Back Pain - Science topic

We report a rare case of an elite para-athlete with lumbar disk herniation whose pain generator was difficult to diagnose and treat. A 28-year-old woman with paraplegia below the T10 level felt pain in her low back and left leg during a match. Magnetic resonance imaging revealed a lateral lumbar disk herniation and a high-intensity zone on the left...

Chronic spinal subdural hematoma is an extremely rare condition. We recently encountered a case of symptomatic thoracolumbar chronic spinal subdural hematoma in an older patient caused by a fall. The patient was a man in his 80s with a history of cerebral infarction, who was receiving oral antiplatelet therapy. He was hospitalized for conservative...

La escoliosis idiopática del adolescente (EIA) es la deformidad más frecuente de la columna vertebral en adolescentes y adultos jóvenes. Su mayor prevalencia y gravedad en mujeres tiene implicaciones significativas en la salud materna, incluyendo un aumento en la incidencia de dolor de espalda durante y después del embarazo, un mayor riesgo de cesá...

Background The epidural blood patch (EBP) is the treatment of choice for spontaneous intracranial hypotension (SIH). Studies have shown that targeted EBP is more effective than blind EBP. Additionally, a greater volume of injected blood during EBP has been associated with better therapeutic outcomes. However, symptoms such as back pain often preven...

Objective Aortic dissection (AD) is a life-threatening cardiovascular emergency. Delayed diagnosis frequently leads to treatment delays, elevated mortality, and complications. This study investigates the factors contributing to the misdiagnosis of AD and proposes strategies for improving its early diagnosis. Methods A retrospective analysis of 801...

Acanthus ebracteatus Vahl. (Acanthaceae ) is small tree about 1 - 1.5 m tall and distributed in the mangrove areas of northern Vietnam. Acanthus ebracteatus Vahl. is frequently used to treat back pain, numbness, coughing, and asthma because of its ability to dissolve blood sta sis, reduce swelling, relieve pain, a nd dissolve phlegm. However, until...

Introduction The physiologic changes associated with pregnancy often result in pain, impacting the quality of life. Therefore, it is crucial to prevent and manage this pain through appropriate health care, including guidance on physical exercise. One of the currently recommended interventions is the Pilates method. However, health care professional...

Purpose of Review Diffuse idiopathic skeletal hyperostosis (DISH) is a noninflammatory condition associated with the ossification and calcification of spinal ligaments and peripheral entheses. Management of mild symptoms is often conservative, though surgical intervention has been implicated for patients with debilitating symptoms. This literature...

Purpose Chronic lumbosacral radicular pain is a disabling condition commonly treated with epidural steroid injections (ESIs). Extant research suggests that psychosocial factors impact clinical outcomes among patients with back pain. The purpose of this study is to examine the relationship between psychosocial variables and post-injection pain inten...

Background Pelvic organ prolapse (POP) is a condition where pelvic organs descend into the vaginal canal due to weakened pelvic floor muscles. Nearly 50% of women will develop some degree of POP, with incidence peaking at ages 50–54 and 65–69. This study aims to identify early symptoms of POP and assess their progression, improvement, or regression...

Abstract Patients older than 60 are more likely to be diagnosed with pancreatic cancer. It is incredibly uncommon to find this condition in young people. We describe the case of a 27-year-old diabetic male with backache, jaundice, and weight loss as his primary symptoms. The tomographic image showed a mass in the pancreas head associated with multi...

Background Spinal tuberculosis is a rare condition that can result in significant neurological impairments. It is typically classified into two main types based on the anatomical involvement: parenchymal and meningeal. However, existing studies have not provided systematic reports that clarify the differences in aetiology, pathophysiological mechan...

Lumbar Spondylosis, identified in Ayurveda as Dhatukshayjanya Kati Sandhigata Vata, is a progressive degenerative disorder affecting the lumbar spine. It is characterized by chronic back pain, stiffness, and reduced mobility, impacting the quality of life. Conventional treatment options, including NSAIDs and physiotherapy, provide symptomatic re...

Objective To compare the treatment outcomes of unilateral unichannel and bichannel endoscopic Unilateral Laminotomy for Bilateral Decompression (ULBD) surgery in patients with lumbar spinal stenosis and analyze factors interfering with efficacy. Methods This retrospective study included a total of 122 patients diagnosed with lumbar spinal stenosis...

