16 September 2014 Spinal Manipulation and Home Exercise With Advice for Subacute and Chronic Back-Related Leg Pain: A Trial With Adaptive Allocation Gert Bronfort, DC, PhD Background: Back-related leg pain (BRLP) is often disabling and costly, and there is a paucity of research to guide its management. Objective: To determine whether spinal manipulative therapy (SMT) […]
European Spine Journal September 2014, Volume 23, Issue 9, pp 1869-1877 Date: 20 Jun 2014 Significance of cartilage endplate within herniated disc tissue Polly Lama Abstract Purpose Disc herniations sometimes contain hyaline cartilage fragments, but their origins and significance are uncertain. Methods Herniations were removed surgically from 21 patients (aged 35–74 years) whose main symptom […]
BMJ Open 2014;4:e005801 doi:10.1136/bmjopen-2014-005801 Complementary medicine The long-term course of patients undergoing alternative and integrative therapy for lumbar disc herniation: 3-year results of a prospective observational study Joon-Shik Shin Abstract Objectives This study aimed to assess the efficacy and safety of an integrative complementary and alternative medicine (CAM) approach in the management of lumbar herniated […]
BMJ Volume 32, Issue 5 Levent Tekin In November 2013, a 37-year-old woman with lumbar disc herniation (LDH) presented with pain in her lower back, right hip and leg, persisting for 2 years. She also had a pricking sensation radiating from the hip to the foot. On examination, she had hypoaesthesia on the right side, on […]
BMC Res Notes. 2014 Aug 26;7(1):569. doi: 10.1186/1756-0500-7-569. Effects of intervertebral disc disorders of low back on the mandibular kinematic: kinesiographic study. Spadaro A, Ciarrocchi I, Masci C, Cozzolino V, Monaco A1. Author information Abstract BACKGROUND: Intervertebral disc disorders are one of the most common causes of low back pain. Neuromuscular dysfunction frequently is present […]
BMC Res Notes 2014 Aug 26;7:569. doi: 10.1186/1756-0500-7-569. Alessandro Spadaro Abstract Background: Intervertebral disc disorders are one of the most common causes of low back pain. Neuromuscular dysfunction frequently is present in patients with lumbar disc herniation.When considering joint dysfunction, it is important to remember that the spine functions as a unit. Dysfunction on one […]
August 14, 2014 by The Evidence Based Chiropractor Chiropractic, Low Back Pain Research Disc herniations (also known as slipped discs, disc bulges, disc extrusions, etc) are a common problem which can lead to disabling pain. Pain down the extremities (arms or legs) is called radicular pain and can stem from a disc herniation which is […]
Written by Laura Dyrda | Friday, 01 August 2014 An article recently published in the Journal of Neurosurgery: Spine examines the medical management of lumbar spine disease to find cost and quality value two years after surgery. The researchers examined 50 patients with lumbar spondylolisthesis, 50 patients with stenosis and 50 patients with disc herniation. […]
…but…chiropractic manipulation is listed under Physical Therapy… From Orthobullets Orthobullets.com was founded by Dr. Derek Moore, a practicing orthopedic spine surgeon. He realized after returning to his residency following a period as a consultant at The Boston Consulting Group, that there were opportunities for improvement in the orthopaedic surgery training process. Treatment Nonoperative rest and […]
Spine (Phila Pa 1976). 2014 Jun 1;39(13):1018-28. doi: 10.1097/BRS.0000000000000262. Wade KR, Robertson PA, Thambyah A, Broom ND. Abstract STUDY DESIGN: Microstructural investigation of compression-induced disruption of the flexed lumbar disc. OBJECTIVE: To provide a microstructural analysis of the mechanisms of annular wall failure in healthy discs subjected to flexion and an elevated rate of compression. […]
Longitudinal associations between incident lumbar spine MRI findings and chronic low back pain or radicular symptoms: retrospective analysis of data from the longitudinal assessment of imaging and disability of the back (LAIDBACK) Pradeep Suri BMC Musculoskeletal Disorders201415:152 https://doi.org/10.1186/1471-2474-15-152 © Suri et al.; licensee BioMed Central Ltd. 2014 Received: 20 November 2013 Accepted: 6 May 2014 Published: 13 May 2014 Abstract Background There are few longitudinal […]
Indian Journal of Orthopedic Surgery Year : 2014 | Volume : 48 | Issue : 2 | Page : 127-135 Ashutosh B Sabnis, Ashish D Diwan Abstract Herniation of nucleus pulposus leading to leg pain is the commonest indication for lumbar spine surgery. However, there is no consensus when to stop conservative treatment and when […]
May 3, 2014 by Dr Matthew D. Long One of the most important aspects of patient care is offering an accurate prognosis for any given condition. Whether we see our role as an expert diagnostician in the neuromusculoskeletal system, or in a more functional role as a facilitator of greater wellbeing, our patients do expect […]
Two-year comprehensive medical management of degenerative lumbar spine disease (lumbar spondylolisthesis, stenosis, or disc herniation): a value analysis of cost, pain, disability, and quality of life. Parker SL, et al. J Neurosurg Spine. 2014 May 2. [Epub ahead of print] Abstract Object Current health care reform calls for a reduction of procedures and treatments that […]
Truumees E. Clin Orthop Relat Res. 2014 Apr 22. [Epub ahead of print] Abstract In ancient times, a supernatural understanding of the syndrome of lumbar radiculopathy often involved demonic forces vexing the individual with often crippling pain. The ancient Greeks and Egyptians began to take a more naturalistic view and, critically, suspected a relationship between […]
Kreiner DS Spine J. 2014 Jan;14(1):180-91. doi: 10.1016/j.spinee.2013.08.003. Epub 2013 Nov 14. Abstract BACKGROUND CONTEXT: The objective of the North American Spine Society’s (NASS) Evidence-Based Clinical Guideline for the Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy is to provide evidence-based recommendations to address key clinical questions surrounding the diagnosis and treatment of lumbar […]
Eur J Pain. 2014 Nov;18(10):1394-401. doi: 10.1002/j.1532-2149.2014.502.x. Epub 2014 Apr 2. Schistad EI, Espeland A, Pedersen LM, Sandvik L, Gjerstad J, Røe C. Abstract BACKGROUND: In the present study, the influence of cytokines on 1-year recovery in lumbar radicular pain was examined. METHODS: In total, 110 patients with symptomatic lumbar disc herniation were followed for […]
Ohtori S, et al. Spine J. 2014 Mar 19. pii: S1529-9430(14)00279-4. doi: 10.1016/j.spinee.2013.07.490. [Epub ahead of print] Abstract BACKGROUND CONTEXT: Although they have been explored in humans and animal models, the pathomechanisms of discogenic low back pain (LBP) remain unknown. PURPOSE: To review the literature about the pathomechanisms of discogenic LBP. METHODS: Animal models of […]
A Prospective Observational Cohort Study With One-Year Follow-Up Serafin Leemann, DC Journal of Manipulative and Physiological Therapeutics Received 14 October 2013; received in revised form 20 December 2013; accepted 25 December 2013. published online 13 March 2014. Full Text Article Abstract Objective The purposes of this study were to evaluate patients with low-back pain (LBP) […]
A 7-year follow-up RT Benson Ann R Coll Surg Engl. 2010 March; 92(2): 147–153. Abstract INTRODUCTION The natural history of a lumbar hernia of the nucleus pulposus (HNP) is not fully known and clear indications for operative intervention cannot be established from the literature. Several studies have shown that the largest discs appear to have […]