Lumbar Spine & Low Back Pain

The natural course of low back pain: a systematic critical literature review

Chiropr Man Therap. 2012 Oct 17;20(1):33. doi: 10.1186/2045-709X-20-33. Nadège Lemeunier 1, Charlotte Leboeuf-Yde, Olivier Gagey PMID: 23075327 Abstract Background: Most patients in the secondary care sector consulting for low back pain (LBP) seem to have a more or less constant course of pain during the ensuing year. Fewer patients with LBP in the primary care […]

Chronic Low Back Pain Is Associated With Reduced Vertebral Bone Mineral Measures in Community-Dwelling Adults

Chronic Low Back Pain Is Associated With Reduced Vertebral Bone Mineral Measures in Community-Dwelling Adults Andrew M Briggs, Leon M Straker, Angus F Burnett, John D WarkDisclosures BMC Musculoskelet Disord. 2012;13(49) ABSTRACT AND INTRODUCTION Abstract Background Chronic low back pain (CLBP) experienced in middle-age may have important implications for vertebral bone health, although this issue […]

Manual Therapy Followed by Specific Active Exercises Versus a Placebo Followed by Specific Active Exercises on the Improvement of Functional Disability in Patients With Chronic Non Specific Low Back Pain

A RANDOMIZED CONTROLLED TRIAL Pierre Balthazard, Pierre de Goumoens, Gilles Rivier, Philippe Demeulenaere, Pierluigi Ballabeni, Olivier DériazDisclosures BMC Musculoskelet Disord. 2012;13(162) ABSTRACT Background: Recent clinical recommendations still propose active exercises (AE) for CNSLBP. However, acceptance of exercises by patients may be limited by pain-related manifestations. Current evidences suggest that manual therapy (MT) induces an immediate […]

The relationship between foot motion and lumbopelvic-hip function

A review of the literature Barwick A,et al. Foot (Edinb). 2012 Sep;22(3):224-31. doi: 10.1016/j.foot.2012.03.006. Epub 2012 Apr 12. Abstract Excessive pronation has been implicated in the development of numerous overuse injuries of the lower limb and is suggested to cause more proximal biomechanical dysfunction. Functional foot orthoses (FFO) are frequently prescribed for lower limb injury associated […]

Predictors of Improvement in Patients With Acute and Chronic Low Back Pain Undergoing Chiropractic Treatment

Cynthia K. Peterson, DC Journal of Manipulative and Physiological Therapeutics Volume 35, Issue 7 , Pages 525-533, September 2012 Objectives The purpose of this study was to investigate outcomes and prognostic factors in patients with acute or chronic low back pain (LBP) undergoing chiropractic treatment. Methods This was a prognostic cohort study with medium-term outcomes. […]

Somatic Dysfunction and Its Association With Chronic Low Back Pain, Back-Specific Functioning, and General Health

Somatic Dysfunction and Its Association With Chronic Low Back Pain, Back-Specific Functioning, and General Health: Results From the OSTEOPATHIC Trial John C. Licciardone, DO, MS, MBA J Am Osteopath Assoc July 1, 2012 vol. 112 no. 7 420-428 Abstract Context: Somatic dysfunction is diagnosed by the presence of any of 4 TART criteria: tissue texture […]

MD/DC team can ease low back pain, project finds

Family doctors working closely with chiropractors to ease a patient’s low back pain can lead to fast and effective treatment, a pilot project found.

The thoracolumbar fascia: anatomy, function and clinical considerations

J Anat. Dec 2012; 221(6): 507–536. Published online May 27, 2012. doi: 10.1111/j.1469-7580.2012.01511.x PMCID: PMC3512278 The thoracolumbar fascia: anatomy, function and clinical considerations F H Willard, A Vleeming,M D Schuenke, L Danneels, and R Schleip Abstract In this overview, new and existent material on the organization and composition of the thoracolumbar fascia (TLF) will be […]

Osteoarthritis of the spine: the facet joints – Full Text Article

Nat Rev Rheumatol. Author manuscript; available in PMC 2014 May 7. Nat Rev Rheumatol. 2013 Apr; 9(4): 216–224. Published online 2012 Nov 13. doi: [10.1038/nrrheum.2012.199] PMCID: PMC4012322 NIHMSID: NIHMS574431 PMID: 23147891 Alfred C. Gellhorn Abstract Osteoarthritis (OA) of the spine involves the facet joints, which are located in the posterior aspect of the vertebral column […]

The Prognosis of Acute Low Back Pain in Primary Care in the United States

A 2-Year Prospective Cohort Study Mehling, Wolf E. MD Spine: 15 April 2012 – Volume 37 – Issue 8 – p 678–684 Abstract Study Design. Prospective cohort study. Objective. To assess the prognosis of patients presenting with acute low back pain (LBP) in a primary care setting in the United States. Summary of Background Data. […]

