Efficacy of ultrasound-guided infiltration with levobupivacaine and triamcinolone for myofascial pain syndrome of the quadratus lumborum: a retrospective observational study

Abstract Introduction and objectives: Myofascial Pain Syndrome (MPS) of the Quadratus Lumborum muscle (QL) is a frequent cause of chronic low back pain. With this study, we aimed to assess the efficacy of ultrasound-guided infiltration with 0.25% levobupivacaine and 40 mg triamcinolone for MPS of the QL. Methods: Observational and retrospective study of participants submitted to ultrasound-guided infiltration of the QL muscle from January 1, 2015 to June 31, 2019. Pain intensity was assessed using the five-point pain Numeric Rating Scale (NRS): pre-intervention, at 72 hours, 1 month, 3 months and 6 months post-intervention. Additional data collected were demographic characteristics, opioid consumption, and adverse effects. Results: We assessed 90 participants with mean age of 55.2 years. Sixty-eight percent of participants were female. Compared to the pre-intervention assessment, there was an improvement in pain at 72 hours (Mean Difference [MD = 3.085]; 95% CI: 2.200-3.970, p < 0.05), at the 1st month (MD = 2.644; 95% CI: 1.667-3.621, p < 0.05), at the 3rdmonth (MD = 2.017; 95% CI: 0.202-2.729, p < 0.05) and at the 6th month (MD = 1.339; 95% CI 0.378-2.300, p < 0.05), post-intervention. No statistically significant differences in opioid consumption were observed. No adverse effects associated with the technique were reported. Conclusions: Ultrasound-guided infiltration of the QL muscle is a safe and effective procedure for the treatment of pain in the QL MPS within 6 months post-intervention.

Prejuízos da lombalgia à qualidade de vida de praticantes de musculação / The losses of low back pain to the health quality in bodybuilding

O exercício físico está presente no cotidiano com vários objetivos; dentre eles, a melhora da qualidade de vida. Apesar proporcionar benefícios à saúde, também patologias e sintomas podem incidir nesse tipo de atividade. Estes são desencadeados, na maioria das vezes, por comportamentos inadequados durante o treino, entre outros. Temos os benefícios da musculação para o corpo humano, porém essa prática constante também leva ao aumento da instalação de lesões musculoesqueléticas e sintomas, como a lombalgia. O objetivo deste estudo foi identificar quais são os prejuízos da lombalgia à qualidade de vida dos praticantes de musculação. O método proposto foi de estudo quantitativo exploratório. Os participantes foram abordados em academias da cidade de Maringá, Paraná, Brasil, respondendo aos questionários Roland Morris e Short Form Health Survey. Os dados demonstraram um comprometimento da capacidade funcional e de aspectos sociais dos indivíduos afetados pela lombalgia e praticantes de musculação.

Physical exercise is present in everyday life with several objectives: among them, the improvement of the quality of life. Despite providing health benefits, pathologies and symptoms can also affect this type of activity. These are triggered, most of the time, by inappropriate behavior during training, among others. We have the benefits of bodybuilding for the human body, but this constant practice also leads to an increase in the installation of musculoskeletal injuries and symptoms, such as low back pain. The objective of this study was to identify the damage caused by low back pain to the quality of life of bodybuilders. The proposed method was an exploratory quantitative study. Participants were approached in gyms in the city of Maringá, Paraná, Brazil, answering the Roland Morris and Short Form Health Survey questionnaires. The data showed an impairment of functional capacity and social aspects of individuals affected by low back pain and bodybuilders.

Reflexoterapia e auriculoterapia para lombalgia aguda em docentes e discentes universitários: Ensaio clínico duplo-cego / Reflexotherapy and auriculotherapy for acute lumbalgia in university teachers and students: A double-blind clinical trial

