Lumbar Spine & Low Back Pain

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

The McKenzie method for (sub)acute non-specific low back pain (not an effective treatment for subacute NSLBP)

Cochrane Database Syst Rev. 2023 Apr 5;4(4):CD009711. doi: 10.1002/14651858.CD009711.pub2. Matheus O Almeida Abstract Background: There is widespread agreement amongst clinicians that people with non-specific low back pain (NSLBP) comprise a heterogeneous group and that their management should be individually tailored. One treatment known by its tailored design is the McKenzie method (e.g. an individualized program […]

Effects of spinal manipulation or mobilization as an adjunct to neurodynamic mobilization for lumbar disc herniation with radiculopathy: a randomized clinical trial

J Man Manip Ther. 2023 Mar 22;1-13. doi: 10.1080/10669817.2023.2192975. Online ahead of print. Musa Sani Danazumi PMID: 36950742 DOI: 10.1080/10669817.2023.2192975 Abstract Objectives: To determine the long-term clinical effects of spinal manipulative therapy (SMT) or mobilization (MOB) as an adjunct to neurodynamic mobilization (NM) in the management of individuals with Lumbar Disc Herniation with Radiculopathy (DHR). Design: Parallel group, single-blind […]

Induced leg length inequality affects pelvis orientation during upright standing immediately following a sit-to-stand transfer: a pre-post measurement study

Published: 17 March 2023 Simon P. Vella, Michael Swain, Aron Downie, Samuel J. Howarth, Martha Funabashi & Roger M. Engel BMC Musculoskeletal Disorders volume 24, Article number: 203 (2023) Abstract Background Leg length inequality (LLI) greater than 20 mm has been associated with low back pain (LBP) and its correction is clinically recommended. Much less […]

Nonopioid pharmacological management of acute low back pain: A level I of evidence systematic review

Alice Baroncini, Nicola Maffulli, Hazim Al-Zyoud, Andreas Bell, Aleksandar Sevic, Filippo Migliorini First published: 22 February 2023 https://doi.org/10.1002/jor.25508 Abstract Acute low back pain (LBP) imposes a significant socioeconomical burden as it is the condition that, worldwide, cause the most disability. Nonetheless, the literature regarding the best pharmacological management of acute LBP is limited, and the […]

Nonopioid pharmacological management of acute low back pain: A level I of evidence systematic review

Journal of Orthopedic Research Alice Baroncini, Nicola Maffulli, Hazim Al-Zyoud, Andreas Bell, Aleksandar Sevic, Filippo Migliorini First published: 22 February 2023 https://doi.org/10.1002/jor.25508 Abstract Acute low back pain (LBP) imposes a significant socioeconomical burden as it is the condition that, worldwide, cause the most disability. Nonetheless, the literature regarding the best pharmacological management of acute LBP […]

Magnetic Resonance Spectroscopy Displays the Structural and Biochemical Effects of Spinal Manipulative Therapy in Lumbar Discogenic Pain: a case report

SN Comprehensive Clinical Medicine https://doi.org/10.21203/rs.3.rs-2596102/v1 Jessica F Billham Abstract INTRODUCTION: We report utility of magnetic resonance spectroscopy (MRS) in identifying the intervertebral disc (IVD) as a pain generator, describe the contemporary pathophysiology underlying biochemical and structural components of discogenic low back pain (DLBP), and exhibit therapeutic responses to spinal manipulation. CLINICAL FEATURES: A 29-year old […]

Effect of Dry Cupping Therapy on Pain and Functional Disability in Persistent Non-Specific Low Back Pain: A Randomized Controlled Clinical Trial

J Acupunct Meridian Stud. 2021 Dec 31;14(6):219-230. doi: 10.51507/j.jams.2021.14.6.219. Marianna de Melo Salemi 1, Vanessa Maria da Silva Alves Gomes 1, Laylla Marjorye Rebouças Bezerra 1, Thania Maion de Souza Melo 1, Geisa Guimarães de Alencar 1, Iracema Hermes Pires de Mélo Montenegro 2, Alessandra Paula de Melo Calado Abstract Background: Cupping therapy is used […]

Effectiveness and Safety of Inelastic Versus Elastic Lumbosacral Orthoses on Low Back Pain Prevention in Healthy Nurses

A Randomized Controlled Trial Hu, Jianzhong PhD SPINE: May 01, 2022 – Volume 47 – Issue 9 – p 656-665 doi: 10.1097/BRS.0000000000004258 Abstract Objective. To evaluate the effects of inelastic and elastic lumbosacral orthoses (LSOs) on the prevention of low back pain (LBP) in healthy nurses. Summary of Background Data. Over 80% of people experience […]

Association Between Family History of Surgically Treated Low Back Pain and Adolescent Low Back Pain

Heikkala, Eveliina PhD SPINE: May 01, 2022 – Volume 47 – Issue 9 – p 649-655 doi: 10.1097/BRS.0000000000004345 Abstract Objective. To study the associations between a family history of surgically treated low back pain (LBP) and adolescent LBP. Summary of Background Data. A family history of LBP is related to adolescent LBP, but whether a […]

Have chronic low back pain? Try meditation

Published April 27, 2022 | Originally published on Keck School of Medicine of USC – Research News Millions of people suffer from chronic low back pain around the country. It’s a common condition that can keep people from doing the things they want to do, and it can have a negative impact on one’s overall […]

Pain Reprocessing Therapy vs Placebo and Usual Care for Chronic Back Pain

Published in Primary Care Journal Scan / Research · February 28, 2022 JAMA Psychiatry TAKE-HOME MESSAGE This randomized clinical trial with a 1-year follow-up period with longitudinal fMRI and clinical assessment evaluated whether pain reprocessing therapy (PRT) provided substantial and durable pain relief in patients with chronic back pain compared with placebo and usual care. […]

Association Between Sleep Disturbance and Low Back Pain

A 3-Year Longitudinal Study After the Great East Japan Earthquake Yabe, Yutaka MD, PhD SPINE: February 15, 2022 – Volume 47 – Issue 4 – p 361-368 doi: 10.1097/BRS.0000000000004234 Study Design. A longitudinal study. Objective. The aim of this study was to clarify the association between sleep disturbance and low back pain (LBP) using 3-year […]

Initial Choice of Spinal Manipulation Reduces Escalation of Care for Chronic Low Back Pain Among Older Medicare Beneficiaries

Whedon, James M. DC, MS SPINE: February 15, 2022 – Volume 47 – Issue 4 – p E142-E148 doi: 10.1097/BRS.0000000000004118 Study Design. We combined elements of cohort and crossover-cohort design. Objective. The objective of this study was to compare longterm outcomes for spinal manipulative therapy (SMT) and opioid analgesic therapy (OAT) regarding escalation of care […]