ID | 114037 |
Title Alternative | Accurate diagnosis of low back pain
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Author |
Sugiura, Kosuke
University of Tokushima
Tokushima University Educator and Researcher Directory
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Ishihama, Yoshihiro
University of Tokushima
Sakai, Toshinori
University of Tokushima
Tokushima University Educator and Researcher Directory
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Maeda, Toru
University of Tokushima
Sairyo, Koichi
University of Tokushima
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Keywords | low back pain
diagnosis
athlete
elite athlete
MRI
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Content Type |
Journal Article
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Description | Background : There is few reports evaluated accurately the pain generator of low back pain in elite athletes. The purpose of this report was to show case series and to investigate the cause of unidentified low back pain of elite athletes. Methods : Twenty-three adult elite athletes consulted our sports spine clinic to seek a second opinion for low back pain between April 2013 and March 2016. Their cause of low back pain had not been identified by nearby doctor. Spine surgeons had diagnosed using diagnostic injection and STIR-MRI and the final diagnosis made by the spine surgeon were collected. Results : The mean age of 23 patients (16 male, 7 female) was 30.4 years. The most common sport played was baseball. The final diagnosis made by a spine surgeon was as follows : disc related low back pain (n = 12), facet joint arthritis (n = 5), vertebral endplate injury (n = 4), early-stage lumbar spondylolysis (n = 1), supraspinous ligament injury (n = 1). Conclusions : A thorough medical interview, careful physical examination, appropriate diagnostic imaging, and injection block examination can effectively identify the cause of low back pain.
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Journal Title |
The Journal of Medical Investigation
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ISSN | 13496867
13431420
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NCID | AA12022913
AA11166929
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Publisher | Tokushima University Faculty of Medicine
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Volume | 66
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Issue | 3-4
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Start Page | 252
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End Page | 257
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Sort Key | 252
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Published Date | 2019-08
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EDB ID | |
DOI (Published Version) | |
URL ( Publisher's Version ) | |
FullText File | |
language |
eng
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TextVersion |
Publisher
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departments |
Medical Sciences
University Hospital
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