Disc

Where do patients with MRI-confirmed single-level radiculopathy experience pain, and what is the clinical interpretability of these pain patterns? A cross-sectional diagnostic accuracy study – Full Text

Hanne B. Albert, Jeanette Kaae Hansen, Helle Søgaard & Peter Kent Chiropractic & Manual Therapies volume 27, Article number: 50 (2019) Abstract Background Clinicians nominate the distribution of leg pain as being important in diagnosing nerve root involvement. This study aimed to identify: (i) common unisegmental radicular pain patterns and whether they were dermatomal, and […]

The effect of mechanical traction on low back pain in patients with herniated intervertebral disks: a systemic review and meta-analysis

Clinical Rehabilitation First Published August 28, 2019 Yu-Hsuan Cheng Abstract Objective: To evaluate the effectiveness of traction in improving low back pain, functional outcome, and disk morphology in patients with herniated intervertebral disks. Data Source: PubMed, Scopus, Embase, and the Cochrane Library were searched from the earliest record to July 2019. Review methods: We included […]

Non-surgical treatments for patients with radicular pain from lumbosacral disc herniation

The Spine Journal Available online 12 June 2019 Jung HwanLee MD, PhD. Abstract Background Context Lumbosacral disc herniation (LDH) is one of the most frequent musculoskeletal diseases causative of sick leave in the workplace and morbidity in daily activities. Non-surgical managements are considered as first line treatment before surgical treatment. Purpose This clinical practice guideline […]

Differential Patient Responses to Spinal Manipulative Therapy and Their Relation to Spinal Degeneration and Post-Treatment Changes in Disc Diffusion

Eur Spine J. 2019 Feb;28(2):259-269. doi: 10.1007/s00586-018-5851-2. Epub 2019 Jan 2. Arnold Y L Wong 1 2, Eric C Parent 3, Sukhvinder S Dhillon 4, Narasimha Prasad 5, Dino Samartzis 6, Gregory N Kawchuk 3 PMID: 30604298 DOI: 10.1007/s00586-018-5851-2 Abstract Purpose: Our prior study revealed that people with non-specific low back pain (LBP) who self-reported […]

Comparison Between Oblique Pulling Spinal Manipulation and Other Treatments for Lumbar Disc Herniation: A Systematic Review and Meta-Analysis

JMPT November–December, 2018 Volume 41, Issue 9, Pages 771–779 Zhuomao Mo, BA Abstract Objective The purpose of this review was to compare oblique pulling spinal manipulation with other treatments for lumbar disc herniation. Methods Randomized controlled trials of oblique pulling manipulation versus other treatment for lumbar disc herniation were identified using the following databases: China […]

Severe lumbar intervertebral disc degeneration is associated with Modic changes and fatty infiltration in the paraspinal muscles at all lumbar levels, except L1-L2: A cross-sectional analysis of 50 symptomatic females and age-matched 50 symptomatic males

World Neurosurgery Available online 9 November 2018 Severe lumbar intervertebral disc degeneration is associated with Modic changes and fatty infiltration in the paraspinal muscles at all lumbar levels, except L1-L2: A cross-sectional analysis of 50 symptomatic females and age-matched 50 symptomatic males EmelEce Özcan-Ekş iM.D. Abstract Objective Low back pain is a common public health […]

Chiropractic care and risk for acute lumbar disc herniation: a population-based self-controlled case series study

Eur Spine J. 2018 Jul;27(7):1526-1537. doi: 10.1007/s00586-017-5325-y. Epub 2017 Oct 16. Hincapié CA, Tomlinson GA, Côté P5, Rampersaud YR, Jadad AR, Cassidy JD. Abstract PURPOSE: Chiropractic care is popular for low back pain, but may increase the risk for acute lumbar disc herniation (LDH). Low back pain is a common early (prodromal) symptom of LDH […]

Short-term increase in discs’ apparent diffusion is associated with pain and mobility improvements after spinal mobilization for low back pain – Full Text

Sci Rep. 2018; 8: 8281. Published online 2018 May 29. doi:  10.1038/s41598-018-26697-7 PMCID: PMC5974269 PMID: 29844484 Paul Thiry,1 François Reumont,#1 Jean-Michel Brismée,2 and Frédéric Dierick#3,4 Author information ► Article notes ► Copyright and License information ► Disclaimer Go to: Abstract Pain perception, trunk mobility and apparent diffusion coefficient (ADC) within all lumbar intervertebral discs (IVDs) were collected before and shortly after posterior-to-anterior (PA) mobilizations in 16 adults with acute […]

Intervertebral disc status is associated with vertebral marrow adipose tissue and muscular endurance

Quittner, M., Rantalainen, T., Ridgers, N.D. et al. Eur Spine J (2018). https://doi.org/10.1007/s00586-018-5567-3 Abstract Purpose Low back pain is a major public health issue. Identifying factors associated with better intervertebral disc (IVD) characteristics gives insight into IVD metabolism and highlights intervention targets for improvement of IVD health. This cross-sectional study investigates whether IVD T2-relaxation time […]

ABCs of the degenerative spine – Full Text Article

Insights Imaging. 2018 Apr; 9(2): 253–274. Published online 2018 Mar 22. doi: 10.1007/s13244-017-0584-z PMCID: PMC5893484 PMID: 29569215 Sergiy V. Kushchayev Abstract Degenerative changes in the spine have high medical and socioeconomic significance. Imaging of the degenerative spine is a frequent challenge in radiology. The pathogenesis of this degenerative process represents a biomechanically related continuum of […]

