Lumbar Spine & Low Back Pain

Natural History of Back Pain in Older Adults over Five Years – Full Text Article

Wendelien H. van der Gaag, Wendy T. M. Enthoven, Pim A. J. Luijsterburg, Jantine van Rijckevorsel-Scheele, Sita M.A. Bierma-Zeinstra, Arthur M. Bohnen, Maurits W. van Tulder and Bart W. Koes The Journal of the American Board of Family Medicine November 2019, 32 (6) 781-789; DOI: https://doi.org/10.3122/jabfm.2019.06.190041 Abstract Introduction: Back pain is a prevalent health problem. […]

Short-Term Effect of Kinesiotaping on Chronic Nonspecific Low Back Pain and Disability: A Meta-Analysis of Randomized Controlled Trials

Shanshan Lin, Bo Zhu, Guozhi Huang, Chuhuai Wang, Qing Zeng, Shanshan Zhang Physical Therapy, pzz163, https://doi.org/10.1093/ptj/pzz163 Published: 07 November 2019 Abstract Background Low back pain (LBP) is a very common and disabling disorder in modern society. The intervention strategies for LBP include drug therapy, surgery, and physical interventions. Recently, kinesiotaping, as a simple and noninvasive […]

Throwing out your back – What does it mean? [Video]

Throwing out your back. Here I show what ‘ throwing out your back’ looks like using the models I craft. Often, the cause of this pain is due to the buckling or folding of a spinal level creating an injury to one of the many anatomical structures of the spine. ~ Jerome Fryer Watch YouTube […]

Efficacy and Safety of Acupuncture for Chronic Discogenic Sciatica, a Randomized Controlled Sham Acupuncture Trial

Pain Med. 2019 Nov 1;20(11):2303-2310. doi: 10.1093/pm/pnz167. Ziling Huang 1 2, Sixing Liu 3, Jing Zhou 1, Qin Yao 2, Zhishun Liu 1 Affiliations expand PMID: 31369674 DOI: 10.1093/pm/pnz167 Abstract Objective: To evaluate the efficacy and safety of acupuncture for discogenic sciatica. Design: Single-center, parallel, randomized controlled sham acupuncture trial. Methods: Twelve sessions of acupuncture […]

Early Access to Chiropractors, PTs Tied to Decreased Long-Term Opioid Use

October 23, 2019 Odds of short- or long-term opioid use higher for initial visits with physicians for low back pain TUESDAY, Oct. 22, 2019 (HealthDay News) — Patients who initially see a physical therapist or chiropractor for low back pain rather than a primary care physician are much less likely to be prescribed opioids, according […]

Gluteus medius muscle function in people with and without low back pain: a systematic review

Sean Sadler, Samuel Cassidy, Benjamin Peterson, Martin Spink & Vivienne Chuter BMC Musculoskeletal Disorders Volume 20, Article number: 463 (2019) Published: 22 October 2019 Abstract Introduction Globally, low back pain (LBP) is one of the greatest causes of disability. In people with LBP, dysfunction of muscles such as the gluteus medius have been demonstrated to […]

Where do patients with MRI-confirmed single-level radiculopathy experience pain, and what is the clinical interpretability of these pain patterns? A cross-sectional diagnostic accuracy study – Full Text

Hanne B. Albert, Jeanette Kaae Hansen, Helle Søgaard & Peter Kent Chiropractic & Manual Therapies volume 27, Article number: 50 (2019) Abstract Background Clinicians nominate the distribution of leg pain as being important in diagnosing nerve root involvement. This study aimed to identify: (i) common unisegmental radicular pain patterns and whether they were dermatomal, and […]

The Long-term Reoperation Rate Following Surgery for Lumbar Herniated Intervertebral Disc Disease

A Nationwide Sample Cohort Study With a 10-year Follow-up Kim, Chi Heon MD, PhD∗,†; Chung, Chun Kee MD, PhD∗,†,‡; Choi, Yunhee PhD§; Kim, Min-Jung MS§; Yim, Dahae MS§; Yang, Seung Heon MD∗,†; Lee, Chang Hyun MD∗,†; Jung, Jong-Myung MD¶; Hwang, Sung Hwan MD∗,†; Kim, Dong Hwan MD∗,†; Yoon, Joon Ho MD∗,†; Park, Sung Bae MD, […]

Evidence of efficacy of acupuncture in the management of low back pain: a systematic review and meta-analysis of randomised placebo-or sham-controlled trials

Acupunct Med. 2019 Sep 16:acupmed2017011445. doi: 10.1136/acupmed-2017-011445. [Epub ahead of print] Xiang Y1, He JY2, Tian HH1, Cao BY3, Li R1. Abstract OBJECTIVES: To assess the evidence for the efficacy of acupuncture for non-specific low back pain (NSLBP), compared with sham or placebo therapies. METHODS: We searched Cochrane CENTRAL to December 2016, and conducted searches […]