Objetivo: comparar os efeitos da auriculoterapia e reflexoterapia podal para lombalgia aguda inespecífica em docentes e discentes universitários da área da saúde. Método: ensaio clínico, randomizado, controlado, duplo-cego, com 189 participantes distribuídos em três grupos: auriculoterapia experimental, reflexoterapia experimental e combinadas. Fora realizados 3 intervenções. Para a coleta foram utilizados: Questionário Sociodemográfico; Escala Visual e Analógica de intensidade na avaliação da dor; e Questionário para Lombalgia. Os dados foram analisados no programa IBM SPSS Statistics versão 18.0 Foram aplicados: teste de normalidade Kolmogorov-Smirnov; testes Qui-quadrado ou Exato de Fisher para comparação entre os grupos, e Análise de variância com post hoc ou Kruskal-Wallis, conforme apropriado. Resultados: evidenciou-se redução significativa da dor nos três protocolos (p=<0,001) para o Questionário de lombalgia, mas na comparaçãoda escala da dor, houve menor eficácia no grupo combinado (p=0,006). Conclusão: Ambas as terapias são eficazes e indicadas para controle da lombalgia aguda(AU)

Objective: to compare the effects of auriculotherapy and foot reflex therapy for nonspecific acute low back pain in university professors and students in the health area. Method: clinical trial, randomized, controlled, double-blind, with 189 participants divided into three groups: experimental auriculotherapy, experimental reflex therapy and combined therapy. Three interventions were performed. For data collection, the following were used: Sociodemographic Questionnaire; Visual and Analog Scale of intensity in pain assessment; and Low Back Pain Questionnaire. Data were analyzed using the IBM SPSS Statistics program, version 18.0. The following were applied: Kolmogorov-Smirnov normality test; Chi-square or Fisher's Exact tests for comparison between groups, and Analysis of variance with post hoc or Kruskal-Wallis, as appropriate. Results: there was a significant reduction in pain in the three protocols (p=<0.001) for the Low Back Pain Questionnaire, but when comparing the pain scale, there was less efficacy in the combined group (p=0.006). Conclusion: Both therapies are effective and indicated for the control of acute low back pain(AU)

Objetivo: comparar los efectos de la auriculoterapia y la terapia refleja podal en el dolor lumbar agudo inespecífico en profesores y estudiantes universitarios del área de la salud. Método: ensayo clínico, aleatorizado, controlado, doble ciego, con 189 participantes divididos en tres grupos: auriculoterapia experimental, terapia refleja experimental y terapia combinada. Se realizaron tres intervenciones. Para la recolección de datos, se utilizaron: Cuestionario Sociodemográfico; Escala Visual y Analógica de intensidad en la valoración del dolor; y Cuestionario de dolor lumbar. Los datos fueron analizados mediante el programa IBM SPSS Statistics, versión 18.0, se aplicaron: prueba de normalidad de Kolmogorov-Smirnov; Pruebas Chi-cuadrado o Exacto de Fisher para comparación entre grupos, y Análisis de varianza con post hoc o Kruskal-Wallis, según corresponda. Resultados: hubo reducción significativa del dolor en los tres protocolos (p=<0,001) para el Low Back Pain Questionnaire, pero al comparar la escala de dolor, hubo menor eficacia en el grupo combinado (p=0,006). Conclusión: Ambas terapias son efectivas e indicadas para el control del dolor lumbar agudo(AU)

Reflexoterapia e auriculoterapia para lombalgia aguda em docentes e discentes universitários: Ensaio clínico duplo-cego / Reflexoterapia y auriculoterapia para la lumbalgia aguda en universitarios: Un ensayo clínico doble ciego / Reflexotherapy and auriculotherapy for acute lumbalgia in university teachers and students: A double-blind clinical trial

Objetivo: comparar os efeitos da auriculoterapia e reflexoterapia podal para lombalgia aguda inespecífica em docentes e discentes universitários da área da saúde. Método: ensaio clínico, randomizado, controlado, duplo-cego, com 189 participantes distribuídos em três grupos: auriculoterapia experimental, reflexoterapia experimental e combinadas. Fora realizados 3 intervenções. Para a coleta foram utilizados: Questionário Sociodemográfico; Escala Visual e Analógica de intensidade na avaliação da dor; e Questionário para Lombalgia. Os dados foram analisados no programa IBM SPSS Statistics versão 18.0 Foram aplicados: teste de normalidade Kolmogorov-Smirnov; testes Qui-quadrado ou Exato de Fisher para comparação entre os grupos, e Análise de variância com post hoc ou Kruskal-Wallis, conforme apropriado. Resultados: evidenciou-se redução significativa da dor nos três protocolos (p=<0,001) para o Questionário de lombalgia, mas na comparaçãoda escala da dor, houve menor eficácia no grupo combinado (p=0,006). Conclusão: Ambas as terapias são eficazes e indicadas para controle da lombalgia aguda(AU)

