Lumbar Spine & Low Back Pain

17 Oct
2013
Drugs, Lumbar Spine & Low Back Pain, Marijuana, Musculoskeletal System
By André Broussard, D.C.

Pot a Common Remedy to Ease Back Pain

Published: Oct 11, 2013 By John Fauber Full Story:  http://www.medpagetoday.com/MeetingCoverage/AdditionalMeetings/42228 NEW ORLEANS — Use of marijuana to ease back pain was common among patients at a university spine clinic in Colorado where pot has been legal for medical purposes since 2000, but most of the users did not have a prescription, according to research presented […]

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17 Oct
2013
Low Back Pain Risk Factors, Lumbar Spine & Low Back Pain, Musculoskeletal System, Obesity
By André Broussard, D.C.

Reduced BMI Eases Low Back Pain

Published: Oct 10, 2013 By John Fauber, Reporter, Milwaukee Journal Sentinel/MedPage Today Full Story:  http://www.medpagetoday.com/MeetingCoverage/AdditionalMeetings/42209 NEW ORLEANS — The more obese a person is, the more likely the risk of low back pain, but it’s possible to reduce the odds by engaging in a moderate amount of exercise, according to research presented here. The paper, […]

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16 Oct
2013
Chronic Low Back Pain, Lumbar Spine & Low Back Pain, Musculoskeletal System, Spinal Manipulation/Mobilization, Treatment Frequency and Duration
By André Broussard, D.C.

Determining the Optimal Number of Spinal Manipulation Sessions for Chronic Low-Back Pain

Findings from the largest and most rigorous, randomized dose-response study of spinal manipulative therapy (SMT) for chronic low-back pain suggest that 12 sessions (SMT) may be the best “dose” for people with chronic low-back pain. The study, published in The Spine Journal, was funded by NCCAM. Spinal manipulative therapy, most commonly performed by licensed clinicians (such as […]

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14 Oct
2013
Chiropractic, Comparisons, Manual Therapy, Musculoskeletal System, Sacroiliac Joint (SI Joints), Sciatica
By André Broussard, D.C.

Treatment of the sacroiliac joint in patients with leg pain: a randomized-controlled trial

Eur Spine J. 2013 Oct;22(10):2310-7. doi: 10.1007/s00586-013-2833-2. Epub 2013 May 30. Visser LH1, Woudenberg NP, de Bont J, van Eijs F, Verwer K, Jenniskens H, Den Oudsten BL. Abstract PURPOSE: The sacroiliac joint (SIJ) may be a cause of sciatica. The aim of this study was to assess which treatment is successful for SIJ-related back […]

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14 Oct
2013
Low Back Pain Risk Factors
By André Broussard, D.C.

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 […]

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11 Oct
2013
Occupational, Prognosis, Low Back Pain, Return To Work, Sciatica
By André Broussard, D.C.

Prognostic factors for return to work in patients with sciatica

Grøvle L, et al. Spine J. 2013 Sep 21. pii: S1529-9430(13)01268-0. doi: 10.1016/j.spinee.2013.07.433. [Epub ahead of print] Affiliation Department of Rheumatology, Østfold Hospital Trust, Postboks 16, 1603 Fredrikstad, Norway. Electronic address: lars.grovle@so-hf.no. Abstract BACKGROUND CONTEXT: Little is known about the prognostic factors for work-related outcomes of sciatica caused by disc herniation. PURPOSE: To identify the […]

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11 Oct
2013
Body Mass Index (BMI), Low Back Pain Risk Factors, Lumbar Spine & Low Back Pain
By André Broussard, D.C.

Study highlights role of physical activity in the relationship of BMI, low back pain

A study presented at the North American Spine Society Annual Meeting indicated that small increases in moderate physical activity can reduce the risk of back pain in Americans with higher body mass indices.

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09 Oct
2013
Diagnostics, Lumbar Radiculopathy, Lumbar Spine & Low Back Pain, Musculoskeletal System, Neurological Tests, Orthopedic Tests
By André Broussard, D.C.

Accuracy of Physical Examination for Chronic Lumbar Radiculopathy

The main finding is that individual clinical index tests lack diagnostic accuracy for predicting whether a lumbar nerve root is impinged or not at a specific level in patients with chronic lumbar radiculopathy in specialised care.

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09 Oct
2013
Guidelines, Low Back Pain Guidelines, Lumbar Spine & Low Back Pain, Musculoskeletal System
By André Broussard, D.C.

State of Oregon: Evidence-basedClinical Guidelines Project: Evaluation and Management of Low Back Pain

State of Oregon: Evidence-basedClinical Guidelines Project: Evaluation and Management of Low Back Pain A Clinical Practice Guideline Based on the Joint Practice Guideline of the American College of Physicians and the American Pain Society (Diagnosis and Treatment of Low Back Pain) October 2011 PDF: Evaluation & Management of Low Back Pain (October 2011)

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09 Oct
2013
Guidelines, Low Back Pain Guidelines, Lumbar Spine & Low Back Pain, Musculoskeletal System
By André Broussard, D.C.

European Guidelines for the Management of Acute Non-Specific Low Back Pain in Primary Care

GUIDELINES FOR ACUTE NONSPECIFIC LOW BACK PAIN Based on systematic reviews and existing clinical guidelines Summary of recommendations for diagnosis of acute non-specific low back pain: • Case history and brief examination should be carried out • If history taking indicates possible serious spinal pathology or nerve root syndrome, carry out more extensive physical examination including neurological […]

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09 Oct
2013
Chronic Low Back Pain, Lumbar Spine & Low Back Pain, Opioids, Placebo
By André Broussard, D.C.