Reliability and Validity of a Kinematic Spine Model During Active Trunk Movement in Healthy Subjects and Patients With Chronic Non-specific Low Back Pain

Benjamin Hidalgo, PE, PT, DO, MT, Maxime Gilliaux, PT, William Poncin, PT and Christine Detrembleur, PT, PhD OBJECTIVE: To develop a standardized, reliable, valid spine model of active trunk movements that accurately discriminates kinematic patterns of patients with chronic non-specific low back pain from those of healthy subjects. DESIGN: Comparative cohort study. SUBJECTS: Healthy subjects […]

Multivariable analysis of the relationship between pain referral patterns and the source of chronic low back pain

Review article Laplante BL, et al. Citation Pain Physician. 2012 Mar-Apr;15(2):171-8. Abstract BACKGROUND: Discogenic, facet joint, and sacroiliac joint mediated axial low back pain may be associated with overlapping pain referral patterns into the lower limb. Differences between pain referral patterns for these three structures have not been systematically investigated. OBJECTIVE: To examine the individual […]

The Nervous System and Metabolic Dysregulation: Emerging Evidence Converges on Ketogenic Diet Therapy

David N. Ruskin Front Neurosci. 2012; 6: 33. Published online 2012 Mar 26. Prepublished online 2012 Jan 16. doi: 10.3389/fnins.2012.00033 Abstract A link between metabolism and brain function is clear. Since ancient times, epileptic seizures were noted as treatable with fasting, and historical observations of the therapeutic benefits of fasting on epilepsy were confirmed nearly […]

Drugs for relief of pain in patients with sciatica

Systematic review and meta-analysis Rafael Zambelli Pinto, PhD student BMJ 2012; 344 doi: http://dx.doi.org/10.1136/bmj.e497 (Published 13 February 2012) Cite this as: BMJ 2012;344:e497 Abstract Objective To investigate the efficacy and tolerability of analgesic and adjuvant pain drugs typically administered in primary care for the management of patients with sciatica. Design Systematic review. Data source International […]

Drugs for relief of pain in patients with sciatica

Systematic review and meta-analysis BMJ 2012; 344 doi: http://dx.doi.org/10.1136/bmj.e497 (Published 13 February 2012) Cite this as: BMJ 2012;344:e497 Sciatica is considered to be a prognostic indicator of poor outcome among patients with low back pain. Furthermore a substantial proportion continuing to have persistent pain for two years or longer. General practitioners often prescribe pain-relieving drugs […]

Evaluation of a general practitioner referral service for manual treatment of back and neck pain

Prim Health Care Res Dev. 2012 Jul;13(3):204-10. doi: 10.1017/S1463423611000648. Epub 2012 Jan 30. Evaluation of a general practitioner referral service for manual treatment of back and neck pain. Gurden M1, Morelli M, Sharp G, Baker K, Betts N, Bolton J. Abstract AIM: To describe and evaluate a community-based musculoskeletal service, commissioned by National Health Services […]

Inversion therapy in patients with pure single level lumbar discogenic disease: a pilot randomized trial

Disabil Rehabil. 2012;34(17):1473-80. doi: 10.3109/09638288.2011.647231. Epub 2012 Jan 23. K S Manjunath Prasad Abstract Purpose: Backache and sciatica due to protuberant disc disease is a major cause of lost working days and health expenditure. Surgery is a well-established option in the management flowchart. There is no strong evidence proving that traction for sciatica is effective. […]

A Structured Protocol of Evidence-Based Conservative Care Compared With Usual Care for Acute Nonspecific Low Back Pain

A Randomized Clinical Trial Gregory F. Parkin-Smith, MTech(Chiro), MSc, DrHC Archives of Physical Medicine and Rehabilitation Volume 93, Issue 1 , Pages 11-20, January 2012 Abstract Parkin-Smith GF, Norman IJ, Briggs E, Angier E, Wood TG, Brantingham JW. A structured protocol of evidence-based conservative care compared with usual care for acute nonspecific low back pain: […]

Cerebral metabolic changes in men after chiropractic spinal manipulation for neck pain

Altern Ther Health Med. 2011 Nov-Dec;17(6):12-7. Cerebral metabolic changes in men after chiropractic spinal manipulation for neck pain. Ogura T, Tashiro M, Masud M, Watanuki S, Shibuya K, Yamaguchi K, Itoh M, Fukuda H, Yanai K. Abstract BACKGROUND: Chiropractic spinal manipulation (CSM) is an alternative treatment for back pain. The autonomic nervous system is often […]

Epidural Injections for Lumbar Discs

The Study: A randomized, controlled, double-blind trial of fluoroscopic caudal epidural injections in the treatment of lumbar disc herniation and radiculitis The Facts: a. The authors evaluated the effectiveness of the procedure of fluoroscopically directed caudal epidural injections for chronic low back/lower extremity pain. This was done for patients who suffered from disc herniation and […]