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Low Back Pain and Sciatica

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[Serum biomarkers in acute low back pain and sciatica].

Kitti Dénes, Zsuzsanna Arányi, Anita Csillik, Magdolna Simó, Róbert Debreczeni, Nárcisz Tegze, Dániel Bereczki,

Inflammation contributes to the pathogenesis of low back pain and sciatica. Growing evidence suggests that elevated levels of some inflammatory biomarkers are associated with these conditions. Much of the research evaluating the association between pro- and anti-inflammatory cytokines, chemokines, other regulatory molecules, and low back pain and sciatica, focused on ... Read more >>

Orv Hetil (Orvosi hetilap)
[2020, 161(13):483-490]

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Venous Thromboembolism Manifesting as Sciatica in Two Pregnant Women.

Kimberley Nix, Heather Curtis, Jillian Coolen,

BACKGROUND:Low back pain is a common presentation among pregnant women. CASE:This case report highlights two women who developed excessive low back radicular nerve symptoms during pregnancy as the initial presentation of proximal venous thromboembolism. CONCLUSION:The use of Doppler ultrasound imaging or magnetic resonance imaging is suggested for women presenting with ... Read more >>

J Obstet Gynaecol Can (Journal of Obstetrics and Gynaecology Canada)
[2020, :]

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Lumbar high-intensity zones on MRI: imaging biomarkers for severe, prolonged low back pain and sciatica in a population-based cohort.

Masatoshi Teraguchi, Jason P Y Cheung, Jaro Karppinen, Cora Bow, Hiroshi Hashizume, Keith D K Luk, Kenneth M C Cheung, Dino Samartzis,

BACKGROUND CONTEXT:There is often discrepancy between clinical presentation and lumbar magnetic resonance imaging (MRI) findings. PURPOSE:The purpose of this study was to assess the relationship of high-intensity zones (HIZs) on MRI with low back pain (LBP), sciatica, and back-related disability. STUDY DESIGN:Cross-sectional, population-based Southern Chinese cohort study. PATIENT SAMPLE:Of 1,414 ... Read more >>

Spine J (The spine journal : official journal of the North American Spine Society)
[2020, :]

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Percutaneous Endoscopic Lumbar Discectomy Versus Microdiscectomy for the Treatment of Lumbar Disc Herniation: Pain, Disability, and Complication Rate-A Randomized Clinical Trial.

Guilherme Meyer, Ivan Dias DA Rocha, Alexandre Fogaça Cristante, Raphael Martus Marcon, Thiago Pereira Coutinho, Alessandro Gonzalez Torelli, Pedro Araujo Petersen, Olavo Biraghi Letaif, Tarcísio Eloy Pessoa DE Barros Filho,

Purpose:The objective was to compare the traditional microdiscectomy with percutaneous endoscopic lumbar discectomy for the treatment of disc herniations regarding pain, disability, and complications. Methods:Randomized clinical trial with 47 patients with disc herniations treated with 2 different surgical techniques: traditional microdiscectomy or percutaneous endoscopic lumbar discectomy. Forty-seven patients were divided ... Read more >>

Int J Spine Surg (International Journal of Spine Surgery)
[2020, 14(1):72-78]

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International Society for the Advancement of Spine Surgery Policy 2019-Surgical Treatment of Lumbar Disc Herniation with Radiculopathy.

Morgan Lorio, Choll Kim, Ali Araghi, Jason Inzana, James J Yue,

Lumbar disc herniation (LDH) is a frequent cause of low back pain and radiculopathy, disability, and diminution in quality of life. While nonsurgical care remains the mainstay of initial treatment, symptoms that persist for prolonged periods of time are well treated with discectomy surgery. A large body of evidence shows ... Read more >>

Int J Spine Surg (International Journal of Spine Surgery)
[2020, 14(1):1-17]

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Predictive factors for treatment success of transforaminal epidural steroid injection in lumbar disc herniation-induced sciatica

Savaş Şencan, Alp Eren Çelenlioğlu, Ruslan Asadov, Osman Hakan Gündüz,

Background/aim:The aim of this study was to identify predictive factors for treatment success in transforaminal epidural steroid injection in patients with lumbar disc herniation-induced sciatica. Materials and methods:A total of 219 patients who were diagnosed with unilateral sciatica and underwent transforaminal epidural steroid injections at the level of L4-5, L5-S1, ... Read more >>

Turk J Med Sci (Turkish journal of medical sciences)
[2020, 50(1):126-131]

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Acupuncture for pediatric low back pain and sciatica: a case report.

