RESULTS The results of this review confirm and help quantify the significant differences that existed in the terminology and all the areas of diagnosis and treatment of presumed discogenic pain .
Our findings show that suspected discogenic pain , despite its extensive affirmation in the literature and enormous re sources regularly devoted to it , currently lacks clear diagnostic criteria and uniform treatment or terminology
BACKGROUND CONTEXT Pain innate to intervertebral disc , often referred to as discogenic pain , is suspected by some authors to be the major source of chronic low back and neck pain .
Current management of suspected discogenic pain lacks st and ardized diagnosis , treatment , and terminology .
PURPOSE In an attempt to determine whether patterns existed that may facilitate st and ardization of care , we sought to analyze the terminologies used and the various modes of diagnosis and treatment of suspected discogenic pain .
Treatment of 94 outpatients with chronic discogenic low back pain with the DRX9000: a retrospective chart review.
BACKGROUND This study 's goal was a retrospective chart audit of 100 out patients with discogenic low back pain ( LBP ) lasting more than 12 weeks treated with a 2-month course of motorized spinal decompression via the DRX9000 ( Axiom Worldwide , Tampa , FL , U.S.A. ) . METHODS Patients at a convenience sample of four clinics received 30-minute DRX9000 sessions daily for the first 2 weeks tapering to 1 session/week . Treatment protocol included lumbar stretching , myofascial release , or heat prior to treatment , with ice and /or muscle stimulation afterwards . Primary outcome was verbal numerical pain intensity rating ( NRS ) 0 to 10 before and after the 8-week treatment . RESULTS Of the 100 initial subjects , three withdrew their protected health information , and three were excluded because their LBP duration was less than 12 weeks . The remaining 94 subjects ( 63 % female , 95 % white , age = 55 ( SD 16 ) year , 52 % employed , 41 % retired , LBP median duration of 260 weeks ) had diagnoses of herniated disc ( 73 % of patients ) , degenerative disc disease ( 68 % ) , or both ( 27 % ) . Mean NRS equaled 6.05 ( SD 2.3 ) at presentation and decreased significantly to 0.89 ( SD 1.15 ) at end of 8-week treatment ( P < 0.0001 ) . Analgesic use also appeared to decrease ( charts with data = 20 ) and Activities of Daily Living improved ( charts with data = 38 ) . Follow-up ( mean 31 weeks ) on 29/94 patients reported mean 83 % LBP improvement , NRS of 1.7 ( SD 1.15 ) , and satisfaction of 8.55/10 ( median 9 ) . CONCLUSIONS This retrospective chart audit provides preliminary data that chronic LBP may improve with DRX9000 spinal decompression . R and omized double-blind trials are needed to measure the efficacy of such systems
RESULTS The results of this review confirm and help quantify the significant differences that existed in the terminology and all the areas of diagnosis and treatment of presumed discogenic pain .
Our findings show that suspected discogenic pain , despite its extensive affirmation in the literature and enormous re sources regularly devoted to it , currently lacks clear diagnostic criteria and uniform treatment or terminology
BACKGROUND CONTEXT Pain innate to intervertebral disc , often referred to as discogenic pain , is suspected by some authors to be the major source of chronic low back and neck pain .
Current management of suspected discogenic pain lacks st and ardized diagnosis , treatment , and terminology .
PURPOSE In an attempt to determine whether patterns existed that may facilitate st and ardization of care , we sought to analyze the terminologies used and the various modes of diagnosis and treatment of suspected discogenic pain .