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At least 55 records · Page 3Linked to original sources
PubMed1978

Evidence for sacroiliac disease as a common cause of low backache in women.

99M Tc stannous pyrophosphate bone scanning with quantitative sacroiliac scintigraphy (Q.S.S.) has been used in 50 females with low backache and in 66 symptomless female controls. Mean uptake of radionuclide at the sacroiliac joints was significantly increased in the patients when compared with controls. Q.S.S. gave objective evidence of unilateral sacroiliac disease in 2 of the 66 controls compared with that of unilateral and bilateral sacroiliac disease in 8 and 14 of the 50 patients respectively. Of the 22 patients with abnormal scans, 20 had normal radiographs. An abnormal scan did not correlate with the presence of HLA B27. It is concluded that sacroiliac disease is a common cause of low backache in women, and that it can be objectively diagnosed by Q.S.S. when radiographs are normal.

Adult↗
PubMed2003

Backache, headache, and neurologic deficit after regional anesthesia.

Back pain, chemical backache, PDPH, and neurologic deficit all may be reported after regional anesthesia for childbirth. Back pain is common during pregnancy, but epidural analgesia during labor does not increase the incidence of long-term back pain. Chemical backache caused by 2-chloroprocaine is probably a result of hypocalcemic tetany of paraspinous muscles. The mechanism is presumed to be chelation of calcium by sodium bisulfite, an antioxidant present in nesacaine-MPF. PDPH after dural puncture is caused by leakage of CSF, which causes cerebral hypotension. Cerebral hypotension leads to traction on pain-sensitive intracranial structures and cerebral vasodilation. Initial therapy includes hydration, caffeine, and sumatriptan. EBP is the most effective treatment in severe PDPH. If the first EBP fails, a second blood patch can be performed. Neurologic deficits after regional anesthesia are rare. Meticulous technique and vigilance are the keystones in avoiding major neurologic complications of regional anesthesia. Rapid diagnosis and appropriate treatment are essential to optimize a successful outcome if complications do develop.

Analgesia, Epidural↗
PubMed1995

[Tuberculous spondylitis--a forgotten differential diagnosis in backache].

A four-year-old boy had been complaining for one year of backache when sitting or bending. Radiological changes in the lumbar spine were at first interpreted as due to an old vertebral fracture. Half a year after the onset of the symptoms his sister was found to have open pulmonary tuberculosis, but a positive Tine test (he had not received BCG vaccination) was without any consequences. He was finally hospitalized five months later because the backache persisted and he now also had impaired movement of the left hip-joint. Physical examination revealed a 10 x 15 cm firm mass in the abdomen. Imaging demonstrated destruction of the 4th and 5th lumbar vertebrae and a large abscess. Acid-fast bacteria were found in gastric juice. Tuberculostatic treatment was started with isoniazid (10 mg/kg), rifampicin (10 mg/kg) and pyrazinamide (30 mg/kg). Two weeks later spondylectomy was performed, the defect being bridged with bone chips from the iliac crest. Four months after the operation, tuberculostatic treatment now being only isoniazid and rifampicin, he was able to partake fully in all activities of his age group.

Anti-Bacterial Agents↗
PubMed1993

Long-term backache after extradural or general anaesthesia for manual removal of placenta: preliminary report.

A questionnaire designed to investigate the incidence of newly acquired, long-term backache was sent to women who had previously undergone manual removal of the placenta during a 12-month period in one maternity hospital. There was a significantly greater incidence of long-term backache in patients who had extradural anaesthesia specifically for manual removal of the placenta compared with patients receiving a general anaesthetic for the same procedure. The results of this retrospective study in a small population warrant examination in a large, prospective, controlled investigation.

Anesthesia, Epidural↗
PubMed1980

Backache in oarsmen.

There has been an increase in complaints of backache amongst oarsmen recently. It is suggested that backache is related to the training programme and the modern style of rowing and that the rotational forces of rowing are responsible for the symptoms. An approach to the management of the problem is suggested.

Back Pain↗
PubMed1982

Normality and reliability in the clinical assessment of backache.

Backache is common yet its routine medical assessment is imprecise, unreliable, and poorly interpreted. Reproducibility studies on 475 patients improved the reliability of clinical interview and examination in backache, while studies of 335 normal subjects defined the limits of normality. Assessment of nerve function was found to be reliable but assessment of the back itself had to be considerably modified and examination improved by incorporating actual measurements. The validity and clinical utility of the information were analysed to determine the minimum amount of information which should be collected to permit clear diagnosis and management.

Adult↗
PubMed1999

Vascular backache and consideration of its pathomechanisms: report of two cases.

