Therapeutic ultrasound for chronic low-back pain

Ebadi, Safoora; Ansari, Noureddin Nakhostin; Fallah, Ehsan; Tulder, Maurits W. van

doi:10.1002/14651858.cd009169

Cited by 8 publications

(6 citation statements)

References 18 publications

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“…Low back pain (LBP) is the most frequently self‐reported form of musculoskeletal pain. LBP is defined as a form of discomfort or pain that affects the lumbosacral region between the last rib and the gluteal creases (Ebadi, Henschke, Nakhostin, Fallah, & van Tulder, ). The occurrence of LBP differs by gender and race.…”

Section: Introductionmentioning

confidence: 99%

Substantive review of the literature of medication treatment of chronic low back pain among adults

Falope

Appel

2015

Journal of the American Association of Nurse Practitioners

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Purpose Pain can be debilitating, and it is often inadequately treated, particularly among patients with chronic low back pain (CLBP). CLBP has a substantial economic impact, as it affects an individual's ability to perform activities of daily living and maintain employment. This study aims to review original studies related to the evidence‐based management of patients with CLBP to develop an algorithm for prescribing medications and recommending other treatment modalities for patients with CLBP. Data sources An electronic search of PubMed, CINAHL, and the Cochrane Database was conducted to identify studies related to the evidence‐based management of CLBP that were performed between 2003 and 2012. The following keywords were used: low back pain, back pain, chronic back pain, medication management, and adjunct therapy. The selected articles were specific to CLBP, medication‐based management, and additional treatment options, such as adjunct therapies. Conclusions The collected data revealed that there are a number of approaches to the management of CLBP. Medication regimens are frequently used and widely available, but alternative treatment modalities can also be effective. Implications for practice Providers should encourage patients to explore a variety of treatment modalities that can provide pain relief and improve functionality and overall well‐being.

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Section: Introductionmentioning

confidence: 99%

Substantive review of the literature of medication treatment of chronic low back pain among adults

Falope

Appel

2015

Journal of the American Association of Nurse Practitioners

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“…Therapies for chronic LBP not showing high quality evidence for improving pain intensity, functional status, global improvement and return to work include lumbar supports,27 traction,28 superficial heat and cold,29 ultrasound,30 transcutaneous electrical nerve stimulation,31 low level laser therapy,32 muscle energy techniques,33 spinal manipulation techniques34 and chiropractic treatments 35…”

Section: Discussionmentioning

confidence: 99%

Chronic refractory myofascial pain and denervation supersensitivity as global public health disease

Chu¹,

Bruyninckx

2016

BMJ Case Reports

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Chronic pain with a 30.3% global prevalence significantly impacts universal health. Low back pain has a 9.4% prevalence worldwide causing the most widespread disability. Neck pain ranks 4th highest regarding years lived with disability with a 4.9% prevalence worldwide. The principal cause of pain in 85% of patients visiting a tertiary pain clinic has a myofascial origin. The root cause is multifocal neuromuscular ischaemia at myofascial trigger points from muscle tightening and shortening following spondylotic radiculopathy induced partial denervation. Chronic refractory myofascial pain (CRMP) is a neuromusculoskeletal disease needing management innovations. Using electrical twitch-obtaining intramuscular stimulation (eToims), we provide objective evidence of denervation supersensitivity in multiple myotomes as cause, aggravation and maintenance of CRMP. This study underscores our previous findings that eToims is safe and efficacious for long-term use in CRMP. eToims aids potential prevention (pre-rehabilitation), simultaneous diagnosis, treatment (rehabilitation) and prognosis in real time for acute and CRMP management.

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“…(5) The average dose applied was 0.5 W/cm² and an exposure time of 5 minutes, with daily application. (6) Massage procedures (smoothness, friction, vibration) were used for relieving pain and muscle relaxation. Reflexology massage, periosteal massage, pressure point massage (Cornelius nerve-points), Cyriax deep transverse massage were also used.…”

Section: Methodsmentioning

confidence: 99%

Research on the effectiveness of physical therapy in the treatment of LBP

Silişteanu¹,

Antonescu²

2015

BALNEO

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IntroductionLBP management is complex and costly, with socio-economic and medical implications. Disabilities caused by painful back disorders represent a major problem of absenteeism from work (1). The prevalence of LBP in the active population (25-64 years old) is increasing.There are studies (2) showing that between 60 and 80% of people may suffer from back pain during their lifetime and 5% may present radiculopathy, the rest of them being diagnosed with nonspecific LBP. Of those, approximately 30% will be diagnosed with chronic LBP. More recent studies (3) show that the prevalence of LBP appearance for one year is of 65%, for the entire life, it is of 84% and for present day, of 33%. In the developed countries, 1 in 5 adults may experience symptoms of LBP, the number of these reaching 40% in England, Denmark, while in the US, the value is of 7-25%. Approximately 80-90% of patients with LBP are diagnosed with "non-specific" low back pain and 3% will require surgery. LBP is a common condition, representing 1/3 of rheumatic complaints. This condition interests both the young people and the adult one. Therefore, 25% of people aged between 30 and 50 years old consider LBP as the most frequent cause of work incapacity in the people below 45 years old.Risk factors for the occurrence of LBP are: occupational (heavy physical work, lifting weights, torsional movement of the trunk, prolonged standing, sedentary lifestyle), psychological (depression, anxiety, fear of movement), socio-demographic characteristics (weight, age, incorrect posture, lifestyle, educational level, smoking, family problems, low incomes).Medical rehabilitation in LBP involves combating pain and inflammation, improving statics and lumbosacral spine dynamics, improving paravertebral and abdominal muscle strength, gait rehabilitation. These objectives are achieved by pharmacological methods and physical-kinetic therapy.The aim of the study was to emphasize the importance of physical therapy in the recovery of patients with low back pain, versus drug therapy or electrotherapy.

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Therapeutic ultrasound for chronic low-back pain

Cited by 8 publications

References 18 publications

Substantive review of the literature of medication treatment of chronic low back pain among adults

Substantive review of the literature of medication treatment of chronic low back pain among adults

Chronic refractory myofascial pain and denervation supersensitivity as global public health disease

Research on the effectiveness of physical therapy in the treatment of LBP

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