Background The objective of this study was to determine the degree of improvement in lumbar discogenic pain severity and associated back impairment in patients with chronic axial low back pain treated with intradiscally delivered allogeneic nucleus pulposus (NP) at up to two vertebral levels (L1-S1). Methods Prospective, single-arm clinical study...

Background The purpose of this study was to retrospectively assess the clinical and radiographic outcomes of unilateral biportal endoscopic discectomy (UBED) in treating patients with single-level lumbar disc herniation (LDH) and concomitant grade I stable degenerative lumbar spondylolisthesis (DLS). Methods We reviewed patients diagnosed with sin...

Background Chronic back pain (CBP) is a major cause of disability globally. While its etiology is multifactorial, specific contributing genetic and environmental factors remain to be discovered. Paraspinal muscle fat has been shown in human and preclinical studies to be related to CBP. One potential risk factor is infection by cytomegalovirus (CMV)...

Bikers frequently experience lower back pain (LBP) as a result of repetitive motion. The stretched, contracted stance adopted by bike riders during pedaling can lead to the development of lumbar back pain due to the increased mechanical strain exerted on the lumbar spine. One possible method of preventing and treating bike rider's low back discomfo...

BACKGROUND AND PURPOSE: Pain between the costal margins and the inferior gluteal folds which sometime referred down to the leg and accompanied by painful limitation of the movement known as nonspecific low back pain. diagnosing this pain is not related to conditions such as fractures, spondylitis, direct trauma, or neoplastic, infectious, vascular,...

Objective This study evaluated the prevalence of self-reported musculoskeletal disorders (MSDs) among white-collar workers and investigated their associations with physical activity (PA) levels, time spent sitting, sleep duration, and BMI. Methods The study included 440 white-collar workers (355 female and 85 male) aged 20–64 years, from randomly...

Background A substantial body of research has documented a high prevalence of neck, shoulder, wrist, and back pain among sonography users. However, the specific postures that contribute to these complaints have scarcely been systematically investigated, to date. This proposed study offers a novel method to record users’ body posture during sonograp...

Introduction Non-traumatic back pain commonly leads people to seek health care from paramedics via triple-zero (emergency phone number in Australia), yet the management approaches by providers of ambulance services remain unclear. Study Objectives This study aims to investigate paramedic management of non-traumatic back pain in New South Wales (NS...

Introduction: Few studies compare differences in the use of nonpharmacologic interventions (NPIs) between those with high-impact chronic pain (HICP) and low-impact chronic pain (LICP) or describe differences in the use of NPIs by locations of bothersome pain. Objectives: To describe the use of NPIs in HICP and LICP subgroups and to examine the asso...

BACKGROUND Extensive spinal epidural abscess is an uncommon and potentially life-threatening condition that mandates appropriate early diagnosis and treatment to avoid potentially disastrous complications. Limited literature is available guiding the management of such an entity. OBSERVATIONS The authors report the case of a 59-year-old female pati...

Introduction Bone marrow oedema (BME) on MRI of the sacroiliac joints (SIJ) commonly occurs after pregnancy. Our goal was to assess the evolution of BME over a period of 5 years and the potential development of structural lesions. Methods MRI-SIJ was performed after an uncomplicated vaginal delivery, with a follow-up 5 years later, evaluating both...

Introduction Chronic non-specific low back pain (CNLBP) stands as a predominant factor contributing to disability worldwide. In the recent past, the sphere of medical research has witnessed a burgeoning interest in exploring the therapeutic potential of dynamic neuromuscular stabilisation (DNS) techniques for this condition. Despite the growing bod...

Background: Despite the high prevalence of chronic low back pain (cLBP), its underlying mechanisms remain poorly understood. Addressing modifiable psychosocial resources and health behaviors such as physical activity offers a promising avenue for reducing the impact of cLBP. Furthermore, although the relationship between physical activity and pain...

Background Percutaneous vertebroplasty is commonly used to treats vertebral fractures, tumors, and osteolytic vertebral metastases. However, cement leakage during the procedure can lead to severe complications, including cardiac perforation. This report presents a case of right atrial perforation and pulmonary embolism caused by cement leakage, emp...

