65,666 results match your criteria Notalgia Paresthetica


Obese Patients Benefit, but do not Fare as Well as Nonobese Patients, Following Lumbar Spondylolisthesis Surgery: An Analysis of the Quality Outcomes Database.

Neurosurgery 2018 Dec 12. Epub 2018 Dec 12.

Department of Neurological Surgery, University of California, San Francisco, California.

Background: Given recent differing findings following 2 randomized clinical trials on degenerative lumbar spondylolisthesis (DLS) surgery, there is a need to better define how subsets of patients fare following surgery.

Objective: To investigate the impact of obesity on patient-reported outcomes (PROs) following DLS surgery.

Methods: A total of 12 high-enrolling sites were queried, and we found 797 patients undergoing surgery for grade 1 DLS. Read More

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December 2018

Machine learning-based prediction of clinical pain using multimodal neuroimaging and autonomic metrics.

Pain 2018 Oct 17. Epub 2018 Oct 17.

Department of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States.

Although self-report pain ratings are the gold standard in clinical pain assessment, they are inherently subjective in nature and significantly influenced by multidimensional contextual variables. Although objective biomarkers for pain could substantially aid pain diagnosis and development of novel therapies, reliable markers for clinical pain have been elusive. In this study, individualized physical maneuvers were used to exacerbate clinical pain in patients with chronic low back pain (N = 53), thereby experimentally producing lower and higher pain states. Read More

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October 2018
1 Read

Lumbar Spine Injuries: Primary Prevention in Amateur and Professional Golf Players.

Sports Med Int Open 2018 Nov 16;2(6):E179-E184. Epub 2018 Nov 16.

Golf Biomechanic Academy, Teaching, Pforzheim, Germany.

In the sport of golf, there is no standard teaching method or swing technique even though golf is known for overuse injuries. This prospective study was to analyze classic swing kinematics in comparison with the Free-Release method and to define a physiological golf swing. Two hundred eighty-three players, age 50-59 years, were included in the study. Read More

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November 2018
1 Read

The Clinical Characteristics of Spinal Epidural Lipomatosis in the Lumbar Spine.

Anesth Pain Med 2018 Oct 20;8(5):e83069. Epub 2018 Oct 20.

Department of Anesthesiology and Pain Medicine, Jeju National School of Medicine, Jeju, Korea.

Background: Spinal epidural lipomatosis (SEL) is a rare disease, defined as diffuse hypertrophy of unencapsulated adipose tissue causing spinal canal compression and progressive neurologic deficits. However, there are few studies on SEL in Korea.

Objectives: The purpose of this study was to describe the prevalence and clinical characteristics of SEL in Korea. Read More

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October 2018
1 Read

Radiation recall myelitis following paclitaxel chemotherapy: The first reported case.

J Radiosurg SBRT 2018 ;5(4):331-334

Department of Radiation Medicine, Oregon Health and Science University, Portland, OR, USA.

Introduction: Stereotactic body radiotherapy (SBRT) of the spine has become an increasingly utilized modality in the United States, most commonly for metastatic disease (McClelland et al., 2017). Spinal SBRT in patients with spinal instrumentation has been sparsely examined. Read More

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January 2018

Relationship between Pain, Somatisation, and Emotional Awareness in Primary School Children.

Pain Res Treat 2018 12;2018:4316234. Epub 2018 Nov 12.

Aplysia Onlus, GIFT Institute of Integrative Medicine, Pisa, Italy.

Poor emotional awareness (EA) seems to play an important role in the aetiology of functional somatic complaints featuring pain as a form of somatisation. The aim of this study was to shed more light on this relationship by investigating the links between pain, somatisation, and emotional awareness in a nonclinical population of 445 children aged 6-10. Assessing pain through the Children's Somatisation Inventory (CSI), a very high percentage of the entire sample complained of experiencing pain at least one site (84. Read More

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November 2018

10 kHz spinal cord stimulation: a retrospective analysis of real-world data from a community-based, interdisciplinary pain facility.

J Pain Res 2018 20;11:2929-2941. Epub 2018 Nov 20.

Division of Biostatistics and Experimental Design, Tufts School of Dental Medicine, Boston, MA, USA.

