Types Of Low Back Pain Research Articles

PROPORTION AND CHARACTERISTIC OF MYOGENIC LOW BACK PAIN IN UNDERGRADUATE MEDICAL STUDENTS OF UDAYANA UNIVERSITY CLASS OF 2020


 
 
 Myogenic low back pain is one type of low back pain that is common but often undiagnosed. Medical students are packed with lecture and study activities so they are more at risk of experiencing low back pain. This study is to determine the proportion, characteristics of sufferers and characteristics of myogenic low back pain in medical students at Udayana University class of 2020. This study is a descriptive cross-sectional study with a sample size of 90 people who meet the inclusion criteria. Sampling using consecutive sampling method. Data collection by filling out an online questionnaire via Google Form and checking the presence of MPS through palpation by a neurology resident. Data analysis was performed using SPSS version 25. The proportion of myogenic low back pain sufferers in medical student class of 2020, Udayana University was 26.7%. The characteristics of the majority of sufferers were 20 years old (41.7%), female (70.8%), normal BMI (91.7%), occasional exercise (62.5%), sitting duration ?4 hours (95.8%), and hunched sitting position (75%). The characteristics of myogenic low back pain were mostly acute (62.5%), pain was felt gradually (62.5%), and the pain scale was mild (54.2%). Respondents mostly chose non-pharmacological therapy by lying down or stretching (95.8%). Out of the 90 respondents who were included in the inclusion criteria in this study, there were 24 (26.7%) respondents who experienced myogenic low back pain with different characteristics from previous studies. Further research with a larger population and causal relationship studies needs to be done to find out the exact cause of myogenic low back pain and how to avoid it.
 
 

MANAJEMEN PENDEKATAN FISIOTERAPI DENGAN TERAPI LATIHAN DAN POSTURAL CORRECTION TERHADAP NYERI MUSKULOSKELETAL LOW BACK PAIN SELAMA KEHAMILAN

Low back pain (LBP) is a common musculoskeletal problem during pregnancy with an estimated prevalence of 30% -78% of pregnant women experiencing complaints in the form of low back pain at some point in their pregnancy. This type of LBP can occur in the pelvic bones between the posterior iliac crest, gluteal folds or in the lumbar spine area. In this case the pain usually spreads to the buttocks, legs and feet. This is due to hormonal changes, blood circulation and biomechanical changes. low back pain usually increases with increasing gestational age, interfering with work, every activity and sleep so that it has an impact on the quality of life of pregnant women. This research aims to determine the effect of providing exercise and postural correction on the condition of low back pain during pregnancy. Method: this research uses quasie experimental with a pre and post test research design without control group design, the population in this study were all pregnant women who were experiencing low back pain who received physiotherapy services in the form of providing exercise and postural correction totaling 15 clients. Results: based on paired sample tests in the group treatment obtained a value of P = 0.001 (P<0.05) with a mean value of 5.27 ± 2.07, meaning that there were significant differences in results before and after the intervention of providing exercise and postural correction. Conclusion: there was a decrease in the VDS (verbal descriptive scale) value in low back pain conditions by providing exercise and postural correction interventions. This can be seen from the difference between the results before and after the intervention, which means that the exercise and postural correction interventions significantly have a very good effect in reducing pain scores in low back pain conditions during pregnancy

Management of radiculopathy (Cervical & Lumbar Spondylitis): Homeopathy & yoga

Cervical spondylitis is an age-linked disorder which is linked with deteriorating transformations inside the intervertebral disc. It is mostly linked with the neck pain. The Cervical spondylitis is currently one of the leading factors which is causing disability and also increasing the healthcare costs. It is generally caused after the age of 50 years. The Lumbar Spondylitis is associated with the Low back pain which affects around 3/4th of the adults world during the life span at some point in their lives, but this type of low back pain in most of the adults are mild and around 90% of the people get relief within six week time. In this paper we have discussed how homeopathy and yoga can give relief to Radiculopathy (Cervical & Lumbar Spondylitis).

Systemic corticosteroids for radicular and non-radicular low back pain.

