Musculoskeletal System

Hands-On Treatment May Help in Knee Osteoarthritis

— And patients can administer it themselves by John Gever, Contributing Writer, MedPage Today April 22, 2024 Acupressure performed by patients on their own was at least somewhat effective for relieving symptoms of knee osteoarthritis (OA) in a randomized trial from Hong Kong, researchers said. With 314 patients age 50 and up assigned either to […]

Dosing of lumbar spinal manipulative therapy and its association with escalated spine care: A cohort study of insurance claims

PLoS One. 2024 Jan 5;19(1):e0283252. doi: 10.1371/journal.pone.0283252. eCollection 2024. Brian R Anderson 1, James M Whedon 2, Patricia M Herman 3 PMID: 38181030 PMCID: PMC10769084 DOI: 10.1371/journal.pone.0283252 Abstract Objective: The objective of this study was to evaluate the relationship between three distinct spinal manipulative therapy dose groups and escalated spine care by analyzing insurance claims […]

Effects of Cervical Mobilization on Balance and Gait Parameters in Individuals With Stroke: A Randomized Controlled Trial

Percept Mot Skills. 2024 Jan 3:315125231226039. doi: 10.1177/00315125231226039. Online ahead of print. Aziz Dengiz Abstract Stroke is a significant health problem that may result in long-term functional deficits. Balance and walking problems are among the most common post-stroke deficits, and they may negatively affect quality of life. Our aim in this study was to investigate […]

Spinal Cord Stimulation Questioned for Chronic Pain

— Independent studies suggested no benefit, but industry-funded critics cast doubt on the findings by Judy George, Deputy Managing Editor, MedPage Today December 18, 2023 Independent studies suggested that spinal cord stimulation improved chronic pain no more than placebo, but industry-funded critics cast doubt on these findings, researchers said. Recently published papers “found evidence of […]

Spinal manipulation and electrical dry needling as an adjunct to conventional physical therapy in patients with lumbar spinal stenosis: a multi-center randomized clinical trial

Spine J. 2023 Dec 14:S1529-9430(23)03563-5. doi: 10.1016/j.spinee.2023.12.002. Online ahead of print. Ian Young Abstract Background context: Nonoperative management of lumbar spinal stenosis (LSS) includes activity modification, medication, injections, and physical therapy. Conventional physical therapy includes a multimodal approach of exercise, manual therapy, and electro-thermal modalities. There is a paucity of evidence supporting the use of […]

Management of chronic pain associated with temporomandibular disorders: a clinical practice guideline

BMJ. 2023 Dec 15:383:e076227. doi: 10.1136/bmj-2023-076227. Jason W Busse Abstract Clinical question: What is the comparative effectiveness of available therapies for chronic pain associated with temporomandibular disorders (TMD)? Current practice: TMD are the second most common musculoskeletal chronic pain disorder after low back pain, affecting 6-9% of adults globally. TMD are associated with pain affecting […]

The Role of Systemic Steroids in Sciatica Due to Herniated Lumbar Disc

A Systematic Review and Meta-analysis Vale, João MDa; Rocha, Eduardo MDb; Lemos, Carolina MD, PhDc,d; Valente, Cristina PhDe,f; Andrade, Renato BSce,f,g; Espregueira-Mendes, João MD, PhDe,f,h,i,,j; Rodrigues-Pinto, Ricardo MD, PhD, FEBOTa,c,k Spine 48(23):p E391-E400, December 1, 2023. | DOI: 10.1097/BRS.0000000000004801 Abstract Study Design. Systematic review and meta-analysis. Objective. Evaluate the role of systemic steroids in treating […]

Want to Reduce Knee OA Risk? Weight Work May Help

— History of strength training tied to reduced incidence later in life by John Gever, Contributing Writer, MedPage Today October 23, 2023 People who engaged in weight lifting and other forms of strength training were less likely to develop knee pain and be diagnosed with osteoarthritis (OA) as they approached their senior years, a new […]

For Tension Headache, Combo Rx Tops Acetaminophen

December 1, 2014 Alisa G. Woods, PhD Pain relief is better with a triple combination medication that includes acetaminophen than with acetaminophen by itself, researchers found, suggesting a new therapeutic option. A triple combination medication for tension headache that includes acetaminophen is more effective for pain relief than acetaminophen by itself, an international group of […]

Spinal manipulation combined with exercise therapy could be more effective than exercise therapy alone for shoulder pain and disability: A systematic review and meta-analysis

International Journal of Osteopathic Medicine Volume 50, December 2023, 100688 International Journal of Osteopathic Medicine Francisco Fleury Uchoa Santos-Júnior Highlights • For pain intensity, spinal manipulation combined with shoulder exercises may be beneficial in two to six weeks. • The association of spinal manipulation and shoulder exercises could also improve disability within 6 weeks of […]

The association between cervical degenerative MRI findings and self-reported neck pain, disability and headache: a cross-sectional exploratory study

