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Tag: Spinal Problems

Use of complementary health approaches is significantly higher for U.S. adults with musculoskeletal pain disorders

CDC: Complementary Health Use Up With Musculoskeletal Pain

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Over 41 percent of U.S. adults with musculoskeletal pain disorders use complementary health approach
Many randomized clinical trials involving spinal manipulative therapy do not report adverse events

Many Spinal Manipulation Trials Don’t Report Adverse Events

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Significant increase in reporting of adverse events post-CONSORT statement of 2010
For patients with contained cervical disc herniation

PCN, PRF Both Relieve Pain in Cervical Disc Herniation

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No significant difference in pain relief for percutaneous nucleoplasty, pulsed radio frequency
Bundling of the Current Procedural Terminology codes for facet injections with image guidance and limiting billing to a maximum of three levels

Facet Utilization Up From 2000 to 2006, Plateaued to 2012

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Largest decrease in facet injections came in 2010 with bundling of CPT codes with image guidance
Diabetes predicts diminished quality of life improvements after lumbar decompression surgery

Diabetes Impacts QOL Outcome After Lumbar Decompression

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Diabetes predicts diminished improvement in postoperative EuroQol 5-Dimensions
Computed tomographic chest abdomen pelvis examinations rarely show acute traumatic injury in patients who had a low-velocity trauma but have acute head and/or cervical spine trauma without evidence of bodily injury

CT CAP Rarely Reveals Acute Injury in Low-Velocity Trauma

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Findings in low-velocity trauma patients without evidence of bodily harm
Provocative discography

Provocative Discography May Up Risk of Clinical Disc Problems

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More lumbar surgeries in patients undergoing discography, and more medical visits, work loss, pain
Spinal fusion surgery is too often used to treat lower back pain caused by stenosis when decompression would suffice

Fusion Not Always Necessary for Back Pain From Stenosis

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Still, spinal fusion provided better results in study of only patients with spondylolisthesis
Subcutaneous botulinum toxin type A injections appear to safely and effectively reduce chronic neuropathic pain in patients with spinal cord injury

Botox May Reduce Chronic Neuropathic Pain

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Findings in small study of patients with spinal cord injury-associated pain
Acute flaccid paralysis with evidence of spinal motor neuron involvement represents a unique syndrome

Distinct Syndrome of Acute Flaccid Paralysis Identified

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Clinical manifestations indicate syndrome of flaccid paralysis with spinal motor neuron involvement