Corticosteroids are medications with anti-inflammatory and immunosuppressant properties. Systemic corticosteroids administered through the oral, intravenous, or intramuscular routes have been used to treat various types of low back pain, including radicular back pain (not due to spinal stenosis), non-radicular back pain, and spinal stenosis. However, there is uncertainty about the benefits and harms of systemic corticosteroids for low back pain. To evaluate the benefits and harms of systemic corticosteroids versus placebo or no corticosteroid for radicular low back pain, non-radicular low back pain, and symptomatic spinal stenosis in adults. We used standard, extensive Cochrane search methods. The latest search date was September 2021. We included randomized and quasi-randomized trials in adults of systematic corticosteroids versus placebo or no corticosteroid. We used standard Cochrane methods. The major outcomes were pain, function, need for surgery, serious adverse effect, and presence of hyperglycemia. The minor outcomes were quality of life, successful outcomes, non-serious adverse events, and withdrawal due to adverse events. We used GRADE to assess the certainty of evidence for each outcome. Thirteen trials (1047 participants) met the inclusion criteria. Nine trials included participants with radicular low back pain, two trial with low back pain, and two trials with spinal stenosis. All trials blinded participants to receipt of systemic corticosteroids. Seven trials were at low risk of bias, five at unclear risk, and one at high risk of selection bias. Two trials were at high risk of attrition bias. Doses and duration of systemic corticosteroid therapy varied. Radicular low back pain For radicular low back pain, moderate-certainty evidence indicated that systemic corticosteroids probably slightly decrease pain versus placebo at short-term follow-up (mean difference (MD) 0.56 points better, 95% confidence interval (CI) 1.08 to 0.04 on a 0 to 10 scale) and may slightly increase the likelihood of experiencing improvement in pain at short-term follow-up (risk ratio (RR) 1.21, 95% CI 0.88 to 1.66; absolute effect 5% better (95% CI 5% worse to 15% better). Systemic corticosteroids may not improve function at short-term follow-up (standardized mean difference (SMD) 0.14 better; range 0.49 better to 0.21 worse) and probably increase the likelihood of improvement in function at short-term follow-up (RR 1.52, 95% CI 1.22 to 1.91; absolute effect 19% better, 95% CI 8% better to 30% better). Systemic corticosteroids were associated with greater improvement in function versus placebo at long-term follow-up (MD -7.40, 95% CI -12.55 to -2.25 on the 0 to 100 Oswestry Disability Index) and greater likelihood of functional improvement (RR 1.29, 95% CI 1.06 to 1.56), based on a single trial. There was no difference in likelihood of surgery (RR 1.00, 95% CI 0.68 to 1.47). Evidence indicated that systemic corticosteroids (administered as a single dose or as a short course of therapy) are not associated with increased risk of any adverse event, serious adverse events, withdrawal due to adverse events, or hyperglycemia, but estimates were imprecise as some trials did not report harms, and harms reporting was suboptimal in trials that did provide data. Limitations included variability across trials in interventions (e.g. corticosteroid used, dose and duration of treatment), clinical settings, and participants (e.g. duration of symptoms, methods for diagnosis); limited utility of subgroup analyses due to small numbers of trials; methodologic limitations or suboptimal reporting of methods by some trials; and too few trials to formally assess for publication bias using graphical or statistical tests for small sample effects. Non-radicular low back pain Evidence on systemic corticosteroids versus placebo for non-radicular pain was limited and suggested that systemic corticosteroids may be associated with slightly worse short-term pain but slightly better function. Spinal stenosis For spinal stenosis, limited evidence indicated that systemic corticosteroids are probably no more effective than placebo for short-term pain or function. Systemic corticosteroids appear to be slightly effective at improving short-term pain and function in people with radicular low back pain not due to spinal stenosis, and might slightly improve long-term function. The effects of systemic corticosteroids in people with non-radicular low back pain are unclear and systemic corticosteroids are probably ineffective for spinal stenosis. A single dose or short course of systemic corticosteroids for low back pain does not appear to cause serious harms, but evidence is limited.

ISASS Policy Statement 2022: Literature Review of Intraosseous Basivertebral Nerve Ablation.

