Musculoskeletal System

An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy

D. Scott Kreiner, MD The Spine Journal Volume 14, Issue 1, 1 January 2014, Pages 180–191 Abstract Background context The objective of the North American Spine Society’s (NASS) Evidence-Based Clinical Guideline for the Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy is to provide evidence-based recommendations to address key clinical questions surrounding the diagnosis and treatment […]

Evidence-Based Guidelines for the Chiropractic Treatment of Adults With Neck Pain

Roland Bryans, DC Journal of Manipulative and Physiological Therapeutics Volume 37, Issue 1 , Pages 42-63, January 2014 Abstract Objective The purpose of this study was to develop evidence-based treatment recommendations for the treatment of nonspecific (mechanical) neck pain in adults. Methods Systematic literature searches of controlled clinical trials published through December 2011 relevant to […]

What Grain Is Doing To Your Brain

Full Story:  http://www.forbes.com/sites/nextavenue/2013/11/14/what-grain-is-doing-to-your-brain/ It’s tempting to call David Perlmutter’s dietary advice radical. The neurologist and president of the Perlmutter Health Center in Naples, Fla., believes all carbs, including highly touted whole grains, are devastating to our brains. He claims we must make major changes in our eating habits as a society to ward off terrifying increases in Alzheimer’s disease […]

Cognitive Therapy Helps Kids With Migraine

12.26.2013 by John Gever Deputy Managing Editor, MedPage Today Headache frequency was significantly reduced in older children with migraine when cognitive behavioral therapy was added to amitryptyline in a randomized trial, researchers said. Compared with a combination of medication and headache education, children 10 to 17 receiving the cognitive therapy had an average of 4.7 […]

A systematic review and meta-analysis of medical leech therapy for osteoarthritis of the knee

The Clinical Journal of Pain, 12/09/2013 Lauche R, et al. .This paper presents a systematic review and meta–analysis of the effectiveness of medical leech therapy for osteoarthritis of the knee. This systematic review found moderate to strong evidence for the reduction of pain, functional impairment, and joint stiffness after medical leech therapy in patients with […]

Identification of Risk Factors for New-Onset Sciatica

Spine: 15 December 2013 – Volume 38 – Issue 26 – p E1691–E1700 Identification of Risk Factors for New-Onset Sciatica in Japanese Workers: Findings From the Japan Epidemiological Research of Occupation-Related Back Pain Study Matsudaira, Ko MD, PhD Collapse BoxAbstract Study Design. Two-year, prospective cohort data collected for the Japan epidemiological research of Occupation-related Back […]

Chiropractic management using a brain-based model of care for a 15-year-old adolescent boy with migraine headaches and behavioral and learning difficulties: a case report

J Chiropr Med. 2013 Dec;12(4):274-80. doi: 10.1016/j.jcm.2013.10.005. Kuhn KW, Cambron J. Abstract OBJECTIVE: The purpose of this report is to describe chiropractic management, using a brain-based model of care, of a teen who had migraine headaches and several social and learning difficulties. CLINICAL FEATURES: A 15-year-old adolescent boy with a chronic history of migraines and […]

Rehabilitation of Proximal Hamstring Tendinopathy Utilizing Eccentric Training, Lumbopelvic Stabilization, and Trigger Point Dry Needling

Rehabilitation of Proximal Hamstring Tendinopathy Utilizing Eccentric Training, Lumbopelvic Stabilization, and Trigger Point Dry Needling: 2 Case Reports Authors: Dhinu J. Jayaseelan, DPT, OCS1, Nick Moats, MPT, OCS2, Christopher R. Ricardo, CSCS3 Published: Journal of Orthopaedic & Sports Physical Therapy, 2013 Volume:44 Issue:3 Pages:198–205 DOI: 10.2519/jospt.2014.4905 Study Design Case report. Background Proximal hamstring tendinopathy is […]

Brachy-Myotherapy and Adolescent Idiopathic Scoliosis: 71 case studies of straightening

Adolescent Idiopathic Scoliosis: A 71 Cases Study Ascertaining that Straightening Is Possible, and a New Etiological Hypothesis Jan Polak Asian Spine J. 2013 December; 7(4): 282–288. Published online 2013 November 28. doi: 10.4184/asj.2013.7.4.282 Abstract Study Design Seventy-one children (23 boys and 48 girls, aged 6 to 18 year-old) with adolescent idiopathic scoliosis (AIS) between 11° […]