Objective: To evaluate clinical outcomes and health care utilization at 12 months post spinal cord stimulator (SCS) implantation compared with baseline and a matched sample of patients receiving conventional medical management (CMM) for the treatment of low back and lower extremity pain.

Patients: A retrospective study of patients with at least 24 months of active treatment at an interdisciplinary community pain center between December 1, 2014 and December 31, 2017. Thirty-two patients receiving implantation of a high-frequency (10 kHz) SCS and 64 patients receiving CMM were identified through propensity matching at a ratio of 2:1. Read More

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November 2018

SKA1 overexpression is associated with poor prognosis in hepatocellular carcinoma.

BMC Cancer 2018 Dec 11;18(1):1240. Epub 2018 Dec 11.

Department of Neurosurgery, First Affiliated Hospital, Zhengzhou University, 1 Jianshe Road East, Zhengzhou, 450052, Henan, China.

Background: SKA1, an important mitosis protein, has been indicated in the initiation and progression of several malignancies. However, its clinical significance in hepatocellular carcinoma (HCC) remain to be elucidated.

Methods: mRNA expression of SKA1 was examined in 126 HCC and paired non-neoplastic tissues using real-time PCR and validated in The Cancer Genome Atlas (TCGA) database. Read More

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December 2018

Functional performance and safety of bone-anchored prostheses in persons with a transfemoral or transtibial amputation: a prospective one-year follow-up cohort study.

Clin Rehabil 2018 Dec 12:269215518815215. Epub 2018 Dec 12.

4 Department of IQ Healthcare, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.

Objectives:: (1) To compare level of function, activity, health-related quality of life (HRQoL) and satisfaction in persons with a lower extremity amputation before surgery and 6- and 12-months after implantation of an osseointegration implant and (2) to report adverse events.

Design:: Prospective cohort study.

Setting:: University medical centre. Read More

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December 2018

Aortic regurgitation due to back-and-forth intimal flap movement detected by both multidetector computed tomography and transesophageal echocardiography.

J Cardiol Cases 2013 Jun 16;7(6):e161-e163. Epub 2013 Mar 16.

Division of Cardiology and Cardiovascular Surgery, Mitsui Memorial Hospital, 1 Kanda-Izumicho, Chiyoda-ku, Tokyo 101-8643, Japan.

A 46-year-old man with a history of hypertension, chronic kidney disease, and chronic aortic dissection classified as DeBakey type IIIB was referred to our hospital with chest and back pain. The patient underwent 64-row multidetector computed tomography (MDCT), which revealed new-onset DeBakey type II aortic dissection. The intimal flap prolapsed into left ventricle in the diastolic phase of cardiac cycle and stuck to the right coronary cusp (RCC) of the aortic valve. Read More

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Coarctation of the aorta with some collaterals presenting as aortic dissection detected by 64-MDCT.

J Cardiol Cases 2012 Feb 4;5(1):e48-e50. Epub 2011 Oct 4.

Department of Cardiology, Fukuoka University School of Medicine, Fukuoka, Japan.

Coarctation of the aorta with aortic dissection is sometimes seen in cases of Turner syndrome, and most cases are type A aortic dissection, whereas coarctation of the aorta with type B aortic dissection is unusual. Only two cases of coarctation of the aorta presenting as aortic dissection have been reported in Japan, and only a few cases have been reported worldwide. We report here a case of coarctation of the aorta with some collaterals presenting as aortic dissection (type B) detected by 64-multidetector row computed tomography (MDCT). Read More

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February 2012

Very late stent thrombosis at 2.5 years after sirolimus-eluting stent implantation with prior angioscopic image of culprit lesion: A case report.

J Cardiol Cases 2012 Feb 26;5(1):e12-e15. Epub 2011 Nov 26.

Cardiovascular Division, Osaka Police Hospital, Osaka, Japan.

Although very late stent thrombosis after drug-eluting stent implantation is a critical event, its cause has not been clarified. This is the first report of a case with very late stent thrombosis after drug-eluting stent implantation for which prior angioscopic image of the culprit lesion is available. A 54-year-old Japanese male patient with stable angina who received implantation of sirolimus-eluting stent at the culprit lesion and 1-year follow-up angiographic and angioscopic examinations came back with chest pain at rest at 2. Read More

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February 2012
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Physiological in vitro sacroiliac joint motion: a study on three-dimensional posterior pelvic ring kinematics.

