Psychosocial stress factors among patients with lumbar disc herniation, scheduled for disc surgery in comparison with patients scheduled for arthroscopic knee surgery

Pain, disability and coping reflected in the diurnal cortisol variability in patients scheduled for lumbar disc surgery

“…Even though our study was limited to a cross-sectional design, our findings support the findings by Geiss and co-workers with reference to the relation of pain intensity, low cortisol secretion, and maladaptive coping strategies. Present study did not confirm the findings by Geiss regarding the significance of job strain in the low Table 4 Median score (interquartile range) for pain-, disability and coping for low and high cortisol group respectively, and p-value for comparison between groups cortisol group but work related strains were, in general, not particularly pronounced in our study group (Johansson et al, 2007). Our study was limited to patients without co-morbidity, whereas in the study by Geiss, patients were only excluded if they had a co-existing inflammatory disease (Geiss et al, 1997).…”

The Impact of Psychiatric Comorbidity on Quality of Life in Patients Undergoing Herniated Disc Surgery

“…In previous studies, it has been shown that the successful postoperative process and a return to work after disc surgery is more heavily influenced by psychological aspects than by MR-identified morphological alterations. 12 Moreover, Zieger et al 13 showed that psychiatric comorbidity was a high-risk factor for not returning to work in patients undergoing herniated disc surgery. As such, psychiatric comorbidity seems to have a strong impact on the outcome of patients undergoing disc surgery.…”

Manual Physical Therapy in the Netherlands: Reflecting on the Past and Planning for the Future in an International Perspective

“…Results of systematic reviews have negatively impacted development and funding of MPT research despite emerging scientific evidence with regard to so-called non-specific health problems such as neck pain and LBP. This emerging evidence is exemplified by studies into MPT combined with a behavioral approach for patients with DJD of the knee and hip 10,11 , prognostic factors for patients with chronic neck and back pain [12][13][14][15] , the postoperative course of lumbosacral radiculopathy 16 , and the combined intervention of MPT and exercise therapy for patients with spinal pain. This shift in MPT content away from solely manual interventions so far has only been the subject of a few RCTs.…”