Lumbar Spine & Low Back Pain

Spinal Manipulative Therapy and Other Conservative Treatments for Low Back Pain: A Guideline From the Canadian Chiropractic Guideline Initiative – Full Text Article

JMPT. May 2018 Volume 41, Issue 4, Pages 265–293 Abstract Objective The objective of this study was to develop a clinical practice guideline on the management of acute and chronic low back pain (LBP) in adults. The aim was to develop a guideline to provide best practice recommendations on the initial assessment and monitoring of […]

TCA Evidence Based Chiropractic Care Resources

Evidence Based Chiropractic Care Written by Editor Wednesday, April 18, 2018 03:43 PM On March 21st, 2018, The Lancet published a series of studies on lower back pain and once again chiropractic is shown to be very effective with the number one reason that patients seek chiropractic care. What we do in our office ranks very high as far […]

Thousands of patients given ‘useless’ back-pain injection every year

Tens of thousands of patients are given a ‘useless’ back-pain injection that costs the NHS nearly £40 million ($567 million) each year Patients demanding a ‘quick fix’ are given the treatment at £540 ($765) per procedure Doctors are advised not to give the therapy but instead recommend exercise Previous research suggests painkillers and rest are wrongly […]

Endometriosis Involving the Sciatic Nerve: A Case Report of Isolated Endometriosis of the Sciatic Nerve and Review of the Literature – Full-Text Article

Gynecol Minim Invasive Ther. 2018 Apr-Jun; 7(2): 81–85. Published online 2018 May 2. doi: 10.4103/GMIT.GMIT_24_18 PMCID: PMC6113996 PMID: 30254944 Tal D. Saar Abstract Endometriosis is a common gynecological condition which affects 5–10% of women of reproductive age and up to 50% of women with pelvic pain and infertility. The most commonly affected areas are the […]

Literature Review and Meta-Analysis of Transcutaneous Electrical Nerve Stimulation in Treating Chronic Back Pain

Wu, Lien-Chen Regional Anesthesia and Pain Medicine: February 1, 2018 – Volume Online First – Issue – p doi: 10.1097/AAP.0000000000000740 Background and Objectives This study is a meta-analysis of randomized controlled trials comparing the efficacy of transcutaneous electrical nerve stimulation (TENS) to a control and to other nerve stimulation therapies (NSTs) for the treatment of […]

Use of Prescription Opioids Before and After Lumbar Fusion Surgery

March 28, 2018 TAKE-HOME MESSAGE Adults undergoing lumbar fusion surgery (N = 2491) for chronic back pain were retrospectively followed to evaluate patterns of opioid use following surgery. Long-term opioids were used by 1045 individuals before surgery and by 1094 individuals postoperatively. Long-term postoperative use of opioids was observed in 77.1% of preoperative users and […]

Chiropractic Manipulation or Medication for Low Back Pain?

3/6/17 By Andrew Moeller Pain medication is a common and convenient treatment for lower back pain. But easier is not always better, as a recent study suggests that spinal manipulation may provide more relief than at least one popular pain medication. Published in the journal Spine, the recent study suggests that treating acute, non-specific lower […]

Good Morning America Segment on Back Pain Guidelines – Video

Good Morning America – the most watched morning show for most of 2017 – aired a segment about low back pain after new research published in The Lancet surfaced. Encouraging non-pharmacological pain management options prior to utilization of prescription opioids, Good Morning America encouraged its viewers to stay active, apply heat and receive spinal manipulation – which we know […]

The Lancet Low Back Pain Series – Full Text Articles

Low back pain Published: March 22, 2018 Executive Summary Almost everyone will have low back pain at some point in their lives. It can affect anyone at any age, and it is increasing—disability due to back pain has risen by more than 50% since 1990. Low back pain is becoming more prevalent in low-income and […]

Spinal Manipulation and Exercise for Low Back Pain in Adolescents: A Randomized Trial

PAIN. Publish Ahead of Print():, MAR 2018 DOI: 10.1097/j.pain.0000000000001211 , , PMID: 29596158 Publication Date: 2018/03/27 Roni Evans; Mitchell Haas; Craig Schulz; Brent Leininger; Linda Hanson; Gert Bronfort Abstract Low back pain (LBP) is common in adolescence but there is a paucity of high quality research to inform care. We conducted a multicenter randomized trial […]

Effect of Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain

March 6, 2018 The SPACE Randomized Clinical Trial Erin E. Krebs, MD, MPH1,2; Amy Gravely, MA1; Sean Nugent, BA1; et al Agnes C. Jensen, MPH1; Beth DeRonne, PharmD1; Elizabeth S. Goldsmith, MD, MS1,3; Kurt Kroenke, MD4,5,6; Matthew J. Bair4,5,6; Siamak Noorbaloochi, PhD1,2 JAMA. 2018;319(9):872-882. doi:10.1001/jama.2018.0899 Key Points Question  For patients with moderate to severe chronic back […]