Burden of Sciatica on US Medicare Recipients

Journal of the American Academy of Orthopaedic Surgeons. SEPTEMBER 09, 2019 DOI: 10.5435/JAAOS-D-19-00174, PMID: 31517882 Publication Date: September 09, 2019 Joseph Maslak Abstract Objective: This study evaluates the disease burden of sciatica on the US Medicare cohort. Background Data: Sciatica is a common disability that has important physical, mental, and economic effects. The Medicare Health […]

Understanding sciatica: illness and treatment beliefs in a lumbar radicular pain population. A qualitative interview study – Full Text

Robert Goldsmith, Nefyn Howard Williams and Fiona Wood BJGP Open 6 August 2019; bjgpopen19X101654. DOI: https://doi.org/10.3399/bjgpopen19X101654 Abstract Background Several pathological processes contribute to lumbar radicular pain (LRP), commonly known as sciatica. It is not known how patients rationalise the experience of sciatica or understand the diagnosis. Providing clinicians with a better understanding of how patients […]

The effect of mechanical traction on low back pain in patients with herniated intervertebral disks: a systemic review and meta-analysis

Clinical Rehabilitation First Published August 28, 2019 Yu-Hsuan Cheng Abstract Objective: To evaluate the effectiveness of traction in improving low back pain, functional outcome, and disk morphology in patients with herniated intervertebral disks. Data Source: PubMed, Scopus, Embase, and the Cochrane Library were searched from the earliest record to July 2019. Review methods: We included […]

The efficacy of muscle energy techniques in symptomatic and asymptomatic subjects: a systematic review – Full Text

Ewan Thomas, Antonio Rosario Cavallaro, Diba Mani, Antonino Bianco & Antonio Palma Chiropractic & Manual Therapies volume 27, Article number: 35 (2019) Background Muscle energy techniques are applied to reduce pain and increase range of motion. These are applied to a variety of pathological conditions and on asymptomatic subjects. There is however limited knowledge on […]

Paracetamol is ineffective for acute low back pain even for patients who comply with treatment

PAIN: August 23, 2019 – Volume Articles in Press – Issue – p doi: 10.1097/j.pain.0000000000001685 Abstract In 2014, the Paracetamol for Acute Low Back Pain (PACE) trial demonstrated that paracetamol had no effect compared with placebo in acute low back pain (LBP). However, noncompliance was a potential limitation of this trial. The aim of this study was to investigate the efficacy of paracetamol in acute […]

Physical activity and chronic back conditions: A population-based pooled study of 60,134 adults

J Sport Health Sci. 2019 Jul;8(4):386-393. doi: 10.1016/j.jshs.2019.01.003. Epub 2019 Jan 11. Alzahrani H Abstract BACKGROUND: Little is known about the association between different types of physical activity (PA) and chronic back conditions (CBCs) at the population level. We investigated the association between levels of total and type-specific PA participation and CBCs. METHODS: The sample […]

Non-specific Low Back Pain: Inflammatory Profiles of Patients with Acute and Chronic Pain.

Clin J Pain. 2019 Jul 5. doi: 10.1097/AJP.0000000000000745. [Epub ahead of print] Teodorczyk-Injeyan JA1, Triano JJ1, Injeyan HS2. Abstract BACKGROUND: The pathogenesis of low back pain (LBP) remains unclear. However, recent studies suggest that the inflammatory response may be inherent in spinal pain. PURPOSE: To discern inflammatory profiles in patients with non-specific acute and chronic […]

Chiropractic services in the active duty military setting: a scoping review

Silvano Mior Chiropractic & Manual Therapies 2019 27:45 https://doi.org/10.1186/s12998-019-0259-6 Published: 15 July 2019 Background Musculoskeletal injuries are one of the most prevalent battle and non-battle related injuries in the active duty military. In some countries, chiropractic services are accessed to manage such injuries within and outside military healthcare systems; however, there is no recent description […]

The association between headache and low back pain: a systematic review

Published: 15 July 2019 Arani Vivekanantham The Journal of Headache and Pain volume 20, Article number: 82 (2019 Abstract Background To systematically review studies quantifying the association between primary chronic headaches and persistent low back pain (LBP). Main text We searched five electronic databases. We included case-control, cross-sectional and cohort studies that included a headache […]

Exercise Intensity Matters in Chronic Nonspecific Low Back Pain Rehabilitation

Med Sci Sports Exerc. 2019 Jul 1. doi: 10.1249/MSS.0000000000002078. [Epub ahead of print] Verbrugghe J Abstract INTRODUCTION: Exercise therapy (ET) is advocated as a treatment for chronic nonspecific low back pain (CNSLBP). However, therapy effect sizes remain low. In other chronic disorders, training at higher intensity has resulted in greater improvements on both general health […]

Is physical capacity associated with the occurrence of musculoskeletal symptoms among office workers? A cross-sectional study

International Archives of Occupational and Environmental Health pp 1–14 First Online: 04 July 2019 Abstract Purpose Low physical capacity is hypothesized to be associated with the presence of musculoskeletal symptoms. Therefore, our aim was to investigate whether physical capacity is associated with the presence of musculoskeletal symptoms in the neck, shoulders, and thoracic and lumbar spine […]