Musculoskeletal System

Altered brain morphometry in carpal tunnel syndrome is associated with median nerve pathology

Maeda Y, et al. Neuroimage Clin. 2013;2:313-319. PubMed Reference Abstract OBJECTIVE: Carpal tunnel syndrome (CTS) is a common median nerve entrapment neuropathy characterized by pain, paresthesias, diminished peripheral nerve conduction velocity (NCV) and maladaptive functional brain neuroplasticity. We evaluated structural reorganization in brain gray (GM) and white (WM) matter and whether such plasticity is linked […]

Revised clinical practice guideline for knee OA no longer recommends Hyaluronic Acid injections

Orthopedics Today June 7, 2013 Full Story:  http://www.healio.com/orthopedics/arthritis/news/online/%7Bf6db8641-4f44-4c43-bd41-bc22672091ed%7D/revised-clinical-practice-guideline-for-knee-oa-no-longer-recommends-ha-injections The American Academy of Orthopaedic Surgeons recently released a revised version of its clinical practice guideline for the treatment of knee osteoarthritis, which included changes regarding the use of intra-articular hyaluronic acid and acetaminophen. The original 2009 and revised guidelines by the American Academy of Orthopaedic Surgeons […]

Low Level Laser Therapy (LLLT) for Neck Pain

Low Level Laser Therapy (LLLT) for Neck Pain: A Systematic Review and Meta-Regression. Gross AR, et al. Open Orthop J. 2013. Abstract PURPOSE: This systematic review update evaluated low level laser therapy (LLLT) for adults with neck pain. METHODS: Computerized searches (root up to Feb 2012) included pain, function/disability, quality of life (QoL) and global […]

Obesity Increases Risk for Episodic Migraine

Pauline Anderson June 26, 2013 BOSTON, Massachusetts —A new study showed that compared with normal-weight participants, obese people have an 81% greater risk for episodic migraine (EM), a condition characterized by up to 14 migraine episodes a month. The risk was highest among obese women or younger people who are obese and under 50 years of age. […]

Immediate effects of spinal manipulative therapy on regional antinociceptive effects in myofascial tissues in healthy young adults

Srbely JZ J Manipulative Physiol Ther. 2013 Jul-Aug;36(6):333-41. doi: 10.1016/j.jmpt.2013.01.005. Epub 2013 Jul 3. Abstract OBJECTIVE: The purpose of this study was to investigate if spinal manipulative therapy (SMT) can evoke immediate regional antinociceptive effects in myofascial tissues by increasing pressure pain thresholds (PPTs) over myofascial trigger points in healthy young adults. METHODS: A total […]

Statin Use Tied to Strains and Sprains

Published: Jun 3, 2013 | Updated: Jun 4, 2013 By Chris Kaiser , Cardiology Editor, MedPage Today Action Points Muscle pain has been associated with statin use, but new evidence suggests a link with skeletal adverse events as well. Note that the study found no significant association with statin use and osteoarthritis/arthropathy in the primary […]

Role of Environmental Factors and History of Low Back Pain in Sciatica Symptoms Among Finnish Adolescents

Karjalainen, Ulla MD Spine 01 June 2013 Vol. 38 – Issue 13: p 1105–1111 Abstract Study Design. Cross-sectional study in a subcohort of the 1986 Northern Finland Birth Cohort (n = 1987). Objective. To investigate the role of environmental factors and LBP history in sciatica symptoms among Finnish young adults. Summary of Background Data. History […]

Sacroiliac joint dysfunction in patients with herniated lumbar disc

Sacroiliac joint dysfunction in patients with herniated lumbar disc: a cross-sectional study. Madani SP, et al. J Back Musculoskelet Rehabil. 2013. Citation J Back Musculoskelet Rehabil. 2013;26(3):273-8. doi: 10.3233/BMR-130376. Abstract OBJECTIVES: To determine the relative frequency of sacroiliac joint dysfunction in a sample of patients with image proven lumbar disc herniation. METHODS: A single group cross-sectional study […]

Effects of Class IV laser therapy on fibromyalgia impact and function in women with fibromyalgia

J Altern Complement Med. 2013 May;19(5):445-52. doi: 10.1089/acm.2011.0398. Epub 2012 Nov 23. Lynn Panton PMID: 23176373 DOI: 10.1089/acm.2011.0398 Abstract Objectives: This study evaluated the effects of Class IV laser therapy on pain, Fibromyalgia (FM) impact, and physical function in women diagnosed with FM. Design: The study was a double-blind, randomized control trial. Setting: Testing was […]

Chronic, Noncancer Pain Boosts Suicide Risk

Fran Lowry May 28, 2013 Certain types of noncancer pain conditions are associated with an increased risk for suicide, a new study suggests. A study conducted by investigators at the University of Michigan in Ann Arbor showed that psychogenic pain, back pain, and migraine, but not arthritis or neuropathy, were associated with an increased risk […]