J Anat 2018 Dec 9. Epub 2018 Dec 9.

Fraunhofer Institute for Machine Tools and Forming Technology IWU, Dresden, Germany.

The sacroiliac joint (SIJ) is a well-known source of low back and pelvic pain, of increasing interest for both conservative and surgical treatment. Alterations in the kinematics of the pelvis have been hypothesized as a major cause of SIJ-related pain. However, definitions of both the range and the extent of physiological movement are controversial, and there are no clear baseline data for pathological alterations. Read More

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December 2018

Exclusion of Older Adults from Ongoing Clinical Trials on Low Back Pain: A Review of the WHO Trial Registry Database.

J Am Geriatr Soc 2018 Dec 8. Epub 2018 Dec 8.

School of Rehabilitation Sciences, University of Ottawa, Ottawa, Ontario, Canada.

Background/objectives: The burden of low back pain (LBP) is high, especially for older adults who experience a higher number of years living with a disability. However, this population is not being well represented in clinical trials (CTs). This study analyzed the International Clinical Trial Registry Platform (ICTRP) database from the World Health Organization to verify the future trend in the participation of older adults in registered CTs on LBP. Read More

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December 2018
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PEEK versus metal cages in posterior lumbar interbody fusion: a clinical and radiological comparative study.

Musculoskelet Surg 2018 Dec 10. Epub 2018 Dec 10.

S.C. Ortopedia e Traumatologia, IRCCS Policlinico San Matteo, Università degli Studi di Pavia, Viale Camillo Golgi 19, 27100, Pavia, PV, Italy.

Background: Low back pain and sciatica represent a common disabling condition with a significant impact on the social, working and economic lives of patients. Transforaminal lumbar interbody fusion (TLIF) is a surgical procedure used in degenerative spine conditions. Several types of cages were used in the TLIF procedure. Read More

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December 2018

[Therapy-resistant coccygodynia should no longer be considered a myth : The surgical approach].

Orthopade 2018 Dec 7. Epub 2018 Dec 7.

Orthopädische Klinik für die Universität Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl-V-Allee 3, 93077, Bad Abbach, Deutschland.

Background: Coccygodynia is still often considered a mystery, and many patients are not taken seriously with their problems and pain.

Case: A 51-year-old thin lady presented at our clinic with lifelong, persistent low back pain. The clinical examination indicated suspicion of coccygodynia. Read More

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December 2018

Intrasubject repeatability of in vivo intervertebral motion parameters using quantitative fluoroscopy.

Eur Spine J 2018 Dec 8. Epub 2018 Dec 8.

Faculty of Science and Technology, Bournemouth University, Bournemouth, UK.

Purpose: In vivo quantification of intervertebral motion through imaging has progressed to a point where biomarkers for low back pain are emerging. This makes possible deeper study of the condition's biometrics. However, the measurement of change over time involves error. Read More

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December 2018
1 Read

Association between physical activity and scoliosis: a prospective cohort study.

Int J Epidemiol 2018 Dec 6. Epub 2018 Dec 6.

Musculoskeletal Research Unit, University of Bristol, Southmead Hospital, Bristol, UK.

Background: Little is understood about the causes of adolescent onset idiopathic scoliosis (AIS). No prospective studies assessing the association between physical activity and idiopathic adolescent scoliosis have been carried out. We aimed to carry out the first prospective population-based study of this association. Read More

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December 2018

Costs and consequences of chronic pain due to musculoskeletal disorders from a health system perspective in Chile.

Pain Rep 2018 Sep-Oct;3(5):e656. Epub 2018 Sep 10.

Health Technology Assessment Unit, Center of Clinical Research, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.

Background: Chronic pain is a prevalent and distressing condition caused by an unceasing pain lasting more than 3 months or a pain that persists beyond the normal healing time. There is evidence of inadequate management partly explained by the unawareness regarding the magnitude of the problem.