The index 2020 ISASS Guideline Statement "Intraosseous Ablation of the Basivertebral Nerve for the Relief of Chronic Low Back Pain" was generated in response to growing requests for background, supporting literature, evidence, as well as proper coding for intraosseous basivertebral nerve ablation. Since the guideline was published, the American Medical Association has added Current Procedural Terminology category I codes for basivertebral nerve ablation: 64628 and 64629. Additionally, the has recognized a need for greater specificity in differentiating various types of low back pain and has designatedthe International Classification of Diseases, 10th revision, Clinical Modification code M54.51, vertebrogenic low back pain, to ensure correct diagnosis. The timing of these additions provides an opportunity to refresh the ISASS Guideline to ensure proper diagnosis and procedural coding and to update the supporting literature and evidence.

Incidence of Lumbosacral Transitional Vertebrae in Patients with Low Back Pain

Background: The lumbar spine's lumbrosacral transitional vertebrae (LSTV), a structural defect, have been variously linked to low back pain (LBP). Their presence can also lead to an incorrect pre-operative level identification. Objective: To examine the relationship between lumbosacral transitional vertebrae detected on plain radiographs and low back pain in patients. Study Setting: Department of orthopedics, Shifa international hospital, Islamabad Methods: The study design was prospective and descriptive. The study was conducted between July 2021 to December 2021. The radiographs of 100 patients with low back pain who met the inclusion/exclusion criteria were evaluated. The frequency of patients with low back pain and lumbosacral transitional vertebra (LSTV) was calculated using SPSS version 26. For the quantitative data presentation mean and standard deviation was utilized and for qualitative data frequencies were used. P value less than 0.05 was considered significant. Results: In a sample of 100 patients, 40 were men and 60 were women. 45 patients were diagnosed with axial type of lower back pain. The prevalence of LSTV was 27%, with males constituting the majority. No significant difference in the LSTV and Normal spine age distribution intervals was observed except, in the age interval of 51-60 years with a P-Value of <0.001. Conclusion: There is substantial evidence linking lumbosacral transitional vertebrae and low back pain.

“EFFECTIVENESS OF BACK SCHOOL METHOD AMONG COLLEGE STUDENTS WITH NON SPECIFIC LOW BACK PAIN: A RANDOMIZED CONTROL TRIAL”.

BACKGROUND: Lower back pain (LBP) is very common among general population, those who engage in physical activity, students and geriatric population. The most common type of low back pain is non specic and has no clear diagnostic, prognostic or treatment protocols. Back- school program is used for the prevention and treatment of patients with low back pain. AIM: To nd out the effectiveness of back school method on college students with non specic low back pain. OBJECTIVES: To nd out the effect of back school method on college students with non specic low back pain and to compare the experimental group to the control group. METHOD:30 participants were select based on selection criteria for the study. All the subjects were divided into two groups (Group A and B) using Lottery method. Group A was receiving back school exercise and Group B was the control group.The program is composed of four sessions almost 45 minutes in every session. Before and after the treatment, the NPRS, Roland-Morris Disability Questionnaire [RMDQ], and lumbar spine range of motion has been assessed. RESULTS:Data were statistical analysis using SPSS version 22.0. parametric test was used within the group analysis. The test result showed improvement in group A compared to the control group. CONCLUSIONS: Back school method is more effective in reducing non-specic low back pain; improve posture and improving the quality of life of the participants.

AYURVEDIC MANAGEMENT OF LOW BACK PAIN WITH MODIFIED ABHYANGA: A CASE STUDY

Low back pain is one of the widespread health problems and the leading cause of activity limitation and work absence worldwide. Among the types of low back pain, low back pain due to mechanical causes is more common. Abhyanga is an effective treatment for low back pain, which can be done as an OPD level treatment without causing much financial burden. Though it is a widely practised procedure, we did not explore its possibilities properly. Abhyanga can be modified by incorporating other massage techniques like Swedish massage for better application. Cupping is a variety of tapotement massage techniques of a Swedish massage. Abhyanga performed along with the cupping massage techniques is very effective in managing low back pain. A 45year old lady patient came to OPD complaining of low back pain. On examination, stooping posture during her work hours was concluded as the reason for the pain. She was treated with modified Abhyanga with moorchita tilataila for seven days. The procedure duration was 20 minutes. Treatment was found to be effective after treatment and after follow up as her symptoms wholly vanished.