Gout: No Help From Vitamin C

Medscape Medical News Janis C. Kelly May 16, 2013 Vitamin C added little to the urate-lowering effect of standardgout treatment and was clinically ineffective when used alone, according to a small randomized trial published online May 16 in Arthritis & Rheumatism. According to lead author Lisa Stamp, PhD, from the University of Otago in Christchurch, New Zealand, the study […]

Spinal manipulation vs image guided lumbar nerve root injections for lumbar disc herniation

J Manipulative Physiol Ther. 2013 May;36(4):218-25. doi: 10.1016/j.jmpt.2013.04.005. Epub 2013 May 22. Symptomatic magnetic resonance imaging-confirmed lumbar disk herniation patients: a comparative effectiveness prospective observational study of 2 age- and sex-matched cohorts treated with either high-velocity, low-amplitude spinal manipulative therapy or imaging-guided lumbar nerve root injections. Peterson CK, Leemann S, Lechmann M, Pfirrmann CW, Hodler […]

Body mass index and musculoskeletal pain: is there a connection?

David R Seaman Chiropractic & Manual Therapies 2013, 21:15 doi:10.1186/2045-709X-21-15 Background Back pain is one of the most common complaints that patients report to physicians and two-thirds of the population has an elevated body mass index (BMI), indicating they are either overweight or obese. It was once assumed that extra body weight would stress the […]

Association Between Overweight and Low Back Pain

Association Between Overweight and Low Back Pain: A Population-based Prospective Cohort Study of Adolescents Mikkonen, Paula Hannele MD Spine: 20 May 2013 – Volume 38 – Issue 12 – p 1026–1033 Abstract Study Design. A prospective cohort study in adolescents aged 7 to 19 years. Objective. To evaluate whether persistent overweight increases the risk of […]

Manipulative and multimodal therapy for upper extremity and temporomandibular disorders

J Manipulative Physiol Ther. 2013 Mar-Apr;36(3):143-201. doi: 10.1016/j.jmpt.2013.04.001. Epub 2013 May 20. Manipulative and multimodal therapy for upper extremity and temporomandibular disorders: a systematic review. Brantingham JW, Cassa TK, Bonnefin D, Pribicevic M, Robb A, Pollard H, Tong V, Korporaal C. Abstract OBJECTIVE: The purpose of this study was to complete a systematic review of […]

Do L5 and S1 Nerve Root Compressions Produce Radicular Pain in a Dermatomal Pattern?

Taylor, Christopher S. BSc, MBBS Spine: 20 May 2013 – Volume 38 – Issue 12 – p 995–998 Abstract Study Design. Observational case series. Objective. To compare the pattern of distribution of radicular pain with published dermatome charts. Summary of Background Data. Dermatomal charts vary and previous studies have demonstrated significant individual subject variation. Methods. […]

Dextrose Shots Ease Knee OA

Published: May 20, 2013 | Updated: May 20, 2013 By Nancy Walsh , Staff Writer, MedPage Today Action Points In this study, adults with at least 3 months of painful knee osteoarthritis were randomized to blinded injection (dextrose prolotherapy or saline) or at-home exercise. Dextrose prolotherapy resulted in clinically meaningful sustained improvement of pain, function, […]

Glucosamine Supplementation Demonstrates a Negative Effect on Intervertebral Disc Matrix in an Animal Model of Disc Degeneration

Jacobs, Lloydine MD Spine: 20 May 2013 – Volume 38 – Issue 12 – p 984–990 Abstract Study Design. Laboratory based controlled in vivo study. Objective. To determine the in vivo effects of oral glucosamine sulfate on intervertebral disc degeneration. Summary of Background Data. Although glucosamine has demonstrated beneficial effect in articular cartilage, clinical benefit […]

Body mass index and musculoskeletal pain: is there a connection?

David R Seaman Chiropractic & Manual Therapies 2013, 21:15 doi:10.1186/2045-709X-21-15 Published: 20 May 2013 Abstract Background Back pain is one of the most common complaints that patients report to physicians and two-thirds of the population has an elevated body mass index (BMI), indicating they are either overweight or obese. It was once assumed that extra body weight would […]

Spinal Manipulation as Effective as Epidural Injections for Lumbar Disc Herniation

Symptomatic magnetic resonance imaging-confirmed lumbar disk herniation patients: a comparative effectiveness prospective observational study of 2 age- and sex-matched cohorts treated with either high-velocity, low-amplitude spinal manipulative therapy or imaging-guided lumbar nerve root injections. Peterson CK, Leemann S, Lechmann M, Pfirrmann CW, Hodler J, Humphreys BK. J Manipulative Physiol Ther. 2013 May;36(4):218-25. doi: 10.1016/j.jmpt.2013.04.005. Epub […]