Lumbar Spine & Low Back Pain

Rapid Acupuncture for Musculoskeletal Pain in the Emergency Room of the Hospital Servidor Publico Estadual, Brazil: A Quasi-Experimental Study

J Integr Med. 2020 May 28;S2095-4964(20)30054-6. doi: 10.1016/j.joim.2020.05.002. Online ahead of print. Luciana Aikawa 1, Alexandre Massao Yoshizumi 2, Mirian Matsura Shirassu 1, Marcia Kiyomi Koike 3 PMID: 32553560 DOI: 10.1016/j.joim.2020.05.002 Abstract Objective: To compare differences in self-reported musculoskeletal pain before and after receiving rapid acupuncture for pain at an outpatient emergency department. Methods: Exactly […]

Use of Complementary Health Approaches for Chronic Low-Back Pain: A Pain Research Registry-Based Study

The Journal of Alternative and Complementary Medicine Vol. 26, No. 5 John C. Licciardone and Vishruti Pandya Published Online:11 May 2020https://doi.org/10.1089/acm.2019.0448 Abstract Objectives: To measure the use of complementary health approaches (CHAs) recommended in recent clinical practice guidelines relating to low-back pain, multivariate factors associated with their use, and clinical outcomes of CHA users and […]

Healthcare Resource Utilization and Management of Chronic, Refractory Low Back Pain in the United States

Spine (Phila Pa 1976) 2020 May 21. doi: 10.1097/BRS.0000000000003572. Online ahead of print. Charis A Spears PMID: 32453242 DOI: 10.1097/BRS.0000000000003572 Abstract Study design: Retrospective analysis of inpatient and outpatient medical insurance claims data from a database containing over 100 million individuals. Objective: To quantify the healthcare resource utilization (HCRU) of non-surgical treatments in the first 2 years after […]

Comparing targeted thrust manipulation with general thrust manipulation in patients with low back pain. A general approach is as effective as a specific one. A randomised controlled trial – Full Text

BMJ Open Sport & Exercise Medicine 2019;5:e000514. doi: 10.1136/bmjsem-2019-000514 Christopher J McCarthy Abstract Background Spinal manipulation is commonly used to treat back pain. The application of spinal manipulation has traditionally involved an element of targeting the technique to a level of the spine where the proposed movement dysfunction is sited. We evaluated the effects of a […]

Sciatic Nerve Release – Motion Specific Release – Video

From the YouTube Website:  In this video Dr. Abelson demonstrates some of the Motion Specific Release (MSR) procedures we use to release the Sciatic Nerve. Symptoms of sciatica can be caused by disc herniation, foraminal stenosis, spinal stenosis, or entrapment of the sciatic nerve. Fortunately, most cases of Sciatica do NOT require Surgery, as long […]

Acupotomy versus Manual Acupuncture for the Treatment of Back and/or Leg Pain in Patients with Lumbar Disc Herniation: A Multicenter, Randomized, Controlled, Assessor-Blinded Clinical Trial

J Pain Res. 2020 Apr 1;13:677-687. doi: 10.2147/JPR.S234761. eCollection 2020. Jeong JK Abstract BACKGROUND: Acupotomy, which involves the addition of a scalpel function to the conventional acupuncture treatment, has recently been applied as a conservative treatment method for lumbar disc herniation (LDH). This study investigated the effectiveness and safety of acupotomy, compared to manual acupuncture, […]

Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review Update [Internet].

Editors Skelly AC, Chou R, Dettori JR, Turner JA, Friedly JL, Rundell SD, Fu R, Brodt ED, Wasson N, Kantner S, Ferguson AJR. Source Rockville (MD): Agency for Healthcare Research and Quality (US); 2020 Apr. Report No.: 20-EHC009. AHRQ Comparative Effectiveness Reviews. Structured Abstract Objectives: We updated the evidence from our 2018 report assessing persistent […]

Reliability of the buttock applied strain test to diagnose radicular pain in patients with low back pain

Pain Practice — Dekel BGS, Sorella MC, Vasarri A, et al. | May 01, 2020 This study was intended to assess reliability of the buttock applied strain test for the diagnosis of radicular pain in patients with low back pain. Researchers included a sum of 395 consecutive patients with low‐back pain (LBP) to examine sensitivity, […]

The Nordic maintenance care program: maintenance care reduces the number of days with pain in acute episodes and increases the length of pain free periods for dysfunctional patients with recurrent and persistent low back pain

The Nordic maintenance care program: maintenance care reduces the number of days with pain in acute episodes and increases the length of pain free periods for dysfunctional patients with recurrent and persistent low back pain – a secondary analysis of a pragmatic randomized controlled trial Andreas Eklund Chiropractic & Manual Therapies Volume 28, Article number: 19 (2020) Abstract Background A […]

Microdiskectomy Superior to Nonsurgical Care for Relieving Pain From Chronic Sciatica

From this article:  Patients in the surgical group underwent standard microdiskectomy approaches. Nonsurgical care consisted of patient education, activity/exercise, oral analgesics, use of active physiotherapy provided at the discretion of physiotherapists not associated with the trial, and an epidural glucocorticoid injection administered by a fellowship-trained anesthesiologist. ~ Dr. Broussard -Single-center study shows superior pain relief […]

Patients With Persistent Low Back Pain and Nerve Root Involvement: To Operate, or Not to Operate, That Is the Question