Objective: to compare the effects of auriculotherapy and foot reflex therapy for nonspecific acute low back pain in university professors and students in the health area. Method: clinical trial, randomized, controlled, double-blind, with 189 participants divided into three groups: experimental auriculotherapy, experimental reflex therapy and combined therapy. Three interventions were performed. For data collection, the following were used: Sociodemographic Questionnaire; Visual and Analog Scale of intensity in pain assessment; and Low Back Pain Questionnaire. Data were analyzed using the IBM SPSS Statistics program, version 18.0. The following were applied: Kolmogorov-Smirnov normality test; Chi-square or Fisher's Exact tests for comparison between groups, and Analysis of variance with post hoc or Kruskal-Wallis, as appropriate. Results: there was a significant reduction in pain in the three protocols (p=<0.001) for the Low Back Pain Questionnaire, but when comparing the pain scale, there was less efficacy in the combined group (p=0.006). Conclusion: Both therapies are effective and indicated for the control of acute low back pain.(AU)

Objetivo: comparar los efectos de la auriculoterapia y la terapia refleja podal en el dolor lumbar agudo inespecífico en profesores y estudiantes universitarios del área de la salud. Método: ensayo clínico, aleatorizado, controlado, doble ciego, con 189 participantes divididos en tres grupos: auriculoterapia experimental, terapia refleja experimental y terapia combinada. Se realizaron tres intervenciones. Para la recolección de datos, se utilizaron: Cuestionario Sociodemográfico; Escala Visual y Analógica de intensidad en la valoración del dolor; y Cuestionario de dolor lumbar. Los datos fueron analizados mediante el programa IBM SPSS Statistics, versión 18.0, se aplicaron: prueba de normalidad de Kolmogorov-Smirnov; Pruebas Chi-cuadrado o Exacto de Fisher para comparación entre grupos, y Análisis de varianza con post hoc o Kruskal-Wallis, según corresponda. Resultados: hubo reducción significativa del dolor en los tres protocolos (p=<0,001) para el Low Back Pain Questionnaire, pero al comparar la escala de dolor, hubo menor eficacia en el grupo combinado (p=0,006). Conclusión: Ambas terapias son efectivas e indicadas para el control del dolor lumbar agudo.(AU)

Effect of the association of continuous shortwave diathermy and Pilates-based exercises on pain, depression, and anxiety in chronic non-specific low back pain: a randomized clinical trial

Chronic nonspecific low back pain (CNLBP) is the most common musculoskeletal condition, which can be influenced by nociceptive, psychosocial, cognitive, and affective aspects, causing vulnerabilities and impairing the individual's ability to manage pain. The association of continuous shortwave diathermy (CSWD) with Pilates-based exercises may contribute to reduce pain, depression, and anxiety in patients with CNLBP. A single-blind randomized clinical trial was performed in which 36 patients with CNLBP were divided into a control group that received placebo CSWD and an intervention group that received active CSWD. Both groups received 12 sessions of Pilates-based exercises. Pain, depression, and anxiety variables were evaluated using the McGill questionnaire, the Beck Depression Inventory, and the Visual Analog Anxiety Scale. Assessments were performed at baseline, after three and six weeks of treatment, and at the three-month follow-up. The Shapiro-Wilk test, Student's t-test, Mann-Whitney U test, chi-squared test, and repeated measures ANOVA, with α=0.05, were used to compare the outcomes, and indicated that active CSWD did not present additional improvement in the assessed variables in CNLBP patients compared to the placebo group. Both groups improved pain and depression at follow-up and reduced anxiety only during Pilates-based exercises. Therefore, only Pilates-based exercises seemed sufficient to manage patients with CNLBP.