Rikke K. Jensen, Kristina B. Dissing, Tue S. Jensen, Stine H. Clausen & Bodil Arnbak Chiropractic & Manual Therapies volume 31, Article number: 45 (2023) Abstract Background Neck pain and headache are highly prevalent conditions and leading causes of disability worldwide. Although MRI is widely used in the management of these conditions, there is uncertainty […]

Effects of Postural Shifting Frequency on Perceived Musculoskeletal Discomfort During 1-Hour Sitting in Office Workers

Journal of Manipulative & Physiological Therapeutics Nipaporn Akkarakittichoke, PhD Published:September 29, 2023DOI:https://doi.org/10.1016/j.jmpt.2023.06.003 Abstract Objective The purpose of this study was to evaluate the effects of postural shifting frequency on perceived musculoskeletal discomfort during 1 hour of sitting in healthy office workers. Methods An experimental study comparing 3 different postural shifting frequencies was conducted on 60 […]

Comparison of Manual Therapy Technique to Therapeutic Exercise in the Treatment of Patients With Subacromial Impingement Syndrome: A Randomized Clinical Trial

Journal of Manipulative & Physiological Therapeutics Zeynab Azin, MSc Fahimeh Kamali, PhD Nasrin Salehi Dehno, PhD Sara Abolahrari-Shirazi, PhD Published: September 29, 2023DOI:https://doi.org/10.1016/j.jmpt.2023.06.002 Abstract Objective The purpose of this study was to compare the effects of manual therapy to therapeutic exercise on shoulder pain, disability, and range of motion (ROM) in patients with subacromial impingement […]

Vibration therapy to improve pain and function in patients with chronic low back pain: a systematic review and meta-analysis

J Orthop Surg Res. 2023 Sep 26;18(1):727. doi: 10.1186/s13018-023-04217-2. Qiang Li 1, Pan Liu 2 3, Zongbao Wang 4 5, Xin Li 1 PMID: 37752526 PMCID: PMC10523661 DOI: 10.1186/s13018-023-04217-2 Abstract Background: Vibration therapy (VT), a treatment of musculoskeletal disorders, has been developed for clinical applications in the past decade. However, its effect on relieving chronic […]

Benefits and harms of Spinal Manipulative Therapy for treating recent and persistent nonspecific neck pain: a systematic review with meta-analysis

Journal of Orthopaedic & Sports Physical Therapy Published Online: August 10, 2023Volume0IssuejaPages1-53 https://www.jospt.org/doi/10.2519/jospt.2023.11708 Abstract OBJECTIVE: To estimate the benefits and harms of cervical spinal manipulative therapy (SMT) for treating neck pain. DESIGN: Intervention systematic review with meta-analysis of randomized controlled trials (RCTs). LITERATURE SEARCH: We searched the MEDLINE, Cochrane CENTRAL, EMBASE, CINAHL, PEDro, Chiropractic Literature […]

A systematic review and meta-analysis of randomized controlled trials of manipulative therapy for patients with chronic neck pain

Complementary Therapies in Clinical Practice Volume 52, August 2023, 101751 Zhen Liu Abstract Background An increasing number of people suffer from chronic neck pain due to increased telecommuting. Manual therapy is considered a safe and less painful method and has been increasingly used to alleviate chronic neck pain. However, there is controversy about the effectiveness […]

Comparison of the Short-Term Clinical Effectiveness of 5% Dextrose Water, Platelet-rich Plasma and Corticosteroid Injections for Carpal Tunnel Syndrome

A Systematic Review and Network Meta-analysis of Randomized Controlled Trials Nan Gao, MS Abstract Objective To compare the short-term effectiveness of corticosteroids, 5% dextrose (D5W), and platelet-rich plasma (PRP) injections for treating carpal tunnel syndrome (CTS). Data Sources Four databases (MEDLINE [PubMed], Embase, the Cochrane Controlled Trials Register, and Web of Science [WOS]) were researched […]

We’re Treating Low Back Pain All Wrong

— Let’s reexamine the current approach to treatment by Christine Goertz, DC, PhD April 14, 2023 In December 2019, I attended a National Academies of Sciences workshop on the role of non-pharmacological approaches to pain management. At the end of the meeting, as expected, panelists concluded that more research was needed. However, to my surprise, several scientists […]

Treatment of Insertional Achilles Tendinopathy Using Adjunct Electroacupuncture Therapy: A Randomized Controlled Trial

Matthew Hawks, Erik Clauson, Pamela Hughes, Rebecca Lauters, and Paul Crawford Published Online:13 Apr 2023https://doi.org/10.1089/acu.2022.0051 Abstract Objective: Achilles tendinopathy is a common musculoskeletal condition associated with decreased functionality. The insertional variant (<2cm from the calcaneus) is less responsive to eccentric-exercise therapy. This study looked at the effect of electroacupuncture (EA) + eccentric exercise for treating […]

Adolescents who use smartphones for more than three hours a day found to suffer more from back pain

Published April 7, 2023 | Originally published on MedicalXpress Breaking News-and-Events Thanks to the popularization of smartphones and tablets, and the multiplication of video channels, computer games and educational apps, children and adolescents are spending more and more time looking at screens, usually with bad posture, which can cause back pain, among other problems. A […]