Effectiveness of the McKenzie Method (Mechanical Diagnosis and Therapy) for Treating Low Back Pain: Literature Review With Meta-analysis

J Orthop Sports Phys Ther, Epub 30 Mar 2018. doi:10.2519/jospt.2018.7562 Olivier T. Lam, PT Study Design Literature review with meta-analysis. Background Mechanical Diagnosis and Therapy (MDT), a classification-based system, aims to classify patients into homogenous subgroups to direct treatment. Objectives To examine MDT’s effectiveness for improving pain and disability in patients with either acute (<12 […]

Respiratory characteristics of individuals with non-specific low back pain: A cross-sectional study

Mohan V, Paungmali A, Sitilerpisan P, Hashim UF, Mazlan MB, Nasuha TN. Nurs Health Sci. 2018;1–7. https://doi.org/10.1111/nhs.12406 Abstract Non-specific low back pain (NS-LBP) is known to cause respiratory dysfunction. In this study, we investigated alterations in breathing, respiratory strength and endurance, core stability, diaphragm mobility, and chest expansion among patients with NS-LBP and healthy individuals. […]

The Association Among Overweight, Obesity, and Low Back Pain in U.S. Adults: A Cross-Sectional Study of the 2015 National Health Interview Survey

Trent Peng, MS, DC Abstract Objective The purpose of this study was to explore the association between obesity (via body mass index [BMI]) and presence of low back pain (LBP) in a representative sample of US adults, aged ≥18 years. Methods This cross-sectional study used data from 32 060 respondents to the 2015 National Health […]

Effects of a Twelve-Week Program of Lumbar-Stabilization Exercises on Multifidus Muscles, Isokinetic Peak Torque and Pain for Women with Chronic Low Back Pain

J Pain Relief 2018, Vol 7(1): 309 DOI: 10.4172/2167-0846.1000309 Saule Sipaviciene Feb 07, 2018 Abstract Objective: This study aim was to evaluate the effects of the lumbar stabilization exercises on cross-sectional area (CSA) of the multifidus muscle, trunk muscles’ isokinetic peak torque, pain and disability in women with chronic low back pain (cLBP). Methods: The […]

Back pain is common in highly active older adults

Date: February 7, 2018 Source: Wiley Summary: Many well-functioning and highly active older adults experienced back pain, which was linked with poorer perceived and observed walking endurance. In a Journal of the American Geriatrics Societystudy, many well-functioning and highly active older adults experienced back pain, which was linked with poorer perceived and observed walking endurance. “Older […]

The association between a lifetime history of low back injury in a motor vehicle collision and future low back pain: a population-based cohort study

European Spine Journal January 2018, Volume 27, Issue 1, pp 136–144 Paul S. Nolet Purpose This population-based cohort study investigated the association between a lifetime history of a low back injury in a motor vehicle collision (MVC) and future troublesome low back pain. Participants with a history of a low back injury in a motor […]

Reducing sedentary behaviour to decrease chronic low back pain: the stand back randomised trial

Bethany Barone Gibbs Abstract Objective The Stand Back study evaluated the feasibility and effects of a multicomponent intervention targeting reduced prolonged sitting and pain self-management in desk workers with chronic low back pain (LBP). Methods This randomised controlled trial recruited 27 individuals with chronic LBP, Oswestry Disability Index (ODI) >10% and desk jobs (sitting ≥20 […]

Long-term trajectories of patients with neck pain and low back pain presenting to chiropractic care: A latent class growth analysis.

Eur J Pain. 2018 Jan;22(1):103-113. doi: 10.1002/ejp.1094. Epub 2017 Sep 4. Ailliet L Abstract BACKGROUND: Information on the course of neck pain (NP) and low back pain (LBP) typically relies on data collected at few time intervals during a period of up to 1 year. METHODS: In this prospective, multicentre practice-based cohort study, patients consulting […]

Evidence for Dry Needling in the Management of Myofascial Trigger Points Associated With Low Back Pain: A Systematic Review and Meta-Analysis – Full Text Article

Archives of Physical  Medicine and Rehabilitation January 2018 Volume 99, Issue 1, Pages 144–152.e2 Lin Liu, PhD Abstract Objective To evaluate the current evidence of the effectiveness of dry needling of myofascial trigger points (MTrPs) associated with low back pain (LBP). Data Sources PubMed, Ovid, EBSCO, ScienceDirect, Web of Science, Cochrane Library, CINAHL, and China […]