Lumbar Spine & Low Back Pain

Socioeconomic and Physical Characteristics of Individuals With Degenerative Lumbar Spinal Stenosis

Spine: 20 April 2013 – Volume 38 – Issue 9 – p E554–E561 doi: 10.1097/BRS.0b013e31828a2846 Epidemiology Socioeconomic and Physical Characteristics of Individuals With Degenerative Lumbar Spinal Stenosis Abbas, Janan MSc*,†; Hamoud, Kamal MD, MCh(Orth)‡; May, Hila MSc*; Peled, Nathan MD§; Sarig, Rachel DMD, PhD*; Stein, Dan MSC*; Alperovitch-Najemson, Deborah PhD*; Hershkovitz, Israel PhD* Abstract Study […]

Relationship Between Lumbar Spinal Stenosis and Lifestyle-Related Disorders

Relationship Between Lumbar Spinal Stenosis and Lifestyle-Related Disorders: A Cross-Sectional Multicenter Observational Study Uesugi, Kazuhide MD, PhD Spine 20 April 2013 Vol. 38 – Issue 9: p E540–E545 Abstract Study Design. A cross-sectional multicenter observational study. Objective. To identify associations between lumbar spinal stenosis (LSS) and lifestyle-related diseases. Summary of Background Data. Impaired blood flow […]

Chiropractic care helps low back pain in pregnancy more than standard obstetric care

A randomized controlled trial comparing a multimodal intervention and standard obstetrics care for low back and pelvic pain in pregnancy George JW Am J Obstet Gynecol. 2013 Apr;208(4):295.e1-7. doi: 10.1016/j.ajog.2012.10.869. Epub 2012 Oct 23. PubMed Reference Abstract OBJECTIVE: Women commonly experience low back pain during pregnancy. We examined whether a multimodal approach of musculoskeletal and […]

Hydrocodone Curbs Back Pain All by Itself

Published: Apr 15, 2013 By Ed Susman , Contributing Writer, MedPage Today Action Points This study was published as an abstract and presented at a conference. These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal. Treatment with extended-release hydrocodone without acetaminophen offered effective relief from chronic low back […]

Adding Chiropractic Manipulative Therapy to Standard Medical Care for Patients With Acute Low Back Pain

Results of a Pragmatic Randomized Comparative Effectiveness Study Goertz, Christine M. DC, PhD Spine: 15 April 2013 – Volume 38 – Issue 8 – p 627–634 Journal Reference Abstract Study Design. Randomized controlled trial. Objective. To assess changes in pain levels and physical functioning in response to standard medical care (SMC) versus SMC plus chiropractic […]

Reoperation rate after surgery for lumbar herniated intervertebral disc disease

Nationwide cohort study Kim CH Spine (Phila Pa 1976). 2013 Apr 1;38(7):581-90. doi: 10.1097/BRS.0b013e318274f9a7. PubMedReference 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: […]

Acupuncture for chronic low back pain

Acupuncture for chronic low back pain: a multicenter, randomized, patient-assessor blind, sham-controlled clinical trial. Authors Cho YJ, et al.  Journal Spine (Phila Pa 1976). 2013 Apr 1;38(7):549-57. doi: 10.1097/BRS.0b013e318275e601. Affiliation 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 […]

MRI for Low Back Problems Deemed Overused

Published: Mar 26, 2013 By Crystal Phend , Senior Staff Writer, MedPage Today More than half of outpatient lumbar spine MRI scans weren’t appropriate, with a particularly poor record of ordering by family physicians, researchers found. When analyzed by an expert panel, 29% of MRI referrals to two large teaching hospitals were deemed inappropriate and […]

Sciatica-like symptoms and the sacroiliac joint: clinical features and differential diagnosis

Sciatica-like symptoms and the sacroiliac joint: clinical features and differential diagnosis Eur Spine J. 2013 Jul;22(7):1657-64. doi: 10.1007/s00586-013-2660-5. Epub 2013 Mar 2. Visser LH, Nijssen PG, Tijssen CC, van Middendorp JJ, Schieving J. Source Department of Neurology, St. Elisabeth Hospital, PO Box 90151, 5000 LC Tilburg, The Netherlands. l.visser@elisabeth.nl Abstract PURPOSE: To compare the clinical features […]

Osteopathic Tx Eases Low Back Pain

Osteopathic Tx Eases Low Back Pain Published: Mar 18, 2013 By Nancy Walsh , Staff Writer, MedPage Today Full Story:  http://www.medpagetoday.com/PrimaryCare/BackPain/37928 Osteopathic manual therapy (OMT) was effective in alleviating chronic low back pain to a clinically significant degree, a randomized study showed. After six sessions of either true or sham osteopathic treatments over 8 weeks, […]

Chronic migraine and chronic tension-type headache are associated with concomitant low back pain