Objectives: To estimate the annual expected costs and consequences of chronic pain caused by musculoskeletal diseases from the health system perspective in Chile. Read More

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September 2018

EFFICACY OF REFLEXIVE NEUROMUSCULAR STABILIZATION DURING TREATMENT OF SCAPULAR DYSKINESIA IN AN OVERHEAD ATHLETE: A CASE REPORT.

Int J Sports Phys Ther 2018 Dec;13(6):1073-1082

University of Idaho, Moscow, ID, USA.

Background And Purpose: Shoulder injuries are common amongst overhead athletes. Dysfunctional motor patterns (scapular dyskinesis) may be the cause or result. Improperly treated, they can sideline athletes or reduce quality of life. Read More

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December 2018

Far-lateral Disc Herniation Treated by Lateral Lumbar Interbody Fusion without Complete Fragment Excision: A Case Report and Review of the Literature.

Cureus 2018 Oct 2;10(10):e3404. Epub 2018 Oct 2.

Orthopaedics, Washington Spine and Scoliosis Institute, Bethesda, USA.

Symptomatic far-lateral lumbar disc herniation is a less common causes of lumbar radiculopathy than paracentral or central disc herniation. Treatment of far-lateral disc herniation with a retroperitoneal, transpsoas approach and disc fragment excision has been described. However, treatment of far-lateral disc herniation using lateral lumbar interbody fusion (LLIF) without neural manipulation has not been described. Read More

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October 2018

Changes in spinal stiffness with chronic thoracic pain: Correlation with pain and muscle activity.

PLoS One 2018 11;13(12):e0208790. Epub 2018 Dec 11.

Department of Human Kinetics, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada.

Objective: The objective was to compare thoracic spinal stiffness between healthy participants and participants with chronic thoracic pain and to explore the associations between spinal stiffness, pain and muscle activity. The reliability of spinal stiffness was also evaluated.

Material And Methods: Spinal stiffness was assessed from T5 to T8 using a mechanical device in 25 healthy participants and 50 participants with chronic thoracic pain (symptoms had to be reported within the evaluated region of the back). Read More

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December 2018

Chronic Non-specific Low Back Pain and Motor Control During Gait.

Front Psychol 2018 23;9:2236. Epub 2018 Nov 23.

Institute of Sport Sciences, Technische Universität Darmstadt, Darmstadt, Germany.

Chronic non-specific low back pain (LBP) poses a major socioeconomic problem, although the mechanisms are not yet clear. Impaired motor control is one of the mechanisms being discussed. The purpose of this review is to provide an overview of motor control parameter differences between individuals with and without non-specific LBP during gait. Read More

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November 2018
2 Reads

A Rare Case of Thyrotoxic Periodic Paralysis After Epidural Steroid Injection: A Case Report and Literature Review.

Am J Case Rep 2018 Dec 8;19:1453-1458. Epub 2018 Dec 8.

Department of Internal Medicine, Piedmont Athens Regional Medical Center, Athens, GA, USA.

BACKGROUND Thyrotoxic periodic paralysis (TPP) is a rare cause of acute paralysis, which if not promptly recognized and treated, can lead to significant morbidity and mortality. TPP can be precipitated by several factors, including a high carbohydrate diet and exercise. This report is of a rare case of TPP after epidural steroid injection in a young man, with a review of the literature of previous cases. Read More

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December 2018

Cryo-Compression Therapy After Elective Spinal Surgery for Pain Management: A Cross-Sectional Study With Historical Control.

Neurospine 2018 Sep 9. Epub 2018 Sep 9.

Ankara Spine Center, Ankara, Turkey.

Objective: Postoperative dynamic cryo-compression (DC) therapy has been proposed as a method of reducing pain and the inflammatory response in the early postoperative period after orthopedic joint reconstruction surgery. Our aim was to analyze the analgesic efficacy of DC therapy after adult lumbar spinal surgery.

Methods: DC was applied for 30 minutes every 6 hours after surgery. Read More

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September 2018
1 Read

Retrospective Review of Magnetic Resonance Imaging of the Lumbosacral Spine: Are We Overinvestigating?

Neurospine 2018 Oct 7. Epub 2018 Oct 7.

Department of Anesthesiology, Henry Ford Hospital, Detroit, MI, USA.