We experienced two cases whose low back pain was improved after vascular reconstructive surgery for arteriosclerosis obliterans in the abdominal cavity. Based on these observations, we propose the term "vascular backache" and we discuss possible pathomechanisms underlying this condition. One patient had a stenotic lesion in the lower abdominal aorta and was operated transluminally; the other patient had a diffuse stenotic lesion from the abdominal aorta to the femoral arteries and had an axillofemoral bypass operation. After surgery, they experienced a reduction of backache along with an improvement of the vascular intermittent claudication. It is suggested that one factor leading to low back pain in some cases might be various degrees of ischemia of the extensor muscles in the lumbar spine.

Aged↗
PubMed1999

Low backache during pregnancy. Acute hemodynamic effects of a lumbar support.

OBJECTIVE: To determine whether a commercially available elastic/Velcro lumbar and abdominal support (Mother-To-Be, CMO, Inc., Barberton, Ohio) affects the hemodynamics of the fetus and pregnant woman. STUDY DESIGN: Healthy volunteers with low backache at 24-36 weeks' gestation were sought from our obstetric clinic population. The fetal heart rate (FHR), maternal blood pressure and maternal cardiac output were monitored for 20-minute intervals before, during and after placement of the support while standing and sitting. A sufficient number of subjects was used to detect a difference of 10% in cardiac output. RESULTS: Twenty-five women were enrolled between 24 and 36 weeks' gestation. No significant changes were encountered in the FHR baseline or beat-to-beat variability during placement of the support. The few FHR decelerations were isolated and not attributable to the support. The maternal systolic, diastolic and mean arterial blood pressures were unaffected by the support. The right-sided and left-sided cardiac outputs were unchanged during the monitoring periods. Each woman, when questioned two weeks later, reported improvement in back discomfort while sitting and standing. CONCLUSION: This elastic/Velcro lumbar and abdominal support, available to relieve low backache, did not acutely affect the hemodynamics of the fetus and mother.

Adult↗
PubMed1975

[Round-table discussion on the weak back problem. Misunderstood backache patients, a challenge to medical care].

"Pain in the back" is one of the most common reasons for consultations, sick-leaves, and invalid pensions. In the Nordic countries, back trouble costs thousands of millions of kronor each year in terms of lost working days alone. Yet, the information to the doctors on problems connected with this disorder is generally sparse, and the primary doctors give too little time to the backache patients. The latter are often misunderstood - but most of those who seek medical advice for "pain in the back" really suffer pain. The failing care of backache patients was discussed at a round-table conference held by Nordisk Medicin in Oslo in October, 1975. A programme of action was outlined.

Adolescent↗
PubMed1977

Backache in the aged.

Backache is a treatable condition in most geriatric patients. A detailed history, a careful clinical examination, an X-ray examination and determination of the sedimentation rate usually enable one to categorize the discomfort as a "mechanical syndrome" or as a "pathological syndrome" of back pain. The former indicates that the tissues of the back are essentially normal but are displaced or strained, while the latter indicates an infiltration of the tissues by a pathological process. The important conditions causing backache in elderly patients in these two groups are listed and their treatment is discussed.

Aged↗
PubMed1977

Backache- its nature, incidence and cost.

In 1974 in California, 72,645 patients were admitted to hospital for backache. In 50 percent of these patients there was a diagnosis compatible with discogenic disease. Surgical treatment was done in 27 percent of the patients admitted to hospital. Total figures were determined for hospital costs and the costs of physician-related services. Costs for surgical treatment exceeded medical costs. Extrapolated to a national scale, it appears that the national cost for patients in hospital because of backache in 1974 was $1.38 billion. This does not include outpatient care expense or loss of income.

Back Pain↗
PubMedDate not supplied

Brucellosis as a cause of backache.

Prospective screening of 173 patients with complaints of backache and a history of ingestion of raw milk yielded 21 patients suffering from brucella spondylitis. The overall incidence of brucellosis was 28 in 10,647 patients; 14 out of 21 (67%) presented with acute signs and symptoms of brucella spondylitis and six patients required hospitalization. The majority of the patients had a positive titre of Brucella melitensis and abortus. In 42% of the patients radiographs of the thoraco-lumbar spine showed bony changes. This study stresses the importance of brucellosis as a cause of backache. In spite of the easy availability of the pasteurized milk, people are still getting infected at an alarming rate. We recommend the formulation of 'A National Brucella Eradication Programme' and its implementation.

Acute Disease↗
PubMed1989

Epidural steroid injection in non-specific low backache.

