Lumbar Spine & Low Back Pain

Low Back Pain Top Cause of Disability Worldwide

Larry Hand March 24, 2014 Full Story Low back pain (LBP) causes more disability globally than any other condition, according to 2 studies published onlineJanuary 30 and March 24 in the Annals of the Rheumatic Diseases. As the world population continues to age, an urgent need exists for research to find out why and how LBP might be prevented […]

Pathomechanisms of discogenic low back pain in humans and animal models

Ohtori S, et al. Spine J. 2014 Mar 19. pii: S1529-9430(14)00279-4. doi: 10.1016/j.spinee.2013.07.490. [Epub ahead of print] Abstract BACKGROUND CONTEXT: Although they have been explored in humans and animal models, the pathomechanisms of discogenic low back pain (LBP) remain unknown. PURPOSE: To review the literature about the pathomechanisms of discogenic LBP. METHODS: Animal models of […]

Interventions focusing on psychosocial risk factors for patients with non-chronic low back pain in primary care

—a systematic review Family Practice, 03/20/2014  Evidence Based Medicine  Review Article  Clinical Article Ramond–Roquin A, et al. – Low back pain (LBP) is a problem that is frequently encountered in primary care, and current guidelines encourage care providers to take into account psychosocial risk factors in order to avoid transition from acute to chronic LBP. To review […]

Risk-Stratified Care Improves Low Back Pain

Research · March 01, 2014 Story Source Journal Abstract TAKE-HOME MESSAGE This prospective cohort study evaluated the effect of risk-stratified care for low-back pain in 1647 adults in a family practice of 64 physicians. A risk-stratification tool was used to categorize patients to low-, medium-, or high-risk for persistent disability. At 6 months, risk-stratified care resulted in […]

Lumbar fusion compared with conservative treatment in patients with chronic low back pain

Lumbar fusion compared with conservative treatment in patients with chronic low back pain: a meta-analysis Saltychev, Mikhail; Eskola, Merja; Laimi, Katri International Journal of Rehabilitation Research March 2014 Vol. 37 – Issue 1: p 2–8 Abstract We assess the effect of lumbar fusion (LF) in reducing disability among patients with chronic low back pain (CLBP) […]

Correlation of pain with objective quantification of magnetic resonance images in older adults with chronic low back pain

Spine (Phila Pa 1976). 2014 Mar 15;39(6):469-75. doi: 10.1097/BRS.0000000000000181. Bechara BP1, Agarwal V, Boardman J, Perera S, Weiner DK, Vo N, Kang J, Sowa GA. Abstract STUDY DESIGN: Cross sectional study. OBJECTIVE: The goal of this study is to identify relationships between objectively measured and subjectively scored parameters and reported pain. SUMMARY OF BACKGROUND DATA: […]

Correlation between Degree of Radiologic Signs of Osteoarthritis and Functional Status in Patients with Chronic Mechanical Low Back Pain

Malays J Med Sci. 2014 Mar;21(2):28-33. Correlation between Degree of Radiologic Signs of Osteoarthritis and Functional Status in Patients with Chronic Mechanical Low Back Pain. Ashraf A Abstract BACKGROUND: Osteoarthritis is the most intervening factors in producing mechanical low back pain (LBP). We aimed to evaluate the correlation between radiologic signs of osteoarthritis and functional […]

Outcomes of acute and chronic patients with magnetic resonance imaging-confirmed symptomatic lumbar disc herniations receiving high-velocity, low-amplitude, spinal manipulative therapy: a prospective observational cohort study with one-year follow-up

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 […]

Foot posture, leg length discrepancy and low back pain

Their relationship and clinical management using foot orthoses – An overview Kendall JC, et al. Show all Journal Foot (Edinb). 2014 Mar 19. pii: S0958-2592(14)00012-1. doi: 10.1016/j.foot.2014.03.004. [Epub ahead of print] Abstract Mechanical low back pain (LBP) is a very common, expensive, and significant health issue in the western world. Functional musculoskeletal conditions are widely […]

Influence of low back pain and prognostic value of MRI in sciatica patients in relation to back pain.