Effects of core stabilization exercise and cognitive behavioural therapy in the management of patients with non-specific chronic low back pain

Purpose: Non-specific chronic low back pain (NSCLBP) is a multifaceted type of low back pain affecting the biology, social and psychological aspect of an individual. Although it seems clear that core stabilization and cognitive behavioural therapy administered individually had been shown to be effective in patients with non-specific chronic low back pain, but the comparative efficacy of both interventions has not been satisfactorily studied. This study compared the effects of cognitive behavioural therapy and core stabilization exercise on pain-related disability, psychological status and sleep disturbance in patients with NSCLBP.

Facet Joint Injections for the Management of Low Back Pain: A Clinical Review

Introduction: Lumbar facet joints have been implicated in chronic low back pain (LBP) in up to 45% of patients with LBP. Facet joint pain (FJP) diagnosis and management are always challenging for pain physicians. FJP is not diagnosed by specific demographic features, pain characteristics, or physical findings, despite the electrodiagnostic studies and imaging modalities being available. Although comparative local anesthetics or placebo saline injections can be used, diagnostic blocks are the only reliable diagnostic measures according to the current literature.
 Methodology: A randomized, controlled clinical trial was conducted to evaluate the effectiveness of lumbar facet joint injections. A total of 229 participants were enrolled to receive facet injections with bupivacaine and steroid, medial branch blocks, or saline.
 Result: The results of this study showed that facet joint injections had little long-term therapeutic utility, but had a prognostic value compared to control injections before radiofrequency ablation. Thus, the results of this study emphasized the diagnostic value of facet joint injections.
 Conclusion: FJP is not diagnosed by demographic features, pain characteristics, physical findings, electrodiagnostic studies, or radiological evaluation as other types of LBP. Diagnostic blocks using comparative local anesthetic blocks or placebo injections are the only reliable diagnostic measures according to the current literature. Their validity, specificity, and sensitivity are considered reliable in the diagnosis of FJP. Facet joint-related anatomical, clinical, and technical knowledge is essential for successful pain management. Pain physicians should embrace all aspects of FJP management, from diagnosis to interventional management.

HUBUNGAN LAMA DUDUK DAN SIKAP DUDUK DENGAN KELUHAN NYERI PUNGGUNG BAWAH (LOW BACK PAIN) PADA PEKERJA PEMOTONG IKAN

Low back pain (LBP) is a very common world health problem, which causes activity restrictions and also absenteeism from work. Low back pain can reduce human productivity, 50-80% of workers worldwide have experienced low back pain where almost a third of their age have experienced some type of low back pain which is the second disease after the flu. The purpose of this study was to determine the relationship between sitting and sitting posture with complaints of low back pain among fish cutter workers at UD. Dumbo Jaya Group, Kota Galuh Village, Perbaungan District, Serdang Bedagai Regency. The research method uses an analytical survey with a cross sectional design. The number of samples as many as 31 fish cutter workers, data collection using questionnaires and data analysis using the chi-square test with a significant level of 95% or p≤α (0.05). The results showed that there was a significant relationship between length of sitting and complaints of low back pain in fish cutter workers P = 0.013 < = 0.05 and there was a significant relationship between sitting posture and complaints of low back pain in fish cutter workers P = 0.039 < = 0.05. It is recommended for fish cutter workers to be able to arrange rest hours and a good sitting posture so that lower back pain does not occur.

Physical Abilities in Low Back Pain Patients: A Cross-Sectional Study with Exploratory Comparison of Patient Subgroups.