MRI evaluation of the effects of extension exercises on the disc fluid content and location of the centroid of the fluid distribution

Musculoskeletal Science and Practice Volume 33, February 2018, Pages 67-70 Vahid Abdollah Highlights The signal intensity weighted centroid (SIWC) is a novel reliable non-invasive method for quantifying the effects of loading. Except for a more anterior SIWC in the L4L5 disc after extension, there were no significant SIWC differences. No significant differences were found in […]

Lumbar disc nomenclature: version 2.0: Recommendations of the combined task forces of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology – Full Text

The Spine Journal Volume 14, Issue 11, 1 November 2014, Pages 2525-2545 David F.Fardon MD Abstract Background context The paper ‘‘Nomenclature and classification of lumbar disc pathology, recommendations of the combined task forces of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology,’’ was published in 2001 […]

Running exercise strengthens the intervertebral disc – Full Text Article

Daniel L. Belavý Scientific Reports volume 7, Article number: 45975 (2017) doi:10.1038/srep45975 Abstract There is currently no evidence that the intervertebral discs (IVDs) can respond positively to exercise in humans. Some authors have argued that IVD metabolism in humans is too slow to respond anabolically to exercise within the human lifespan. Here we show that […]

In vivo correlates between daily physical activity and intervertebral disc health.

J Orthop Res. 2018 May;36(5):1313-1323. doi: 10.1002/jor.23765. Epub 2018 Jan 16. Bowden JA1, Bowden AE2, Wang H3, Hager RL1, LeCheminant JD1, Mitchell UH1. Abstract Physical activity impacts health and disease in multiple body tissues including the intervertebral discs. Fluid flow within the disc is an indicator of disc health that can be observed using diffusion […]

Effectiveness of dry needling versus a classical physiotherapy program in patients with chronic low-back pain: a single-blind, randomized, controlled trial – Full Text

J Phys Ther Sci. 2017 Sep; 29(9): 1502–1509. Published online 2017 Sep 15. doi:  10.1589/jpts.29.1502 PMCID: PMC5599809 Emİne Handan Tüzün,, PhD, PT,1 Sıla Gıldır, PhD, PT,1 Ender Angın, PhD, PT,1,* Büşra Hande Tecer, PT,1 Kezban Öztürk Dana, PT,2 and Mehtap Malkoç, PhD, PT1 Abstract [Purpose] We compared the effectiveness of dry needling with a classical physiotherapy program in patients with chronic low-back pain caused […]

The Association Between Self-reported Low Back Pain and Radiographic Lumbar Disc Degeneration of the Cohort Hip and Cohort Knee (CHECK) Study

van den Berg, Roxanne M Spine: 1 October 2017 – Volume 42 – Issue 19 – p 1464–1471 doi: 10.1097/BRS.0000000000002228 Study Design. Cross-sectional study, nested in a prospective cohort (Cohort Hip and Knee, CHECK). Objective. Low back pain (LBP) is very common and the main cause of activity limitations and work absence throughout the world. […]

The value of radiographic indexes in the diagnosis of discogenic low back pain: a retrospective analysis of imaging results – Full Text

Jian Song Oncotarget. 2017 Sep 1; 8(36): 60558–60567. Published online 2017 Jun 27. doi: 10.18632/oncotarget.18652 Abstract To explore value of different radiographic indexes in the diagnosis of discogenic low back pain (LBP). A total number of 120 cases (60 patients diagnosed with discogenic LBP and 60 healthy people) were retrospectively analysed to identify factors in […]

Spinal mobilization vs conventional physiotherapy in the management of chronic low back pain due to spinal disk degeneration: a randomized controlled trial

J Man Manip Ther. 2017 May;25(2):66-73. doi: 10.1080/10669817.2016.1184435. Epub 2016 Jun 23. Krekoukias G Abstract OBJECTIVES: The aim of the study was to examine the efficacy of spinal mobilization in subjects with low back pain (LBP) and associated spinal disk degeneration. METHODS: Seventy-five subjects suffering from chronic LBP (>3 months) were randomly allocated into 3 groups of […]

Uneven intervertebral motion sharing is related to disc degeneration and is greater in patients with chronic, non-specific low back pain – Full Text Article

European Spine Journal pp 1–9 Uneven intervertebral motion sharing is related to disc degeneration and is greater in patients with chronic, non-specific low back pain: an in vivo, cross-sectional cohort comparison of intervertebral dynamics using quantitative fluoroscopy Authors Alan Breen Cite this article as: Breen, A. & Breen, A. Eur Spine J (2017). doi:10.1007/s00586-017-5155-y Abstract […]

Mechanical effects of traction on lumbar intervertebral discs: A magnetic resonance imaging study

Musculoskeletal Science & Practice June 2017 Volume 29, Pages 78–83 Daniel H.K. Chow, PhD Highlights Mechanical effects of traction on lumbar discs was evaluated using MRI. Horizontal traction using 42% of body weight was associated with an increased disc height of lower lumbar discs. Horizontal traction also resulted in reduced lordosis and change in tilt angle. The […]