Scientific Understanding of Kati Basti and its Application in Sciatica (Gridhrasi)

Kati Basti is an Ayurvedic treatment approach that includes several acts such as Bahyasnehana (external oleation), and Swedana Chikitsa (fomentation therapy). Katibasti is not mentioned in any of the classical sources. Even though it is not injected into the body, it is nevertheless referred to as Basti because medicated and lubricated substances are applied to certain parts of the body for a set period. In Kati (back) and Adhah shakagata vikaras, Katibasti is beneficial (disorders of the lower part of the body). This type of external Basti is very beneficial for muscle spasms, lower back tightness, and bone tissue strengthening in the back area. Backache is the common term used for trending diseases of today's lifestyle due to the engagement of people in improper postures, one of them is sciatica. Sciatica (Gridhrasi) is a word for low back pain that travels down the inside of the leg, through the hip, to the back of the thigh, and down the inside of the leg. In general, 5-10% of people with low back pain have sciatica, but the lifetime prevalence of low back pain is believed to be between 49 and 70 percent. Modern science's treatment of sciatica is unsatisfactory, involving the use of analgesics for pain alleviation and surgical techniques that are frequently associated with side effects. Gridhrasi or sciatica is treated with a variety of methods described in Ayurveda. Kati Basti is a one-of-a-kind therapeutic technique due to its simple, non-invasive, and effective approach. The present review focus of Kati basti, its scientific understanding, its mode of action along its application in sciatica.

Profile, attitudes and beliefs of physiotherapists in the management of chronic nonspecific low back pain / Perfil, atitudes e crenças de fisioterapeutas no manejo da dor lombar crônica inespecífica

Abstract Introduction: About 84% of the population have had some low back symptom during their lifetime; where 23% of cases become chronic pain. It is observed that in around 85% of cases of chronic low back pain, there is no specific cause or diagnosis, where it is referred to as chronic nonspecific low back pain. Given its disabling potential, the comprehensive assessment, attitudes and beliefs of the physiotherapist in clinical management become essential to the prognosis. Objective: To evaluate the relationship between sociodemographic/socioeducational and work profile and the attitudes and beliefs of physiotherapists in the management of chronic nonspecific low back pain treatment. Methods: This was a cross-sectional quantitative study. For data collection, two questionnaires were used, one referring to the sociodemographic/socioeducational profile information and the other referring to attitudes and beliefs determined by the Pain Attitudes and Beliefs Scale for Physiotherapists. Data were analyzed using the BioEstat 5.0 program using descriptive statistics, t-test and Pearson correlation (p < 0.05). Results: Fifty-seven physical therapists were analyzed, where most were women (61.4%), had specialization (56.2%), worked in private clinics (63.2%) and used specific methods in the management of chronic nonspecific low back pain (84.2%). Biomedical belief was predominant (70.2%) and showed a significant relationship with age (p = 0.0006). Conclusion: The biomedical model is still predominantly used, which is related to the age of the professionals surveyed.

Resumo Introdução: Cerca de 84% da população já teve algum sintoma lombar durante a vida e em 23% destes a dor tornou-se crônica. Observa-se que cerca de 85% das dores lombares crônicas não possuem causa ou diagnóstico específico, sendo denominadas de dor lombar crônica inespecífica (DLCI). Visto o seu potencial incapacitante, a avaliação integral, atitudes e crenças do fisioterapeuta no manejo clínico tornam-se fundamentais para o prognóstico. Objetivo: Testar a relação entre o perfil sociodemográfico/socioeducacional e laboral e as atitudes e crenças de fisioterapeutas no manejo do tratamento da DLCI. Métodos: Trata-se de uma pesquisa transversal e quantitativa. Para a coleta de dados foram utilizados dois questionários, um referente às informações de perfil sociodemográfico/socioeducacional e outro inerente às atitudes e crenças determinadas pelo Pain Attitudes and Beliefs Scale for Physiotherapists. Os dados foram analisados pelo programa BioEstat 5.0, utilizando estatística descritiva, teste t e correlação de Pearson (p < 0,05). Resultados: Dos 57 fisioterapeutas analisados, a maioria eram mulheres (61,4%), possuíam especialização (56,2%), atuavam em clínicas privadas (63,2%) e utilizavam métodos específicos no manejo da DLCI (84,2%). A crença biomédica mostrou-se predominante (70,2%) e apresentou relação significativa com a idade (p = 0,0006). Conclusão: Ainda é predominantemente empregado o modelo biomédico, que apresenta relação com a idade dos profissionais pesquisados.

