Background Active discopathy is associated with a specific phenotype of chronic low back pain (LBP). Local inflammation has a role in active discopathy-associated symptoms. Objective To assess the efficacy of a single glucocorticoid intradiscal injection (GC IDI) in patients with chronic LBP with active discopathy. Design Prospective, parallel-group, double-blind, randomized, controlled stu...

BACKGROUND Degenerative discs are thought to produce nerve root pain either mechanically or chemically. Particularly in the case of advanced degenerative disc disease, this clinical entity has often proven to be symptomatically resistant to peridural steroids, Intra-discal Electrothermoplasty (IDET) and direct surgical intervention. Exposure of irritated nerves to hypertonic dextrose is thought...

Studies on stylistic change in music argue that when singers use devices their songs, they have one purpose: to represent image and artistic social identity. In this paper we focus the singer Rosalía, a Catalan artist who sings flamenco Latin music. These two musical genres are associated with innovative varieties of Spanish, but is not speaker variety (she uses Spanish spoken Catalonia, conser...

conclusion lower back pain is a major healthcare issue and this review article will help educate the pain practitioners about the current evidence based treatment options. results this review article describes the most common modalities available to an interventional pain physician along with the most relevant current and past references for the treatment of lower back pain. all the graphics an...

Internal disc disruption is a common cause of disabling low back pain in a substantial number of young, healthy adults. Crock described this painful entity and reported annular fissures that distort the internal architecture of the disc; Externally the disc appears relatively intact and undeformed. A clinical diagnosis of internal disc disruption, in absence of objective clinical findings, is e...

OBJECTIVE To prospectively assess the diagnostic and clinical value of a new technique (3-tesla magnetic resonance myelography, 3T MRM) as compared to computed tomographic discography (disco-CT) in patients with far lateral disc herniation. METHODS We evaluated 3T MRM and disco-CT of 25 patients, whom we suspected of suffering from far lateral disc herniation. Using an assessment scale, 4 obs...