Alessandro Vittori, Giuliano Marchetti, Elisa Francia, Ilaria Mascilini, Valeria Alessandri, Osvaldo Mazza, Franco Marinangeli, Pierfrancesco Fusco, Sergio Giuseppe Picardo,

Acupunct Med (Acupuncture in medicine : journal of the British Medical Acupuncture Society)
[2020, :964528419883274]

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The effectiveness and safety of acupuncture in the treatment of lumbar disc herniation: Protocol for a systematic review and meta-analysis.

Rong Deng, ZiLing Huang, Xun Li, XingHong Pei, ChengXi Li, JianXin Zhao,

BACKGROUND:Lumbar disc herniation (LDH) is a common disease that seriously affects patients' quality of life. Although several articles have reported that acupuncture can improve the symptoms of LDH, different guidelines do not evaluate the efficacy of acupuncture consistently, new randomized controlled trials have been published in recent years.The purpose of ... Read more >>

Medicine (Baltimore) (Medicine)
[2020, 99(12):e18930]

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Pulsed radiofrequency for low-back pain and sciatica.

Alessandro Napoli, Giulia Alfieri, Roberto Scipione, Fabrizio Andrani, Andrea Leonardi, Carlo Catalano,

Expert Rev Med Devices (Expert review of medical devices)
[2020, 17(2):83-86]

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"Shooting pain" in lumbar radiculopathy and trigeminal neuralgia, and ideas concerning its neural substrates.

Ruth Defrin, Silviu Brill, Itay Goor-Arieh, Irene Wood, Marshall Devor,

Patients with radicular low back pain (radicular LBP, sciatica) frequently describe their pain as "shooting" or "radiating." The dictionary meaning of these words implies rapid movement, and indeed, many sufferers report feeling pain moving rapidly from the lower back or buttock into the leg. But, others do not. Moreover, the ... Read more >>

Pain (Pain)
[2020, 161(2):308-318]

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Compression of the S1 Nerve Root by an Extradural Vascular Malformation: A Case Report and Discussion of Atypical Causes of Lumbar Radiculopathy.

Jeffrey Thompson, Robert K Merrill, Sheeraz A Qureshi, Dante M Leven,

We present a case of lumbar radiculopathy due to a vascular malformation in the lumbar spine and discuss various causes of atypical lumbar radiculopathy. Lumbar radiculopathy is a condition of neurologic deficits and painful symptoms of the lower extremities due to nerve root compression, most commonly at the L5 and ... Read more >>

Int J Spine Surg (International Journal of Spine Surgery)
[2020, 14(1):96-101]

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Changes in resting-state functional connectivity in nonacute sciatica with acupuncture modulation: A preliminary study.

Ching-Hsiung Liu, Tzu-Chen Yeh, Yen-Ying Kung, Hung-Pin Tseng, Ching-Ju Yang, Tzu-Yi Hong, Chou-Ming Cheng, Jen-Lin Yang, Ta-Peng Wu, Jen-Chuen Hsieh, Fang-Pey Chen,

AIMS:To investigate the functional connectivity (FC) in nonacute sciatica and the neuronal correlation of acupuncture analgesia. METHODS:A prospective study employing resting-state functional magnetic resonance imaging was conducted. Twelve sciatica patients were enrolled to receive six or 18 acupoints of acupuncture treatment twice a week for 4 weeks. Regional homogeneity (ReHo) and ... Read more >>

Brain Behav (Brain and behavior)
[2020, 10(2):e01494]

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[Everyone Has Low Back Pain: Degenerative Lumbar Spinal Disorders and Their Treatment Options].

Mathias Fortunati, Frédéric Rossi-Mossuti, Carl Muroi,

Everyone Has Low Back Pain: Degenerative Lumbar Spinal Disorders and Their Treatment Options Abstract. Back pain is one of the most widespread diseases. Up to 84 % of people have low back pain at some point in their lives. Unspecific back pain is treated conservatively. As supportive measure, interventional pain ... Read more >>

Praxis (Bern 1994) (Praxis)
[2020, 109(2):87-95]

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Chronic Back Pain in a Young Female Patient: A Case of Ependymoma Originating from the Conus Medullaris.

