Musculoskeletal System

Shoe Inserts No Help for Knee OA

Published: Aug 20, 2013 By Crystal Phend, Senior Staff Writer, MedPage Today Full Story:  http://www.medpagetoday.com/Rheumatology/Arthritis/41099 Lateral wedge shoe insoles didn’t appear to ease medial osteoarthritis knee pain beyond a placebo effect, according to a meta-analysis. The orthotics did have a significant impact compared with controls overall, the equivalent of 2.12 fewer points on the 20-point […]

Effect of vitamin B6 on clinical symptoms and electrodiagnostic results of patients with carpal tunnel syndrome

Talebi M, et al. Citation Adv Pharm Bull. 2013;3(2):283-8. doi: 10.5681/apb.2013.046. Epub 2013 Aug 20. Abstract PURPOSE: Carpal tunnel syndrome (CTS) refers to a cluster of signs and symptoms that stems from compression of the median nerve traveling through carpal tunnel. Surgery is a definite treatment for CTS; however, many conservative therapies have been proposed. […]

Traction for low-back pain with or without sciatica

Cochrane Database Syst Rev. 2013 Aug 19;8:CD003010. doi: 10.1002/14651858.CD003010.pub5. Traction for low-back pain with or without sciatica. Wegner I Astract BACKGROUND: Traction has been used to treat low-back pain (LBP), often in combination with other treatments. We included both manual and machine-delivered traction in this review. This is an update of a Cochrane review first published […]

Predicting outcomes of neuroreflexotherapy in patients with subacute or chronic neck or low back pain

Spine J. 2014 Aug 1;14(8):1588-600. doi: 10.1016/j.spinee.2013.09.039. Epub 2013 Oct 18. Royuela A1, Kovacs FM2, Campillo C3, Casamitjana M4, Muriel A5, Abraira V6. Abstract BACKGROUND CONTEXT: In the context of shared decision-making, a valid estimation of the probability that a given patient will improve after a specific treatment is valuable. PURPOSE: To develop models that […]

Optimizing pain relief during pregnancy using manual therapy

Christopher Oswald, DC, Ceara C. Higgins, DC, and Demetry Assimakopoulos, DC Can Fam Physician. Aug 2013; 59(8): 841-842. Full Text Abstract Question Many of my pregnant patients have muscle and joint aches, and are reluctant to use analgesics. What is known about chiropractic care during pregnancy? Answer As pregnant women move into their second and […]

Cervical spine alignment, sagittal deformity, and clinical implications: a review

The Study: Cervical spine alignment, sagittal deformity, and clinical implications: a review The Facts: a. The authors reviewed normal cervical alignment, how to measure cervical alignment in the sagittal plane and the effect of cervical misalignment (cervical kyphosis in this case) on health-related quality of life (HRQOL). b. Recent studies suggest a correlation between cervical […]

Myofascial Trigger Points, Pain, Disability, and Sleep Quality in Patients with Chronic Nonspecific Low Back Pain

Juan J. Iglesias-González PT Article first published online: 15 AUG 2013 Abstract Objective To investigate the difference in the presence of trigger points (TrPs) between patients with chronic nonspecific low back pain (LBP) and healthy people, and to determine the relationship of TrPs with the intensity of ongoing pain, disability, and sleep quality. Design A […]

Plantar fascia anatomy and its relationship with Achilles tendon and paratenon.

J Anat. 2013 Dec;223(6):665-76. doi: 10.1111/joa.12111. Epub 2013 Sep 12. Stecco C, Corradin M, Macchi V, Morra A, Porzionato A, Biz C, De Caro R. Abstract Although the plantar fascia (PF) has been studied quite well from a biomechanical viewpoint, its microscopic properties have been overlooked: nothing is known about its content of elastic fibers, […]

Outcomes from MRI-confirmed symptomatic cervical disk herniation patients treated with high-velocity, low-amplitude spinal manipulative therapy

J Manipulative Physiol Ther. 2013 Oct;36(8):461-7. doi: 10.1016/j.jmpt.2013.07.002. Epub 2013 Aug 12. Peterson CK, Schmid C, Leemann S, Anklin B, Humphreys BK. Abstract OBJECTIVE: The purpose of this study was to investigate outcomes of patients with cervical radiculopathy from cervical disk herniation (CDH) who are treated with spinal manipulative therapy. METHODS: Adult Swiss patients with […]

The Real Cause of Plantar Fasciitis

Somastruct.com August 6, 2013 by James Speck Plantar fasciitis is a poorly understood condition. There is little consensus among medical professionals about what causes the problem, and no treatments have been reliably proven to treat it. A number of theories exists for why plantar fasciitis develops, but the ineffectiveness of conventional treatments suggests something is […]

