Lumbar Spine & Low Back Pain

Researchers: Spinal Manipulation for Low Back Pain Comparable to NSAIDs

APRIL 27, 2017 Spinal manipulation therapy was shown to have modest improvements on pain and function at up to six weeks in patients with acute low back pain (LBP), according to a study published in JAMA (2017;317:1451-1460). Moreover, the therapy was associated with only “temporary minor musculoskeletal harms,” according to the researchers. Paul G. Shekelle, […]

US Army phasing out sit-ups due to spine injuries

DECEMBER 23, 2015 BY SOCIALMEDIA UPDATE:  FORT GEORGE G. MEADE, Maryland — The Marine Corps has announced today that revisions have been made to its physical fitness program, to include the Physical Fitness Test (PFT), Combat Fitness Test (CFT) and the Body Composition Program (BCP).  Changes to BCP will take effect immediately, while PFT and […]

The Role of Spinal Manipulation in the Treatment of Low Back Pain – Full Text JAMA Article by R. Deyo

The Role of Spinal Manipulation in the Treatment of Low Back Pain R. Deyo JAMA. 2017;317(14):1418-1419. doi:10.1001/jama.2017.3085 Download Full Text Article

Association of Mild Leg Length Discrepancy and Degenerative Changes in the Hip Joint and Lumbar Spine

J Manipulative Physiol Ther. 2017 Apr 17. pii: S0161-4754(17)30065-9. doi: 10.1016/j.jmpt.2017.03.001. [Epub ahead of print] Murray KJ1, Molyneux T1, Le Grande MR2, Castro Mendez A3, Fuss FK4, Azari MF5. Author information Abstract OBJECTIVE: The purpose of this study was to evaluate the correlation between mild leg length discrepancy (LLD) and degenerative joint disease (DJD) or […]

The Effectiveness and Harms of Spinal Manipulative Therapy for the Treatment of Acute Neck and Lower Back Pain: A Systematic Review

Back pain and neck pain are among the most common symptoms prompting patients to seek care. Many treatments are used for back pain. Spinal manipulative therapy (SMT) is a treatment option available in VA. In order to better understand the potential role of SMT in treating acute back or neck pain, VA requested an up-to-date […]

Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period

49 Distinct findings were reported related to a distinct pathology Only 1 finding was consistently reported in 9 out of the 10 MRIs 32.7% of interpretive findings only appeared once across all 10 reports 2 exams reported a disc herniation at all five lumbar segments and 1 exam did not report any herniation Central canal […]

Therapeutic efficacy of nonsteroidal anti-inflammatory drug therapy versus exercise therapy in patients with chronic nonspecific low back pain: a prospective study – Full Text

Naoto Takahashi FUKUSHIMA JOURNAL OF MEDICAL SCIENCE Vol. 63 (2017) No. 1 p. 8-15 Abstract Therapy for chronic, nonspecific low back pain is mainly conservative: medication and/or exercise. Pharmacotherapy, however, has side effects, and the quantities of concomitant drugs in older persons require attention. Although exercise promises improved function, its use to alleviate pain is controversial. Thus, we […]

Bed rest for back pain? A little bit will do you

  Published: February, 2015 Bed rest, once a key part of treating back pain, has a limited role in healing sore backs. In very small doses, bed rest can give you a break when standing or sitting causes severe pain. Too much may make back pain worse. Here is how to do bed rest “right.” […]

Hip and Lumbar Spine Physical Examination Findings in People Presenting With Low Back Pain, With or Without Lower Extremity Pain

Authors: Heidi Prather, DO1, Abby Cheng, MD2, Karen Steger-May, MA3, Vaibhav Maheshwari, DO4, Linda Van Dillen, PT, PhD5 Study Design Prospective cohort study, cross-sectional design. Background The hip-spine syndrome is described in patients with known arthritis of the hip. This study describes the hip examination findings of people presenting with low back pain (LBP). Objectives […]

Non operative management of massive lumbar disc prolapses, an observational study

Anupkumar Shetty, Peter Craig, Shashank Chitgopkar; Robert Jones Agnes Hunt Orthopaedic Hospital, Oswestry SY10 7AG The Spine Journal March 2017 Volume 17, Issue 3, Supplement, Pages S12–S13 BACKGROUND CONTEXT: Most of the herniated discs resolve spontaneously, Although there are multiple papers on mild to moderate disc prolapses treated conservatively there are very few papers on […]

Medical Mystery: Why Is Back Surgery So Popular in Casper, Wyo.?

