Lumbar Spine & Low Back Pain

Smoking is a pain in the back

Date: November 3, 2014 Source: Northwestern University Summary: Smokers are three times more likely than nonsmokers to develop chronic back pain, and dropping the habit may cut their chances of developing this often debilitating condition, researchers report. If you want to avoid chronic back pain, put out the cigarette. A new Northwestern Medicine® study has […]

Low back pain in children and adolescents: a systematic review and meta-analysis evaluating the effectiveness of conservative interventions

Eur Spine J. 2014 Oct;23(10):2046-58. doi: 10.1007/s00586-014-3461-1. Epub 2014 Jul 29. Michaleff ZA1, Kamper SJ, Maher CG, Evans R, Broderick C, Henschke N. Author information Abstract PURPOSE: To identify and evaluate the effectiveness of conservative treatment approaches used in children and adolescents to manage and prevent low back pain (LBP). METHODS: Five electronic databases and […]

Lumbar motion changes in chronic low back pain patients – SMT vs Exercise

Lumbar motion changes in chronic low back pain patients: a secondary analysis of data from a randomized clinical trial Rune M. Mieritz, DC, PhD The Spine Journal Vol. 14 Iss. 11, November 1, 2014   Background context Several therapies have been used in the treatment of chronic low back pain (LBP), including various exercise strategies […]

Impact of lumbar spine posture on thoracic spine motion and muscle activation patterns

Hum Mov Sci. 2014 Oct;37:1-11. doi: 10.1016/j.humov.2014.06.003. Epub 2014 Jul 12. Nairn BC, Drake JD. Abstract Complex motion during standing is typical in daily living and requires movement of both the thoracic and lumbar spine; however, the effects of lumbar spine posture on thoracic spine motion patterns remain unclear. Thirteen males moved to six positions […]

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 […]

Functional restoration of the spine: Effect of initial pain level on the performance of subjects with chronic low back pain

Pain Res Manag. 2014 Sep-Oct;19(5):e133-8. Functional restoration of the spine: Effect of initial pain level on the performance of subjects with chronic low back pain. Caby I, Olivier N, Mendelek F, Bou Kheir R, Vanvelcenaher J, Pelayo P. Abstract BACKGROUND: Chronic low back pain is a persistent lumbar pain of multifactorial origin. The initial pain […]

Interrater and intrarater agreements of magnetic resonance imaging findings in the lumbar spine: significant variability across degenerative conditions.

Spine J. 2014 Oct 1;14(10):2442-8. doi: 10.1016/j.spinee.2014.03.010. Epub 2014 Mar 15. Fu MC1, Buerba RA1, Long WD 3rd1, Blizzard DJ2, Lischuk AW3, Haims AH3, Grauer JN4. Abstract BACKGROUND CONTEXT: Magnetic resonance imaging (MRI) is frequently used in the evaluation of degenerative conditions in the lumbar spine. The relative interrater and intrarater agreements of MRI findings […]

Noninvasive and alternative management of chronic low back pain

Neuromodulation. 2014 Oct;17 Suppl 2:24-30. doi: 10.1111/ner.12078. Noninvasive and alternative management of chronic low back pain (efficacy and outcomes). Wellington J. Abstract OBJECTIVES: The goal of this article is to provide a thorough literature review of available noninvasive and alternative treatment options for chronic low back pain. In particular, the efficacy of each therapy is […]

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 […]

Steroid injections added to the usual treatment of lumbar radicular syndrome

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 […]

Abdominal Bracing Provides Greater Lumbar Stability Than Hollowing

Posted on October 13, 2014 Story Source By Stefanie DiCarrado DPT, PT, NASM CPT & CES Edited by Brent Brookbush DPT, PT, MS, PES, CES, CSCS, ACSM H/FS Original Citation: Grenier, S., McGill, S. (2007).  Quantification of lumbar stability by using 2 different abdominal activation strategies.  Archives of Physical Medicine & Rehabilitation. 88, 54-62 – ARTICLE Forces on the lumbar spine […]

Occupant and crash characteristics in thoracic and lumbar spine injuries resulting from motor vehicle collisions

The Spine Journal Raj D. Rao, MD October 1, 2014 Volume 14, Issue 10, Pages 2355–2365 Abstract Background context Motor vehicle collisions (MVC) are a leading cause of thoracic and lumbar (T and L) spine injuries. Mechanisms of injury in vehicular crashes that result in thoracic and lumbar fractures and the spectrum of injury in these occupants […]

The bidirectional relationship between pain intensity and sleep disturbance/quality in patients with low back pain

Clin J Pain. 2014 Sep;30(9):755-65. doi: 10.1097/AJP.0000000000000055. Saad M Alsaadi Abstract Objectives: This study investigated the bidirectional relationship between the intensity of low back pain (LBP) and sleep disturbance. Further, the study aimed to determine whether any relationship is dependent on pain duration, symptoms of depression and anxiety, and the method of sleep assessment (subjective vs. […]

American Academy of Neurology Warns Against Opioids in Chronic Noncancer Pain

By Kristina Fiore, Staff Writer, MedPage Today Published: Sep 29, 2014 Download Full Text Article Action Points A position paper from the American Academy of Neurology suggests that the risks for chronic opioid therapy for some chronic conditions such as headache, fibromyalgia, and chronic low back pain likely outweigh the benefits. It also suggests that […]

For Back Pain or Headache, Painkillers Do More Harm than Good

Alice Park @aliceparkny Sept. 29, 2014 Story Source;  TIME For the first time, a major medical organization takes a stand on rampant overuse of opioids for treating back pain, headaches and migraines Powerful painkillers do little to improve patients’ daily functioning, finds the American Academy of Neurology in a new position statement on opioid painkillers […]

Women’s experiences of low back pain during pregnancy

J Back Musculoskelet Rehabil. 2014 Sep 29. [Epub ahead of print] Women’s experiences of low back pain during pregnancy. Mota M Abstract OBJECTIVES: This study investigated the self-reported prevalence and impact of low back pain (LBP) during pregnancy in primiparous and multiparous women, and their treatment-seeking rationales and experiences, including their use of physiotherapy. METHODS: […]

Determinants of evolution of endplate and disc degeneration in the lumbar spine: a multifactorial perspective

Eur Spine J. 2014 Sep;23(9):1863-8. doi: 10.1007/s00586-014-3382-z. Epub 2014 Jun 5. Farshad-Amacker NA1, Hughes AP, Aichmair A, Herzog RJ, Farshad M. Abstract PURPOSE: Evolution and progression of disc and endplate bone marrow degeneration of the lumbar spine are thought to be multifactorial, yet, their influence and interactions are not understood. The aim of this study […]

Short-Term Effect of Spinal Manipulation on Pain Perception, Spinal Mobility, and Full Height Recovery in Male Subjects With Degenerative Disk Disease – Full Text

Archives of Physical Medicine and Rehabilitation Volume 95, Issue 9, Pages 1613–1619, September 2014 Felipe Vieira-Pellenz, PT, PhD Abstract Objective To evaluate the short-term effect on spinal mobility, pain perception, neural mechanosensitivity, and full height recovery after high-velocity, low-amplitude (HVLA) spinal manipulation (SM) in the lumbosacral joint (L5-S1). Design Randomized, double-blind, controlled clinical trial with […]

Treating Back-Related Leg Pain With Spinal Manipulation and Home Exercise

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 […]

Spinal Manipulation and Home Exercise With Advice for Subacute and Chronic Back-Related Leg Pain

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) […]