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Holmium laser lithotripsy had superior initial success and re-treatment rate compared to extracorporeal shock wave lithotripsy (ESWL) in a 2013 trial. [6] The experimental thulium fiber laser (TFL) is being studied as a potential alternative to the holmium:YAG (Ho:YAG) laser for the treatment of kidney stones. The TFL has several potential ...
A large study of spinal stenosis from Finland found the prognostic factors for ability to work after surgery were ability to work before surgery, age under 50 years, and no prior back surgery. The very long-term outcome (mean follow-up time of 12.4 years) was excellent-to-good in 68% of patients (59% women and 73% men).
It may be useful for muscle pain and injuries. [50] A 2008 Cochrane Library review concluded that LLLT has insufficient evidence for treatment of nonspecific low back pain, [51] a finding echoed in a 2010 review of chronic low back pain. [52] A 2015 review found benefit in nonspecific chronic low-back pain. [16]
The age of onset shows a bimodal distribution in women, with episodes peaking at 35 and 55 years. [59] Recurrence rates are estimated at 50% over a 10-year and 75% over 20-year period, [21] with some people experiencing ten or more episodes over the course of a lifetime. [76] A 2010 review concluded that rates of disease are increasing. [119]
Lithotripsy is a procedure involving the physical destruction of hardened masses like kidney stones, [1] bezoars [2] or gallstones, which may be done non-invasively. The term is derived from the Greek words meaning "breaking (or pulverizing) stones" ( litho- + τρίψω [tripso]).
Extracorporeal shockwave therapy is used as a second line measure to treat tennis elbow, [9] [10] [11] shoulder rotator cuff pain, [12] [13] Achilles tendinitis, [14] [15] plantar fasciitis, [16] [17] and greater trochanteric pain syndrome. [18] ESWT is also used to promote bone healing and treat bone necrosis. [19]
There is no evidence to support the use of ultrasound for the treatment of low back pain, [24] and current clinical guidelines recommend that ultrasound is not used for this condition. [25] In a critical review, it was demonstrated that therapeutic ultrasound was effective in improving pain, function, and cartilage repair in knee osteoarthritis.
An estimated 70% of women experience back pain during pregnancy with the rate being higher the further along in pregnancy. [132] Although the majority of low back pain has no specific underlying cause, workplace ergonomics, smoking and obesity are associated with low back pain in approximately 30% of cases. [26]
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