Influence of unstable shoes on women with lumbopelvic postpartum pain: randomized clinical trial

ABSTRACT BACKGROUND: Back pain is a normal symptom during pregnancy and is expected to become worse beyond the first three months after childbirth. OBJECTIVES: To determine the effectiveness of wearing unstable shoes instead of conventional shoes, regarding pain intensity, low back mobility and stability, among women with lumbopelvic pain (LPP) during the postpartum period. DESIGN AND SETTING: Prospective, single-blinded, randomized clinical trial conducted at a podiatry and physiotherapy clinical center. METHODS: A nine-week program of wearing either unstable shoes (A) or conventional shoes (B) was implemented. The following outcomes were measured in three assessments: pain intensity, using a visual analogue scale (VAS); low-back mobility, using a modified Schober test; and stability, using a pressure platform. RESULTS: The lateral stability speed, anterior stability speed and anterior center of pressure (COP) showed significant (P < 0.05) decreases in the unstable shoes group after nine weeks, in relation to the conventional group. Intra-group measurements showed significant differences (P < 0.05) in VAS between the second and third assessments and between the first and third assessments in both groups. Intra-group evaluations also showed statistically significant differences (P < 0.05) in the lateral stability speed and anterior stability speed. CONCLUSIONS: Unstable shoes were effective in decreasing the pain intensity at five and nine weeks in women with postpartum LPP. In addition, their use produced decreases in lateral stability speed, anterior stability speed and anterior COP at nine weeks.

Prevalence Of Low Back Pain In Armed Forces

OBJECTIVE:To estimate the incidence and risk factors for developing low back ache in active duty military population considering age, sex, rank, and duration of military service. METHODS:A cross-sectional data was collected and compiled which included all the admissions at various service hospitals in the last seven years (2012 to 2018). The data base of all the armed forces hospital admissions was compiled to estimate the prevalence of low backache and evaluate possible causative factors of low backache in armed forces. RESULTS:There were total of 35560 armed forces personnel admissions in service hospitals from 2012 to 2018. The prevalence of low backache was higher in the infantry followed by artillery and then the supporting arms. The most prevalent age group was from 25 -35 years with 10 -15 years of service. CONCLUSIONS:The relatively high incidence of low backache among general duty soldiers were related to age of the personnel, the trade (occupation), the duration of service. General duty soldier is working under extreme psychological stress, harsh terrain, often without adequate rest and With a constant threat to life. The poor back posture, improper use and lack of spine care exacerbates the back ache .The vigorous stress and strain of military activities like assault course, lifting heavy weights and frequent night training also contributes to the low backache.

Lombalgia e alterações funcionais em feirantes: um estudo transversal / Low back pain and functional changes in marketers: a cross-sectional study

INTRODUÇÃO: A dor lombar atinge níveis epidêmicos na população em geral, sendo uma das causas de incapacidade funcional e motivo mais comum para a consulta médica. Sua etiologia é multifatorial e os fatores mais comuns para esta sintomatologia envolvem os elementos biomecânicos, ocupacionais e as características individuais. OBJETIVO: investigar a ocorrência das lombalgias e as repercussões funcionais entre os feirantes do setor de hortifruti (varejo). METODOLOGIA: Foi realizado um estudo quantitativo, de natureza descritiva, com desenho de estudo transversal. Para tanto, aplicou-se o formulário de incapacidades Oswestry (modificado) e para a mensuração da dor, a Escala Visual Analógica. Os dados foram avaliados descritivamente, por meio de frequência absoluta e relativa. RESULTADOS: Foram entrevistados 100 feirantes, com a idade média de 43 anos. Destes, 73% apresentam alguma dor ou desconforto na região lombar e para minimizar tal ocorrência, 39,7% faziam uso de remédio oral/tópico sem orientação médica. Com relação às alterações funcionais, 14% apresentam incapacidade intensa. CONCLUSÃO: O estudo permitiu identificar, que os indivíduos com lombalgia, possuíam algum grau de incapacidade que repercutiam no seu contexto de vida.

INTRODUCTION: Back pain affects epidemic levels in the general population, one of the causes of disability and the most common reason for medical consultation. Its etiology is multifactorial and the most common factors for these symptoms involve biomechanical elements, occupational and individual characteristics. OBJECTIVE: To investigate the occurrence of low back pain and the functional consequences of the fairground's grocery sector (retail). METHODS: a quantitative study was conducted descriptive, cross-sectional study design. Therefore, the form applied Oswestry disability (modified) and pain measurement, the Visual Analogue Scale. The data were analyzed descriptively, through absolute and relative frequency. RESULTS: We interviewed 100 stallholders, with a mean age of 43 years. Of these, 73% have some pain or discomfort in the lower back and minimize such an occurrence, 39.7% were using oral medicine/topic without medical advice. With regard to functional alterations, 14% have a severe disability. CONCLUSION: The study revealed that individuals with low back pain, had some degree of disability that had repercussions in the context of his life.

