusti, Federica Scarpina, Roberto Cattivelli, Paolo Capodaglio, and Gianluca Castelnuovo. "The Association of Kinesiophobia and Pain Catastrophizing with Pain-Related Disability and Pain Intensity in Obesity and Chronic Lower-Back Pain." Brain Sciences 11, no. 1 (December 24, 2020): 11. http://dx.doi.org/10.3390/brainsci11010011.

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Individuals affected by chronic lower-back pain and obesity have an increased risk of long-lasting disability. In this study, we aimed to explore the contribution of kinesiophobia and pain catastrophizing in explaining pain intensity and pain-related disability in chronic lower-back pain associated to obesity. A cross-sectional study on 106 participants with obesity and chronic lower-back pain was performed. We assessed pain intensity, pain disability, pain catastrophizing, and kinesiophobia levels through self-reporting questionnaire. Hierarchical regressions were performed to assess the role of pain catastrophizing and kinesiophobia on pain intensity and pain disability. According to the results, kinesiophobia, but not pain catastrophing, significantly explained both pain intensity and pain-related disability. Kinesiophobia might play a significant role in enhancing pain-related disability and the pain intensity in individuals with chronic lower-back pain and obesity. We encourage future studies in which beliefs and cognition towards pain might be a therapeutic target in interdisciplinary pain management interventions.

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22

Trigkilidas, Dionysios. "Acupuncture therapy for chronic lower back pain: a systematic review." Annals of The Royal College of Surgeons of England 92, no. 7 (October 2010): 595–98. http://dx.doi.org/10.1308/003588410x12699663904196.

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INTRODUCTION Chronic low back pain is a common condition affecting a significant proportion of the population and has large economic implications on the society. Acupuncture has grown in popularity as an alternative therapy for chronic low back pain. Recent National Institute for Health and Clinical Excellence (NICE) guidelines on low back pain offer a course of acupuncture as a baseline treatment option according to patient preference. The aim of this systematic review was to evaluate if this treatment option is justified in view of recent evidence available on the efficacy of acupuncture. MATERIALS AND METHODS Studies included were identified by a PubMed search for relevant, randomised, controlled trials on the 23 July 2009. A systematic review was performed. RESULTS Fifteen randomised controlled trials were identified. Of these, four met the eligibility criteria and were critically appraised. These trials suggest acupuncture can be superior to usual care in treating chronic low back pain, especially, when patients have positive expectations about acupuncture. CONCLUSIONS NICE guidelines of a course of acupuncture, offered according to patient preference as a treatment option for chronic low back pain, are justified.

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23

KIREEV, S. I., and N. V. KIREEVA. "BOTULINUM TOXIN THERAPY FOR NONSPECIFIC CHRONIC LOWER-BACK PAIN." Department Of Traumatology And Orthopedics 2, no. 40 (2020): 12–15. http://dx.doi.org/10.17238/issn2226-2016.2020.2.12-15.

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24

Ruan, Qing Zhao, and Grant H. Chen. "Hypnosis As A Therapy for Chronic Lower Back Pain." Current Pain and Headache Reports 26, no. 1 (January 2022): 65–71. http://dx.doi.org/10.1007/s11916-022-01004-2.

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25

Smit, Tracey E., and Ron Harrison. "Hydrotherapy and chronic lower back pain: A pilot study." Australian Journal of Physiotherapy 37, no. 4 (1991): 229–34. http://dx.doi.org/10.1016/s0004-9514(14)60543-2.

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26

Kobayashi, Daiki, Takuro Shimbo, Hana Hayashi, and Osamu Takahashi. "Shiatsu for chronic lower back pain: Randomized controlled study." Complementary Therapies in Medicine 45 (August 2019): 33–37. http://dx.doi.org/10.1016/j.ctim.2019.05.019.

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27

Kulkarni, J., W. J. Gaine, J. G. Buckley, J. J. Rankine, and J. Adams. "Chronic low back pain in traumatic lower limb amputees." Clinical Rehabilitation 19, no. 1 (February 2005): 81–86. http://dx.doi.org/10.1191/0269215505cr819oa.