Objective: Lower back pain (LBP) is a worldwide health problem, and magnetic resonance imaging (MRI) is a common modality used to aid in its diagnosis. Although specific guidelines for assessing the necessity of MRI usage exist, the use of MRI as the initial imaging method for LBP seems to be more common than necessary in general practice.

Methods: We conducted a retrospective chart review of 313 patients who had undergone MRI of the lumbosacral spine during 2014-2015. Read More

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October 2018
5 Reads

Extradiscal Epiduroscopic Percutaneous Endoscopic Discectomy for Upper Lumbar Disc Herniation A Technical Note.

Clin Spine Surg 2018 Dec 7. Epub 2018 Dec 7.

Department of Neurosurgery, Nanoori Gangnam Hospital, Incheon, Republic of Korea.

Study Design: This study was a technical case report.

Objectives: To introduce a new transforaminal percutaneous endoscopic lumbar discectomy (PELD) technique for the treatment of upper lumbar disc herniation using an extradiscal epiduroscopic approach.

Summary Of Background Data: Although upper lumbar disc herniation accounts for only 1%-2% of all cases of lumbar disc herniation, the treatment is difficult and shows relatively poor outcomes compared with lower lumbar disc herniation. Read More

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December 2018

The relationship between catastrophizing and altered pain sensitivity in patients with chronic low back pain.

Pain 2018 Dec 7. Epub 2018 Dec 7.

Department of Anesthesiology, Pain Management Center, Brigham and Women's Hospital, Harvard Medical School, Chestnut Hill, MA, USA.

Changes in central pain processing have been shown in patients with chronic low back pain (cLBP). We used quantitative sensory testing (QST) methods to identify differences in pain sensitization between patients with cLBP (N=167) and healthy controls (N=33). Results indicated that, compared to healthy pain-free controls, cLBP patients showed increased sensitivity and greater painful aftersensations for mechanical pressure and pin prick stimuli and lower tactile spatial acuity in the two-point discrimination task (ps<. Read More

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December 2018

A therapeutic exercise program improves pain and physical dimension of health-related quality of life in young adults. A Randomized Controlled Trial.

Am J Phys Med Rehabil 2018 Dec 6. Epub 2018 Dec 6.

Member of the Psychosocial Intervention and Functional Rehabilitation Research Group, Department of Biomedical Sciences, Medicine and Physiotherapy, Faculty of Physiotherapy, University of A Coruña, A Coruña Campus, 15071 A Coruña, Spain.

Objective: The aim of this study was to evaluate the effects of an exercise therapy program on pain and physical dimension of health-related quality of life for young adults with musculoskeletal pain.

Design: Randomized controlled single-blind trial. Fifty-seven subjects (58% women) were randomly assigned to experimental (n=28; 21. Read More

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December 2018
1 Read

Spondylolysis 2019 update.

Curr Opin Pediatr 2018 Dec 3. Epub 2018 Dec 3.

Washington University in St. Louis, St. Louis, Missouri, USA.

Purpose Of Review: Provide a comprehensive overview of lumbar spondylolysis, a frequent cause of lower back pain in children and adolescents, from evaluation to management.

Recent Findings: With the surge of structured sports participation in the pediatric population, spondylolysis is a common ailment that afflicts many young athletes due to rigorous competition that taxes the growing spine with repetitive extension and rotation.

Summary: Spondylolysis is a fracture through the pars interarticularis. Read More

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December 2018

Serum endothelin-1 levels, radiographic and ultrasonographic evaluations, and clinical parameters in patients with knee and/or hand osteoarthritis.

J Back Musculoskelet Rehabil 2018 Nov 30. Epub 2018 Nov 30.

Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Ankara University, Ankara, Turkey.

Background: Endothelin-1 (ET-1) is one of the probable inflammatory factors stimulating cartilage degradation in osteoarthritis (OA) pathogenesis.

Objective: To assess ET-1 level in OA and its correlation with radiographic findings, cartilage morphology and clinical parameters.

Methods: One hundred and forty-six subjects (89 OA, 50 controls) were included in this cross-sectional study. Read More

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November 2018

Low back pain among nursing professionals in Jeddah, Saudi Arabia: Prevalence and risk factors.

J Back Musculoskelet Rehabil 2018 Nov 26. Epub 2018 Nov 26.