A Comparative Study To Diffrentiate The Back Extensor Endurance Between Smokers And Non-Smokers With And Without Low Back Pain Using Sorenson Test

Background: The two major public health concerns that have enormous socio-economic as well as public health impact are smoking and LBP. Aim: To compare the effects of smoking on back extensor endurance. Methodology: 200, 100 smokers and 100 non-smokers, all males were taken within the age group of 30-50 years, and who have been smoking for the last 10 years or more. People with mechanical LBP and spinal pathology were excluded. These 200 subjects were included and divided into two groups. A(n=100 smokers)B (n=100 non-smokers).With adequate explanation and demonstration Seronson test was carried out to see the back extensor endurance time in two groups of subject. Data was obtained and smoking- index was correlated subsequently. BMI,VAS, SORENSON TEST. Were the outcome measures used. Results: 67 smokers and 31 non-smokers had low backache. The Sorenson time was significantly reduced in smokers with a mean endurance time of 44.89 and 96.39 in non-smokers. BMI is negatively related to Sorenson time and prolonged cough is a risk factor for low backache and also a dose- response relationship is found between the number of cigarettes / day and pain intensity. Conclusion: The back extensor endurance is reduced in smokers irrespective of backache. Increased BMI and cough is also associated with disabling low backache. Smoking index is positively related to back pain.

The Effect Of Mulligan’s Bent Leg Raise [BLR] Versus Instrument Assisted Soft Tissue Mobilization [M2T] In Subjects With Hamstring Tightness In Non - Specific Low Backache: A Randomized Clinical Trial

Background: Nonspecific low backache is a pain, muscle tension, or stiffness localized between the costal margin and inferior gluteal folds, without sciatica. Only 10% of the cases have a specific cause. One of the risk factors is poor hamstring flexibility. Mulligan’s BLR and IASTM have shown to improve hamstring flexibility. No studies have compared both. Therefore the study was undertaken. Methods: 48 subjects, mean age 34.27 ± 5.30 were recruited. Group A (24 - 15 male and 9 female) received TENS, Mulligan’s BLR and conventional exercises. Group B (24 - 12 male and 12 female) received TENS, M2T for Hamstrings and conventional exercises. Outcome measures were taken pre-treatment session 1 and post-treatment session 6. Results: Pre and post mean the difference in group A [BLR] was 5.96 ± 0.95 for NPRS, 19.38 ±7.28 for Right AKET, 20.54 ± 6.78 for Left AKET, 2.07 ± 6.49 for Lumbar lordosis and 28.38 ± 9.73 for QBPDS. Pre and post mean the difference in group B [M2T] was 5.71 ± 1.20 for NPRS, 17.00 ± 6.94 for Right AKET, 15.75 ± 6.50 for Left AKET, 1.20 ± 4.76 for Lumbar lordosis and 26.42 ± 11.38 for QBPDS. The intragroup comparison was statistically significant, p = 0.0001 for all outcome measures. Intergroup comparison was statistically significant, p < 0.05 for Left AKET (p=0.0161). Conclusion: Interventions given were equally effective in reducing pain, improving hamstring flexibility, and reducing disability within the group but not between the groups except left AKET.

Efficacy of pregabalin versus nortriptyline in the treatment of chronic low backache with radiculopathy: an open label observational study