Background The aging population is experiencing a rising incidence of musculoskeletal problems and degenerative spinal deformities. Adult spinal deformity (ASD) presents challenges, with associated risks in open surgery. Minimally invasive surgery (MIS) is becoming increasingly popular due to its positive outcomes and potential benefits. This study...

BACKGROUND: Hotel employees perform a variety of jobs that expose them to numerous occupational health and safety risks, each with distinct dynamics. OBJECTIVE: This study aims to evaluate the occupational health and safety of hotel employees. METHODS: This cross-sectional study was conducted in Türkiye. The study population consisted of employees...

Aims To determine the prevalence of burnout and back pain in homecare workers in Switzerland and assess their associations with psychosocial work environment factors. Design National multicentre cross‐sectional study. Methods Using paper‐pencil questionnaires, data were collected from January 2021 to September 2021 from employees of 88 homecare a...

Pavlovian conditioning plays a crucial role in promoting well-being and supporting healthy behaviors but also contributes to the development of diseases and psychopathologies. Much of the basic and applied research on these conditioning processes has focused on external or exteroceptive cues (tone, spider, context, and brewery) as the conditioned s...

Rationale In healthcare systems without gatekeeper access to Emergency Departments (ED), the number of people presenting for low back pain (LBP) is increasing substantially. Low back pain presentations at the Emergency Department are rarely caused by serious underlying pathology, and management often deviates from practice guidelines. Older adults...

The present study was conducted for the adaptation of picture exchange communication system (PECS) through the application of Heuristic Model, and the translation of word list of PECS into Urdu. Study was completed into two phases. In first phase, adaptation was done, after the reviews and information gathered through the responses of the pilot and...

Introduction: Recently, machine learning adoption has significantly increased across various applications, including the prediction of diseases based on a person’s clinical profile. Accordingly, this study develops and evaluates a supervised machine learning method to predict trunk muscle activity in people with chronic low back pain. Materials and...

Background: The backpack programme is a psychology and physiotherapy pain management programme aimed at reducing psychosocial risk factors associated with back pain. Psychosocial risk factors have been shown to negatively influence pain experience, thus impacting on function and disability. Evidence has shown that targeting modifiable risk factors...

Congenital coronary artery anomalies complicated with aortic dissection are rare. We experienced a patient with a single coronary artery presenting with a type A dissecting aortic aneurysm. A 77-year-old woman who experienced sudden back pain and was diagnosed with type A acute aortic dissection was initially treated conservatively because the fals...

The incidence of back pain in pregnant women in the world is 70-86%, while in Indonesia pain is as much as 18% of 261 pregnant women. The impact of back pain if not treated will experience discomfort and sleep disorders. Handling back pain in pregnant women can be done non-pharmacologically, one of which is with the Effleurage Massage technique. Th...

Introduction: Operating room personnel are involved with occupational physical activities such as repetitive bending, holding surgical tools and standing for long hours that can lead to musculoskeletal disorders (MSDs). Low back pain (LBP) is the most prevalent and costly problem among these disorders. The aim of this study was to determine the rel...

Objective: This study aimed to compare the clinical and comprehensive radiological outcomes of 3 types of endoscopic decompression surgery: unilateral biportal endoscopic lumbar decompression (UBELD), microendoscopic laminotomy (MEL), and percutaneous endoscopic lumbar decompression (PELD). Methods: Patients with single-level lumbar spinal stenosis...

Introduction. According to numerous researchers, lumbar spinal hernia is one of the most common causes of lumbar back pain, imposing a significant social, psychological, and economic burden on patients. In his study, Danazumi M. S. confirms that lumbar spinal hernia with radiculopathy is among the most challenging lumbar disorders to treat. He emph...

Background Infectious aortitis is a rare life-threatening situation with unknown incidence. We present a case of Methicillin-resistant Staphylococcus aureus (MRSA) with non-aneurysmal aortitis. Case A 28-year-old male with newly diagnosed diabetes with hemoglobin A1C of 14 presented with back pain and fever. He was admitted for sepsis and hypero...

Introduction Though multiple studies have reported tether rupture rates after anterior vertebral tethering (AVT) as high as 50%, few have adequately analyzed the clinical significance of tether rupture and factors that potentially increase the likelihood of revision surgery. We reviewed 262 consecutive adolescent idiopathic scoliosis (AIS) patients...

