... Overall interpretation Lowbackpain is a frequent presenting problem inprimarycare settings However, the use of x-rays in clinical management oflowbackpain is relatively infrequent Inthe theory ... identified inthe preliminary study as salient to the management oflowbackpain These individuals and groups were identified inthe preliminary study as influential inthe management oflowbackpain ... management oflowbackpain not recommend routine imagingof patients withlowbackpain [4-8] Furthermore, standard lumbar spine x-rays (the most common imaging modality used by UK primarycare physicians)...
... practice, or of one being from the UK and the other from Denmark There is presently an ongoing validation ofthe SBT-cut points in Danish primarycare that will reveal whether the scale should be interpret ... months If the domains included inthe SBT are modifiable, as they instinctively would be, this is a promising tool to guide the intervention offered to patients The potential gain from offering targeted ... Dunn KM, Main CJ, Hay EM: Subgrouping lowback pain: a comparison ofthe STarT Back Tool withthe Orebro Musculoskeletal Pain Screening Questionnaire Eur J Pain 2010, 14:83-89 Bech P, Rasmussen...
... option in all ofthe groups, if thepain had been intermittent and, for one ofthe groups, also if the symptoms had increased over the past year "Quick fix": Most ofthe comments relating to ... the following day, a summary ofthe results was provided to the chiropractors, followed by a discussion Results Fifteen ofthe 48 members ofthe Finnish Chiropractors' Union participated inthe ... history inthe past year All results on this aspect have been reported below "Second opinion": Three cases of worsening ofpain and one of intermittent pain were described, and also one of no previous...
... patients withlowbackpain attending chiropractic clinics, and also the first study to look at the point of initiative for the subsequent visit We found that there were two distinct patterns in how ... Leboeuf-Yde, Lise Hestbæk: The Nordic maintenance care program: what are the indications for maintenance carein patients withlowback pain? A survey ofthe members ofthe Danish Chiropractors’ Association, ... Line S Laursen, Tue S Jensen, Charlotte Leboeuf-Yde, Lise Hestbæk: The Nordic maintenance care program: what are the indications for maintenance carein patients withlowback pain? A survey of...
... three trials tested the efficacy ofthe combination of acetaminophen, aspirin, and caffeine (Excedrin®) in migraine patients (studies recently published and not included inthe AHCPR Technical ... aspirin22 or ibuprofen.70 A series of trials examining the effect of adding an antiemetic or caffeine to tolfenamic acid or aspirin suggested that these combinations offered no advantages over the ... controlled trials of ergotamine tartrate, ergotamine-containing compounds, and ergostine-containing compounds were inconsistent and difficult to interpret This is in part because many of these trials...
... management intheprimarycare setting, tailoring treatment on an individual basis in order to lessen the impact ofthe disease This may be aided withthe use of well suited, validated PRO instruments ... that the RANGE findings are a reallife representation ofprimarycare management of patients who actively consulted their PCP within the previous months While the results of controlled clinical ... population irrespective ofthe number of times they had attended theprimarycare clinic during the identification period Patients participating inthe study were required to provide informed consent...
... delivered to them in their office by a primarycare physician/psychiatrist team; tailored, individualized feedback regarding their interviewing skills (either during or at the end ofthe study), ... three Compare the effectiveness ofthe patient-centered intervention withthe effectiveness ofthe standard intervention by evaluating their impact on the following processes ofcare rated by ... receipt ofthe letter, patients either called the study office, or, if no refusal postcard was received within two weeks ofthe mailing, they were called by study staff In either case, during the...
... for pars stress injury, it is highly suggestive of some type of derangement ofthe posterior elements ofthe spine [16] Imaging studies used to evaluate patients withlowbackpain include: radiographs, ... be the cause ofthelowbackpain and MRI may be helpful in identifying other causes ofbackpain [6,26] Complete bony union offers the best long term prognosis Some patients attain a fibrous ... all play an important role inimaging patients withbackpain Planar bone scintigraphy has a long history inthe diagnosis of patients with suspected injury ofthe pars interarticularis because...
... base-line, total duration ofpaininthe past year, painin other parts ofthe spine past year, general health, and outcome at the 4th visit There were also no differences in relation to the psychological ... 712) There were no other differences between the groups in relation to type of work, smoking, fee subsidization, leg pain, pain intensity at base-line and at the 4th visit, dura- tion ofpain at ... radiating into the leg, who were new to the clinic or had not received chiropractic treatment within the past three months, were invited to participate inthe study inthe spring of 2006, providing...
... Usefulness of a 2-question coping screening tool in patients withlowbackpain In: American Academy ofPain Management 21st Annual Clinical Meeting, Exploring the Science Practicing The Art Las ... G: The treatment of fear of movement/(re)injury in chronic lowback pain: further evidence on the effectiveness of exposure in vivo Clin J Pain 2002, 18(4):251-261 Hoffman BM, Papas RK, Chatkoff ... document the types of working diagnoses in patients with LBP that are formed by clinicians trained inthe use ofthe DBCDG This will serve as the basis for further refining the approach in an attempt...