The New Health Care By AUSTIN FRAKT and JONATHAN SKINNER FEB. 13, 2017 You might think that once drugs, devices and medical procedures are shown to be effective, they quickly become available. You might also think that those shown not to work as well as alternatives are immediately discarded. Reasonable assumptions both, but you’d be […]

Hip and Lumbar Spine Physical Examination Findings in People Presenting With Low Back Pain, With or Without Lower Extremity Pain

Authors: Heidi Prather, DO, Abby Cheng, MD, Karen Steger-May, MA, Vaibhav Maheshwari, DO, Linda Van Dillen, PT, PhD Study Design Prospective cohort study, cross-sectional design. Background The hip-spine syndrome is described in patients with known arthritis of the hip. This study describes the hip examination findings of people presenting with low back pain (LBP). Objectives […]

Placebo Plus Usual Treatment Achieves Clinically Significant Back Pain Relief

FEBRUARY 9, 2017 A placebo of a pill added to treatment as usual for chronic low back pain resulted in clinically significant improvements in patients who were informed about the placebo beforehand, according to a new study from Portugal. “We knew that placebos are effective for pain relief, but also that the deception assumed to […]

Lumbar Support for Low Back Pain: Does It Work?

PAIN MEDICINE NEWS FEBRUARY 3, 2017 Lumbar support cannot be recommended for the management of nonspecific low back pain in the general population, according to a study conducted by a French research team affiliated with CHU Gabriel-Montpied Hôpital, in Clermont-Ferrand, France (Ann Phys Rehabil Med 2016;59S:e29). Charlotte Lanhers and her colleagues conducted a review of […]

The drugs don’t work, say back pain researchers

Date: February 2, 2017 Source: George Institute for Global Health Summary: Commonly used non-steroidal anti-inflammatory drugs, such as aspirin and ibuprofen, used to treat back pain provide little benefit, but cause side effects, according to new research. The findings of the systematic review reveal only one in six patients treated with the pills, also known […]

Clinical practice guidelines for the noninvasive management of low back pain [Full Text]

A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration J.J. Wong Eur J Pain 21 (2017) 201–216 Abstract We conducted a systematic review of guidelines on the management of low back pain (LBP) to assess their methodological quality and guide care. We synthesized guidelines on the management of LBP published from […]

The weather’s not to blame for your aches and pains

JANUARY 24, 2017 George Institute for Global Health News New research from The George Institute for Global Health has revealed the weather plays no part in the symptoms associated with either back pain or osteoarthritis. It’s long been thought episodes of both back pain and arthritis can be triggered by changes in the weather, including […]

Predicting recovery in patients with acute low back pain: A Clinical Prediction Model

T. da Silva P. Macaskill K. Mills C. Maher C. Williams C. Lin M.J. Hancock First published: 20 January 2017 https://doi.org/10.1002/ejp.976 Abstract Background There is substantial variability in the prognosis of acute low back pain (LBP). The ability to identify the probability of individual patients recovering by key time points would be valuable in making […]

Neurochemical changes in patients with chronic low back pain detected by proton magnetic resonance spectroscopy: A systematic review (Full Text)

Neuroimage Clin. 2017; 13: 33–38. Published online 2016 Nov 24. doi:  10.1016/j.nicl.2016.11.006 PMCID: PMC5126149 Xianjing Zhao,a,b Maosheng Xu,a,b,⁎ Kristen Jorgenson,c and Jian Kongc Abstract Background Low back pain is a highly prevalent health problem around the world, affecting 50% to 85% of people at some point in life. The purpose of this systematic review is […]

Do 90% of Patients with an Acute Episode of Low Back Pain Resolve within 2 Months, with or without Treatment?

  FACT OR FICTION? This month we are going to discuss the commonly held clinical thought and apparently well documented fact that 90% of all acute low back pain episodes ultimately self-resolve within a 60 day period. It would appear that this commonly held “fact” in spite of widespread “documentation” and acceptance may not be […]