Background: The efficacy and safety of Pregabalin and Nortriptyline have been proved individually in low backache with radicular pain. However, there are limited number of studies comparing the efficacy of Pregabalin and Nortriptyline in Chronic Low Backache (CLBA) with radicular pain. Hence the present study was designed to determine the efficacy as well as tolerability of Pregabalin in comparison with that of Nortriptyline for reduction of pain in CLBA. The present study was an open label prospective observational study.Methods: Patients with CLBA, 15-60 years of age without specific cause and significant neurological deficit were included in the study. Severity of pain was assessed by Visual Analogue Scale (VAS). Patients were followed up at 2 and 4 weeks and their VAS scores and side effects were noted.Results: Both Pregabalin and Nortriptyline were effective in reducing pain, from baseline to 2 weeks and up to 4 weeks of treatment in chronic low backache with radicular pain, but there was no statistically significant difference between the two treatment groups. The incidences of side effects were less in the Nortriptyline treatment group as compared to Pregabalin.Conclusions: From the results of the present study it can be concluded that both Pregabalin and Nortriptyline were equally effective in the treatment of chronic low backache with radicular pain, but the incidence of adverse effects were more with Pregabalin as compared to Nortriptyline.

Backache: Association with Stature, Posture and Work-Station Ergonomics in Information Technology Professionals-An Analytical Study

The Information technology has been the bane of contention in the present scenario and has been an inevitable part of thelife of every citizen in the society. With the improvement in communication, it has brought many health related problems andone among them is the backache. The main aim of the study was to examine the association between the stature, posture andwork-station Ergonomics in Information Technology Professionals. One hundred IT professional who had more than 3 yearsof work experience aged between 20-30 years were surveyed. The anthropometric and workstation measurement werestature, height of tabletop, angle of backrest, position of knees, sitting posture, presence or absence of footrest. The resultsshowed that persons with height of less than 163 cm (21%) and more than 170 cm (72%) suffered backache. Butprofessionals with a height range of 164-169 cm suffered 7% due to many factors. It was concluded that a table top of 75 cmwas recommended to persons with all heights which may greatly reduce the risk of backache in the IT professionals.

Medication regularities of traditional Chinese medicine formulas for six kinds of pains by data-mining approach / 中国中药杂志

To study and compare the medication regularities of traditional Chinese medicine formulas(TCMFs) for the six kinds of pains,namely abdominal pain,headache,epigastric pain,hypochondriac pain,heartache and backache,using a data-mining approach,in order to provide reference for relevant studies for the compatibility mechanism and new compound development of related TCMFs. A total of 2 443 TCMFs for pains were collected from the Dictionary of Chinese Medicine Prescriptions,and analyzed using the Apriori algorithm based on three indicators,namely confidence,lift and support,so as to study pivotal traditional Chinese medicines(TCMs) for each pain and their compatibility regularities. The results showed that deficiency tonifying medicines(such as Glycyrrhizae Radix et Rhizoma and Angelicae Sinensis Radix),Qi-regulating medicines(like Aucklandiae Radix) and blood circulation promoting medicines(like Chuanxiong Rhizoma) were commonly used TCMs for pains. However,there were many differences between drugs for various kinds of pains. For example,Magnoliae Officinalis Cortex was used frequently for abdominal pain and epigastric pain,while Saposhnikoviae Radix was used frequently for headache. The latent association rules with significant lift included Carthami Flos → Angelicae Sinensis Radix for abdominal pain,Astragali Radix → Glycyrrhizae Radix et Rhizoma for headache,Hordei Fructus Germinatus → Citri Reticulatae Pericarpium for epigastric pain,Gentianae Radix et Rhizoma → Bupleuri Radix for hypochondriac pain,and Caryophylli Flos → Moschus for backache. This study showed that based on the TCMFs from the Dictionary of Chinese Medicine Prescriptions,the data-mining approach can reveal the differences and similarities in the use of TCMs for the six kinds of pains,and discover the latent composition regularities of relevant TCMs.

Role Of Mri In The Diagnosis Of Lumbar Disc Degenerative Disease: A Hospital Based Study

Background: Degenerative Lumbar Disc (DLD) is common cause for lower back ache (LBA) Early diagnosis is most important in the treatment of DLD. The present study aimed to find out the role of MRI in the detection of degenerative disc diseases (DDD). Materials and Methods: This study was conducted in the Department of Radiodiagnosis, Kannur Medical College. A total of 50 patients were included in the study. The study population was subjected to MRI study. Images were collected and used for the analysis. Results: In 50 patients, 34 showed DDD. Maximum patients showed annular disc bulge. Conclusion: Our study evaluated and concluded that MRI plays major role in the detection of DDD.