Petersen, Tom PhDa; Juhl, Carsten B. PhDb,c; Fournier, Gilles L. MDdAuthor Information SPINE: April 1, 2020 – Volume 45 – Issue 7 – p 483-490 doi: 10.1097/BRS.0000000000003304 Study Design. Prospective cohort study. Objective. The aims of this study were to evaluate the outcome of surgical and nonsurgical treatment for patients with lumbar herniated disc (LHD) […]

ACOEM GUIDELINES – Non-Invasive and Minimally Invasive Management of Low Back Disorders – Full Text Article

Hegmann, Kurt T. MD, MPH Journal of Occupational and Environmental Medicine: March 2020 – Volume 62 – Issue 3 – p e111-e138 doi: 10.1097/JOM.0000000000001812 Abstract Objective: This abbreviated version of the American College of Occupational and Environmental Medicine’s (ACOEM) Low Back Disorders Guideline reviews the evidence and recommendations developed for non-invasive and minimally invasive management of […]

Surgery for Chronic Sciatica Bests Conservative Care

— But Canadian study may have important limitations by Judy George, Senior Staff Writer, MedPage Today March 18, 2020 Microdiscectomy produced better pain relief than standard nonsurgical care (see below) for patients with chronic sciatica caused by lumbar disk herniation, a single-center trial showed. Six months after surgery, leg-pain intensity scores were 2.8 in the surgical group […]

Effectiveness of Spinal Manipulation and Myofascial Release Compared With Spinal Manipulation Alone on Health-Related Outcomes in Individuals With Non-Specific Low Back Pain: Randomized Controlled Trial

Physiotherapy, 107, 71-80 2019 Nov 18 Taise Angeli Boff Abstract Objective: To investigate the effectiveness of spinal manipulation combined with myofascial release compared with spinal manipulation alone, in individuals with chronic non-specific low back pain (CNLBP). Design: Randomized controlled trial with three months follow-up. Setting: Rehabilitation clinic. Participants: Seventy-two individuals (between 18 and 50 years […]

T’ai Chi for Chronic Low Back Pain in Older Adults: A Feasibility Trial

The Journal of Alternative and Complementary Medicine Karen J. Sherman, Robert D. Wellman, Rene J. Hawkes, Elizabeth A. Phelan, Tamsin Lee, and Judith A. Turner Published Online:3 Feb 2020 https://doi.org/10.1089/acm.2019.0438 Abstract Objectives:T’ai chi (TC) has been found effective for improving chronic low back pain (cLBP). However, such studies did not include adults over 65 years […]

Current Evidence for Diagnosis of Common Conditions Causing Low Back Pain: Systematic Review and Standardized Terminology Recommendations

JMPT VOLUME 42, ISSUE 9, P651-664, NOVEMBER 01, 2019 Robert D. Vining, DC, DHSc Zacariah K. Shannon, DC, MS Amy L. Minkalis, DC, MS Elissa J. Twist, DC, MS Published:December 20, 2019 DOI:https://doi.org/10.1016/j.jmpt.2019.08.002 Abstract Objective The purpose of this systematic review is to evaluate and summarize current evidence for diagnosis of common conditions causing low […]

Development of a Clinical Decision Aid for Chiropractic Management of Common Conditions Causing Low Back Pain in Veterans: Results of a Consensus Process

JMPT VOLUME 42, ISSUE 9, P677-693, NOVEMBER 01, 2019 Robert D. Vining, DC, DHSc Published:December 18, 2019 DOI:https://doi.org/10.1016/j.jmpt.2019.03.009 Abstract Objective The purpose of this study was to develop a clinical decision aid for chiropractic management of common conditions causing low back pain (LBP) in veterans receiving treatment in US Veterans Affairs (VA) health care facilities. […]

Development of an Evidence-Based Practical Diagnostic Checklist and Corresponding Clinical Exam for Low Back Pain

VOLUME 42, ISSUE 9, P665-676, NOVEMBER 01, 2019 Robert D. Vining, DC, DHSc Amy L. Minkalis, DC, MS Zacariah K. Shannon, DC, MS Elissa J. Twist, DC, MS Published:December 18, 2019 DOI:https://doi.org/10.1016/j.jmpt.2019.08.003 Abstract Objective The purpose of this study was to use scientific evidence to develop a practical diagnostic checklist and corresponding clinical exam for […]

Lumbar muscle stiffness is different in individuals with low back pain than asymptomatic controls and is associated with pain and disability, but not common physical examination findings – Full Text Article

Musculoskelet Sci Pract. 2019 Nov 1;45:102078. doi: 10.1016/j.msksp.2019.102078. [Epub ahead of print] Koppenhaver S1, Gaffney E2, Oates A2, Eberle L2, Young B3, Hebert J4, Proulx L5, Shinohara M6. Abstract BACKGROUND: Lumbar muscle dysfunction is commonly implicated in low back pain (LBP). Shear-wave elastography (SWE) uses ultrasound technology to quantify absolute soft tissue stiffness (shear modulus), […]

Are respiratory disorders risk factors for troublesome low-back pain? A study of a general population cohort in Sweden

European Spine Journal November 2019, Volume 28, Issue 11, pp 2502–2509 Abstract Purpose A multi-morbidity perspective of troublesome low back pain (LBP) has been highlighted for example in relation to respiratory disorders. Our purpose was to investigate whether respiratory disorders are risk factors for reporting troublesome LBP in people with no or occasional LBP at […]