Chronic Neck Pain and Emotional Factors

The determinants of function and disability in neck patients referred to a specialized outpatient clinic Johansen JB, et al. Clin J Pain. 2013 Dec;29(12):1029-35. doi: 10.1097/AJP.0b013e31828027a2. Abstract AIM/OBJECTIVES/BACKGROUND: Considerable attention has been paid to assessing the risk factors for the development of disability following neck pain (NP) in the general population, but we still lack […]

Muscle Cramps in Liver Disease

Mehta SS, Fallon MB Clin Gastroenterol Hepatol. 2013;11:1385-1391 Abstract Muscle Cramps and Cirrhosis Muscle cramps are common in liver disease, especially in patients with cirrhosis. Although the reported prevalence of muscle cramps in patients with liver disease (in particular, cirrhosis) ranges from 22% to 88%, the association is not well recognized by clinicians, nor is […]

Whiplash Injury Recovery – A Self Help Guide 2nd Edition

Professor Gwendolen Jull Associate Professor Michele Sterling The University of Queensland, Austriala This booklet aims to help people who have a whiplash injury on the road to recovery. It provides information about whiplash associated disorders, an explanation of whiplash, an exercise program which has been proven to assist in reducing neck pain and advice on […]

Kyphosis Correction and Outcomes in Surgery Cases

The Study: Relationship between degree of focal kyphosis correction and neurological outcomes for patients undergoing cervical deformity correction surgery. The Facts: a. Cervical kyphosis “can lead to mechanical pain, neurological dysfunction, and functional disabilities.” b. Therefore the more you move the kyphosis toward lordosis the more improvement there might be in outcomes. c. The authors […]

Effectiveness and acceptance of acupuncture in patients with chronic low back pain

Effectiveness and acceptance of acupuncture in patients with chronic low back pain: results of a prospective, randomized, controlled trial. Authors Weiss J, Quante S, Xue F, Muche R, Reuss-Borst M. Journal J Altern Complement Med. 2013 Dec;19(12):935-41. doi: 10.1089/acm.2012.0338. Epub 2013 Jun 5. Affiliation Abstract OBJECTIVE: To investigate the effectiveness of additional acupuncture in patients […]

Sacroiliac joint dysfunction as a reason for the development of acetabular retroversion: a new theory

Physiother Theory Pract. 2014 May;30(4):249-53. doi: 10.3109/09593985.2013.867558. Epub 2013 Dec 18. Cibulka MT Abstract Acetabular retroversion has been recently implicated as an important factor in the development of femoral acetabular impingement and hip osteoarthritis. The proper function of the hip joint requires that the anatomic features of the acetabulum and femoral head complement one another. […]

Total annual costs for chronic low back pain patients without neurological involvement were lower in TENS patients

….”Total annual costs for chronic low back pain patients without neurological involvement were lower in TENS patients….”

Effectiveness and Acceptance of Acupuncture in Patients with Chronic Low Back Pain

Results of a Prospective, Randomized, Controlled Trial WeißJohannes, QuanteSabine, XueFuping, MucheRainer, and Reuss-BorstMonika. The Journal of Alternative and Complementary Medicine. December 2013, 19(12): 935-941. doi:10.1089/acm.2012.0338. Objective: To investigate the effectiveness of additional acupuncture in patients with chronic low back pain participating in an inpatient rehabilitation program. Design: Patients were randomly assigned to one of two […]

Thoracic Disc Herniation leads to Anterior Spinal Artery Syndrome

Demonstrated by Diffusion.Weighted Magnetic Resonance Imaging (DWI): A Case Report and Literature Review Jacques Reynolds, D.O The Spine Journal Available online 16 November 2013 In Press Acute thoracic disc herniation with cord contact but without canal stenosis is able to disrupt blood flow to the cord leading to anterior spinal artery distribution ischemia. This case […]

Limits of Low Back Pain Self-Management

December 17, 2013 By Donald M. Petersen, Jr. There is a belief among some people that their back pain can somehow be “self-managed” without seeking the care of a doctor of chiropractic or other musculoskeletal specialist. A study from Australia demonstrated that this just isn’t the case. The researchers found that “self-management has small effects […]

The American Academy of Orthopedic Surgeons Approve Criteria for Non-Surgical Treatment of Knee Osteoarthritis

“The background for this AUC comes from the 2013 AAOS evidence-based clinical practice guideline on OA of the knee, a comprehensive review of all the available evidence,” said Michael Heggenness, MD, an orthopaedic surgeon who served as a non-voting moderator during the voting panel process. “This AUC is a tool that takes that guideline one step further; it marries the available evidence with expert medical opinion and is available at the touch of a web and mobile-based app.”