Lumbar HNP

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 […]

Retraction of lumbar disc herniation achieved by noninvasive techniques: A case report

World J Clin Cases. 2021 Sep 26;9(27):8082-8089. doi: 10.12998/wjcc.v9.i27.8082. Ping Wang 1, Cai Chen 2, Qing-Hao Zhang 3, Guo-Dong Sun 4, Cong-An Wang 5, Wei Li 6 PMID: 34621865 PMCID: PMC8462224 DOI: 10.12998/wjcc.v9.i27.8082 Abstract Background: Lumbar disc herniation (LDH) has emerged as one of the most common causes of low back pain. The routine treatment approach […]

Efficacy of manual therapy interventions in management of lumbar prolapsed intervertebral disc: A pilot randomized controlled trial

Varun Singh, Manoj Malik Department of Physiotherapy, Guru Jambheshwar University of Science and Technology, Hisar, India Corresponding author: Varun Singh Accepted: 21 August 2021 ABSTRACT Background. This pilot trial reports the initial estimates of the efficacy of manual therapy interventions in lumbar prolapsed intervertebral disc and determines the feasibility and acceptability of full powered “randomized […]

Effectiveness of McKenzie Manipulative Therapy on Pain, Functional Activity and Disability for Lumbar Disc Herniation

Mohammad Anwar Hossain Abstract Introduction Lumbar disc herniation (LDH) is one of the common determinations for low back pain and disability. The objectives of the study were to explore the effectiveness of McKenzie exercises and Manipulative Therapy approaches for LDH. Methodology Assessor blinded RCT carried out for 36 months at CRP. 72 subjects aged 25-50 […]

Acupotomy versus Manual Acupuncture for the Treatment of Back and/or Leg Pain in Patients with Lumbar Disc Herniation: A Multicenter, Randomized, Controlled, Assessor-Blinded Clinical Trial

J Pain Res. 2020 Apr 1;13:677-687. doi: 10.2147/JPR.S234761. eCollection 2020. Jeong JK Abstract BACKGROUND: Acupotomy, which involves the addition of a scalpel function to the conventional acupuncture treatment, has recently been applied as a conservative treatment method for lumbar disc herniation (LDH). This study investigated the effectiveness and safety of acupotomy, compared to manual acupuncture, […]

Reliability of the buttock applied strain test to diagnose radicular pain in patients with low back pain

Pain Practice — Dekel BGS, Sorella MC, Vasarri A, et al. | May 01, 2020 This study was intended to assess reliability of the buttock applied strain test for the diagnosis of radicular pain in patients with low back pain. Researchers included a sum of 395 consecutive patients with low‐back pain (LBP) to examine sensitivity, […]

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 […]

Sciatica – A Real Pain in the Butt (4 part series)

Articles by Dr. Brian Abelson DC who teaches Motion Specific Technique Sciatica – A Real Pain in the Butt – Part 1 Sciatica – A Real Pain in the Butt! – Part 2 Sciatica Solutions for a Real Pain in the Butt! – Part 3 Sciatica – Small Steps, Big Changes to a Pain in the […]

Acute sciatica secondary to lumbar disc herniation may benefit from chiropractic spinal manipulation

October 8, 2018 LOS ANGELES — Results presented at the North American Spine Society Annual Meeting showed a small subgroup of patients with acute sciatica secondary to lumbar disc herniation may significantly benefit from chiropractic spinal manipulation therapy. Paul B. Bishop , MD, PhD, DC, and colleagues randomly assigned 40 patients with acute sciatica secondary […]

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

Hincapié, C.A., Tomlinson, G.A., Côté, P. et al. Eur Spine J (2017). https://doi.org/10.1007/s00586-017-5325-y First Online: 16 October 2017 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 and commonly precedes LDH diagnosis. […]

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 […]

Influences of lumbar disc herniation on the kinematics in multi-segmental spine, pelvis, and lower extremities during five activities of daily living – Full Text Article

Shengzheng Kuai, Wenyu Zhou BMC Musculoskeletal Disorders 2017 18:216 Abstract Background Low back pain (LBP) is a common problem that can contribute to motor dysfunction. Previous studies reporting the changes in kinematic characteristics caused by LBP present conflicting results. This study aimed to apply the multisegmental spinal model to investigate the kinematic changes in patients […]

The relationships between low back pain and lumbar lordosis: a systematic review and meta-analysis.

