J Manipulative Physiol Ther. 2015 Feb 19. pii: S0161-4754(14)00276-0. doi: 10.1016/j.jmpt.2014.11.009. [Epub ahead of print] The Effect of Adding Forward Head Posture Corrective Exercises in the Management of Lumbosacral Radiculopathy: A Randomized Controlled Study. Moustafa IM1, Diab AA2. Author information Abstract OBJECTIVE: The purpose of this study was to determine the immediate and long-term effects of a […]
Costs and Cost-effectiveness of Epidural Steroids for Acute Lumbosacral Radicular Syndrome in General Practice: An Economic Evaluation Alongside a Pragmatic Randomized Control Trial Spijker-Huiges, Antje MD; Vermeulen, Karin PhD; Winters, Jan C. PhD; van Wijhe, Marten PhD; van der Meer, Klaas PhD Spine 15 November 2014 Vol. 39 – Issue 24: p 2007–2012 Abstract Study […]
J Back Musculoskelet Rehabil. 2014 Nov 11. [Epub ahead of print] Chiropractic and rehabilitation management of a patient with extraforaminal entrapment of L4 nerve with balance problem. Alagha B. Abstract BACKGROUND: Disc herniation is one of the most common causes of low back pain with radicular pain. Among various types of disc herniation, the extraforaminal […]
BMC Musculoskelet Disord. 2014 Oct 11;15(1):341. doi: 10.1186/1471-2474-15-341. Steroid injections added to the usual treatment of lumbar radicular syndrome: a pragmatic randomized controlled trial in general practice. Spijker-Huiges A, Winters JC, van Wijhe M, Groenier K. Abstract BACKGROUND: Lumbosacral radicular syndrome (LRS) is a self-limiting, benign, painful and impairing condition caused by lumbar disc herniation […]
Ann Intern Med. 2014;161(6):I-15. doi:10.7326/P14-9031 What is the problem and what is known about it so far? Back-related leg pain (BRLP), such as sciatica, is often disabling and causes more work loss, medication use, and health-related costs than uncomplicated low back pain. Nonpharmacologic interventions, including spinal manipulation, exercise, and education promoting self-management, are increasingly recommended as […]
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) […]
Troy Brown, RN September 16, 2014 In patients with back-related leg pain (BRLP), spinal manipulative therapy (SMT) plus home exercise and advice (HEA) provided more short-term improvement in pain and function than HEA alone, according to a recent study. Gert Bronfort, DC, PhD, from the Center for Spirituality & Healing, University of Minnesota, Minneapolis, and […]
by Shara Yurkiewicz, Staff Writer, MedPage Today 2014-09-15 Action Points Note that this randomized trial comparing spinal manipulation plus home exercise and advice with home exercise and advice alone in patients with back-related leg pain found that the spinal manipulation arm had significantly better pain scores at 12 weeks. Be aware that the study was […]
Global Spine J. 2014 Dec;4(4):279-86. doi: 10.1055/s-0034-1387807. Epub 2014 Aug 28. Optimal duration of conservative management prior to surgery for cervical and lumbar radiculopathy: a literature review. Alentado VJ1, Lubelski D2, Steinmetz MP3, Benzel EC2, Mroz TE2. Author information Abstract Study Design Literature review. Objective Since the 1970s, spine surgeons have commonly required 6 weeks of failed […]
The New York Times By PAM BELLUCK JULY 2, 2014 Story Source A widely used method of treating a common cause of back and leg pain — steroid injections for spinal stenosis — may provide little benefit for many patients, according to a new study that experts said should make doctors and patients think twice […]
JULY 1, 2014 BY CHIROTRUST The nervous system can be categorized in many different ways. In understanding nervous system physiology, a simple but accurate way of categorization is to view the nervous system as two separate but integrated systems: The MOTOR nerve system The SENSORY nerve system The MOTOR nerve system is the nerves that move our muscles (motor), and also control the […]
Retrospective analysis of data from the longitudinal assessment of imaging and disability of the back (LAIDBACK) BMC Musculoskeletal Disorders, 05/13/2014 Evidence Based Medicine Clinical Article Suri P, et al. – There are few longitudinal cohort studies examining associations between incident MRI findings and incident spine–related symptom outcomes. Prior studies do not discriminate between the two distinct outcomes […]
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 […]
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 […]
J Manipulative Physiol Ther Mar-Apr 2014;37(3):155-63. doi: 10.1016/j.jmpt.2013.12.011. Epub 2014 Mar 11. Serafin Leemann Abstract Objective: The purposes of this study were to evaluate patients with low-back pain (LBP) and leg pain due to magnetic resonance imaging-confirmed disc herniation who are treated with high-velocity, low-amplitude spinal manipulation in terms of their short-, medium-, and long-term […]
D. Scott Kreiner, MD The Spine Journal Volume 14, Issue 1, 1 January 2014, Pages 180–191 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 […]
Annemieke J.H. Verwoerd, MD, MSc The Spine Journal Available online 8 December 2013 In Press Abstract Background Context The diagnosis of sciatica is primarily based on history and physical examination. Most physical tests used in isolation show poor diagnostic accuracy. Little is known about the diagnostic accuracy of history items. Purpose To assess the diagnostic accuracy […]
D. Scott Kreiner, MD The Spine Journal: Available online 16 November 2013: In Press 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 […]
D. Scott Kreiner, MD Published Online: November 18, 2013 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 disc herniation with radiculopathy. The guideline […]
December 1, 2013 Volume 13, Issue 12, Pages 1849–1857 Lars Grøvle, MD, PhD Abstract Background context Little is known about the prognostic factors for work-related outcomes of sciatica caused by disc herniation. Purpose To identify the prognostic factors for return to work (RTW) during a 2-year follow-up among sciatica patients referred to secondary care. Study […]