Epidemiology of low back pain

Andersson, Gunnar

doi:10.1080/17453674.1998.11744790

Cited by 237 publications

(142 citation statements)

References 18 publications

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“…Some risk factors have been studied such as mechanical stress to the spine 14 , night shift work, lack of sporting activities and cigarettesmoking 1,15 . Lumbar disc herniation is a common cause of lumbar and sciatic pain.…”

Section: Discussionmentioning

confidence: 99%

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Is preoperative occupation related to long-term pain in patients operated for lumbar disc herniation?

Almeida

Poletto

Milano

et al. 2007

Arq. Neuro-Psiquiatr.

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-Lumbar disc herniation (LDH) is a common cause of back and sciatic pain. When clinical treatment fails, surgery may be indicated in selected patients. Although surgery is effective in most cases, some of these patients may have a poor outcome. Different factors may influence these results and poor adaptation at work is one well-known cause of treatment failure. This study examines 350 patients on longterm follow-up after surgery for first-time LDH. The relationship was analyzed between occupation before surgery and outcome (maintenance of lumbar and leg pain, satisfaction with the surgical treatment and return to work). The preoperative occupation (employed in public or private services, autonomous, unemployed, housewife, retired or student) and the exertion at work were analyzed as prognostic factors for different clinical outcomes. Although unemployed people had higher numerical analog scale for lumbar pain and retired patients had a higher leg pain, this difference was not statistically significant. Retired people were significantly less satisfied with the surgical result. Higher exertion at work showed a statistically insignificant higher level of pain and lower degree of satisfaction. The authors conclude that preoperative occupation was not a statistically significant factor in this series of patients.KEY WORDS: lumbar disc herniation, occupation, failed back syndrome, outcome, discectomy.Cirurgia de hérnia de disco lombar: existe relação entre a profissão e a persistência de dor?RESUMO -A hérnia de disco lombar (HDL) é uma causa comum de dor lombar e ciática. Quando o tratamento clínico não oferece melhora dos sintomas, a cirurgia pode ser proposta em casos selecionados. Apesar de ser efetiva, uma pequena, porém significativa parcela dos pacientes operados podem não melhorar. Diversos fatores podem influenciar tais resultados. A insatisfação no ambiente de trabalho é relacionada com um maior índice de maus resultados. Neste estudo, 350 pacientes no pós-operatório tardio da primeira cirurgia de HDL foram estudados, analisando a possível relação entre tipo de profissão antes da cirurgia e evolução clínica (persistência de dor lombar e em membro inferior, satisfação com a cirurgia e retorno ao trabalho). Os pacientes foram classificados quanto à profissão em empregados públicos, empregados em órgãos privados, autônomos, desempregados, donas de casa, aposentados e estudantes. Também o grau de esforço no ambiente de trabalho foi analisado como fator prognóstico. Os desempregados relataram índices de dor lombar maiores e os aposentados tiveram maiores índices de dor irradiada, apesar de que estatisticamente os valores não foram significativos. Os aposentados ficaram significativamente menos satisfeitos com o tratamento no longo prazo. Um maior esforço no ambiente de trabalho não se correlacionou estatisticamente com o grau de dor e satisfação. Concluimos que o tipo de profissão não foi fator estatisticamente significativo na evolução destes pacientes. Os aposentados tiveram menor grau de satisfação co...

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Section: Discussionmentioning

confidence: 99%

“…In a review of randomized controlled trials, discectomy has shown considerable evidence of the relative effectiveness when compared with other methods such as chemonucleolysis and automated percutaneous discectomy 17 . This procedure is currently the third most frequent surgery in many countries, including the United States 14,18 .…”

Section: Discussionmentioning

confidence: 99%

Is preoperative occupation related to long-term pain in patients operated for lumbar disc herniation?

Almeida

Poletto

Milano

et al. 2007

Arq. Neuro-Psiquiatr.

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“…Up to 80% of adults experienced an episode of low back pain during lifetime [1], representing an issue in terms of morbility and costs. Although the existence of facetogenic pain had long been questioned, it is now generally accepted as a clinical entity [2] and facet joint osteoarthritis (FJOA) can be considered responsible for 15-40% of low back pain [3,4].…”

Section: Introductionmentioning

confidence: 99%

In vivo feasibility of real-time MR–US fusion imaging lumbar facet joint injections

