Classification and management of low back pain: Is this the right direction?

Geurts, José W.

doi:10.1002/ejp.647

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…Clinically, when the pathological cause of the LBP cannot be identi ed, the pain will be classi ed as non-speci c LBP [19]. Currently, there is no well accepted single classi cation since the taxonomy of LBP is underdeveloped [20]. Some studies indicated that there is a classi cation system for LBP as mechanical or neuropathic in clinical practice [21], which was consistent with our analysis of subject categories.…”

Section: Discussionsupporting

confidence: 84%

International Publication Trends in Low Back Pain Research: A Bibliometric and Visualization Analysis

Fan

Zheng

et al. 2021

Preprint

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Background Despite the increasing research on low back pain, the bibliometric literature in the field of low back pain is limited. The aim of this study was to perform a bibliometric and visualization analysis of low back pain. Methods The authors searched the Web of Science database to extract publications regarding low back pain in the last 22 years. A total of 12,201 publications were eligible. We classified and analyzed publications such as total citations, average citations per item, H-index, research types, countries/regions, institutions and journals by using standard bibliometric indicators. Bibliometric methods and tools were used to explore the trends of low back pain research. Results Over the past 22 years, the number of publications on low back pain in the world had continually remained a increasing trend. Regional differences existed in the research of low back pain and developed countries played a leading role in the research. Research institutions and researchers have successively invested in the research of low back pain. However, there were limitations to the present study that should be noted that the study was relatively scattered and a systematic summary of the trends and characteristics was lacking. Visualization analysis provides valuable information for researchers to identify new perspectives on potential collaborators and cooperative institutions, which promote indirect cooperation. Besides, the most burst keywords were “primary-care”, “lumbar spine” and “disability”. Conclusion This study provided a number of important insights into the global research trends and current status related to low back pain which is helpful for clinicians, researchers and policy makers to understand the research field and predict its dynamic directions. Our article could be used for quantify and academic publications about low back pain in order to obtain an overview of the given field of study and provide references and suggestions for the future work of low back pain.

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Section: Discussionsupporting

confidence: 84%

International Publication Trends in Low Back Pain Research: A Bibliometric and Visualization Analysis

Fan

Zheng

et al. 2021

Preprint

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“…Clinically, when the pathological cause of LBP cannot be identified, the pain will be classified as nonspecific ( 1 ). Currently, there is no well-accepted single classification, since the taxonomy of LBP is underdeveloped ( 21 ). Some studies indicated that there is a classification system for LBP, such as mechanical or neuropathic in clinical practice ( 22 ), which was consistent with our analysis of subject categories.…”

Section: Discussionmentioning

confidence: 99%

International Publication Trends in Low Back Pain Research: A Bibliometric and Visualization Analysis

Fan

Zheng

et al. 2022

Front. Public Health

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BackgroundAlthough there is a growing research base on low back pain, the bibliometric literature related to it is deficient. The aim of this study was to conduct a bibliometric and visualization analysis of low back pain and to provide a broad view of the current trends in LBP research and a potential guide in this discipline.MethodsThe authors searched the Web of Science to extract publications regarding low back pain, and found a total of 12,249 publications during a period of 22 years, among which 12,242 were eligible. We classified and analyzed publications such as total citations, average citations per item, H-index, research types, countries/regions, institutions, and journals using standard bibliometric indicators. Bibliometric approaches (VOSviewer1.6.13 and CiteSpace 5.8.3) were also available for gathering information and explore the trends of research.ResultsConspicuously, over the past 22 years, an increasing number of scholars have specialized in the research of LBP, exerting the boom in articles. The largest number of document type was that of articles. Under modern conditions, regional distinction existed in the research of low back pain and developed countries preceded others. Research individuals and institutions were preoccupied by respective aspects. Visualization analysis provided objective information for potential collaborators and cooperative institutions. Furthermore, most burst keywords varied during different periods.ConclusionsThe map of research on LBP obtained by our analysis is expected to help researchers to efficiently and effectively explore LBP.

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“…1,2 The taxonomy of pain syndromes, including LBP, is underdeveloped, and no widely accepted single classification system currently exists. [3][4][5] However, classification of LBP based on the distribution of pain as predominately axial (pain localized to the low back area) or radicular (pain radiating to the lower extremities in a dermatomal distribution with or without accompanying LBP) is particularly relevant to primary care specialists because the distribution of pain is often a corollary of frequently occurring disease processes involving the lumbar spine. 6 This simple classification scheme provides a clinically focused framework for organizing key historical and physical examination findings that drive the diagnostic and therapeutic decisionmaking processes that arise in the routine care of adults with LBP.…”

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confidence: 99%

Evaluation and Treatment of Low Back Pain

Hooten

Cohen

2015

Mayo Clinic Proceedings

111

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Low back pain (LBP) is a leading cause of disability worldwide. In the absence of a classification system for pain syndromes, classification of LBP on the basis of the distribution of pain as axial (pain generally localized to the low back) or radicular neuropathic (pain radiating to the lower extremities) is relevant to clinical practice because the distribution of pain is often a corollary of frequently occurring disease processes involving the lumbar spine. Common sources of axial LBP include the intervertebral disc, facet joint, sacroiliac joint, and paraspinal musculature, whereas common sources of radicular pain include a herniated intervertebral disc and spinal stenosis. The accuracy of historical and physical examination findings has been established for sacroiliac joint pain, radiculopathy, and lumbar spinal stenosis. However, the accuracy of similar data, so-called red flags, for identifying the underlying medical sources of LBP has been overstated. Diagnostic imaging studies can be useful, and adherence to established guidelines can protect against overuse. Multiple pharmacological trials exist for the management of LBP; however, the long-term outcomes of commonly used drugs are mixed. For carefully selected patients with axial LBP, radiofrequency denervation techniques can provide sustained pain relief. In patients with radicular pain, transforaminal epidural steroid injections may provide short-term pain relief, but neurostimulation may confer more enduring benefits of refractory symptoms. Pain-related indications for commonly performed operations include spinal decompression for radicular symptoms as well as spinal fusion or disc prosthesis for discogenic LBP. Physical modalities and psychological treatments can improve pain and functioning, but patient preferences may influence treatment adherence.

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Classification and management of low back pain: Is this the right direction?

Cited by 4 publications

References 3 publications

International Publication Trends in Low Back Pain Research: A Bibliometric and Visualization Analysis

International Publication Trends in Low Back Pain Research: A Bibliometric and Visualization Analysis

International Publication Trends in Low Back Pain Research: A Bibliometric and Visualization Analysis

Evaluation and Treatment of Low Back Pain

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