Acute Lumbar Back Pain: Investigation, Differential Diagnosis, and Treatment

Casser, Hans-Raimund; Seddigh, Susann; Rauschmann, Michael

doi:10.3238/arztebl.2016.0223

Cited by 64 publications

(60 citation statements)

References 60 publications

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“…In Germany, about 70% of adults have at least one episode of back pain per year. 3 One source of chronic LBP is lumbar facet joint degeneration with an incidence of 15%–45% among patients with LBP. 4 Various therapeutic techniques in the treatment of chronic facet joint pain are described ranging from intra-articular injections, medial branch blocks, and radiofrequency neurotomy of lumbar facet joint nerves.…”

Section: Discussionmentioning

confidence: 99%

Delayed onset of a spinal epidural hematoma after facet joint injection

Velickovic

Ballhause

2016

SAGE Open Medical Case Reports

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The treatment of chronic back pain is a challenging problem. Facet joint infiltration is an established treatment for chronic low back pain caused by arthrosis of the lumbar facet joints. Due to the increasing number of patients with chronic low back pain, this therapy has become more frequent. We treated a 51-year-old male patient, who developed an epidural hematoma 2 months after infiltration therapy. Our case shows that even a delayed onset of spinal epidural hematoma is possible and should be kept in mind as a possible cause of acute myelopathy after spinal intervention.

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Section: Discussionmentioning

confidence: 99%

Delayed onset of a spinal epidural hematoma after facet joint injection

Velickovic

Ballhause

2016

SAGE Open Medical Case Reports

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“…[5][6][7] Although lower back pain itself is a common manifestation caused by nonserious orthopaedic diseases, some serious medical disorders such as malignancies could be its cause, 8 and 'red flag' signs are essential to determine whether presenting back pain is serious. 9 Our patient had three red flags, namely, unintentional weight loss, pain without improvement by resting in the supine position and neurological deficits, 10 leading us to perform a meticulous physical examination, which resulted in finding signs of cardiac abnormalities and timely echocardiography, to make a correct diagnosis.…”

Section: Customer Servicementioning

confidence: 99%

Primary cardiac undifferentiated pleomorphic sarcoma: an alarming cause of lower back pain

et al. 2020

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“…The comparative treatments in these trials include Non-Steroid Anti Inflammation Drugs (NSAIDs), educational booklet, back massage with back care advice, strength training and spinal mobilization and general mobility exercises. McKenzie method can be a familiar treatment and it is one of the common choices used by most physiotherapists for treating LBP 22,23 .…”

Section: Introductionmentioning

confidence: 99%

The changes of functional disability in non-specific low back pain among University population after proprioceptive neuromuscular facilitation and Mckenzie method

Anggiat¹,

Hon²,

Sokran³

et al. 2020

IJMAES

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Background of study: Non-specific low back pain (LBP) becomes the most common cases in University population. Prolonged sitting has been identified as one of the factors leading to non-specific LBP among University population. The purpose of the study is to identify the change of functional disability in non-specific LBP among university population after PNF and McKenzie method. Methods: A quasi-experimental study involving 36 subjects (students and office workers) from the university population. The study population were selected from students and office worker of KPJ Healthcare University College (KPJUC) who met the inclusion criteria. The subjects were divided into three treatment groups: PNF group, McKenzie group and control group (hot pack and educational home exercise sheet) which underwent 12 treatment sessions distributed over three times in a week for four weeks duration. Subjects were measured on functional disability by Oswestry Disability Index (ODI). Measurement was performed at pre-test, mid-test and post-test. Repeated measures ANOVA was used to analyse the effectiveness of PNF and McKenzie treatments based on the measurement time. Result: This study showed that the PNF and McKenzie gave effect in improving ODI score in within group analysis. However, the results of PNF showed that it has more effect than McKenzie method on functional disability score (p <0.05) after 4 weeks. Conclusion: There was a change in functional disability on non-specific LBP after PNF and McKenzie method. Furthermore, the study findings showed that the PNF exercise has more effect in improving functional disability compared to McKenzie method on non-specific LBP among university population.

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Acute Lumbar Back Pain: Investigation, Differential Diagnosis, and Treatment

Abstract: After dangerous conditions have been ruled out, low back pain can be pragmatically classified as either nonspecific or specific. More research is needed so that the diagnostic assessment and individualized treatment of acute lower back pain can be further refined.

Cited by 64 publications

References 60 publications

Delayed onset of a spinal epidural hematoma after facet joint injection

Delayed onset of a spinal epidural hematoma after facet joint injection

Primary cardiac undifferentiated pleomorphic sarcoma: an alarming cause of lower back pain

The changes of functional disability in non-specific low back pain among University population after proprioceptive neuromuscular facilitation and Mckenzie method

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