... distribution in participants with chronic lowbackpain Arch Intern Med 2000, 160:3265-3269 12 Barofsky I, Fontaine KR, Cheskin LJ: Paininthe obese: Impact on healthrelated quality of life Ann ... gave Page of final approval to the version ofthe manuscript to be submitted All the authors approved the final version ofthe manuscript Competing interests The authors declare that they have ... rehabilitative interventions in obese patients should include strengthening ofthe lumbar and abdominal muscles as well as mobility exercises for the thoracic spine and pelvis, in line with previous...
... contributed in taking patient history Physical exam and preparation ofthe paper All authors read and approved the final manuscript Competing interests The authors declare that they have no competing interests ... physical examination is mandatory in patients withlowbackpain and uncommon neuropathies like saphenous nerve entrapment must be considered Consent Written informed consent was obtained from the patient ... neuropathy in a patient withlowbackpain Journal of Brachial Plexus and Peripheral Nerve Injury 2010 5:2 Submit your next manuscript to BioMed Central and take full advantage of: • Convenient online...
... oflowbackpain and related disability in Saskatchewan adults Spine 1998, 23(17):1860-1867 Volinn E: The epidemiology oflowbackpaininthe rest ofthe world A review of surveys in low- and ... Zealand Acute LowBackPain Guide Wellington, New Zealand Borkan J, Reis S, Werner S, al : Guidelines for treating lowbackpaininprimarycare Harfuah , The Israeli LowBackPain Guideline Group; ... Zealand Acute LowBackPain Guide Wellington ; 1999 Koes B, van Tulder M, Ostelo R, Burton A, Waddel G: Clinical guidelines for the management oflowbackpaininprimarycare Spine 2001, 26(22):2504-2514...
... patients initially off work because of LBP, 16% remain off work months later and 62% still have pain at 12 months Recurrences ofpain and work absence are common inthe year following the onset of ... oflowback pain: part I: development of a reliable and sensitive measure of disability in low- backpain Spine 1983, 8:141-144 Kirkaldy-Willis WH, Bernard TN: Managing lowbackpain 4th edition ... episodes of sharp "muscle spasm" paininthe previous week but periodic stiffness was experienced upon waking inthe morning or after long periods of time inthe jet He was on regular flying status...
... contacting a chiropractic clinic inthe market town of Salisbury inthe UK for an appointment were asked by the clinic receptionists to confirm if their primary complaint was a new episode ofpainin ... conciseness within an otherwise large questionnaire battery [32] The main measure ofpain symptoms in this questionnaire was how much thepain bothered the patient In a study seeking to classify primary ... KM, Croft PR: Classification ofLowBackPaininPrimary Care: Using "Bothersomeness" to Identify the Most Severe Cases Spine 2005, 30(16):1887-1892 UK BEAM Trial Team: United Kingdom back pain...
... for the patient's continued well-being or for maintaining the optimum state of health while minimizing recurrences ofthe clinical status" In "Advances in Chiropractic" from 1996, the word "maintenance ... did not include a definition of maintenance care or descriptions of what therapies might be included, in our instructions to the participants In fact, we informed them that the reason for the study ... patient with spinal manipulative therapy, there are various schools of thought within the chiropractic profession Some chiropractors are guided by both their own clinical findings and the patients'...
... prior to the study or had at least three episodes of intermittent lowback pain, each one lasting more than one week, during the year prior to the time ofthe study Subjects without LBP were included ... if they had no spinal column pain and had no radicular painin their lower extremities during one year period before the study Subjects were excluded if they had history of spinal surgery, spinal ... joints The examiner, standing behind the subject, with one hand, stabilized the pelvis and passively abducted and extended the upper leg withthe knee flexed withthe other hand Maintaining extension...
... presented inthe survey have very limited information and many other factors (e.g the psychological profile ofthe patient, various types of spinal problems, etiology ofthebackpain etc.) might influence ... years of experience are graduates from Denmark Because ofthe strong correlation between graduation Table The use of maintenance carein patients with no previous history oflowbackpain and ... agree withthe research team, the answer is also in italics The use of maintenance care based on patients with a history of one episode of LBP per month the last years lasting 5-6 days resolving...
... Advances inthe field oflowbackpaininprimary care: a report from the fourth international forum Spine 2002, 27:E128-E132 Royal College of General Practitioners (RCGP): Clinical guidelines for the ... Acquisition of new knowledge Modification of perceptions in LBP management Dissemination ofthe guideline in entourage Importance of instating a process of continual improvement ofthe guideline Very ... trials The goal ofthe review was to identify potential shifts in findings since the 2001 RCGP guideline The general layout ofthe guidelines was divided in three sections: evaluation ofthe LBP...