Background: Lower back pain (LBP) is often work-related and is commonly observed among nurses. LBP occurs below the 12th rib and above the gluteal fold. In nurses, back disorders are mainly associated with heavy physical activity, such as lifting and moving patients. Read More

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November 2018

Does ergonomics training have an effect on body posture during computer usage?

J Back Musculoskelet Rehabil 2018 Nov 30. Epub 2018 Nov 30.

Background: Computer users are at risk in terms of musculoskeletal disorders. It is known that ergonomics training prevents short-term injuries to the musculoskeletal system, but its long-term effect is unknown.

Objective: The aim of our study was to investigate the effect of receiving ergonomics training in undergraduate instruction on posture during computer usage. Read More

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November 2018

Developing a shoulder pain scale for wheelchair basketball players.

J Back Musculoskelet Rehabil 2018 Nov 30. Epub 2018 Nov 30.

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara Yıldırım Beyazıt University, Ankara, Turkey.

Background: Shoulder pain in wheelchair (WC) basketball players is common. Yet there was no scale to define shoulder pain.

Objective: This study was performed to develop a shoulder pain scale for WC basketball players. Read More

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November 2018

Effect of Kinesio taping on clinical symptoms in people with fibromyalgia: A randomized clinical trial.

J Back Musculoskelet Rehabil 2018 Nov 23. Epub 2018 Nov 23.

Background: Fibromyalgia syndrome (FMS) is a disorder characterized by chronic widespread pain and muscle soreness. Because of its high prevalence, many therapeutic approaches have been proposed with the aim of improving overall physical function and reducing pain. Since low adherence is one of the major limitations among these patients, treatments that do not interfere with their daily routines, such as KT, would be a feasible option. Read More

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November 2018

Paraspinal muscle cross-sectional area predicts low back disability but not pain intensity.

Spine J 2018 Dec 7. Epub 2018 Dec 7.

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia.

Background And Context: The lumbar paraspinal muscles, including the erector spinae and multifidus, play an important role in movement and control of the spine. However, our understanding of their contribution to low back pain and disability is unclear. Systematic reviews have reported conflicting evidence for an association between paraspinal muscle size and low back pain, and a paucity of data examining muscle cross-sectional area and low back disability. Read More

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December 2018
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Differential predictors of pain severity over 12 months following non-catastrophic injury sustained in a road traffic crash.

J Pain 2018 Dec 7. Epub 2018 Dec 7.

John Walsh Centre for Rehabilitation Research, Sydney Medical School, Kolling Medical Research Institute, University of Sydney, Sydney, Australia.

There is paucity of prospective studies that have examined rates and prognostic indicators of pain severity following a road-traffic crash injury. This cohort study involved 1854 participants aged ≥17 years with a non-catastrophic injury. Primary analyses of pain severity involved 1604 individuals who reported any pain since the injury at baseline, of these, 1188 and 972 participants were re-examined at 6- and 12-month follow-up, respectively. Read More

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December 2018

Intraoperative disc prolapse during percutaneous endoscopic lumbar discectomy.

World Neurosurg 2018 Dec 6. Epub 2018 Dec 6.

Department of Neurosurgery, The Leon Wiltse Memorial Hospital, Suwon, Korea.

Background: Percutaneous endoscopic lumbar discectomy (PELD) has become popular and is regarded as an alternative treatment for lumbar disc herniation (LDH). Although the indication has expanded with remarkable evolution of the technique, sometimes unexpected experiences have been faced during PELD. De novo disc prolapse was reported for the first time during the PELD. Read More

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December 2018
1 Read

Comparative Responsiveness of the PROMIS Pain Interference Short Forms with Legacy Pain Measures: Results from Three Randomized Clinical Trials.

J Pain 2018 Dec 5. Epub 2018 Dec 5.

Indiana University School of Medicine, Department of Biostatistics, Indianapolis, IN, USA.

The PROMIS Pain Interference (PROMIS-PI) scales are reliable and publicly accessible; however, little is known about how responsive they are to detect change in clinical trials and how their responsiveness compares to legacy measures. The study purpose was to evaluate responsiveness for the PROMIS-PI scales and to compare their responsiveness with legacy pain measures. We used data from three clinical trials totaling 759 participants. Read More

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December 2018

A randomized study comparing the incidence of postoperative pain after phrenic nerve infiltration vs non-phrenic nerve infiltration during thoracotomy.

