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Back Pain
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1. Electrodermal responses to words in chronic low back pain patients: a comparison between pain descriptors, other emotional words, and neutral words.
Match Strength: 8.526

OBJECTIVE: This study examines the electrodermal reactivity of chronic sufferers to emotional words. The hypothesis that patients are over-sensitive to pain descriptors is tested. METHODS: Electrodermal activity was recorded in 12 chronic low back pain patients and 12 healthy controls during passive viewing of words on a video monitor. These words were pain descriptors, other emotional words, and neutral words, in a pseudo-randomized order. A jingle was associated with the word occurrence. RESULTS: In chronic low back pain patients, skin conductance responses (SCRs) induced by pain descriptors ... Read More »
» Published in Clin J Pain. 2006 Oct;22(8):686-91.

2. Randomised controlled trial of a short course of traditional acupuncture compared with usual care for persistent non-specific low back pain.
Match Strength: 8.430

OBJECTIVE: To determine whether a short course of traditional acupuncture improves longer term outcomes for patients with persistent non-specific low back pain in primary care. DESIGN: Pragmatic, open, randomised controlled trial. SETTING: Three private acupuncture clinics and 18 general practices in York, England. PARTICIPANTS: 241 adults aged 18-65 with non-specific low back pain of 4-52 weeks' duration. INTERVENTIONS: 10 individualised acupuncture treatments from one of six qualified acupuncturists (160 patients) or usual care only (81 patients). MAIN OUTCOME MEASURES: The primary outcome ... Read More »
» Published in BMJ. 2006 Sep 23;333(7569):623. Epub 2006 Sep 15. Comment in: BMJ. 2006 Sep 23;333(7569):611-2.

3. A randomised controlled trial of acupuncture care for persistent low back pain: cost effectiveness analysis.
Match Strength: 7.707

OBJECTIVE: To evaluate the cost effectiveness of acupuncture in the management of persistent non-specific low back pain. DESIGN: Cost effectiveness analysis of a randomised controlled trial. SETTING: Three private acupuncture clinics and 18 general practices in York, England. PARTICIPANTS: 241 adults aged 18-65 with non-specific low back pain of 4-52 weeks' duration. INTERVENTIONS: Ten individualised acupuncture treatments over three months from acupuncturists trained in traditional Chinese medicine (n = 160) or usual care only (n = 81). MAIN OUTCOME MEASURE: Incremental cost per quality ... Read More »
» Published in BMJ. 2006 Sep 23;333(7569):626. Epub 2006 Sep 15. Comment in: BMJ. 2006 Sep 23;333(7569):611-2.

4. Why do women have back pain more than men? A representative prevalence study in the federal republic of Germany.
Match Strength: 7.524

OBJECTIVES: In comparison with men, women have a healthier lifestyle, are more rarely overweight, have less stressful occupations, or are not employed outside the home. The "gender pain bias" is the fact that women nevertheless have a higher prevalence of back pain. This paper looks at the possible underlying reasons for this as yet unexplained gender difference, using Stokols' socioecological health model as a basis. METHODS: The first National Health Survey for the Federal Republic of Germany was carried out from October 1997 to March 1999. It comprised a representative total sample of 5315 ... Read More »
» Published in Clin J Pain. 2006 Oct;22(8):738-47.

5. Measuring physiotherapists' guideline adherence by means of clinical vignettes: a validation study.
Match Strength: 7.429

RATIONALE, AIMS AND OBJECTIVES: To assess the criterion validity of paper-and-pencil vignettes to assess guideline adherence by physiotherapists in the Netherlands. The evidence-based physiotherapy practice guideline for low back pain was used as an example. METHODS: Four vignettes were constructed and pre-tested. Three vignettes were found to represent an adequate case-mix. They described one patient with specific low back pain, one with non-specific low back pain and a normal recovery process and one with non-specific low back pain and a delay in the recovery process. Invited to participate ... Read More »
» Published in J Eval Clin Pract. 2006 Oct;12(5):491-500.

6. New indications for botulinum toxin in rheumatology.
Match Strength: 7.322

Previously known only as a deadly bacterial poison responsible for severe paralysis, botulinum toxin is now a well-recognized therapeutic agent used to relieve involuntary movements, dystonia-related functional impairments, spasticity, and autonomic disorders such as hyperhidrosis. Musculoskeletal pain in patients with rheumatic disorders is among the emerging indications for botulinum toxin therapy. Preliminary data have been obtained in patients with cervical or thoracolumbar myofascial pain syndrome, chronic low back pain, piriformis muscle syndrome, tennis elbow, and stiff person syndrome. ... Read More »
» Published in Joint Bone Spine. 2006 Dec;73(6):667-71. Epub 2006 Aug 30.