Opioids compared to placebo or other treatments for chronic low-back pain

Chaparro LE, et al. Cochrane Database Syst Rev. 2013 Aug 27;8:CD004959. doi: 10.1002/14651858.CD004959.pub4. Abstract BACKGROUND: The use of opioids in the long-term management of chronic low-back pain (CLBP) has increased dramatically. Despite this trend, the benefits and risks of these medications remain unclear. This review is an update of a Cochrane review first published in […]

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08 Oct
2013
Lumbar Spine & Low Back Pain, Physical Modalities, Sciatica, Traction
By André Broussard, D.C.

Traction for low-back pain with or without sciatica

These findings indicate that traction, either alone or in combination with other treatments, has little or no impact on pain intensity, functional status, global improvement and return to work among people with LBP.

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08 Oct
2013
Diagnostics, Lumbar Spine & Low Back Pain, Orthopedic Tests, Videos
By André Broussard, D.C.

Active Hip Abduction Test as a Screening Test for Identifying Occupational Low Back Pain

Authors: Erika Nelson-Wong, DPT1, Timothy Flynn, PT, PhD2, Jack P. Callaghan, PhD3  AFFILIATIONS: 1 PhD candidate, University of Waterloo, Department of Kinesiology, Waterloo, ON, Canada.2 Associate Professor, Regis University, School of Physical Therapy, Denver, CO. 3 Associate Professor, University of Waterloo, Department of Kinesiology, Waterloo, ON, Canada. This work was conducted with financial support from the Natural Science and Engineering Research Council Canada, and […]

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07 Oct
2013
Acupuncture, Chiropractic, Comparisons, Sciatica, Spinal Manipulation/Mobilization
By André Broussard, D.C.

Comparative Clinical Effectiveness of Management Strategies for Sciatica

For the first time many different treatment strategies for sciatica have been compared in the same systematic review and meta-analysis…..

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04 Oct
2013
Hip, Pelvis and Pelvic Pain, Piriformis Syndrome, Sciatica
By André Broussard, D.C.

Piriformis syndrome: etiology, diagnosis, and management

Brief review: Piriformis syndrome: etiology, diagnosis, and management Jankovic D, et al. Can J Anaesth. 2013 Oct;60(10):1003-1012. Epub 2013 Jul 27. Abstract PURPOSE: In this narrative review, we aim to provide the pathophysiology and diagnostic criteria of the piriformis syndrome (PS), an underdiagnosed cause of buttock and leg pain that can be difficult to treat. […]

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04 Oct
2013
Neurological Tests, Sciatica
By André Broussard, D.C.

Diagnostic accuracy of the clinical examination in identifying the level of herniation in patients with sciatica

Hancock MJ, et al. Spine (Phila Pa 1976). 2011 May 15;36(11):E712-9. doi: 10.1097/BRS.0b013e3181ee7f78. Affiliation Faculty of Health Sciences, University of Sydney, Australia. Abstract STUDY DESIGN: Cross sectional OBJECTIVE: To investigate the ability of the neurological examination to identify the specific level of a disc herniation in patients with sciatica and confirmed disc herniation. SUMMARY OF […]

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04 Oct
2013
Lumbar Spine & Low Back Pain, Outcome Assessment, Pediatric Low Back Pain, Pediatrics
By André Broussard, D.C.

Development of the Young Spine Questionnaire

Henrik H Lauridsen BMC Musculoskelet Disord. 2013;14(185) Abstract Background: Back pain in children is common and early onset of back pain has been shown to increase the risk of back pain significantly in adulthood. Consequently, preventive efforts must be targeted the young population but research relating to spinal problems in this age group is scarce. […]

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02 Oct
2013
Lumbar Spine & Low Back Pain, Surgery
By André Broussard, D.C.

Reoperation Rate After Surgery for Lumbar Herniated Intervertebral Disc Disease

Nationwide Cohort Study Kim, Chi Heon MD, PhD Abstract Study Design. Retrospective cohort study using national health insurance data. Objective. To provide a longitudinal reoperation rate after surgery for lumbar herniated intervertebral disc (HIVD) disease, and to compare the reoperation rates of surgical methods. Summary of Background Data. Herniated intervertebral disc disease is the most […]

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02 Oct
2013
Acupuncture, Chronic Low Back Pain, Lumbar Spine & Low Back Pain
By André Broussard, D.C.

Acupuncture for Chronic Low Back Pain

A Multicenter, Randomized, Patient-Assessor Blind, Sham-Controlled Clinical Trial Cho, Yu-Jeong KMD Spine: 01 April 2013 – Volume 38 – Issue 7 – p 549–557 Abstract Study Design. Multicenter, randomized, patient-assessor blind, sham-controlled clinical trial. Objective. To investigate the efficacy of acupuncture treatment with individualized setting for reduction of bothersomeness in participants with chronic low back […]

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02 Oct
2013
Acute Low Back Pain, Acute Pain, Spinal Manipulation/Mobilization
By André Broussard, D.C.

Spinal High-Velocity Low Amplitude Manipulation in Acute Nonspecific Low Back Pain

A Double-Blinded Randomized Controlled Trial in Comparison With Diclofenac and Placebo von Heymann, Wolfgang J. Dr. Med Spine: 01 April 2013 – Volume 38 – Issue 7 – p 540–548 Abstract Study Design. A randomized, double-blinded, placebo-controlled, parallel trial with 3 arms. Objective. To investigate in acute nonspecific low back pain (LBP) the effectiveness of […]

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