Semin Thorac Cardiovasc Surg 2018 Dec 7. Epub 2018 Dec 7.

Department of Cardiothoracic Surgery, University Hospital of South Manchester NHS Foundation Trust, Manchester, UK, M23 9LT.

Background: Thoracotomy is a common surgical procedure performed worldwide for lung disease. Despite major advances in analgesia, patients still experience severe shoulder, central back and surgical incision site pain in the postoperative period. This study aimed to assess whether intra-operative phrenic nerve infiltration reduces the incidence of postoperative pain and improves peak flow volume measurements during incentive spirometry. Read More

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December 2018

Transcutaneous Electrical Nerve Stimulation Combined With Voice Therapy in Women With Muscle Tension Dysphonia.

J Voice 2018 Dec 7. Epub 2018 Dec 7.

Department of Speech and Language Pathology, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

Objectives: The purpose of the present study was to investigate the effect of Voice Therapy (VT) with and without Transcutaneous Electrical Nerve Stimulation (TENS) in women with Muscle Tension Dysphonia (MTD).

Methods: A total of 20 women with MTD participated in the study. Participants underwent evaluation of auditory-perceptual assessment, acoustic voice analysis, Vocal Tract Discomfort (VTD), and musculoskeletal pain before and after the treatment. Read More

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December 2018

Cutaneous Metastasis via Surgical Planes Following Lumbar Spinal Reconstruction for Spinal Metastatic Disease.

World Neurosurg 2018 Dec 5. Epub 2018 Dec 5.

Division of Spine Surgery, Department of Orthopaedics, Alpert Medical School of Brown University; 1 Kettle Point Ave, East Providence, RI. Electronic address:

Background: Cervical squamous cell carcinoma is the second most common cancer in women worldwide, and the third most common cause of female cancer mortality. It frequently metastasizes to the osseous spine and has been rarely reported to cause cutaneous metastases at gynecological surgical scars.

Case Description: A 63-year-old woman with known metastatic cervical squamous cell carcinoma presented with a pathologic fracture of the L2 vertebra, unrelenting back pain, bilateral lower extremity weakness, and inability to ambulate. Read More

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December 2018
1 Read

Safe acupuncture and dry needling during pregnancy: New Zealand physiotherapists' opinion and practice.

J Integr Med 2018 Nov 28. Epub 2018 Nov 28.

New Zealand School of Acupuncture and Traditional Chinese Medicine, Wellington 6011, New Zealand.

Objective: Acupuncture guidelines have advised caution when treating women during pregnancy, because historical "forbidden" acupuncture points are believed to stimulate miscarriage or early labor. Despite recent research demonstrating that acupuncture is a useful and safe treatment tool for pregnancy-related low-back pain (LBP) and pelvic girdle pain (PGP), it is postulated that fear of miscarriage and subsequent blame by association, restricts its provision. More recently, an increase in dry needling (DN) courses for physiotherapists has potentiated the rapid growth in DN practice in New Zealand (NZ). Read More

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November 2018

Cross-cultural adaptation and validation of the STarT Back Tool for Arabic speaking adults with low back pain in Saudi Arabia.

J Orthop Sci 2018 Dec 5. Epub 2018 Dec 5.

Physical Therapy Department, Faculty of Medicine, University of Toronto, Toronto, Canada.

Background: The STarT Back Tool (Subgrouping for Targeted Treatment; SBT) was developed and validated in the United Kingdom for adults with non-specific low back pain (LBP) to provide risk stratification groups. An Arabic version has not yet been developed. Consequently, our objectives were: First, to cross-culturally adapt the SBT for use in Arabic speaking adults (SBT-Ar) with LBP. Read More

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December 2018

The diagnostic accuracy of somatosensory evoked potentials in evaluating neurological deficits during 1057 lumbar interbody fusions.

J Clin Neurosci 2018 Dec 4. Epub 2018 Dec 4.

Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA; Department of Neurology, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address:

Background: Lumbar interbody spinal fusion (LIF) surgeries are performed to treat or prevent back pain in patients with degenerated intervertebral discs and a variety of spinal diseases. However, post-operative neurological complications may ensue. Intraoperative monitoring techniques have been used to predict and potentially reduce the risk of complications. Read More

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December 2018

A comparison of analgesic prescribing among ED back and neck pain visits receiving physical therapy versus usual care.

Am J Emerg Med 2018 Oct 23. Epub 2018 Oct 23.

Department of Communication Studies, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America.

Objective: Physical therapy (PT) is commonly cited as a non-opioid pain strategy, and previous studies indicate PT reduces opioid utilization in outpatients with back pain. No study has yet examined whether PT is associated with lower analgesic prescribing in the ED setting.

Methods: This was a retrospective cohort study of discharged ED visits with a primary ICD-10 diagnosis relating to back or neck pain from 10/1/15 to 2/21/17 at an urban academic ED. Read More

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October 2018

Treatment of spinal malignant fibrous histiocytoma, a case report and literature review.

Neurocirugia (Astur) 2018 Dec 7. Epub 2018 Dec 7.

Neurocirugía, Hospital General Naval de Alta Especialidad de la Secretaría de Marina (HOSGENAES SEMAR), Delegación Coyoacán, Ciudad de México, México.

Objective: To present a case of spinal malignant fibrous histiocytoma in the fourth lumbar vertebra that received treatment by an L4 spondylectomy and placement of intervertebral expander and posterior fixation.

Case Report: A 47-year-old male patient with no relevant history presented with lumbar pain of 2 months' evolution. Treated conservatively, with slight improvement in pain, the patient persisted with low back pain irradiation to pelvic members, predominantly left-sided, accompanied by weakness and claudication. Read More

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December 2018
1 Read

MR Imaging of the Spine: Urgent and Emergent Indications.

Semin Ultrasound CT MR 2018 Dec 19;39(6):551-569. Epub 2018 Oct 19.

Department of radiology, University of Miami Miller School of Medicine, Miami, FL.

Spinal emergencies and urgent conditions must be recognized early so that the diagnosis can be quickly confirmed and treatment can be instituted to possibly prevent permanent loss of function. The American College of Radiology provides guidelines for recognition of patients presenting with myelopathy or acute low back pain who require further evaluation for suspicion of more serious problems and contribute to appropriate imaging utilization. Spinal emergencies include spinal cord compression secondary to vertebral fracture or space occupying lesion, spinal infection or abscess, vascular or hematologic damage, severe disc herniation, and spinal stenosis. Read More

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December 2018

New bone formation in the intervertebral joint space in spondyloarthritis: An MRI study.

Eur J Radiol 2018 Dec 6;109:210-217. Epub 2018 Nov 6.

Department of Radiology and Medical Imaging, Ghent University Hospital, Corneel Heymanslaan 10, B-9000 Gent, Belgium. Electronic address:

Objectives: To study the presence of high signal intensity of the intervertebral disc, syndesmophytes, vertebral corner bridging and transdiscal ankylosis on spinal T1-weighted MR images in spondyloarthritis (SpA).

Methods: A retrospective case-control study of whole spine MRI examinations, obtained in 100 patients with axial SpA and in 100 control patients, was performed. All disco-vertebral units (DVUs) were analyzed on T1-weighted MR images for normal or high signal intensity of the intervertebral disc, presence of syndesmophytes, vertebral corner bridging or transdiscal ankylosis and correlated with final diagnosis. Read More

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December 2018

Efficacy of an ethyl alcohol gel in symptomatic disc herniation.

Eur J Radiol 2018 Dec 30;109:101-107. Epub 2018 Oct 30.

Department of Radiology, University of Cagliari, Italy. Electronic address:

Purpose: To evaluate the clinical outcome of DiscoGel® chemonucleolysis for symptomatic disc herniation in patients who fail conservative treatment.

Material And Methods: Consecutive patients with symptomatic disc herniation confirmed on MRI who failed conservative management for at least 6 months were included. Visual analogue scale (VAS), Oswestry Disability Index (ODI) scores, and analgesic use were recorded at baseline, and 12 months after treatment. Read More

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December 2018