Lumbar Spine & Low Back Pain

Effects of Spinal Stabilization Exercise on the Cross-sectional Areas of the Lumbar Multifidus and Psoas Major Muscles, Pain Intensity, and Lumbar Muscle Strength of Patients with Degenerative Disc Disease

J Phys Ther Sci. 2014 Apr;26(4):579-82. doi: 10.1589/jpts.26.579. Epub 2014 Apr 23. Kim S Abstract [Purpose] The aim of this study was to evaluate the efficacy of using spinal stabilizing exercise to reduce atrophy of the multifidus and psoas major muscles, reduce the levels of pain and disability, and increase paraspinal muscle strength in patients […]

FDA Issues Warning on Common Off-Label Neck, Back Pain Treatment

PT in Motion – News Now THURSDAY, APRIL 24, 2014 FDA Issues Warning on Common Off-Label Neck, Back Pain Treatment The US Food and Drug Administration (FDA) has issued a warning (.pdf) about the dangers of administering epidural injections of corticosteroids to relieve neck and back pain. According to the FDA, the off-label use could result in […]

Tapping into controversial back surgeries

By BEN EISLER CBS NEWS April 24, 2014, 6:30 AM Back pain is one of the most common reasons Americans go to the doctor, and one of the fastest growing treatments is spinal fusion surgery. From 2001 to 2011, the number of spinal fusions in U.S. hospitals increased 70 percent, making them more frequently performed […]

FDA Orders New Warning for Epidural Steroids

Published: Apr 23, 2014 By John Gever, Deputy Managing Editor, MedPage Today Injectable corticosteroids must now carry a new label warning about the risks of severe adverse effects from epidural injections including death, stroke, and permanent blindness and paralysis, the FDA said. The agency decided that such a warning is needed after reviewing numerous reports […]

Spinal Corticosteroids Run Risk of Severe Neuro Effects

Robert Lowes April 23, 2014 Epidural injections of corticosteroids to relieve pain — a widespread, off-label use — run the rare risk for blindness, stroke, paralysis, and death, the US Food and Drug Administration (FDA) announced today. The FDA is requiring manufacturers of corticosteroids to revise drug labels to include this warning. In today’s announcement, […]

A History of Lumbar Disc Herniation From Hippocrates to the 1990s

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 […]

Immediate Changes After Manual Therapy in Resting-State Functional Connectivity as Measured by fMRI in Participants With Induced Low Back Pain

Charles W. Gay, DC Journal of Manipulative & Physiological Therapeutics Received: April 18, 2014; Received in revised form: August 18, 2014; Accepted: September 1, 2014; Published Online: October 02, 2014 DOI: http://dx.doi.org/10.1016/j.jmpt.2014.09.001 Abstract Objective The purposes of this study were to use functional magnetic resonance imaging to investigate the immediate changes in functional connectivity (FC) […]

The Clinical Course of Low Back Pain – Full Text

A Meta-analysis Comparing Outcomes in Randomised Clinical Trials (RCTs) and Observational Studies Majid Artus; Danielle van der Windt; Kelvin P Jordan; Peter R Croft BMC Musculoskelet Disord. 2014;15(68) Abstract Background: Evidence suggests that the course of low back pain (LBP) symptoms in randomised clinical trials (RCTs) follows a pattern of large improvement regardless of the […]

Richard Deyo, M.D.: Manipulating the Pain: Chiropractic and Other “Alternative” Treatments for Back Pain VIDEO

Manipulating the Pain: Chiropractic and Other “Alternative” Treatments for Back Pain Air date: Monday, April 14, 2014, 10:00:00 AM Category: NCCAM Lectures Runtime: 00:57:33 Description: The National Center for Complementary and Alternative Medicine (NCCAM) presents the Integrative Medicine Research Lecture series. The series provides overviews of the current state of research and practice involving complementary […]

An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy

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 […]

Effectiveness of Myofascial release in the management of chronic low back pain in nursing professionals