Sartoris

Orlandi²,

Corazza

et al. 2017

J Ultrasound

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Objectives Traditionally, facet joint injections (FJI) are performed under fluoroscopic or computed tomography (CT) guidance, mainly due to the deep anatomical location and the presence of bony landmarks. Fusion imaging technology, which couples the ultrasound scan with the corresponding CT or magnetic resonance (MR) image obtained from the diagnostic examination and reformatted in real time according to the ultrasound scanning plane, allows to combine the panoramic view and the elevated anatomical detail of MR or CT with the ease of use of ultrasound without patient exposure to ionizing radiation. Methods Thirty eight patients (24 females; mean age ± SD: 64 ± 9 years) received MR fusion-assisted ultrasound-guided FJI of 1 ml of a mixture of local anaesthetic and corticosteroid using a ultrasound machine (Logiq E9, GE Healthcare) equipped with a GPS-enhanced fusion imaging technology which couples real-time B-mode images with those of the previous recent diagnostic MR examination. Low-dose CT needle positioning confirmation was performed in the first 28 patients. Patients' pain was recorded using a visual analogue scale (VAS), at baseline and at 2, 4 and 8 weeks.Results All fusion imaging-guided injections were performed successfully. Out of 112, 96 FJI had optimal intraarticular needle positioning (accuracy: 85.7%). Patients VAS significantly decreases after the procedure with no differences among who received CT needle positioning control and who did not receive it. No major complications were observed. Conclusions Ultrasound needle guidance with MR fusion assistance allows for safe and effective injection of degenerative facet joint disease.Keywords Facet joint Á Injection Á Fusion imaging Á Ultrasound Á Magnetic resonance Sommario Obiettivi Tradizionalmente, le iniezioni delle faccette articolari (FJI) sono state eseguite sotto guida fluoroscopica o tomografia computerizzata (TC), principalmente a causa della posizione anatomica profonda e la presenza di reperi ossei. L'imaging di fusione permette di accoppiare le immagine ecografiche con quelle TC o di risonanza magnetica (RM) corrispondenti, ottenute da un precedente esame diagnostico e riformattate in tempo reale in base al piano di scansione ecografico. Questa tecnica permette di coniugare la visione panoramica e l'elevato dettaglio anatomico della RM o TC con la praticità della guida ecografica senza ulteriore esposizione del paziente a radiazioni ionizzanti. Metodi Trentotto pazienti (24 femmine, età media ± DS: 64 ± 9 anni) hanno ricevuto FJI guidata da fusione ecografia-RM di 1 ml di una miscela di anestetico locale e corticosteroide utilizzando una apparecchiatura ecografica (Logiq E9, GE Healthcare) dotata di tecnologia fusion. Nei (2017( ) 20:23-31 DOI 10.1007 primi 28 pazienti il posizionamento dell'ago è stato confermato mediante esame TC a bassa dose. Il dolore dei pazienti è stato registrato utilizzando una scala analogica visiva (VAS), al tempo 0 e dopo 2, 4 e 8 settimane.Risultati Tutte le iniezioni fusion guidate sono state esegui...

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“…Complaints of back pain are among the most common reasons for patient presentations to ambulatory medical settings in industrialized countries [3]. Most of these remit spontaneously or respond to simple treatment interventions; however, for a subset of patients, these symptoms remain chronic [33].…”

Section: Introductionmentioning

confidence: 99%

Lifetime exposure to adversity predicts functional impairment and healthcare utilization among individuals with chronic back pain

Seery

Leo

Holman

et al. 2010

Pain

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a b s t r a c tPrevious research has demonstrated an association between lifetime exposure to adverse events and chronic back pain (CBP), but the nature of this relationship has not been fully specified. Adversity exposure typically predicts undesirable outcomes, suggesting that lack of all adversity is optimal. However, we hypothesized that among individuals faced with CBP, a history of a low level of lifetime adversity would yield protective effects, manifested as lower impairment and healthcare utilization. Adult members of a national panel (N = 396) endorsed a history of CBP when reporting their physical health status in an online survey; they further reported their functional impairment and healthcare utilization. Respondents had previously completed a survey of lifetime exposure to adverse events. Significant Ushaped quadratic relationships emerged between adversity and self-rated functional impairment (p < 0.001), disabled employment status (p < 0.001), frequency of physician/clinic visits for CBP (p < 0.01), prescription (but not over-the-counter) analgesic use (p < 0.01), and comorbid depression treatment seeking (p < 0.01). Specifically, people with some lifetime adversity reported less impairment and healthcare utilization than people who had experienced either no adversity or a high level of adversity. Additional analyses failed to support alternative explanations of the findings. Implications for understanding and promoting resilience in the context of CBP are discussed. Ó

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Epidemiology of low back pain

Cited by 237 publications

References 18 publications

Is preoperative occupation related to long-term pain in patients operated for lumbar disc herniation?

Is preoperative occupation related to long-term pain in patients operated for lumbar disc herniation?

In vivo feasibility of real-time MR–US fusion imaging lumbar facet joint injections

Lifetime exposure to adversity predicts functional impairment and healthcare utilization among individuals with chronic back pain

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