An abundance of literature has investigated the association between low back pain (LBP) and physical ability or function. It has been shown that LBP patients display reduced range of motion, decreased balance ability, impaired proprioception, and lower strength compared to asymptomatic persons. The aim of this study was to investigate the differences between LBP patients and healthy controls in terms of several physical abilities. Based on the premised that different biomechanical and physiological causes and consequences could be related to different types of LBP, a secondary exploratory attempt of the study was to examine the differences between LBP subgroups based on the pain location (local or referred) or type of pathology (discogenic or degenerative) on the level of impairment of function and ability. Participants performed range of motion tests, trunk maximal voluntary contraction force tests, a sitting balance assessment, the timed up-and-go test, the chair rise test, and the trunk reposition error test. Compared to the control group, symptomatic patients on average showed 45.7% lower trunk extension (p < 0.001, η2 = 0.33) and 27.7 % lower trunk flexion force (p < 0.001, η2 = 0.37) during maximal voluntary contraction. LBP patients exhibited decreased sitting balance ability and lower scores in mobility tests (all p < 0.001). There were no differences between groups in Schober’s test and trunk repositioning error (p > 0.05). No differences were observed among the LBP subgroups. The exploratory analyses are limited by the sample size and uncertain validity of the diagnostic procedures within this study. Further studies with appropriate diagnostic procedures and perhaps a different subgrouping of the LBP patients are needed to elucidate if different types of LBP are related to altered biomechanics, physiology, and function.

Differences in movement limitations in different low back pain severity in functional tests using an RGB-D camera

Low back pain (LBP) can lead to motor control disturbance which can be one of the causes of reoccurrence of the complaint. It is important to improve our knowledge of movement related disturbances during assessment in LBP and to classify patients according to the severity. The aim of this study is to present differences in kinematic variables using a RGB-D camera in order to classify LBP patients with different severity. A cross-sectional study was carried out. Subjects with non-specific subacute and chronic LBP were screened 6 weeks following an episode. Functional tests were bending trunk test, sock test and sit to stand test. Participants performed as many repetitions as possible during 30 s for each functional test. Angular displacement, velocity and acceleration, linear acceleration, time and repetitions were analysed. Participants were divided into two groups to determine their different LBP severity with a k-means clusters according to the results obtained in Roland Morris questionnaire (RMQ). Comparing different severity groups based on RMQ score (high impact = 17.15, low impact = 7.47), bending trunk test obtained significative differences in linear acceleration (p = 0.002–0.01). The differences of total linear acceleration during the Sit to Stand test were significative (p = 0.004–0.02). Sock test showed not significative differences between groups (p > 0.05). Linear acceleration variables during Sit to Stand test and Bending trunk test were significatively different between the different severity groups. RGB-D camera system and functional tests can detect kinematic differences in different type of LBP according to the functionality.Trial registration: ClinicalTrials.gov NCT03293095 “Functional Task Kinematic in Musculoskeletal Pathology” September 26, 2017.

Low Back Pain in Commercial Airline Pilots.

BACKGROUND: In their working life, airline pilots are exposed to particular risk factors that promote nonspecific low back pain (LBP). Because of the varying incidence internationally, we evaluated the point prevalences of acute, subacute, and chronic nonspecific LBP, as well as the current prevalences in German airline pilots. Furthermore, we compared the prevalence to the general German population and to European counterparts.METHODS: An anonymous online survey of 698 participating German airline pilots was evaluated. The impairment between groups was analyzed. Prevalences from our data were compared to existing data.RESULTS: The following point prevalences were found: 8.2% acute, 2.4% subacute, 82.7% chronic LBP; 74.1% of all individuals were suffering from current LBP when answered the questionnaire. A total time spent flying greater than 600 h within the last 12 mo was significantly related to acute nonspecific LBP. Individuals with any type of LBP were significantly impaired compared to those unaffected. It was found that German airline pilots suffer more often from current LBP than the general population and have a higher point prevalence of total LBP than their European counterparts.CONCLUSIONS: The evaluation showed a surprisingly high, previously unidentified, prevalence of nonspecific LBP in German airline pilots. Why German airline pilots suffer more often from LBP remains uncertain. The number of flying hours appears to have a negative effect on developing acute low back pain, but causation cannot be concluded. Other risk factors could not be confirmed.Albermann M, Lehmann M, Eiche C, Schmidt J, Prottengeier J. Low back pain in commercial airline pilots. Aerosp Med Hum Perform. 2020; 91(12):940947.