Siti Fairus Asahar, Khasnur Abd Malek, Wan Najwa Wan Mohd Zohdi, Alan Basil Peter,

We present the case of a 14-year-old Malay girl with an ependymoma of the conus medullaris who presented to multiple general practitioner clinics with a 24-month history of chronic low back pain. The pain was symptomatically managed as a simple musculoskeletal pain and sciatica. Further imaging to aid diagnosis was ... Read more >>

Korean J Fam Med (Korean journal of family medicine)
[2020, 41(1):68-72]

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A methodological quality assessment of systematic reviews and meta-analyses of antidepressants effect on low back pain using updated AMSTAR.

Mohammad Hossein Panahi, Mostafa Mohseni, Razieh Bidhendi Yarandi, Fahimeh Ramezani Tehrani,

BACKGROUND:Antidepressants are prescribed widely to manage low back pain. There are a number of systematic reviews and meta-analyses which have investigated the efficacy of the treatments, while the methodological quality of them has not been assessed yet. This study aims to evaluate the methodological quality of the systematic reviews and ... Read more >>

BMC Med Res Methodol (BMC Medical Research Methodology)
[2020, 20(1):14]

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Clinical indicators to identify neuropathic pain in low back-related leg pain: protocol for a modified Delphi study.

Jai Mistry, Deborah Falla, Tim Noblet, Nicola R Heneghan, Alison B Rushton,

INTRODUCTION:Neuropathic low back-related leg pain (LBLP) can be a challenge to healthcare providers to diagnose and treat. Accurate diagnosis of neuropathic pain is fundamental to ensure appropriate intervention is given. However, to date there is no gold standard to diagnose neuropathic LBLP. A Delphi study will therefore be conducted to ... Read more >>

BMJ Open (BMJ open)
[2020, 10(2):e033547]

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[Therapeutic management of low back pain in general practice.]

Simona Cammarota, Valeria Conti, Antonella Guida, Teresa Iannaccone, Raffaele Piscitelli, Alfredo Valente, Luigi Di Gregorio, Vincenzo Passaro, Anna Citarella,

INTRODUCTION:Low back pain is one of the most frequent causes of consultation of the General Practitioner (GP). The purpose of the present study is to analyze the therapeutic management of low back pain, in relation to pain intensity, in the primary care setting and to assess its impact on the ... Read more >>

Recenti Prog Med (Recenti progressi in medicina)
[2020, 111(2):108-115]

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AAPT Diagnostic Criteria for Chronic Low Back Pain.

John D Markman, Katarzyna Czerniecka-Foxx, Partap S Khalsa, Salim Michel Hayek, Anthony L Asher, John D Loeser, Roger Chou,

Chronic low back pain conditions are highly prevalent and constitute the leading cause of disability worldwide. The Analgesic, Anesthetic, and Addiction Clinical Trial Translations Innovations Opportunities and Networks (ACTTION) public-private partnership with the US Food and Drug Administration and the American Pain Society (APS), have combined to create the ACTTION-APS ... Read more >>

J Pain (The journal of pain : official journal of the American Pain Society)
[2020, :]

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Spinal Subdural Abscess following Transforaminal Lumbar Interbody Fusion.

Isamu Miura, Motoo Kubota, Oji Momosaki, Kento Takebayashi, Takakazu Kawamata, Masahito Yuzurihara,

Spinal subdural abscesses are rare lesions. We report the case of surgical site infection complicated with meningitis and rapidly progressive spinal subdural abscess caused by P. aeruginosa following transforaminal lumbar interbody fusion (TLIF). A 72-year-old woman was admitted to our hospital complaining of drop foot syndrome and sciatica caused by ... Read more >>

Case Rep Orthop (Case reports in orthopedics)
[2020, 2020:7372821]

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Therapeutic Efficacy and the Impact of the "Dose" Effect of Acupuncture to Treat Sciatica: A Randomized Controlled Pilot Study.