Background Lumbar disc herniation (LDH) is mainly characterized by pain and neurological dysfunction resulting from rupture of the fibrous ring of the lumbar disc. The incidence of LDH is increasing year by year, mainly owing to long-term sitting and immobility, improper posture, and reduced physical activity during study and work. The incidence of...

Background: Low back pain (LBP) is a prevalent musculoskeletal condition with significant global health implications. While physical activity is generally advocated for its management, the psychological impact of exercise, particularly weightlifting, on disability and fear-avoidance beliefs in LBP remains underexplored in the Pakistani context. Obj...

Objetivo: Este estudio investiga los efectos divergentes de la cercanía en las relaciones diarias en las parejas de personas con dolor de espalda crónico (ICBP, por sus siglas en inglés). Examina si una mayor cercanía diaria (emocional, conductual, cognitiva) se asocia tanto con una mayor angustia de la pareja debido al dolor del ICBP como con inte...

Objectives Traditional cortical bone trajectory (CBT) screws in the lumbar spine offer greater holding strength and are well-suited for patients with osteoporosis. However, the screw implantation procedure is challenging and associated with significant risk. This study aimed to assess whether individualized 3D-printing navigation technology provide...

Objectives The aim of this study was to determine whether a short-term online clinical mentoring program was more effective than asynchronous online lectures at improving physical therapists’ (PT) practice and their patients’ outcomes. Methods In this randomized controlled trial, 27 PTs were randomized with allocation concealment to 6 h of online...

Background There is growing awareness that back pain in adolescent soccer (European football) players is not always related to local tissue damage. Approaches taking into consideration lifestyle factors are needed. This study aimed to investigate the association between psychological distress, skipped meals, and insufficient sleep, and the occurren...

Study Design: Retrospective study. Objective: To investigate the clinical and radiological outcomes of patients with lumbar degenerative disc disease (DDD) treated with one-level Direct lateral interbody fusion (DLIF) in combination with minimally invasive percutaneous pedicle screw fixation (PPSF) and percutaneous facet joint fixation (PFJF). Meth...

Introduction Low back pain (LBP) is a key source of medical costs and disability, impacting over 31 million Americans at any given time and resulting in US$100–US$200 billion per year in total healthcare costs. LBP is one of the leading causes of ambulatory care visits to US physicians; problematically, these visits often result in treatments such...

Background Low back pain developers (PDs) are individuals at a high risk of developing low back pain (LBP), especially during prolonged standing. Understanding their characteristics is essential for devising effective preventive strategies. Prolonged standing has been associated with increased co-contraction of trunk muscles and elevated activity o...

Background Neck pain (NP) and low back pain (LBP) are increasingly significant medical, social, and economic concerns. The midwifery profession, similar to other healthcare occupations, is particularly predisposed to these issues. Methods This study aimed to analyze the prevalence of back pain among midwives and evaluate the associated disability...

Pectoralis minor syndrome (PMS) has been identified as a cause of chronic shoulder pain, involving compression of the brachial plexus at the thoracic outlet associated with scapulothoracic abnormal motion (STAM). This condition is poorly recognised and frequently overlooked in clinical practice. We present three patients with breast hypertrophy wh...

Whole-body electromyostimulation (WB-EMS) has become a time-efficient train-ing method with positive effects on maximum strength, back pain and strength endurance of the lower extremities. Therefore, the aim of the present study was to analyze the influence of a WB-EMS intervention on strength endurance parameters and subjectively perceived back pa...

Objective To determine if there is research waste in controlled trials of exercise therapies compared with usual care/no treatment for adults with chronic non-specific lower back pain. Design and data sources Secondary analysis of previously published systematic review (Cochrane review). Eligibility criteria Randomised controlled trials comparing...

Background: Non-specific back pain (NLBP) is one of the common musculoskeletal disorders, which can seriously affect the patient’s life. As one of the methods for treating low back pain, the kneading manipulation in TCM has shown unique advantages in relieving muscle tension and pain. Method: 70 NLBP patients were selected as the research subjects....

Background and purpose The prevalence of work-related spinal disorders (WRSDs) is higher among female physical therapists compared to their male counterparts, yet the physical and psychosocial risk factors are not well understood. This study aimed to determine the prevalence and associated risk factors of WRSDs among female physical therapy interns...