Results of the German Headache Consortium study Yoon MS, et al. Pain. 2013 Mar;154(3):484-92. doi: 10.1016/j.pain.2012.12.010. Epub 2012 Dec 28. Abstract The objective of this study was to evaluate the association between low and frequent low back pain and chronic migraine (CM) and chronic tension-type headache (CTTH) in a large, German population-based sample. Headaches were […]

Body mass index is associated with lumbar disc degeneration in young Finnish males

The Study: Body mass index is associated with lumbar disc degeneration in young Finnish males: subsample of Northern Finland birth cohort study 1986 The Facts: a. The authors sought to determine if BMI (body mass index), smoking and activity level are associated to disc degeneration. b. They studied 558 young adults. c. At the mean […]

Color Doppler Ultrasonography of Lumbar Artery Blood Flow in Patients With Low Back Pain

Color Doppler Ultrasonography of Lumbar Artery Blood Flow in Patients With Low Back Pain Espahbodi, Shima PhD http://journals.lww.com/spinejournal/Abstract/2013/02150/Color_Doppler_Ultrasonography_of_Lumbar_Artery.23.aspx Spine: 15 February 2013 – Volume 38 – Issue 4 – p E230–E236 Abstract Study Design. Prospective, clinical, noninvasive imaging study. Objective. To quantify normal lumbar artery hemodynamics and develop a reference range and lumbar artery hemodynamics in […]

Abdominal Obesity and Lumbar Disc Degeneration

Takatalo J. PLoS One. 2013;8(2):e56244. doi: 10.1371/journal.pone.0056244. Epub 2013 Feb 13 Abstract PURPOSE: To evaluate whether midsagittal (abdominal) obesity in magnetic resonance imaging (MRI), waist circumference (WC) and body fat percentage are associated with lumbar disc degeneration in early adulthood. METHODS: We obtained the lumbar MRI (1.5-T scanner) of 325 females and 233 males at a […]

Fear–Avoidance Beliefs Associated With Perceived Psychological and Social Factors at Work Among Patients With Neck and Back Pain

A Cross-Sectional Multicentre Study Kjersti Myhre; Cecilie Røe; Gunn Hege Marchand; Anne Keller; Erik Bautz-Holter; Gunnar Leivseth; Leiv Sandvik; Bjørn Lau BMC Musculoskelet Disord. 2013;14(329) Abstract Background: Neck and back pain are common and often account for absenteeism at work. Factors at work as well as fear–avoidance beliefs may influence sick-leave in these patients. The […]

Inflammatory Mediators in Intervertebral Disk Degeneration and Discogenic Pain

Global Spine J 2013; 03(03): 175-184 Karin Wuertz Abstract Although degeneration of the intervertebral disk has historically been described as a misbalance between anabolic and catabolic factors, the role of inflammatory mediators has long been neglected. However, past research clearly indicates that inflammatory mediators such as interleukin (IL)-1β, IL-6, IL-8 and tumor necrosis factor-α are […]

Altered Spinal Motion in Low Back Pain Associated with Lumbar Strain and Spondylosis

Joseph S. Cheng Evidence-Based Spine-Care Journal 2013; 04(01): 006-012 Abstract Study Design We present a patient-specific computer model created to translate two-dimensional (2D) fluoroscopic motion data into three-dimensional (3D) in vivo biomechanical motion data. Objective The aim of this study is to determine the in vivo biomechanical differences in patients with and without acute low back pain. […]

Exercise May Be Beneficial for Patients With Chronic Severe Sciatica Who Would Normally Qualify for Surgery

Margareta C Nordin, Federico Balagué Evid Based Med. 2013;18(2):63-64. Abstract Commentary on: Albert HB, Manniche C. The efficacy of systematic active conservative treatment for patients with severe sciatica: a single-blind, randomized, clinical, controlled trial. Spine (Phila Pa 1976) 2012;37:531–42. Context The role of conservative treatment and exercise still remain uncertain for severe sciatica. Methods This […]

Epidural corticosteroid injections in the management of sciatica: a systematic review and meta-analysis

Ann Intern Med. 2012 Dec 18;157(12):865-77. Pinto RZ1, Maher CG, Ferreira ML, Hancock M, Oliveira VC, McLachlan AJ, Koes B, Ferreira PH. Abstract BACKGROUND: Existing guidelines and systematic reviews provide inconsistent recommendations on epidural corticosteroid injections for sciatica. Key limitations of existing reviews are the inclusion of trials with active controls of unknown efficacy and […]

Effect of epidural steroid injection on bone mineral density and markers of bone turnover in postmenopausal women

Al-Shoha A, et al. Spine (Phila Pa 1976). 2012 Dec 1;37(25):E1567-71. doi: 10.1097/BRS.0b013e318270280e. Abstract STUDY DESIGN: A prospective, observational study. OBJECTIVE: To evaluate the effect of epidural steroid injection (ESI) on bone mineral density (BMD) in postmenopausal women. SUMMARY OF BACKGROUND DATA: ESIs are used to treat the pain associated with radiculopathy. Although it is […]