Journal of Bodywork and Movement Therapies April 2014 Volume 18, Issue 2, Pages 273–281 M.S. Ajimsha, MPT, ADMFT, PhD Summary Objective To investigate whether Myofascial release (MFR) when used as an adjunct to specific back exercises (SBE) reduces pain and disability in chronic low back pain (CLBP) in comparison with a control group receiving a […]

Does high blood pressure reduce the risk of chronic low back pain? The Nord-Trøndelag Health Study

Eur J Pain. 2014 Apr;18(4):590-8. doi: 10.1002/j.1532-2149.2013.00398.x. Epub 2013 Sep 9. Heuch I1, Heuch I, Hagen K, Zwart JA. Abstract BACKGROUND: Epidemiological studies have suggested inverse relationships between blood pressure and prevalence of conditions such as migraine and headache. It is not yet clear whether similar relationships can be established for back pain in particular […]

Does specificity of manipulation matter in the treatment of chronic low back pain?

Posted on 10 April, 2014 by Joe Brence Recently, many in the manual therapy community have been questioning the mechanisms of how spinal manipulation works.  While some hold onto the belief that spinal manipulation has more of a biomechanical and structural influence, others believe the effects to be neurophysiological.    In a 2011 study published in […]

Risk Factors for Serious Underlying Pathology in Adult Emergency Department Nontraumatic Low Back Pain Patients

Thiruganasambandamoorthy V, et al. J Emerg Med. 2014 Apr 8. pii: S0736-4679(14)00155-3. doi: 10.1016/j.jemermed.2013.08.140. [Epub ahead of print] Abstract BACKGROUND: Nontraumatic low back pain (LBP) is a common emergency department (ED) complaint and can be caused by serious pathologies that require immediate intervention or that lead to death. OBJECTIVE: The primary goal of this study […]

Back Pain Pictures Slideshow: Myths and Facts About Back Pain

The Truth About Back Pain Back pain is extremely common. In fact, 80% of people will have significant back pain at some point. Back pain symptoms vary from individual to individual. They can be sharp or dull. Myths regarding back pain are also common. Can you recognize the myths and facts that follow? Full Story

Association between baseline IL-6 and 1-year recovery in lumbar radicular pain

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 […]

Do manual therapies help low back pain? A comparative effectiveness meta-analysis

Spine (Phila Pa 1976). 2014 Apr 1;39(7):E463-72. doi: 10.1097/BRS.0000000000000230. Menke JM1. Author information Abstract STUDY DESIGN: Meta-analysis methodology was extended to derive comparative effectiveness information on spinal manipulation for low back pain. OBJECTIVE: Determine relative effectiveness of spinal manipulation therapies (SMTs), medical management, physical therapies, and exercise for acute and chronic nonsurgical low back pain. […]

Outcomes of pregnant patients with low back pain undergoing chiropractic treatment

A prospective cohort study with short term, medium term and 1 year follow-up Cynthia K Peterson Chiropractic & Manual Therapies 2014, 22:15 doi:10.1186/2045-709X-22-15 Published: 1 April 2014 Journal Reference Abstract (provisional) Background Low back pain in pregnancy is common and research evidence on the response to chiropractic treatment is limited. The purposes of this study […]

Manipulation Under Anesthesia for Lumbopelvic Pain

A Retrospective Review of 18 Cases Douglas J. Taber, DC Journal of Chiropractic Medicine Available online 11 March 2014 Abstract Objective The purpose of this case series is to report the effects of manipulation under anesthesia (MUA) for patients with lumbopelvic (lumbar spine, sacroiliac and/or pelvic, hip) pain in an outpatient ambulatory/hospital-based setting. Methods A […]

Therapeutic ultrasound for chronic low-back pain

Cochrane Database Syst Rev. 2014 Mar 14;(3):CD009169. doi: 10.1002/14651858.CD009169.pub2. Ebadi S Abstract BACKGROUND: Chronic non-specific low-back pain (LBP) has become one of the main causes of disability in the adult population around the world. Therapeutic ultrasound is frequently used by physiotherapists in the treatment of LBP and is one of the most widely used electro-physical […]