Spinal extradural angiolipomas (SEALs) are rare, benign neoplasms composed of mature adipocytes and vascular elements. They are often noninfiltrating and located in the posterior aspect of the spinal canal at the level of thoracic/dorsal vertebrae. Back pain, progressive paraparesis, and sensory disturbance in lower limbs are the typical symptoms....

Rheumatoid arthritis (RA) is a chronic inflammatory disease associated with subsequent damage to the bone joints with a global incidence rate of 0.5–1%. To combat with RA various commercially available anti-inflammatory drugs like non-steroidal anti-inflammatory drugs (NSAIDs) are commonly practiced; however, their long-term exposure often results...

Background Healthcare accounts for up to 5% of worldwide carbon emissions and costs global economies an estimated $9 trillion annually. Primary care accounts for up to one‐fifth of all NHS carbon emissions, with musculoskeletal (MSK) pain accounting for 14%–30% of all primary care consultations. Method A cost‐carbon calculator model was used to un...

Objectives. Transcutaneous Electrical Nerve Stimulation (TENS) to the lower back is an established electrical therapy for acute and chronic back pain. The efficacy and mechanisms of lower back TENS depend on the penetration depth of electrical current. We compare the intensity and spatial extent (depth) of current flow in the body during TENS with...

Abstract Background: Oropouche virus (OROV), an emerging arbovirus, poses a significant public health concern in the tropical and subtropical regions of Latin America, as well as in other regions, with imported cases reported in North America and Europe. While OROV is primarily associated with acute febrile illness, especially emerging evidence sug...

Introduction The minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) technique has become a popular and effective option for treating lumbar degenerative spondylolisthesis, especially in elderly patients. This systematic review and meta-analysis is to evaluate the long-term results of MIS-TLIF for patients with degenerative spondyl...

Introduction and importance Takayasu arteritis (TAK) is a rare chronic vasculitis that predominantly affects the aorta and its primary branches, with a strong predilection for young women. Its atypical presentation, particularly involving the common carotid arteries, poses significant diagnostic challenges. This case report highlights the clinical...

Background Caudal wedge ostectomy has not been investigated for overriding or impinging spinous processes (SPs). Objectives To establish the feasibility of caudal wedge ostectomy and compare measures of surgical trauma and error between hypothetical caudal and cranial wedge ostectomies on SPs of different inclinations. Study Design Experimental,...

Zusammenfassung Im Laufe des Lebens verändert sich unser Stütz- und Haltesystem. Eine aktive Haltungskorrektur und Verlangsamung des Haltungsverfalles sind unabdingbar, um chronische Schmerzen und Erkrankungen wie die Osteoporose zu vermeiden oder zumindest zu reduzieren. Mithilfe von Übungen zum Dehnen, Strecken, Kräftigen und Stabilisieren lernt...

Background. Back pain is one of the most common complaints among adults of all ages and socioeconomic status. According to the World Health Organization, up to 80 % of people experience this condition at least once in their lives. The most common location of pain is the low back. Purpose of the study: to analyze the relationships between the effect...

The aim of this study was to demonstrate that anteriorly placed transforaminal lumbar interbody fusion (TLIF) footprint bullet cage is a safe and effective bailout option if difficult left common iliac vein (LCIV) anatomy is unexpectedly encountered during the L5–S1 lateral anterior lumbar interbody fusion (L-ALIF). This retrospective case series i...

Background Back pain is a debilitating condition hampering horses’ athletic careers. Thoracic spondylosis (TS), a known cause of back pain, leads to osteophytes formation across intervertebral joints. In horses, TS is poorly reported, with anecdotal signs and response to treatment. Objectives To report clinical presentation, diagnostic imaging fin...

Objective We have previously shown that HLA‐B27 was negatively associated with remission status eight years after the onset of juvenile idiopathic arthritis (JIA). We now aimed to study the associations of HLA‐B27 with clinical features and disease outcomes 18 years after the onset of JIA. Methods We studied 434 patients from the population‐based...

Chronic low back pain has traditionally been thought to stem from intervertebral disc degeneration. However, emerging evidence over the last few decades has revealed other contributing sources. One such etiology of chronic non-radiating axial low back pain has been attributed to vertebral end plate disruption and degeneration, leading to basiverteb...