7. Prevalence of musculoskeletal disorders is systematically higher in women than in men.
Match Strength: 6.641

OBJECTIVES: Many studies report a higher prevalence of musculoskeletal pain in women than in men. This paper presents an overview of sex differences in musculoskeletal pain with specific attention for: different parameters for duration of musculoskeletal pain (ie, 1-y period prevalence, point prevalence, prevalence of chronic pain, and prevalence of persistent chronic pain); and (2) different anatomic pain sites. METHODS: For the analyses, data from 2 general population-based prospective surveys (Dutch population-based Musculoskeletal Complaints and Consequences Cohort study and Monitoring ... Read More »
» Published in Clin J Pain. 2006 Oct;22(8):717-24.

8. Prognostic factors associated with minimal improvement following acute whiplash-associated disorders.
Match Strength: 5.021

STUDY DESIGN: Retrospective clinical cohort study. OBJECTIVE: To identify the prognostic factors associated with a poor response to treatment in the early stages of a whiplash-associated disorder (WAD). SUMMARY OF BACKGROUND DATA: Several demographic and clinical factors related to recovery following acute WADs have been identified. However, few longitudinal studies have investigated a multivariable model of recovery that includes socio-demographic, treatment, clinical, and nonclinical factors. METHODS: A study cohort of 2,185 patients with acute or subacute WADs presenting to 48 ... Read More »
» Published in Spine. 2006 Sep 15;31(20):E759-65; discussion E766.

9. Acute concomitant pulmonary artery and aortic dissection with rupture.
Match Strength: 4.451

Pulmonary artery (PA) dissection is uncommon and may lead to rupture and sudden death if encountered. A 63-year-old man presented to our emergency room with episodic left chest pain radiating to the back followed by shortness of breath. A 64-row multidetector computed tomography (MDCT) revealed ruptured dissection of the PA and the aorta with hemopericardium, hemomediastinum, and prominent extravasated blood along the central bronchovascular bundles of both lungs. The patient experienced cardiogenic shock immediately following CT study and died after resuscitation. Concomitant PA and aortic ... Read More »
» Published in Int J Cardiovasc Imaging. 2006 Sep 27;

10. Case report: epidural abscess in a parturient with pruritic urticarial papules and plaques of pregnancy (PUPPP).
Match Strength: 3.964

PURPOSE: To describe the risk factors for epidural abscess (EA) formation following epidural analgesia in a parturient with pruritic urticarial papules and plaques of pregnancy (PUPPP). CLINICAL FEATURES: A 33 yr-old gravida 2 nulliparous patient at 36 weeks gestation presented with severe pre-eclampsia, and PUPPP (treated with prednisone). Magnesium prophylaxis was started and labour was induced. An epidural catheter was placed at the L(3-4) level using standard aseptic technique. Bupivacaine was incrementally injected to achieve a T10 sensory level, and analgesia was maintained using a ... Read More »
» Published in Can J Anaesth. 2006 Oct;53(10):1010-4.

11. Biological treatment strategies for disc degeneration: potentials and shortcomings.
Match Strength: 3.763

Recent advances in molecular biology, cell biology and material sciences have opened a new emerging field of techniques for the treatment of musculoskeletal disorders. These new treatment modalities aim for biological repair of the affected tissues by introducing cell-based tissue replacements, genetic modifications of resident cells or a combination thereof. So far, these techniques have been successfully applied to various tissues such as bone and cartilage. However, application of these treatment modalities to cure intervertebral disc degeneration is in its very early stages and mostly ... Read More »
» Published in Eur Spine J. 2006 Sep 16;

12. Conservative treatment of spontaneous spinal epidural hematoma associated with oral anticoagulant therapy in a child.
Match Strength: 3.726

OBJECTIVE: Spontaneous spinal epidural hematoma (SSEH) is rare in the pediatric population. This case report reviews the indications and strategies for nonoperative management in selected patients. METHODS: An eight-year-old boy presented with back pain. There was no antecedent trauma, but the patient was anticoagulated for a mechanical heart valve. MRI revealed an epidural mass from T12 to L2 consistent with SSEH. The absence of focal neurologic deficits, combined with the high stroke risk with anticoagulation reversal, prompted a nonoperative approach. Clinical symptoms resolved over several ... Read More »
» Published in Childs Nerv Syst. 2006 Dec;22(12):1643-1645. Epub 2006 Sep 15.

13. Posterior spinal epidural abscess: an unusual complication of vertebroplasty.
Match Strength: 3.508

OBJECTIVE: Complications after vertebroplasty are rare. There are few reported infectious complications requiring surgical management such as corpectomy with anterior reconstruction and posterior stabilization, although we have not seen any reports about epidural abscess in the literature. We present a patient in whom posterior epidural abscess developed after vertebroplasty in which drainage and antibiotherapy were required for treatment. METHODS: A 70-year-old female with a painful T12 osteoporotic compression fracture underwent percutaneous vertebroplasty using polymethylmethacrylate ... Read More »
» Published in Joint Bone Spine. 2006 Dec;73(6):753-5. Epub 2006 Apr 25.

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* All information on is for educational purposes only. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease. Before changing your diet, or adding supplements to your diet, or beginning an exercise program, everyone should consult a qualified and licensed health practitioner; a physician, dietician or similar professional.

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