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28

Watters, William C., Daniel K. Resnick, Jason C. Eck, Zoher Ghogawala, Praveen V. Mummaneni, Andrew T. Dailey, Tanvir F. Choudhri, et al. "Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 13: Injection therapies, low-back pain, and lumbar fusion." Journal of Neurosurgery: Spine 21, no. 1 (July 2014): 79–90. http://dx.doi.org/10.3171/2014.4.spine14281.

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The medical literature continues to fail to support the use of lumbar epidural injections for long-term relief of chronic back pain without radiculopathy. There is limited support for the use of lumbar epidural injections for shortterm relief in selected patients with chronic back pain. Lumbar intraarticular facet injections are not recommended for the treatment of chronic lower-back pain. The literature does suggest the use of lumbar medial nerve blocks for short-term relief of facet-mediated chronic lower-back pain without radiculopathy. Lumbar medial nerve ablation is suggested for 3–6 months of relief for chronic lower-back pain without radiculopathy. Diagnostic medial nerve blocks by the double-injection technique with an 80% improvement threshold are an option to predict a favorable response to medial nerve ablation for facet-mediated chronic lower-back pain without radiculopathy, but there is no evidence to support the use of diagnostic medial nerve blocks to predict the outcomes in these same patients with lumbar fusion. There is insufficient evidence to support or refute the use of trigger point injections for chronic lowerback pain without radiculopathy.

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29

Siagian, Bernath, Ambar W. Roestam, Dewi S. Soemarko, Sudadi Hirawan, Indah S. Widyahening, and Suryo Wibowo. "Chronic Lower Back Pain and Its Relationship with Vibration Exposure and Sitting Duration; A Cross-Sectional Study Among Commercial Motorcycle Driver." Indonesian Journal of Community and Occupational Medicine 1, no. 3 (March 25, 2022): 154–61. http://dx.doi.org/10.53773/ijcom.v1i3.30.154-61.

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Background: Lower back pain (LBP) complaints are a health issue that may lead to restrictions on work activities. Motorcycles vibrations and long sitting duration on the motorcycles can cause chronic lower back pain complaints. Base motorcycles drivers receive motorcycles vibration exposure while riding a motorcycle. With the large number of base motorcycles drivers in Indonesia, the specific health problems (LBP complaints) in this group need to be examined.Methods: This research method uses a cross sectional study design to examine the relationship of motor vibration exposure and length of sitting to chronic low back pain with sampling technique used is Consecutive sampling. Consecutive sampling is a way of taking samples by selecting samples that meet the inclusion criteria until a certain time period so that the number of samples is met. The sampling period in this study is 2 days. The variables that measured were chronic lower back pain complaints, vibration, long sitting time, age, IMT, smoking, and working time. Data analysis using SPSS Statistics version 25.0. Results: A total of 95 subjects were included in this study. Based on Fisher’s test, the result of the correlation of chronic lower back pain complaints with motor vibrations > 0.5 m/s2 was obtained p = 0.102; OR = N / A). While for long sitting time of >4 hours result in p = 0.717; OR 0.85; CI 95% = 0.34-2.09. There is no difference in age-related chronic lower back pain complaints. At age> 35 years of age p = 0.722; OR 1.57; CI 95% = 0.31-7,9. No significant association between IMT and chronic lower back pain was found. In the IMT group> 25, p = 0.103 was obtained; OR 2.14; 95% CI = 0.85-5.36. There was no significant difference in chronic lower back pain complaints based on smoking status, where smoking group had p = 0.451; OR 1,45; CI 95% = 0.55-3.78. According to the Fisher test, there was no difference in chronic lower back pain complaints based on working age, where groups with> 4 years of work had a p = 0.908 value; OR 1.07; CI 95% = 0.31-3.91. Conclusion: In this study the hypothesis was rejected. There is no association between motorcycles vibration exposure and the occurrence of chronic lower back pain complaints in the base motorcycles driver in Bekasi city. There is no association long sitting time with the occurrence of chronic lower back pain complaints in the base motorcycles driver in Bekasi city.

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Rodrigues, Claudiane Pedro, Rubens Alexandre da Silva, Elias Nasrala Neto, Rodrigo Antonio Carvalho Andraus, Marcos Tadeu Parron Fernandes, and Karen Barros Parron Fernandes. "ANALYSIS OF FUNCTIONAL CAPACITY IN INDIVIDUALS WITH AND WITHOUT CHRONIC LOWER BACK PAIN." Acta Ortopédica Brasileira 25, no. 4 (August 2017): 143–46. http://dx.doi.org/10.1590/1413-785220172504156564.