Randomized controlled trial el Barzouhi A, et al. PLoS One. 2014. PLoS One. 2014 Mar 17;9(3):e90800. doi: 10.1371/journal.pone.0090800. eCollection 2014. Abstract BACKGROUND: Patients with sciatica frequently complain about associated back pain. It is not known whether there are prognostic relevant differences in Magnetic Resonance Imaging (MRI) findings between sciatica patients with and without disabling back […]

Outcomes of Acute and Chronic Patients With Magnetic Resonance Imaging–Confirmed Symptomatic Lumbar Disc Herniations Receiving High-Velocity, Low-Amplitude, Spinal Manipulative Therapy

A Prospective Observational Cohort Study With One-Year Follow-Up Serafin Leemann, DC Journal of Manipulative and Physiological Therapeutics Received 14 October 2013; received in revised form 20 December 2013; accepted 25 December 2013. published online 13 March 2014. Full Text Article Abstract Objective The purposes of this study were to evaluate patients with low-back pain (LBP) […]

Occult neural foraminal stenosis caused by association between disc degeneration and facet joint osteoarthritis: demonstration with dedicated upright MRI system.

Radiol Med. 2014 Mar;119(3):164-74. doi: 10.1007/s11547-013-0330-7. Epub 2013 Dec 12. Splendiani A, Ferrari F, Barile A, Masciocchi C, Gallucci M. Abstract PURPOSE: The aim of our study was to evaluate the presence of dynamic foraminal stenosis using a new low-field dedicated magnetic resonance (MR) unit with a balancing system that allows images to be acquired […]

Lumbar fusion compared with conservative treatment in patients with chronic low back pain: a meta-analysis

Int J Rehabil Res. 2014 Mar;37(1):2-8. doi: 10.1097/MRR.0b013e328363ba4b. Mikhail Saltychev 1, Merja Eskola, Katri Laimi PMID: 23820296 DOI: 10.1097/MRR.0b013e328363ba4b Abstract We assess the effect of lumbar fusion (LF) in reducing disability among patients with chronic low back pain (CLBP) compared with conservative treatment and to weigh the clinical significance of this effect. We conducted a […]

Swiss ball enhances lumbar multifidus activity in chronic low back pain

I.R. Scott Objectives This study examined the effects of sitting surfaces on the cross-sectional area of lumbar multifidus (LM) in patients with Chronic Low Back Pain (CLBP) and healthy controls (HC). Design Cross-Sectional Case Controlled Study. Setting Isle of Man Institute of Sport. Participants 40 age and sex matched, sporting participants aged 18–45 years, recruited […]

The comparative effect of episodes of chiropractic and medical treatment on the health of older adults

J Manipulative Physiol Ther. 2014 Mar-Apr;37(3):143-54. doi: 10.1016/j.jmpt.2013.12.009. Epub 2014 Mar 11. The comparative effect of episodes of chiropractic and medical treatment on the health of older adults. Weigel P Abstract OBJECTIVES: The comparative effect of chiropractic vs medical care on health, as used in everyday practice settings by older adults, is not well understood. […]

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

Rune M. Mieritz, DC, PhD The Spine Journal Available online 7 March 2014 In Press Journal Reference Abstract Background Context Several therapies have been used in the treatment of chronic low back pain, including various exercise strategies and spinal manipulative therapy. A common belief is that spinal motion changes in particular ways in direct response […]

Catastrophizing – A Prognostic Factor for Outcome in Patients with Low Back Pain

Maria M. Wertli, MD The Spine Journal Available online 7 March 2014 In Press Abstract Background Context Psychological factors including catastrophizing thoughts are believed to influence the development of chronic low back pain. Purpose To assess the prognostic importance of catastrophizing as a coping strategy in patients with low back pain. Study Design Systematic Review […]

Spinal manipulation therapy for acute low back pain

NASS Contemporary Concepts in Spine Care: Spinal manipulation therapy for acute low back pain Simon Dagenais, DC, PhD The Spine Journal Volume 10, Issue 10 , Pages 918-940, October 2010 Journal Reference Abstract Background context Low back pain (LBP) continues to be a very prevalent, disabling, and costly spinal disorder. Numerous interventions are routinely used […]

Patterns of lumbar disc degeneration are different in degenerative disc disease and disc prolapse magnetic resonance imaging analysis of 224 patients

The Spine Journal Volume 14, Issue 2, 1 February 2014, Pages 300–307 Rishi M. Kanna, MS, MRCS, FNB, Ajoy Prasad Shetty, MS, DNB, S. Rajasekaran, MS, MCh, FRCS(Ed), FRCS(London), FACS, PhD Abstract Background context Existing research on lumbar disc degeneration has remained inconclusive regarding its etiology, pathogenesis, symptomatology, prevention, and management. Degenerative disc disease (DDD) […]

Does physical activity influence the relationship between low back pain and obesity?

The Spine Journal February 1, 2014Volume 14, Issue 2, Pages 209–216 Matthew Smuck, MD Abstract Background context Evidence supporting an association between obesity and low back pain (LBP) continues to grow; yet little is known about the cause and effect of this relationship. Even less is known about the mechanisms linking the two. Physical activity […]