Lumbar Spine & Low Back Pain

Few Physicians Follow Current Pain, Exercise Recommendations

Fewer than one third of physicians are following current recommendations and giving exercise advice to patients with osteoarthritis or sciatica….

Placing the global burden of low back pain in context

Best Pract Res Clin Rheumatol. 2013 Oct;27(5):575-89. doi: 10.1016/j.berh.2013.10.007. Epub 2013 Oct 12. Buchbinder R1, Blyth FM, March LM, Brooks P, Woolf AD, Hoy DG. Abstract The latest Global Burden of Disease Study, published at the end of 2012, has highlighted the enormous global burden of low back pain. In contrast to the previous study, […]

Spinal fusions serve as case study for debate over when certain surgeries are necessary

By Peter Whoriskey and Dan Keating October 27, 2013 By some measures, Federico C. Vinas was a star surgeon. He performed three or four surgeries on a typical weekday at the Daytona Beach, Fla., hospital that employed him, and a review showed him to be nearly five times as busy as other neurosurgeons. The hospital […]

Sensory findings after stimulation of the thoracolumbar fascia with hypertonic saline suggest its contribution to low back pain

Schilder A, et al. Pain. 2013 Sep 26. pii: S0304-3959(13)00522-8. doi: 10.1016/j.pain.2013.09.025. [Epub ahead of print] Abstract Injection of hypertonic saline into deep tissues of the back (subcutis, muscle, or the surrounding fascia) can induce acute low back pain (LBP). So far, no study has analyzed differences in temporal, qualitative, and spatial pain characteristics originating […]

Foot posture, foot function and low back pain

The Framingham Foot Study Hylton B. Menz Abstract Objective. Abnormal foot posture and function have been proposed as possible risk factors for low back pain, but this has not been examined in detail. The objective of this study was to explore the associations of foot posture and foot function with low back pain in 1930 […]

Antidepressants in the Treatment for Chronic Low Back Pain

Questioning the Validity of Meta-Analyses Williamson, O. D., Sagman, D., Bruins, R. H., Boulay, L. J. and Schacht, A. (2013), Antidepressants in the Treatment for Chronic Low Back Pain: Questioning the Validity of Meta-Analyses. Pain Practice. doi: 10.1111/papr.12119 Disclosures: This research was funded by Eli Lilly and Company. Abstract Objectives To contrast the analgesic effect […]

Expectation of recovery from low back pain

A longitudinal cohort study investigating patient characteristics related to expectations and the association between expectations and 3-month outcome. Kongsted A, et al. Spine (Phila Pa 1976). 2013 Oct 9. [Epub ahead of print] Affiliation 1Nordic Institute of Chiropractic and Clinical Biomechanics, part of Clinical Locomotion Network, Odense, Denmark 2 Institute of Sports Science and Clinical […]

Correlational Analysis of neck/shoulder Pain and Low Back Pain with the Use of Digital Products, Physical Activity and Psychological Status among Adolescents in Shanghai

Zhi Shan Citation: Shan Z, Deng G, Li J, Li Y, Zhang Y, et al. (2013) Correlational Analysis of neck/shoulder Pain and Low Back Pain with the Use of Digital Products, Physical Activity and Psychological Status among Adolescents in Shanghai. PLoS ONE 8(10): e78109. doi:10.1371/journal.pone.0078109 Abstract Purpose This study investigates the neck/shoulder pain (NSP) and […]

Elimination of intermittent chronic low back pain in a recreational golfer following improvement of hip range of motion impairments

Peter M. Lejkowski, BKin, DC Journal of Bodywork and Movement Therapies Volume 17, Issue 4 , Pages 448-452, October 2013 Abstract Background The biomechanical relationship between the hip and low back is well described and impairment of hip range of motion is thought to affect lumbar spine function, possibly leading to increased loading and subsequent […]

Quantitative estimation of the high-intensity zone in the lumbar spine: Comparison between the symptomatic and asymptomatic population

Comparison between the symptomatic and asymptomatic population Chao Liu, PhD, MD Abstract Background context The high-intensity zone (HIZ) on magnetic resonance imaging (MRI) has been studied for more than 20 years, but its diagnostic value in low back pain (LBP) is limited by the high incidence in asymptomatic subjects. Little effort has been made to […]

Innervation of pathologies in the lumbar vertebral end plate and intervertebral disc