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ABSTRACT Objective: The objective of this study was to analyze the functional status of adult and older adult individuals with lower back pain . Methods: Eighty-three individuals were recruited, 42 older adults (20 with lower back pain and 22 control group) and 41 younger adults (21 with lower back pain and 20 control group). Functional capacity was assessed using the following tests: Timed Up and Go (TUG), Five Times Sit-to-Stand (FTSTS), six-minute walking test (SMWT), and sitting-rising test (SRT) . Results: In the younger adults, there was no difference in functional capacity between the groups (p>0.05). On the other hand, when statistical analysis was adjusted using body mass index (BMI) as a covariate, the lower back pain group performed more poorly on the SRT (p<0.004). Furthermore, poorer physical capacity was seen in the older adults with back pain via the SRT test (p=0.001), and when the BMI was adjusted, a statistical difference was seen in the SRT as well as the SMWT (p<0.05) . Conclusion: Older individuals with lower back pain have poorer physical performance, and the sitting-rising test is the most discerning for assessment of functional status in individuals with lower back pain. Level of Evidence III, Retrospective Comparative Study.

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31

Altug, Ziya. "Lifestyle Medicine for Chronic Lower Back Pain: An Evidence-Based Approach." American Journal of Lifestyle Medicine 15, no. 4 (July 2021): 425–33. http://dx.doi.org/10.1177/1559827620971547.

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Lower back pain is a leading cause of work absence and activity limitations globally, with a 60% to 85% lifetime chance of occurrence. This article highlights the role that lifestyle medicine plays in managing lower back pain as a cost-effective intervention strategy. It is suggested that lifestyle medicine strategies, such as incorporating whole foods and a plant-based diet, sustainable physical activity and mind-body exercises, restorative sleep, stress resiliency, awareness and mitigation of substance abuse and addiction, and establishing meaningful social networks and self-care strategies, be a part of managing chronic lower back pain.

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32

Golovacheva, V. A., and A. I. Isaikin. "Chronic lower back pain: diagnosis and current principles of therapy." Neurology, Neuropsychiatry, Psychosomatics 11, no. 4 (December 8, 2019): 147–52. http://dx.doi.org/10.14412/2074-2711-2019-4-147-152.

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Chronic nonspecific lower back pain (LBP) is one of the most common causes of adult disability. The chronic course of back pain is often supported by the patient's unhealthy lifestyle and the use of ineffective treatments. The combination of cognitive behavioral therapy, therapeutic exercises, gradually increased physical activity, and rational pharmacotherapy are effective in most cases of chronic non-specific LBP. In this disease, nonsteroidal anti-inflammatory drugs (NSAIDs) are the first-choice drugs that should be prescribed in a short cycle. The choice of NSAIDs is determined by the presence of concurrent diseases in the patient and by the risk of developing adverse events. The paper discusses the efficacy and safety of meloxicam in non-specific NSAIDs.

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Muccio, Philip, Josh Schueller, Miriam van Emde Boas, Norm Howe, Edward Dabrowski, and David Durrant. "Therapeutic Effectiveness of AxioBionics Wearable Therapy Pain Management System in Patients with Chronic Lower Back Pain." Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders 14 (January 2021): 117954412199377. http://dx.doi.org/10.1177/1179544121993778.

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Chronic lower back pain is one of the most common medical conditions leading to a significant decrease in quality of life. This study retrospectively analyzed whether the AxioBionics Wearable Therapy Pain Management (WTPM) System, a customized and wearable electrical stimulation device, alleviated chronic lower back pain, and improved muscular function. This study assessed self-reported pain levels using the visual analog scale before and during the use of the AxioBionics WTPM System when performing normal activities such as sitting, standing, and walking (n = 69). Results showed that both at-rest and activity-related pain were significantly reduced during treatment with the AxioBionics WTPM System (% reduction in pain: 64% and 60%, respectively; P < .05). Thus, this study suggests that the AxioBionics WTPM System is efficacious in treating chronic lower back pain even when other therapies have failed to sufficiently decrease reported pain levels.