Usefulness of Yoga Posture in the Management of Chronic Low Back Pain

Chronic low back pain (CLBP) is one of the most prevalent conditions affecting millions of people. There are various treatment options for CLBP, but no single therapy stands out as being the most effective. Yoga popularity has grown tremendously in the past several years. Yoga was the most commonly used treatment therapy which is used mainly to treat musculoskeletal related disease. It is difficult to endorse one specific yoga posture in all types of low back pain. But that patient who suffered from chronic low back pain without major causes definitely got some relief if he or she practices yoga posture in a proper way. In this paper we try to explain some yoga posture which is beneficial for the patient who suffered from chronic low back pain.

Different types of low back pain in relation to pre- and post-natal maternal depressive symptoms

BackgroundLow back pain (LBP) is a common musculoskeletal problem during pregnancy, with an estimated prevalence ranging from 30–78% (Mota MJ et al. J Back Musculoskelet Rehabil 28(2):351-7,2015 and Abebe E et al. J Med Sc Tech 3(3). 37-44,2014). Women reporting LBP are at increased risk of developing perinatal depression. Pregnancy-related LBP is highly heterogeneous and can be divided into lumbar pain (LP), posterior pelvic pain (PPP), and combined pain (CP). Therefore, the purpose of this study was to investigate the associations between LBP and perinatal depressive symptoms.MethodsThis was a retrospective case-control study conducted from January 2016 to April 2019. A total of 484 pregnant women were enrolled in this study: a case group of 242 pregnant women who were diagnosed with LBP and an age-matched control group of 242 pregnant women without LBP. The Edinburgh Postnatal Depression Scale (EPDS), LBP characteristics, and questionnaires about pregnancy that included demographic, parity, work, comorbidity, and previous pregnancy data were completed and compared between the case group and the control group.ResultsA total of 68 of 242 (28.1%) women experienced PPP, 142 (58.7%) had lumbar pain(LP), and 32 (13.2%) had combined pain. Furthermore, 26.5% of women with prenatal depression in the LP subgroup remained depressed 6 months postnatally, while the percentages for women in the PPP subgroup and CP subgroup were just 10.6% and 15.6%, respectively. The percentage of women who recovered anytime between delivery and six months postnatally in the PPP subgroup was significantly higher than that in the LP subgroup (31.7% vs. 14.7%, P < 0.001).ConclusionsThere is a difference in the prevalence of prenatal, postnatal, and perinatal depressive symptoms among pregnant women with different types of LBP. It is necessary to screen prenatal and postnatal depression separately and differentiate the types of LBP during pregnancy. Attention to these factors may help to outline better management strategies to improve maternal health.

Cross-sectional associations between the diversity of sport activities and the type of low back pain in adulthood

Leisure-time physical activity has a complex relationship with low back pain (LBP). Thus, we aimed to investigate whether the diversity of sport activities is associated with the type of LBP. In the FinnTwin16 study, 4246 (55% females) Finnish twins at mean age 34.1 years replied to a health behaviour survey in 2010–2012. Based on the participation in different sport activities, we created two measures of diversity: quantity (i.e. the number of sport activities: 1, 2, 3, 4 and ≥5) and quality (i.e. the type of sport activity: endurance, strength, body care, etc.). Based on the frequency, duration and type of LBP, we created three groups: no history of LBP lasting more than one day, radiating LBP and non-radiating LBP. The associations between the quantity and quality of sport activities and the type of LBP were investigated with logistic regression analyses. Participation in ≥5 sport activities associated with less radiating and non-radiating LBP in analyses pooled across sex (odds ratio 0.46, 95% CI 0.30–0.69 and 0.66, 0.44–0.99, respectively). However, the associations attenuated after adjusting for several confounders. Participation in endurance sports was associated with less radiating (0.58, 0.43–0.76) and non-radiating (0.60, 0.44–0.81) LBP, whereas strength sports and body care only with less radiating LBP (0.76, 0.58–1.00 and 0.26, 0.09–0.74, respectively) adjusted for all sport types. On a sport-specific level, running and cycling were associated with less radiating and non-radiating LBP. In adulthood, the diversity of sport activities, particularly participation in endurance sports, may be associated with less radiating and non-radiating LBP.