Effect of epidural steroid injection has been studied in 107 cases (50 males and 57 females, mostly above 20 years of age) with non-specific low backache. Out of 42 cases with acute syndrome 20(47.6%) showed good response, 10(23.8%) showed fair response and 12(28.6%) showed poor response, whereas similar responses were found in 5(7.7%), 10(15.4%) and 50(76.9%) cases respectively among 65 cases of chronic syndrome (p less than 0.001). Agewise, 23(32.9%), 9(12.9%) and 38(54.2%) cases among 70 patients below 40 years of age and 2(5.4%), 11(29.8%) and 24 (69.8%) cases among 37 patients above 40 years of age showed good, fair and poor responses to epidural steroid respectively (p less than 0.001). Hence epidural steroid injection has been shown to be a useful adjunct to conservative treatment of low backache in young patients with acute syndrome.

Adult↗
PubMed1986

Manipulative treatment of backache in a young acromegalic: a case report.

Early onset of disabling backache in acromegaly is infrequent. A case is presented of a young acromegalic with acute sacroiliac strain caused by improper occupational lifting, precipitated by the instability of joints due to hypersomatotropism and concomitant with lumbosacral facet tropism. The newly observed radiological feature of the acromegalic, hyperostosis of the spinous processes is believed to contribute to the aching in the low back. The patient resumed working after ten adjustments to the sacroiliac joint, supplemented with cryotherapy, sacral brace and postural education. It is postulated that backache in acromegalics is primarily related to acute accidental, or to chronic repeated, occupational or recreational microtraumas to the low back or to the hyperostosis of the lumbar spinous processes.

Acromegaly↗
PubMed1987

[Backache following spinal anesthesia--a neglected problem?].

In a prospective clinical study we followed up 697 patients operated upon under spinal anaesthesia to determine the incidence of, and the factors predisposing to, post-spinal backache. The incidence of post-spinal backache, which occurs in approximately one in seven patients (13.1%) is comparable to that of post-spinal headache. This often neglected additional cause of post-spinal morbidity can be reduced by the use of atraumatic techniques and with small-gauge spinal needles for performing lumbar puncture.

Adolescent↗
PubMed2000

Interventions for preventing and treating backache in pregnancy.

BACKGROUND: More than a third of women experience back pain during pregnancy. OBJECTIVES: The objective of the review was to assess the effects of preventive interventions and treatments for backache in pregnancy. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register. SELECTION CRITERIA: Randomised trials of any treatment to reduce the incidence or severity of back pain in pregnancy, or to prevent back pain arising in pregnancy. DATA COLLECTION AND ANALYSIS: Trial quality was assessed and data were extracted independently by two reviewers. MAIN RESULTS: One trial of 109 women was included. This cross-over trial compared the use of a special shaped pillow to fit under the woman's abdomen (Ozzlo pillow) with a standard pillow. Women experienced less pain in the week when they used the Ozzlo pillow than in the week with the standard pillow (odds ratio 0.32, 95% confidence interval 0.18 to 0.58). REVIEWER'S CONCLUSIONS: Specially shaped pillows appear to help reduce back pain in late pregnancy and improve sleep.

Back Pain↗
PubMed2003

[How reliable are statements on extensive noninflammatory pain? Comparison of patients with fibromyalgia, backache, and other local pain].

PURPOSE: The effect yielded by the degree of differentiation of two methods for measuring pain on patient statements regarding the extent of clinical pain was analyzed. At the same time, the reference time frame for the patient reports was varied. METHODS: The influence exerted by differentiated questioning was determined by comparing two pictorial body diagrams. Three reference time frames were specified (current pain, last week, last half year). RESULTS: Patients with wide-spread pain reacted stronger to variations in differentiated questioning the older the pain experienced was and the longer the time frame reported on. Upon differentiated questioning, patients with juxta-articular pain however remembered a lower number of pain sites in the past than on global assessment. Patients with backache reported their current pain to be less widely spread when assessed differentially than on global assessment. CONCLUSION: Patient reports on the extent of pain mainly differ in those patients with extensive pain depending on the degree of differentiation during questioning. In these cases, the probability is high that the symptomatic complaints first became established, at least in part, as a reaction to the situational questioning conditions and therefore cannot be generalized to other questioning conditions.

Art↗
PubMed1984

Women have headaches, men have backaches: patterns of illness in an Appalachian community.

In an Appalachian area in the United States, the incidence of women's headaches and men's backaches is not within normal patterns of medical statistics. Appalachian perceptions of disability contrast with the predominate society. Disability is inevitable and inevitably accompanies age. Virtually all incapacity is deemed disabling, but to be a 'deserving disabled person', one must be 'moral' and physically active. As 'goodchristians', members of the community must minister to the disabled and their families. Customarily rehabilitation is not viewed as a viable option. This initial exploration suggests psychosocial correlations and value orientation as preliminary explanations.

Appalachian Region↗