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34

Kušljugić, Ademir, Suada Kapidžić-Duraković, Zijada Kudumović, and Amela Čičkušić. "Chronic Low Back Pain in Individuals with Lower-limb Amputation." Bosnian Journal of Basic Medical Sciences 6, no. 2 (May 20, 2006): 67–70. http://dx.doi.org/10.17305/bjbms.2006.3177.

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Low back pain (LBP) is a common condition in individuals which experienced psychology and physical trauma. LBP is usually found in persons with lower-limb amputation (LLA), as the most common sign of somatisation or inappropriately made prostheses. Our goal was to investigate cases of chronic pain syndrome in persons with LLA and to determine factors, which influence their functional inability due to LBP. Pain after LLA has been studied. 37 persons, including 26 war veterans (70.2 %) and 11 (29.8 %) civilians with LLA due to an illness, were examined. All participants gave their informed consent and filled Oswestry index of disability due to chronic LBP, divided into 10 sections with 6 questions each, with marks in the range 0-5. The average age of 37 analyzed participants with LLA was 46.2+-10.92 years. 30 participants (81.1 %) were married, 4 (10.8 %) were single and 3 (8.1 %) were widows. 27 (73.0 %) participants had below the knee amputation, 5 (13.5 %) had above the knee amputation and 5 (13.5 %) had foot amputation. 33 (89.6 %) participants experienced chronic LBP in the last 2-10 years and 4 (10.8 %) did not have pains. According to Oswestry index for chronic pain higher level of social functionality was found in civilian amputees than in war veterans (p<0.05). Married civilian amputees have higher level of disability during seating (p<0.01), sleeping (p<0.01) and traveling (p<0.05). Higher level of social disorder among civilian amputees is due to the fact that they belong to older group of participants which usually have social integration at the lower degree. More serious problems during seating, traveling and sleeping among this group are probably due to co morbidity. Chronic LBP was found among 89.6 % of the participants. Higher level of social disorder, problems during seating, traveling and sleeping were identified in the civilian amputees and the married participants.

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35

Vasconcellos, Marcelo Henrique Oliveira de, Ramon Diego Santana da Silva, Sheila Maria Bispo dos Santos, José Reynaldo de Carvalho Merlo, and Tatiana Maíta Alves Conceição. "The Pilates® Method in the treatment of lower back pain." Fisioterapia em Movimento 27, no. 3 (September 2014): 459–67. http://dx.doi.org/10.1590/0103-5150.027.003.ar01.

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Introduction The Pilates® method incorporates a number of the guidelines recommended for therapeutic exercises considered to be effective in the treatment of chronic lower back pain, such as the contraction of the transversus abdominis and multifidus muscles, associated with breathing, while taking into account the individual characteristics of patients. Objective To assess the effects of the Pilates® method on the treatment of lower back pain. Method This systematic review includes papers published from 2000 to 2010 in the BIREME, LILACS, MEDLINE and SciELO databases. The keywords used were spinal stabilization, Pilates®, and back pain and their equivalents in Portuguese. Results Imbalance among the trunk’s agonist-antagonist muscles and the ineffective activation of the transversus abdominis are risk factors for the onset of lower back pain that can be mitigated with the practice of Pilates®-based exercises. Conclusion The method has clinical effects similar to those obtained with traditional stabilization exercises and Back School exercises in the treatment of chronic lower back pain and are considered more satisfactory than conservative treatments.

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Andrade, Flavia, and Xiayu Chen. "CHRONIC BACK PAIN, LIMITATIONS ON USUAL ACTIVITIES, AND TREATMENT AMONG OLDER BRAZILIANS." Innovation in Aging 6, Supplement_1 (November 1, 2022): 667–68. http://dx.doi.org/10.1093/geroni/igac059.2459.