Ching-Hsiung Liu, Yen-Ying Kung, Chun-Liang Lin, Jen-Lin Yang, Ta-Peng Wu, Hong-Chun Lin, Yang-Kai Chang, Ching-Mao Chang, Fang-Pey Chen,

Purpose:To investigate the required sample size for and feasibility of a full-scale randomized controlled trial examining the impact of the "dose" effect of acupuncture in treating sciatica. Patients and methods:Fifty-seven patients with sciatica, aged 35-70 years, were recruited and screened. Thirty-one participants were randomly assigned to receive "low-dose" manual acupuncture ... Read more >>

J Pain Res (Journal of Pain Research)
[2019, 12:3511-3520]

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Surgical Management of L5-S1 Spondylodiscitis on Previously Documented Isthmic Spondylolisthesis: Case Report and Review of the Literature.

Anthony Lubiato, Guillaume Baucher, Mikael Meyer, Stéphane Fuentes,

Background:Although lumbar isthmic spondylolisthesis is frequent in the Caucasian population, its association with spondylodiscitis is extremely rare. Case Description. The authors reported the case of a 44-year-old patient affected by pyogenic spondylodiscitis on previously documented isthmic spondylolisthesis at the L5-S1 level. The patient was surgically treated by circumferential arthrodesis combining ... Read more >>

Case Rep Surg (Case reports in surgery)
[2020, 2020:1408701]

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Acupuncture for lumbar disc herniation: Protocol for a systematic review and meta-analysis.

Sheng Yuan, Chuyu Huang, Yuanyue Xu, Dong Chen, Lei Chen,

BACKGROUND:As development of society and change of modern life style, the prevalence of lumbar disc herniation (LDH) has been increasing. Being a major cause of low back pain, sciatica and radicular leg pain, LDH imposes a heavy burden on both individual and society. Because of high surgically intervene rate, non-invasive ... Read more >>

Medicine (Baltimore) (Medicine)
[2020, 99(9):e19117]

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Identifying Acute Low Back Pain Episodes in Primary Care Practice From Clinical Notes: Observational Study.

Riccardo Miotto, Bethany L Percha, Benjamin S Glicksberg, Hao-Chih Lee, Lisanne Cruz, Joel T Dudley, Ismail Nabeel,

BACKGROUND:Acute and chronic low back pain (LBP) are different conditions with different treatments. However, they are coded in electronic health records with the same International Classification of Diseases, 10th revision (ICD-10) code (M54.5) and can be differentiated only by retrospective chart reviews. This prevents an efficient definition of data-driven guidelines ... Read more >>

JMIR Med Inform (JMIR medical informatics)
[2020, 8(2):e16878]

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Standalone lordotic endoscopic wedge lumbar interbody fusion (LEW-LIF™) with a threaded cylindrical peek cage: report of two cases.

Jorge Felipe Ramírez León, Álvaro Silva Ardila, José Gabriel Rugeles Ortíz, Carolina Ramírez Martínez, Gabriel Oswaldo Alonso Cuéllar, Jefferson Infante, Kai-Uwe Lewandrowski,

We report two cases of a standalone lordotic endoscopic wedge lumbar interbody fusion (LEW-LIF™) with a stress-neutral non-expandable cylindrical threaded polyether ether ketone (PEEK) interbody fusion implant. Patients underwent full-endoscopic transforaminal decompression and fusion for symptomatic lateral recess stenosis due to disc herniation, and hypertrophy of the facet joint complex ... Read more >>

J Spine Surg (Journal of spine surgery (Hong Kong))
[2020, 6(Suppl 1):S275-S284]

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Transforaminal Endoscopic Lumbar Discectomy: Clinical Outcomes and Complications.

Leonardo Yukio Jorge Asano, João Paulo Machado Bergamaschi, Álvaro Dowling, Luciano Miller Reis Rodrigues,

Objective  To evaluate the clinical and functional results of transforaminal endoscopic lumbar discectomy. Materials and Methods  From August 2015 to January 2017, 101 patients with lumbar disc hernia refractory to clinical treatment underwent endoscopic discectomy. Through clinical evaluation by the Visual Analogue Scale and functional evaluation by the Oswestry Disability ... Read more >>

Rev Bras Ortop (Sao Paulo) (Revista brasileira de ortopedia)
[2020, 55(1):48-53]

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