Aaron J. Fields, PhD Abstract Background context Magnetic resonance imaging (MRI) has limited diagnostic value for chronic low back pain because of the unclear relationship between any anatomic abnormalities on MRI and pain reported by the patient. Assessing the innervation of end plate and disc pathologies—and determining the relationship between these pathologies and any abnormalities […]

The Role of Fear Avoidance Beliefs as a Prognostic Factor for Outcome in Patients with Non-Specific Low Back Pain

A Systematic Review Maria M. Wertli, M.D. Abstract Background context Psychological factors including fear avoidance beliefs are believed to influence the development of chronic low back pain. Purpose To determine the prognostic importance of fear avoidance beliefs as assessed by the Fear Avoidance Beliefs Questionnaire (FABQ) and the Tampa Scale of Kinesiophobia (TSK), for clinically […]

Predicting outcomes of neuroreflexotherapy in patients with subacute or chronic neck or low back pain

Ana Royuela, MSc Abstract Background Context In the context of shared decision making, valid estimation of the probability that a given patient will improve after a specific treatment is valuable. Purpose To develop models which predict the improvement of spinal pain, referred pain and disability in patients with subacute or chronic neck or low back […]

Yoga for chronic low back pain

S Holtzman | RT Beggs OBJECTIVES: To evaluate the efficacy of yoga as an intervention for chronic low back pain (CLBP) using a meta-analytical approach. Randomized controlled trials (RCTs) that examined pain and/or functional disability as treatment outcomes were included. Post-treatment and follow-up outcomes were assessed. METHODS: A comprehensive search of relevant electronic databases, from […]

Exercises – What’s the Use?

October 20, 2012 by Dr Matthew D. Long Source:  http://cdi.edu.au/clarity/exercises_whats_use.php One of the most frequent criticisms of chiropractic care seems to be that it is largely passive and that exercises don’t feature strongly in overall management. While this is clearly a simplification it does perhaps illustrate the fact that differences of opinion about the role of exercise […]

Risk Factors for Non-Organic Low Back Pain in Patients with Worker’s Compensation

Jeremy T. Rohrlich Abstract Background Context Nonorganic low back pain is common in the Worker’s Compensation (WC) population. Consults with specialists constitute an unnecessary cost to the system, and a means of screening for these patients is necessary. Purpose The purpose of this study is to design easily identifiable criteria to help identify which Worker’s […]

Dose-response and efficacy of spinal manipulation for care of chronic low back pain:

A randomized controlled trial Mitchell Haas, DC Abstract Background context There have been no full-scale trials of the optimal number of visits for the care of any condition with spinal manipulation. Purpose To identify the dose-response relationship between visits to a chiropractor for spinal manipulation and chronic low back pain (cLBP) outcomes and to determine […]

Iatrogenic Consequences of Early Magnetic Resonance Imaging in Acute, Work-Related, Disabling Low Back Pain

Webster, Barbara S. BSPT, PA-C; Bauer, Ann Z. MPH; Choi, YoonSun MA; Cifuentes, Manuel MD, MPH, ScD; Pransky, Glenn S. MD, MOccH Spine . 38(22):1939–1946, 15 October 2013. doi: 10.1097/BRS.0b013e3182a42eb6 Abstract Study Design. Retrospective cohort study. Objective. To determine the effect of early (receipt ≤30 d postonset) magnetic resonance imaging (MRI) on disability and medical […]

Disc Herniations in the National Football League

Gray, Benjamin L. MD; Buchowski, Jacob M. MD, MS; Bumpass, David B. MD; Lehman, Ronald A. Jr. MD; Mall, Nathan A. MD; Matava, Matthew J. MD Spine . 38(38):1934–1938, 15 October 2013. doi: 10.1097/BRS.0b013e3182a67678 Abstract Study Design. Retrospective analysis of a prospectively collected database. Objective. To determine the overall incidence, location, and type of disc […]

Effectiveness of Rocker Sole Shoes in the Management of Chronic Low Back Pain

A Randomized Clinical Trial MacRae, Catharine Siân PhD; Lewis, Jeremy S. PhD; Shortland, Adam P. PhD; Morrissey, Matthew C. ScD; Critchley, Duncan PhD Spine . 38(22):1905–1912, 15 October 2013. Abstract Study Design. Multicenter, assessor-blind, randomized, clinical trial. Objective. To compare the effectiveness of rocker sole footwear to traditional flat sole footwear as part of the […]