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Abstract Chronic back pain is prevalent among Brazilian older adults, leading to substantial social and healthcare costs. It also disproportionately affects low-income and less-healthy people. Using the latest Brazil’s National Health Survey (PNS-2019), multivariate logistic regressions were conducted to examine how biopsychosocial factors correlate with chronic back pain, limitations on usual activities, and pain treatment (N=17,184). PNS-2019 data showed that 31.3% (95% CI 30.1-32.5) of older adults ages 65 to 112 reported back pain. Chronic back pain was positively associated with being female, having more chronic conditions, depressive symptoms, and lower education. Among those who reported having back pain, 19.2% reported that pain limited their usual activities. Higher odds of having limitations were found among older adults with three or more chronic conditions, obesity, and depressive symptoms. However, it was lower among those with higher levels of alcohol consumption. Among older adults with back pain, 69.2% received some treatment for their pain - 24.1% exercised regularly, 14.3% received physical therapy, 48.1% medications/injections, 6.1% alternative methods, and 30.7% regularly visited health professionals. Treatment was higher among women and those with higher education. The results show significant disparities in the prevalence, limitations, and treatment of chronic back pain among older adults in Brazil. The findings point to the need for prevention and treatment programs for older Brazilians with lower socioeconomic and worse health conditions.

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37

Mandegaran, R., S. Saha, and A. Desai. "Chronic lower back pain in a 24 year old man." BMJ 346, may08 2 (May 8, 2013): f2817. http://dx.doi.org/10.1136/bmj.f2817.

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38

Nalajala, Narender, Kaye Walls, and Ethel Hili. "Insomnia in chronic lower back pain: Non-pharmacological physiotherapy interventions." International Journal of Therapy and Rehabilitation 20, no. 10 (October 2013): 510–16. http://dx.doi.org/10.12968/ijtr.2013.20.10.510.

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39

Webb, Michael, Erik Helander, Bethany Menard, Richard Urman, and Alan Kaye. "Tanezumab: a selective humanized mAb for chronic lower back pain." Therapeutics and Clinical Risk Management Volume 14 (February 2018): 361–67. http://dx.doi.org/10.2147/tcrm.s144125.

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40

Vyshlova, I., and S. Karpov. "Causes and results of chronic pain in the lower back." Journal of the Neurological Sciences 381 (October 2017): 855. http://dx.doi.org/10.1016/j.jns.2017.08.2408.

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41

Sathe, Geeta, Andrea L. Hergenroeder, Deborah Josbeno, Christian Niyonkuru, and Gwendolyn A. Sowa. "Poster 101: Barriers to Exercise in Chronic Lower Back Pain." PM&R 2 (September 2010): S50. http://dx.doi.org/10.1016/j.pmrj.2010.07.133.

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42

Helm II, Standiford. "Percutaneous and Endoscopic Adhesiolysis in Managing Low Back and Lower Extremity Pain: A Systematic Review and Meta-analysis." Pain Physician 19, no. 2;2 (February 14, 2016): E245—E281. http://dx.doi.org/10.36076/ppj/2016.19.e245.

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Background: Chronic refractory low back and lower extremity pain is frustrating to treat. Percutaneous adhesiolysis and spinal endoscopy are techniques which can treat chronic refractory low back and lower extremity pain.Percutaneous adhesiolysis is performed by placing the catheter into the tissue plane at the ventrolateral aspect of the foramen so that medications can be injected. Adhesiolysis is used both for pain caused by scarring which is not resistant to catheter placement and other sources of pain, including inflammation in the absence of scarring.Mechanical lysis of scars with a catheter may or may not be necessary for percutaneous adhesiolysis to be effective. Spinal endoscopy allows direct visualization of the epidural space and has the possibility to use laser energy to treat pathology. Study Design: A systematic review of the effectiveness of percutaneous adhesiolysis and spinal endoscopic adhesiolysis to treat chronic refractory low back and lower extremity pain Objective: To evaluate and update the effectiveness of percutaneous adhesiolysis and spinal endoscopic adhesiolysis to treat chronic refractory low back and lower extremity pain Methods: The available literature on percutaneous adhesiolysis and spinal endoscopic adhesiolysis in treating persistent low back and leg pain was reviewed. The quality of each article used in this analysis was assessed. The level of evidence was classified on a 5-point scale from strong, based upon multiple randomized controlled trials to weak, based upon consensus, as developed by the U.S. Preventive Services Task Force (USPSTF) and modified by ASIPP. Data sources included relevant literature identified through searches of PubMed and EMBASE from 1966 to September 2015, and manual searches of the bibliographies of known primary and review articles. Outcome Measures: Pain relief of at least 50% and functional improvement of at least 40% were the primary outcome measures. Short-term efficacy was defined as improvement of 6 months or less; whereas, long-term efficacy was defined more than 6 months. Results: For this systematic review, 45 studies were identified. Of these, for percutaneous adhesiolysis there were 7 randomized controlled trials and 3 observational studies which met the inclusion criteria. For spinal endoscopy, there was one randomized controlled trial and 3 observational studies. Based upon 7 randomized controlled trials showing efficacy, with no negative trials, there is Level I or strong evidence of the efficacy of percutaneous adhesiolysis in the treatment of chronic refractory low back and lower extremity pain. Based upon one high-quality randomized controlled trial, there is Level II to III evidence supporting the use of spinal endoscopy in treating chronic refractory low back and lower extremity pain. Conclusion: The evidence is Level I or strong that percutaneous adhesiolysis is efficacious in the treatment of chronic refractory low back and lower extremity pain. Percutaneous adhesiolysis may be considered as a first-line treatment for chronic refractory low back and lower extremity pain. The evidence is Level II to III that spinal endoscopy is effective in the treatment of chronic refractory low back and lower extremity pain. Key words: Spinal pain, chronic low back pain, post lumbar surgery syndrome, epidural scarring, adhesiolysis, endoscopy, radicular pain:

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Klein, David A., and Daniel P. Greenfield. "Chronic Benign Pain." CNS Spectrums 4, no. 9 (September 1999): 24–31. http://dx.doi.org/10.1017/s1092852900012141.

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AbstractChronic benign pain (CBP) can be defined as a type of unpleasant sensory experience that arises from inflammation, visceral stress or damage, or other such pathophysiologic process(es), and that is not associated with a metastatic process. A patient's complaint of pain should be taken seriously by the practitioner, both in terms of the discomfort evoked and the likelihood that the potential cause of the pain requires diagnostic evaluation. This article reviews the diagnosis and treatment of the following common conditions associated with CBP syndromes: fibromyalgia, lower back pain syndrome, sickle-cell disease, reflex sympathetic dystrophy syndrome, and peripheral neuropathies.

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Akhtar, Rahman Rasool, Riaz Ahmed, Sabeen Ashraf, Omair Ashraf, Umer Shafique, and Ayesha Mureed. "Effect of Vitamin-D supplementation in adults presenting with chronic lower back pain." Journal of Rawalpindi Medical College 24, no. 2 (June 26, 2020): 161–65. http://dx.doi.org/10.37939/jrmc.v24i2.1399.

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Background: Chronic pain in the lower back of adults is a common problem and mostly associated with Vitamin D deficiency. Along with standard treatment, vitamin D supplementation can help in early and better relief from back pain. Objective: To assess the effectiveness of vitamin D supplementation in patients with chronic lower back pain. Study Design & Methods: This Quasi-experimental trial was conducted at Department of Orthopaedics, Benazir Bhutto Hospital for 6 months. The patients aged between 15 to 55 years with chronic low back pain were included and pain score was noted by using a visual analogue scale (VAS). Patients were prescribed with oral vitamin D3 with a dose of 50,000 IU weekly for eight weeks (induction phase) and oral vitamin D3 with a dose of 50,000 IU once monthly for 6 months (maintenance phase). Outcome parameters included pain measured by VAS, functional disability by modified Oswestry disability questionnaire scores, and Vitamin-D3 levels at baseline,2, 3 and 6 months post-supplementation. Results: Mean age of patients was 44.21± 11.92 years.There were 337 (56.2%) male patients while 263 (43.8%) female patients. Baseline mean vitamin-D levels were 13.32 ± 6.10 ng/mL and increased to 37.18 ± 11.72 post supplementation (P < 0.0001). There was a significant decrease in the pain score after 2nd, 3rd& 6th months (61.7 ± 4.8, 45.2 ± 4.6 & 36.9 ± 7.9, respectively) than 81.2 ± 2.4 before supplementation (P < 0.001). The modified Oswestry disability score also showed significant improvement after 2nd, 3rd& 6thmonths (35.5 ± 11.4, 30.2 ± 9.4 & 25.8 ± 10.6, respectively) as compared to baseline 46.4 ± 13.2 (P < 0.001). About 418 (69.7%) patients attained normal levels after 6 months. Conclusion: Prescription of Vitamin D in addition to standard therapy for chronic lower back pain can be beneficial in getting relief from pain and improving the functional ability of the patient.

