Journal of Orthopaedic & Sports Physical Therapy Published Online: April 7, 2025Volume0IssuejaPages1-46 https://www.jospt.org/doi/10.2519/jospt.2025.12905 Abstract OBJECTIVE: To investigate the barriers and facilitators to physical activity and exercise among people with chronic low back pain (CLBP). DESIGN: A qualitative evidence synthesis. DATA SOURCES: We searched the MEDLINE, EMBASE, CINAHL, SPORTDiscus, and PsycINFO databases from inception to July […]
By Awah Bodunrin in Uncategorized on March 14, 2025. By: Chad E Cook PT, PhD, FAPTA Definition: The natural history of a disease refers to the progression of a disease in an individual over time, from its onset (pathological or exposure to causal agents) to its resolution. It is generally considered “natural” when no interventions […]
— “No more effective than sham procedures,” evidence review finds by John Gever, Contributing Writer, MedPage Today February 19, 2025 Key Takeaways Epidural anesthetic or steroid injections, nerve blocks, and related interventions are commonly used to treat chronic back pain. This review found no solid evidence showing that these interventions are more effective than sham […]
— Promising benefits in some situations, but mixed results in others by Judy George, Deputy Managing Editor, MedPage Today February 12, 2025 Key Takeaways Epidural steroid shots for back pain had mixed results, an AAN review showed. The treatment demonstrated promising short-term benefits for radiculopathy patients. In other situations, benefits were unclear or limited. Epidural […]
October 31, 2024 Written by: James Demetrious, DC, DABCO Board Certified Chiropractic Orthopedist The Identification of Chiropractic Biomarkers In their recent paper, Billham et al. offer a case report evaluating intervertebral disc (IVD) structural integrity and degenerative pain biochemistry following a course of Cox flexion-distraction SMT. [1] The authors employed magnetic resonance spectroscopy (MRS) and novel […]
November 30, 2024 Efficacy of Naproxen in Patients With Sciatica TAKE-HOME MESSAGE This randomized placebo-controlled trial involving 123 participants evaluated the efficacy of naproxen in treating patients with sciatica. The primary outcome of interest was daily leg pain intensity measured on a numeric rating scale. Secondary outcomes included pain measurement on other pain rating scales, […]
October 23, 2024 Acupuncture vs Sham Acupuncture for Chronic Sciatica From Herniated Disk TAKE-HOME MESSAGE This randomized clinical trial evaluated the efficacy and safety of acupuncture for the treatment of patients with chronic sciatica pain. The primary outcome was a change in visual analog scale score for leg pain. Participants in the acupuncture group had […]
Published: 14 October 2024 The association between sleep disorder, sleep duration and chronic back pain: results from National Health and Nutrition Examination Surveys, 2009–2010 Meiru Zhong & Zhou Wang BMC Public Health Volume 24, Article number: 2809 (2024) Abstract Background Back pain is a typical condition, and the association among sleep disorders, sleep duration and […]
This Exercise May Help Lower Back Pain, No Special Equipment Needed — Carefully structured run-walk program proves mettle in small trial by John Gever, Contributing Writer, MedPage Today October 8, 2024 Adults younger than age 45 with chronic, nonspecific lower back pain saw significant pain relief with a structured run-walk program in a randomized trial. […]
BMJ Open. 2024 Sep 28;14(9):e084305. doi: 10.1136/bmjopen-2024-084305. Jooa Norha PMID: 39343453 PMCID: PMC11440184 DOI: 10.1136/bmjopen-2024-084305 Abstract Objectives: Sedentary behaviour (SB) is a plausible intervention target for back pain mitigation. Therefore, this study aimed to investigate the effects of a 6-month SB reduction intervention on back pain and related disability outcomes, and paraspinal muscle (ie, erector spinae and transversospinales separately) […]
July 11, 2024 Greater improvement seen for acupuncture versus sham acupuncture in mean modified Roland–Morris Disability Questionnaire score TUESDAY, July 9, 2024 (HealthDay News) — For patients with degenerative lumbar spinal stenosis (DLSS) and predominantly neurogenic claudication pain symptoms, acupuncture may relieve pain-specific disability, according to a study published online July 2 in the Annals […]
March 21, 2024 Annals of Emergency Medicine TAKE-HOME MESSAGE This randomized placebo-controlled trial evaluated the use of diclofenac gel versus oral ibuprofen for acute low back pain in the emergency department and found that topical diclofenac gel was significantly less effective in relieving pain and improving function 2 days after prescription compared with oral ibuprofen 400 […]
Physical Medicine & Rehabilitation Morgan R. Price DC, Kaelyn E. Mead DC, Diana M. Cowell PharmD, BCPS, Alyssa M. Troutner DC, MS, Tyler E. Barton DC, Sheryl A. Walters MLS, Clinton J. Daniels DC, MS First published: 17 April 2024 https://doi.org/10.1002/pmrj.13142 Abstract Objective The purpose of this systematic review was to ascertain guideline-recommended pharmaceutical approaches […]
April 02, 2024 Journal of the American Board of Family Medicine: JABFM TAKE-HOME MESSAGE This propensity score–matched retrospective cohort study evaluated the effectiveness of long-term opioid therapy (LTOT) for up to 12 months in treating individuals with chronic low back pain. No difference was observed between the LTOT and control groups with regard to mean […]
Brain Sci. 2024 Mar; 14(3): 205. Published online 2024 Feb 23. doi: 10.3390/brainsci14030205 PMCID: PMC10968796 PMID: 38539594 Abstract Background: The purpose of this study was to investigate the efficacy and safety of the NADA (National Acupuncture Detoxification Association)-standardized ear acupuncture protocol in comparison to medical acupuncture (MA) in the treatment of chronic nonspecific low back […]
Am Fam Physician. 2024 Mar;109(3):233-244. Chronic Low Back Pain in Adults: Evaluation and Management Donald Clinton Maharty PMID: 38574213 Abstract Chronic low back pain, defined as lumbar pain persisting for 12 weeks or more, occurs in about 13% of U.S. adults. Patients with chronic low back pain should have a history and physical examination to […]
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 […]
— 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 […]
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 […]
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 […]