Study of low back pain in Indian armed forces: Issues and future challenges

Introduction: Low back pain (LBP) is one of the commonest disabilities affecting serving personnel of Indian armed forces. Till date there is no consistent data linking LBP to the job profile of air force personnel performing duties on ground or in flight. High gravitational force, whole body vibrations, working in closed space or high altitudes have effect on lumbar spine .With advent of space travel, problem of lumbar spine will be compounded by microgravity and radiation exposure. This study aims to study the prevalence of low back pain in Indian armed forces. An attempt is made to find the risk factors affecting the lumbar spine among pilots, paratroopers, deep sea divers and ground personnel. Materials & Methods: This observational study covered a period of six years (2012 to 2018).Data was collected from medical directorates & Service Hospitals regarding prevalence of LBP. Factors studied were, hospital admissions, demographic characteristics and type of LBP among personnel of all three services. Data collected was compared with that of the world militaries. Analysis was done to find the risk factors affecting lumbar spine in pilots, commandos, deep sea divers and ground duty Air force personnel. Observation & Results: The prevalence of LBP was found to be 0.35%, 1.98% and 0.82% in Army, Air Force and Navy respectively. Total Hospital admissions in 2012 were 4513 while in 2018; it was 4834.LBP affected 70% of personnel between the age group of 30 to 39 years. Air force pilots with 10 to 15 years of service had maximum complaints of LBP. The job profile did not show a definitive association. Astronauts had a 53–68% increased risk of experiencing LBP and a fourfold increased risk of developing herniated intervertebral discs during microgravity exposure and within one-year post flight.

Amniotic Umbilical Cord Particulate for Discogenic Pain.

Discogenic low back pain is the most common type of low back pain and is a major cause of morbidity worldwide. Current nonoperative treatment options are limited in efficacy and lack evidence of long-term pain relief; thus, there is an unmet clinical need for an effective treatment for patients with discogenic pain. Amniotic membrane and umbilical cord (AMUC) particulate may be useful in relieving pain and inhibiting the degenerative cascade in patients with discogenic pain by reducing inflammation. To evaluate the effectiveness of AMUC particulate for discogenic pain. Six months of conservative therapy failed in patients who had discogenic pain confirmed by magnetic resonance imaging and provocative discography. They subsequently received intradiskal injection of 50 to 100 mg of AMUC particulate for cervical, lumbar, and lumbosacral disks. A total of 11 patients with 20 disks were included. Before treatment, all patients reported severe pain, and 10 patients took opioids daily. After treatment, the median reported pain relief was 40%, 50%, and 75% at 1-month (n=6), 3 months (n=8), and 6 months (n=5), respectively. Complete pain relief was noted in 1 patient; however, 2 patients (18%) reported no pain relief at 1 and 3 months. No adverse events, repeated procedures, or complications occurred. This preliminary evidence suggests that a single intradiskal injection of AMUC particulate is safe and may provide symptomatic pain relief in some patients with discogenic pain.

Acupuncture Differentially Affects the High-Frequency Spectral Energy in Radial Pulse Positions Depending on Type of Lower Back Pain.

Acupuncture is a core discipline in traditional Chinese medicine (TCM) and has been practised in China for centuries. In traditional acupuncture, pulse palpation is an important clinical diagnostic technique that guides practitioners in their treatment strategies as they evaluate the effectiveness of the treatment. This paper provides the findings of our investigation of acupuncture's effect on specific radial pulse spectral energies in 41 individuals with lower back pain (LBP), in response to a single acupuncture treatment delivered bilaterally at acupoints BL23, BL25, and BL40. Baseline assessments (vital signs and radial pulse diagnoses), primary outcome measures (radial pulse diagnoses), and secondary outcome measures (the Faces Pain Scale-Revised (FPS-R) and fingertip-to-floor (FTF) tests) were performed at specified intervals before and after the intervention. Our study provides novel information about the effects of acupuncture on the radial pulse spectral energy in individuals with different types of LBP. Our findings suggest that the right Chi pulse is an effective indicator to assess the effects of acupuncture in individuals with fixed, distended, or sharp pain, whereas the left Guan pulse is a potentially useful diagnostic technique to determine acupuncture's effects in individuals with dull, aching pain. The acupoints BL23, BL25, and BL40 provide effective treatment for LBP. Study participants with dull, aching pain had a significant improvement in their lumbar ranges of motion, and their pain rating scores were markedly decreased after acupuncture treatment.