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Belash, V. O., and Yu O. Novikov. "Osteopathic correction in the treatment of pain in the lower back." Russian Osteopathic Journal, no. 1-2 (June 6, 2020): 140–46. http://dx.doi.org/10.32885/2220-0975-2020-1-2-140-146.

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According to experts of the World Health Organization the lower back pain (LBP) prevalence in developed countries reaches the pandemic size, and it is a serious medical and socio-economic problem. Acute back pain is transformed into chronic in 10–20 % of working age patients′ cases; this causes serious psychological disorders appearing, forms painful behavior and persists even when the initial pain trigger is eliminated. Data from metaanalyses of randomized controlled trials indicate the effectiveness of the osteopathic approach in the treatment of LBP patients. At the same time the osteopathic correction is effective not only for acute pain, but also for chronic pain. A case from clinical practice is described demonstrating the possibility of osteopathic correction of a LBP patient.

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Ye, Lei, Chunyan Liu, Cunxi Jiang, and Youshen Cao. "CORE TRAINING UNDER SUSPENSION EXERCISE THERAPY ON TREATMENT OF LOW BACK PAIN." Revista Brasileira de Medicina do Esporte 27, no. 7 (July 2021): 695–98. http://dx.doi.org/10.1590/1517-8692202127072021_0336.

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ABSTRACT Introduction: The main clinical feature of chronic nonspecific low back pain (CNLBP) is lower back pain, and suspension sports therapy has a specific effect in this case. Objective: To investigate the changes of flexion-relaxation phenomenon in patients with lower back pain after core control training of suspension exercise therapy (SET). Methods: 84 subjects who met the inclusion and exclusion criteria of chronic low back pain in this experiment were randomly divided into an experimental group and a control group. The experimental group was treated with suspension training. The control group only received acupuncture. We then determined the muscle fascia tension and core stability of the lower lumbar region. Results: The visual analog scale (VAS) and Oswestry dysfunction index (ODI) evaluations of the two groups of patients were different. Conclusion: Suspended core stabilization training has a significant long-term effect in reducing lower back pain and improving waist function in patients with chronic nonspecific low back pain. Level of evidence II; Therapeutic studies - investigation of treatment results.

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Belabbes, Soufiane, M. J. Doumbeneny, Christelle Chavihot, and B. E. Nguema. "Bertolotti’s Syndrome: An Underdiagnosed Cause for Lower Back Pain in Young Adults." SAS Journal of Medicine 8, no. 4 (April 25, 2022): 332–37. http://dx.doi.org/10.36347/sasjm.2022.v08i04.022.

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Bertolotti’s syndrome (BS) is characterized by a fifth lumbar (L5) vertebra anatomic variation with a large transverse process that forms a pseudoarthrosis or a bony fusion with the sacral basis or iliac crest. This congenital variation can cause low back pain especially in young patients, but it is always a factor that is not addressed in the evaluation and treatment of lower back pain. The purpose of this study was to assess the etiology of low back pain and to determinate the incrimination of BS in chronic low back pain.

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Kvasnitskyi, Mykola V. "Epidural steroid injections in treatment of chronic lower back pain caused by degenerative-dystrophic spine damage." Romanian Journal of Neurology 21, no. 2 (June 30, 2022): 151–57. http://dx.doi.org/10.37897/rjn.2022.2.10.

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Background. The high incidence of degenerative-dystrophic spine damage with the variability of research results on the effectiveness of epidural steroid injections for treatment of chronic lower back pain is an urgent issue regarding treatment of this pain with epidural steroid injections only. Objective. The aim of the study is to improve the effectiveness of treatment of chronic lower back pain caused by degenerative spine damage with monotherapy – epidural steroid injections only. Material and methods. The early and long-term treatment outcomes with epidural steroid injections only of 120 patients with chronic lower back pain were analysed. The control group consisted of 36 patients with lower back pain treated conservatively. The results of treatment were assessed by the dynamics of pain regression using the visual analog scale (VAS), as well as the functional status by the Oswestry index. The assessment was performed three times: before treatment, after treatment and six months after it. Results. In the early post-treatment period, reliable results of treatment of chronic lower lumbar pain was evidenced in both the main and control groups. There was no significant difference in treatment outcomes between these groups in the early period, although both the Oswestry index and the VAS by the Student’s T-test showed that the differences were in favour of the main group. There was a significant difference in long-term treatment outcomes between the main and control groups both by the Oswestry index and the VAS in favour of monotherapy with epidural steroid injections. Conclusions. The study proved a high effectiveness of monotherapy with epidural steroid injections for chronic lower back pain caused by degenerative-dystrophic spine damage.