Objective To investigate the association between adolescents' mobile phone dependence (MPD) and musculoskeletal pain. Methods A cross-sectional study was conducted among 622 adolescents aged 10–18 in Tabio, Colombia. Participants completed an online survey that included the MPD and the Nordic Musculoskeletal Questionnaire, which assessed musculosk...

Rhabdomyolysis is a life-threatening complication and is sometimes, though rarely, induced by the use of synthetic cannabinoids. The pathophysiology is poorly understood. However, the effect is through the activation of G-protein coupled receptors. We discuss the case of a 48-year-old man who was a known case of muscle-invasive bladder cancer and r...

Background: It was believed that lumbar IVD degeneration is a main source of back pain. Understanding the exact association between degeneration and back pain is poorly established. Using histological scoring of degenerative changes and correlating these scores with MRI grading and pain duration can give an excellent awareness about the association...

We conducted a randomized controlled trial to assess the preventive effect of perioperative teriparatide on proximal junctional kyphosis and proximal junctional failure (PJF) in osteoporosis patients undergoing adult spinal deformity surgery. Teriparatide (experimental group) and denosumab (active control) were administered. The teriparatide group...

It is clear that artificial intelligence-based chatbots will be popular applications in the field of healthcare in the near future. It is known that more than 30% of the world's population suffers from chronic pain and individuals try to access the health information they need through online platforms before applying to the hospital. This study aim...

Background The implementation of Spain’s Dependency Law aimed to enhance care for those with dependency needs. However, its focus on privatized service provision has raised concerns about potential inequalities in working conditions for geriatric nursing assistants working in long-term care, particularly regarding resources, workload, and labour pr...

Background: Back discomfort can be quite unpleasant, but it is seldom serious. Back pain may afflict anybody, regardless of age, although it is more frequent in persons who are 35 to 55 years old. Objectives: The aims of this study are to analyze the knowledge and compliance of back pain patients with their condition, as well as to determine the li...

This study aimed to identify risk factors and potential targets associated with non-responsiveness to 5-Aminosalicylic acid (5-ASA) in patients with ulcerative colitis (UC). Patients with mild to moderate UC were grouped based on their responsiveness to 5-ASA. Regression analysis was conducted to identify risk factors for non-responsiveness, while...

Poor sitting and posture have emerged as serious health issues, contributing to musculoskeletal disorders, backache, and other medical complications. In response to these problems, this paper proposes an IoT-Driven Smart Chair for Posture and Health Monitoring aimed at improving ergonomics and user wellness. The system incorporates ESP32 microcontr...

The Case Study describes a 54 year-old male veteran who presented after a motor vehicle collision with neck and back pain immediately after his car crash. Soon after, he felt a consistent pain in the affected areas and on his right side flank. He noted dizziness, pins and needles in arms bilaterally, irritability, and stiffness in the neck. He did...

Background: Although previous studies have suggested a variety of sociodemographic and psychological factors as predictors of poor outcomes in patients with chronic low back pain (CLBP), longitudinal studies remain rare. Objectives: To examine the prognostic indicators for poor outcome at 6 months on pain, disability, quality of life, anxiety, depr...

Welding is hazardous profession which exposes workers to various kinds of physical and chemical hazards with untoward health effects. This study assessed the awareness of occupational health hazards and practice of safety measures among welders in Maiduguri Metropolis Borno State, Nigeria. Interview on a across-section of 150 welders was done throu...

Low back pain is a common and causes functional limitations, decreased quality of life, loss of workforce, and economic burden. Aim : Our aim is to evaluate to what extent patients with chronic mechanical low back pain use Complementary Alternative Treatment methods, which methods they frequently use, through which channels they use these methods,...

Background and Objectives: Musculoskeletal disorders (MD) affect over 1.7 billion people worldwide, with neck and low back pain being prevalent and debilitating conditions. Current treatments include various interventions, but novel approaches are needed to improve functionality and reduce disability. To evaluate the effects of a postural hammock o...

Background Lumbar disc herniation (LDH) is a prevalent degenerative disc disorder frequently resulting in lumbar and leg pain. Obese patients with LDH often encounter the scenario where the disc herniation is not completely resolved in the short term following percutaneous transforaminal endoscopic discectomy (PTED), necessitating subsequent surgic...