The relationship between sagittal spinopelvic parameters and the degree of lumbar intervertebral disc degeneration in young adult patients with low-grade spondylolytic spondylolisthesis

Bone Joint J. 2013 Sep;95-B(9):1239-43. doi: 10.1302/0301-620X.95B9.31717. Oh YM, Eun JP. We investigated the relationship between spinopelvic parameters and disc degeneration in young adult patients with spondylolytic spondylolisthesis. A total of 229 men with a mean age of 21 years (18 to 26) with spondylolytic spondylolisthesis were identified. All radiological measurements, including pelvic incidence, sacral […]

Back Pain Remains Overtreated

The New York Times By NICHOLAS BAKALAR AUGUST 2, 2013 Well-established guidelines for the treatment of back pain require very conservative management — in most cases, no more than aspirin or acetaminophen (Tylenol) and physical therapy. Advanced imaging procedures, narcotics and referrals to other physicians are recommended only for the most refractory cases or those with serious […]

Do intervertebral discs degenerate before they herniate, or after? – Full Text Article

The Bone & Joint Journal Vol. 95-B, No. 8 P. Lama, C. L. Le Maitre, P. Dolan, J. F. Tarlton, I. J. Harding, M. A. Adams Published Online:1 Aug 2013 https://doi.org/10.1302/0301-620X.95B8.31660 The belief that an intervertebral disc must degenerate before it can herniate has clinical and medicolegal significance, but lacks scientific validity. We hypothesised that […]

The Anatomy of Failure in Lumbar Disc Herniation

ISSLS Prize Winner: The Anatomy of Failure in Lumbar Disc Herniation: An In Vivo, Multimodal, Prospective Study of 181 Subjects Rajasekaran, S. PhD, MS, MCh, FRCS(Ed), FRCS(London), FACS; Bajaj, Nipun MS, FNB; Tubaki, Vijay MS; Kanna, Rishi M. MS, MRCS, FNB; Shetty, Ajoy Prasad MS, DNB Spine01 August 2013 Abstract Study Design. A prospective multimodal […]

Back Pain Tx Not Syncing with Guidelines

7/29/2013 by Cole Petrochko Staff Writer, MedPage Today   Action Points Trends in back pain management strategies in the U.S. are “discordant” with current guidelines. Point out that over the 12-year study, use of narcotics rose from 19.3% to 29.1% and imagining with CT or MRI rose from 7.2% to 11.3%. Trends in back pain […]

The Effectiveness of Therapeutic Class IV (10 W) Laser Treatment for Epicondylitis

Lasers in Surgery & Medicine Volume 45, Issue 5, July 2013, p 311-317. Delia B. Roberts PhD, FACSM Abstract Background and Objective Photobiomodulation has been shown to modulate cellular protein production and stimulate tendon healing in a dose‐dependent manner. Previous studies have used class IIIb lasers with power outputs of less than 0.5 W. Here we […]

The Influence of Pelvic Adjustment on the Posture of Female University Students

J Phys Ther Sci. 2013 Jul; 25(7): 785–787. Published online 2013 Aug 20. doi: 10.1589/jpts.25.785 PMCID: PMC3820405 Misuk Cho, PhD, PT Abstract [Purpose] The purpose of this study was to examine the effects of pelvic adjustment via the Gonstead Technique on the posture of female university students. [Subjects] The subjects of this study were 30 […]

Measuring limb length discrepancy using pelvic radiographs: the most reproducible method

Hip Int. 2013 Jul-Aug;23(4):391-4. Heaver C, St Mart JP, Nightingale P, Sinha A, Davis ET. Abstract Leg length inequality following total hip replacement remains common. In an effort to reduce this occurrence, surgeons undertake pre-operative measurements, templating and use various forms of intraoperative measurements, including computer navigation. This study aims to delineate which measurement technique […]

NSAID therapy effects on healing of bone, tendon, and the enthesis

J Appl Physiol (1985). 2013 Sep;115(6):892-9. doi: 10.1152/japplphysiol.00053.2013. Epub 2013 Jul 18. Bailey Su PMID: 23869068 PMCID: PMC3764618 DOI: 10.1152/japplphysiol.00053.2013 Abstract Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used for the treatment of skeletal injuries. The ability of NSAIDs to reduce pain and inflammation is well-established. However, the effects of NSAID therapy on healing of skeletal […]

Epidural steroid injection therapy for low back pain: a meta-analysis

Authors Choi HJ1, Hahn S, Kim CH, Jang BH, Park S, Lee SM, Park JY, Chung CK, Park BJ. Journal Int J Technol Assess Health Care. 2013 Jul;29(3):244-53. doi: 10.1017/S0266462313000342. Epub 2013 Jun 17. Affiliation Abstract OBJECTIVES: The aim of this study was to systematically assess the long-term (≥ 6 months) benefits of epidural steroid […]