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Shuchang, He, He Mingwei, Jia Hongxiao, Wu Si, Yang Xing, Daniel Antonius, and Mark GA Opler. "Emotional and Neurobehavioural Status in Chronic Pain Patients." Pain Research and Management 16, no. 1 (2011): 41–43. http://dx.doi.org/10.1155/2011/825636.

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OBJECTIVE: To investigate the emotional and neurobehavioural status of patients suffering from chronic pain.METHODS: Fifteen male patients with chronic lower back pain and 15 healthy control subjects were studied for approximately six months. Pain was measured using a visual analogue scale. The WHO Neurobehavioral Core Test Battery (NCTB) was used to assess neurobehavioural effects of environmental and occupational exposures.RESULTS: Visual analogue scale results demonstrated a modest range of reported pain (mean [± SD] 62.0±10.8) in chronic pain patients, whereas control subjects reported no measurable pain. With the NCTB, it was found that scores of negative mood state, including anger-hostility, depression-dejection, fatigue-inertia and tension-anxiety in pain patients were significantly higher than scores in the control subjects. By contrast, scores of positive mood state (vigour-activity) in chronic pain patients were lower than those in the control group. The NCTB scores of the Santa Ana Dexterity and Pursuit Aiming II tests in chronic lower back pain patients were lower than those of the control group. Scores for other NCTB sub-tests, including the Digit Span, Benton Visual Retention and Digit Symbol tests, were not significantly different compared with controls.CONCLUSIONS: Chronic lower back pain patients had more negative mood and less positive mood than controls. These patients also demonstrated neuromotor deficits in coordination and reaction time. Further studies are required to examine possible neurological mechanisms and research potential intervention strategies for patients suffering from chronic pain.

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Andrade, Flavia Cristina Drumond, and Xiayu Summer Chen. "A biopsychosocial examination of chronic back pain, limitations on usual activities, and treatment in Brazil, 2019." PLOS ONE 17, no. 6 (June 3, 2022): e0269627. http://dx.doi.org/10.1371/journal.pone.0269627.

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Background Chronic back pain is prevalent in Brazil, leading to enormous healthcare costs and social burdens. It also disproportionately affects low-income and less-healthy people. Objectives This study examines the associations of chronic back pain with biological, psychological, and social factors; how it limits usual activities; and how chronic back pain influences the use of treatment services. Methods Using Brazil’s National Health Survey (PNS-2019), multivariate logistic regressions were conducted to examine how biological, psychological, and social factors correlate with chronic back pain, limitations on usual activities, and pain treatment. Results PNS-2019 data showed that 23.4% (95% CI 22.8–24.0) of Brazilian adults aged over 20 reported back pain. A higher prevalence of chronic back pain was associated with biological factors (older age, being female, overweight or obese, current smoking, and having more chronic conditions), lower social conditions (low education, low per capita household income, non-married, and living in rural areas), and poor psychological health (more depressive symptoms). Chronic back pain is more likely to limit usual activities among those with low social conditions (lower education, lower income), poor physical and behavioral health (obese, current smokers, and those with a greater number of chronic conditions), and worse psychological health (more depressive symptoms). However, married people and those who do not consume alcohol were also more likely to report limited activities. Among those with back pain, 68% received at least one form of treatment. Those with intense limitations on their usual activities were 2.2 times as likely to report treatment. People with higher social conditions (higher income, college education, and private health insurance) were more likely to receive treatment. Conclusion The results show significant biological, psychological, and social disparities in the prevalence of chronic back pain in Brazil. The findings point to the need for tailored policies and prevention programs with attention to vulnerable groups. Even though Brazil has universal health care, those with better socioeconomic conditions are more likely to receive treatment.

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