Lumbar Spine & Low Back Pain

Brain white matter structural properties predict transition to chronic pain.

We can conclude that brain structural differences, most likely existing before the back pain-inciting event and independent of the back pain, predispose subjects to pain chronification.

Epidural steroids for spinal pain and radiculopathy

Epidural steroids for spinal pain and radiculopathy A narrative, evidence-based review. Wilkinson I, et al. Curr Opin Anaesthesiol. 2013 Jun 19. [Epub ahead of print] Affiliation aWomack Army Medical Center, Fort Bragg, North Carolina bDepartment of Anesthesiology & Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore cUniformed Services University of the Health Sciences, Bethesda, […]

Hyperlordosis Is Associated With Facet Joint Pathology At The Lower Lumbar Spine

J Spinal Disord Tech. 2013 Sep 27. [Epub ahead of print] Jentzsch T, Geiger J, König MA, Werner CM. Abstract STUDY DESIGN:: A retrospective study. OBJECTIVE:: Our study opted to clarify the remaining issues of lumbar lordosis (LL) in regard to (1) its physiologic values, (2) age, (3) gender, (4) facet joint (FJ) arthritis and […]

Stability of low back pain reporting over 8 years in a general population aged 40/41 years at base-line

Data from three consecutive cross-sectional surveys. AuthorsLemeunier N, et al. Show all Journal BMC Musculoskelet Disord. 2013 Sep 21;14(1):270. [Epub ahead of print] Affiliation Abstract BACKGROUND: A recent review on the natural course of low back pain (LBP) in the general population indicated that the LBP reporting pattern is fairly constant over time. Furthermore, the […]

Patients’ Expectations of Acute Low Back Pain Management

IMPLICATIONS FOR EVIDENCE UPTAKE Tammy C Hoffmann, Chris B Del Mar, Jenny Strong, Juliana MaiDisclosures BMC Fam Pract. 2013;14(7) ABSTRACT Background In many countries, general practitioner (GP) care of acute low back pain often does not adhere to evidence-based clinical guidelines. There has been little exploration of this deviation from evidence-based care from the patients’ […]

Relations of C-Reactive Protein and Obesity to the Prevalence and the Odds of Reporting Low Back Pain

Presented to the School of Health and Rehabilitations Sciences Grand Rounds, The Ohio State University, June 1, 2011, Columbus, OH and the American Physical Therapy Association, February 10, 2011, New Orleans, LA. Archives of Physical Medicine and Rehabilitation Volume 94, Issue 4 , Pages 745-752, April 2013 Matthew S. Briggs, DPT Abstract Objective To assess […]

The Immediate Effect of Posteroanterior Mobilization on Reducing Back Pain and the Stiffness of the Lumbar Spine

The Immediate Effect of Posteroanterior Mobilization on Reducing Back Pain and the Stiffness of the Lumbar Spine Gary L. Shum, PhD Archives of Physical Medicine and Rehabilitation Volume 94, Issue 4 , Pages 673-679, April 2013 Abstract Objective To study the immediate effect of posteroanterior mobilization on back pain and the associated biomechanical changes in […]

Motor Control Exercises Reduces Pain and Disability in Chronic and Recurrent Low Back Pain

A Meta-Analysis Byström, Martin Gustaf RPT, MSc Spine:  15 March 2013 – Volume 38 – Issue 6 – p E350–E358 Abstract Study Design. Meta-analysis of randomized, controlled trials. Objective. To determine the short-term, intermediate, and long-term effectiveness of MCE, with regard to pain and disability, in patients with chronic and recurrent low-back pain. Summary of […]

Do more MRI findings imply worse disability or more intense low back pain?

A cross-sectional study of candidates for lumbar disc prosthesis. AuthorsBerg L, et al. Show all Journal Skeletal Radiol. 2013 Nov;42(11):1593-602. doi: 10.1007/s00256-013-1700-x. Epub 2013 Aug 28. PubMed Abstract:  http://www.ncbi.nlm.nih.gov/m/pubmed/23982421/ Affiliation Department of Radiology, Haukeland University Hospital, Jonas Liesvei 65, 5021, Bergen, Norway, linda.berg@kir.uib.no. Abstract OBJECTIVE: To examine whether combined magnetic resonance imaging (MRI) findings are […]

Manipulation and selective exercises decrease pelvic anteversion and low-back pain: a pilot study

AuthorsBarbosa AC, et al. J Back Musculoskelet Rehabil. 2013;26(1):33-6. doi: 10.3233/BMR-2012-0347. Affiliation Department of Physiotherapy, Federal University of Valleys of Jequitinhonha and Mucuri, Diamantina, Brazil. alexwbarbosa@yahoo.com.br Abstract OBJECTIVES: To study the effect of a protocol involving joint manipulation and specific exercises for pelvic stability to influence proprioceptive input to the spinal tissues and to observe […]