Spine J. 2017 May 2. pii: S1529-9430(17)30191-2. doi: 10.1016/j.spinee.2017.04.034. [Epub ahead of print] Chun SW Abstract BACKGROUND CONTEXT: Clinicians regard lumbar lordotic curvature (LLC) with respect to low back pain (LBP) in a contradictory fashion. The time-honored point of view is that LLC itself, or its increment, causes LBP. On the other hand, recently, the […]

Correlation of MRI Findings with Clinical Findings for Lumbar Disc Herniation

Asian Spine J. 2016 Dec;10(6):1115-1121. doi: 10.4184/asj.2016.10.6.1115. Epub 2016 Dec 8. Shumayou Dutta PMID: 27994789 PMCID: PMC5165003 DOI: 10.4184/asj.2016.10.6.1115 Abstract Study design: A single-center prospective study. Purpose: A magnetic resonance imaging (MRI) scan is undeniably the gold standard for the diagnosis of a lumbar disc prolapse. Unfortunately it shares a strong association with incidental findings. […]

What Are Long-term Predictors of Outcomes for Lumbar Disc Herniation? A Randomized and Observational Study

Clin Orthop Relat Res. 2015 Jun;473(6):1920-30. doi: 10.1007/s11999-014-3803-7. Kerr D, Zhao W, Lurie JD. Abstract BACKGROUND: Although previous studies have illustrated improvements in surgical cohorts for patients with intervertebral disc herniation, there are limited data on predictors of long-term outcomes comparing surgical and nonsurgical outcomes. QUESTIONS/PURPOSES: We assessed outcomes of operative and nonoperative treatment for […]

Oral Steroids for Acute Radiculopathy Due to a Herniated Lumbar Disk

Oral Steroids for Acute Radiculopathy Due to a Herniated Lumbar Disk: A Randomized Clinical Trial Harley Goldberg, DO JAMA. 2015;313(19):1915-1923. doi:10.1001/jama.2015.4468. Importance Oral steroids are commonly used to treat acute sciatica due to a herniated disk but have not been evaluated in an appropriately powered clinical trial. Objective To determine if oral prednisone is more effective […]

Can intractable discogenic back pain be managed by low-level laser therapy without recourse to operative intervention?

Journal of Pain Research Published 26 May 2015 Volume 2015:8 Pages 253—256 Objective: The aim of the study reported here was to investigate the possible clinical role of low-level laser therapy (LLLT) in discogenic back pain patients who failed to respond to a conventional physical therapy program to avoid recourse to operative intervention. Methods: The […]

Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protrusion

Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protrusion: a randomized double-blind clinical trial of active and simulated spinal manipulations Valter Santilli, MD The Spine Journal March–April, 2006 Volume 6, Issue 2, Pages 131–137 Abstract Background context Acute back pain and sciatica are major sources of disability. Many medical interventions […]

Athletic activity did not increase early disc degeneration or herniation risk in adolescents

October 30, 2014 PHILADELPHIA — Athletic activity did not put adolescents at an increased risk of developing disc degeneration or disc herniation, according to a speaker here. Greg Schroeder, MD, presented the findings of a retrospective, randomized, blinded review at the Philadelphia Spine Research Symposium. Schroeder and colleagues reviewed the medical records of adolescent patients […]

Disc extrusions and bulges in nonspecific low back pain and sciatica: Exploratory randomised controlled trial comparing yoga therapy and normal medical treatment

J Back Musculoskelet Rehabil. 2014 Sep 29. [Epub ahead of print] Disc extrusions and bulges in nonspecific low back pain and sciatica: Exploratory randomised controlled trial comparing yoga therapy and normal medical treatment. Monro R Abstract BACKGROUND: Previous trials of yoga therapy for nonspecific low back pain (nsLBP) (without sciatica) showed beneficial effects. OBJECTIVE: To […]