Evaluation of low backache in young adults with MRI

Background: Law back helps maintaining structural support and provide movements. Pain in low back can be result of condition affecting bony lumber sine, disc between vertebrae, ligament, spinal cord,nerves and muscle. Materials and methods: Patient coming to radiology department with chief complaint of low back pain were included. Consent was taken from each patient who came with low back pain. PHILIPS ACHIEVA1.5 Tesla used. Results: Out of 40 patient studied 20 were males and 20 were females. The age range was from 23- 40 years. Degenerative changes at L4-L5 level was most common cause of low back pain. Conclusion: MRI is the modality of choice for diagnosing condition causing low back pain.

Atypical iliac unicameral bone cyst – An incidental finding in MRI.

is no expansion of the bone with unicameral bone cysts but in our present case there was expansion making it atypical presentation. We present a 22-year male who underwent MRI for Lumbosacral spine for his vague low backache symptoms. There was incidental finding of bony lesion in left iliac bone which turned out to be simple bone cyst. The study of Lumbosacral spine was unremarkable.

Validación de un cuestionario para la cuantificación del dolor de espalda en escolares / Validation of a questionnaire for quantification of backache in school children

Objetivo: validar un instrumento de medida fácil, rápido y fiable que permita el acceso a información cuantitativa sobre el dolor de espalda que pueda sufrir la población infantil. Métodos: estudio descriptivo cuantitativo, no experimental, de corte transversal. Participaron 153 escolares (80 niños y 73 niñas) del tercer ciclo de educación primaria y de enseñanza secundaria obligatoria, que contestaron un cuestionario sobre algias de espalda mediante una escala visual analógica. A todos los niños se les tomaron las medidas antropométricas y pesado los utensilios de transporte de material escolar. La fase de validez didáctica y de contenido fue realizada por jueces expertos y la consistencia interna del cuestionario, a de Cronbach, fue elevada (0,809). Resultados: las correlaciones entre los ítems fueron muy significativas (p< 0,001) excepto en un caso (p> 0,05). El índice de la Medida de Adecuación Muestral Kaiser-Meyer-Olkin (p< 0,0001) indicó la posibilidad de realizar un análisis factorial del que pudimos obtener un factor denominado Dolor de Espalda, que explicó el 58,46 por ciento de la varianza total, por lo que resulta un instrumento unidimensional. Conclusiones: el cuestionario creado se muestra como un instrumento válido y fiable para la recogida de información cuantitativa del dolor de espalda en el ámbito del área de educación física relacionada con la salud(AU)

Objective: to validate an easy, rapid and reliable measuring instrument that allows the access to quantitative information about backache that the child population could suffer. Methods: non-experimental, cross-sectional, quantitative and descriptive study in which 153 school children (80 boys and 73 girls) from the third cycle of primary education and secondary education participated. They answered a questionnaire about backache by using a visual analogue scale. All of them were taken their anthropometric measures and their means to carry the school materials. The phase of didactic and contents validation was performed by expert judges whereas the internal consistency of the questionnaire expressed as Cronbach's Alpha was high (0.809). Results: the correlations between the items were very significant (p< 0.001), except in one case (p> 0.05). The rate of the Kaiser-Meyer-Olkin's of Sampling Adequacy Measure (p< 0.0001), indicates the possibility of making a factor analysis from which we can obtain a factor called Backache, explaining 58.46 percent of the total variance, and this instrument finally was one-dimensional. Conclusions: the questionnaire proves to be a valid and reliable instrument for quantitative data collection about backache in the field of health-related physical education area(AU)

A rare cause of kyphosis with low backache - “Scheuermann’s disease”: “Osteochondritis deformans juvenilis dorsi.

An uncommon case of Scheuermann‟s disease (Apprentice‟s spine) is being reported for two simple reasons- firstly, to show that it is a self-limiting disease which needs only proper observation, extension exercises & extension spinal brace and secondly, it becomes a diagnostic riddle when osteolytic lesion is seen in epiphyseal plates of adjacent vertebral bodies in an adolescent. Radiology and Imaging are needed for the early and accurate diagnosis and to differentiate it from other causes of kyphosis. Hence, it stressed the need to publish this condition not only for its rarity but also for its diagnostic puzzle to differentiate it from other conditions. Here we report a case of an adolescent male of 17 years with poor posture/slouching, fatigue, mild pain in lower thoracic area of spine (low backache), stiffness and loss of flexibility with radiological and MRI findings.