Foot posture, foot function and low back pain

AuthorsMenz HB, et al. Rheumatology (Oxford). 2013 Sep 17. [Epub ahead of print] Affiliation Lower Extremity and Gait Studies Program, Faculty of Health Sciences, La Trobe University, Bundoora, Victoria, Australia, Institute for Aging Research, Hebrew Senior Life, Harvard Medical School, Department of Medicine, Boston, MA and Leon Root, M.D. Motion Analysis Laboratory, Hospital for Special […]

Tight Hamstrings and Low Back Pain

Spino-pelvic-rhythm with forward trunk bending in normal subjects without low back pain Hasebe K, et al. Eur J Orthop Surg Traumatol. 2013 Oct 12. [Epub ahead of print] Abstract A strong correlation between low back pain and tight hamstrings has been reported. However, the effect of tight hamstrings on spinal biomechanics remains unclear. The purpose […]

Worsening Trends in the Management and Treatment of Back Pain

John N. Mafi, MD JAMA Intern Med. 2013;173(17):1573-1581. doi:10.1001/jamainternmed.2013.8992 September 23, 2013, Vol 173, No. 17 > ABSTRACT Importance Back pain treatment is costly and frequently includes overuse of treatments that are unsupported by clinical guidelines. Few studies have evaluated recent national trends in guideline adherence of spine-related care. Objective To characterize the treatment of […]

Prognostic factors for return to work in patients with sciatica

Lars Grøvle, MD, PhD Abstract Background context Little is known about the prognostic factors for work-related outcomes of sciatica caused by disc herniation. Purpose To identify the prognostic factors for return to work (RTW) during a 2-year follow-up among sciatica patients referred to secondary care. Study design/setting Multicenter prospective cohort study including 466 patients. Administrative […]

Non-thrust manual therapy reduces erector spinae short-latency stretch reflex asymmetries in patients with chronic low back pain

Goss DA Jr,et al. J Electromyogr Kinesiol. 2012 Oct;22(5):663-9. doi: 10.1016/j.jelekin.2012.01.004. Epub 2012 Jan 28. Affiliation Ohio Musculoskeletal and Neurological Institute, Ohio University, Athens, OH 45701, USA. Abstract The purpose of this study was to determine if non-thrust manual therapy (MT) attenuated side-to-side differences (asymmetry) of the erector spinae (ES) stretch reflex amplitude in nine […]

Movement of the lumbar spine is critical for maintenance of postural recovery following support surface perturbation

Exp Brain Res. 2013 Nov;231(3):305-13. doi: 10.1007/s00221-013-3692-0. Epub 2013 Sep 14. Mok NW, Hodges PW. Abstract Repeated measures design. This study examined recovery of postural equilibrium (centre of pressure (COP) excursion, time to recover balance, and the number of postural adjustments) following unexpected support surface perturbation in healthy participants with and without a rigid lumbar […]

Preoperative Vitamin D Status of Adults Undergoing Surgical Spinal Fusion

Preoperative Vitamin D Status of Adults Undergoing Surgical Spinal Fusion Stoker, Geoffrey E. BS Abstract Study Design. Retrospective investigation of cross-sectional data. Objective. To define the prevalence and determinants of preoperative vitamin D deficiency among adults undergoing spinal fusion. Summary of Background Data. Vitamin D plays a critical role in establishing optimal bone health, which, […]

Acupuncture Does Help for Chronic Pain

In this meta-analysis, investigators found a statistically significant benefit of acupuncture for relief of chronic pain due to a variety of causes when compared with both sham controls and usual-care controls.
Pain relief was much greater when acupuncture was compared with usual care than when compared with the sham procedure suggesting a role for a placebo effect.

An evidence-based diagnostic classification system for low back pain – Full Text

J Can Chiropr Assoc. 2013 Sep; 57(3): 189–204. PMCID: PMC3743645 PMID: 23997245 Language: English | French Robert Vining, DC Abstract Introduction: While clinicians generally accept that musculoskeletal low back pain (LBP) can arise from specific tissues, it remains difficult to confirm specific sources. Methods: Based on evidence supported by diagnostic utility studies, doctors of chiropractic […]

Reoperation rate after surgery for lumbar spinal stenosis without spondylolisthesis: a nation-wide cohort study

Reoperation rate after surgery for lumbar spinal stenosis without spondylolisthesis: a nation-wide cohort study http://www.sciencedirect.com/science/article/pii/S1529943013007729 The Spine Journal.In Press. Available online 7 September 2013 Chi Heon Kim, MD, PhD Abstract Background context Lumbar spinal stenosis is one of the most common degenerative spine diseases. Surgical options are largely divided into decompression only and decompression with […]