Musculoskeletal System

Autonomic control of bone formation: its clinical relevance

Ji-Ye H, et al. Handb Clin Neurol. 2013;117:161-71. doi: 10.1016/B978-0-444-53491-0.00014-6. Abstract Bone remodeling is thought to be regulated by many factors including nutritional status, humoral factors, and biomechanical stress. However, the involvement of the autonomic nervous system, mainly the sympathetic nervous system (SNS), in the modulation of bone remodeling is beginning to receive more attention. […]

AMA Recommends Chiropractic & PT Before Resorting to Surgery in JAMA

In an article written to educate the public about back pain, the Journal of the American Medical Association (JAMA) has suggested that patients seek chiropractic and other conservative back-pain treatment before taking more invasive measures. The article says that surgery is not usually needed for treating back pain and should only be considered when other […]

Evidence for Policy Making: Clinical Appropriateness Study of Lumbar Spine MRI Prescriptions Using RAND Appropriateness Method.

Int J Health Policy Manag. 2013 Apr 10;1(1):17-21. doi: 10.15171/ijhpm.2013.04. eCollection 2013. Salari H1, Ostovar R2, Esfandiari A1, Keshtkaran A3, Akbari Sari A4, Yousefi Manesh H5, Rakhshan A6. Abstract BACKGROUND: MRI is a new and expensive diagnostic technology, which has been used increasingly all over the world. Low back pain is a worldwide prevalent disorder […]

Socioeconomic and Physical Characteristics of Individuals With Degenerative Lumbar Spinal Stenosis

Spine: 20 April 2013 – Volume 38 – Issue 9 – p E554–E561 doi: 10.1097/BRS.0b013e31828a2846 Epidemiology Socioeconomic and Physical Characteristics of Individuals With Degenerative Lumbar Spinal Stenosis Abbas, Janan MSc*,†; Hamoud, Kamal MD, MCh(Orth)‡; May, Hila MSc*; Peled, Nathan MD§; Sarig, Rachel DMD, PhD*; Stein, Dan MSC*; Alperovitch-Najemson, Deborah PhD*; Hershkovitz, Israel PhD* Abstract Study […]

Natural history of PCL injuries: Long-term results favorable with nonoperative treatment

Orthopedics Today, April 2013 CHICAGO — Patients showed no arthritis or joint wear about 17 years after their PCL injuries were treated nonoperatively, based on results of a study presented at the American Academy of Orthopaedic Surgeons Annual Meeting, here. “Patients remain active, report good subjective results,” K. Donald Shelbourne, MD, said in a presentation. […]

Relationship Between Lumbar Spinal Stenosis and Lifestyle-Related Disorders

Relationship Between Lumbar Spinal Stenosis and Lifestyle-Related Disorders: A Cross-Sectional Multicenter Observational Study Uesugi, Kazuhide MD, PhD Spine 20 April 2013 Vol. 38 – Issue 9: p E540–E545 Abstract Study Design. A cross-sectional multicenter observational study. Objective. To identify associations between lumbar spinal stenosis (LSS) and lifestyle-related diseases. Summary of Background Data. Impaired blood flow […]

Bone Drug Lowers Levels of Bone Growth Markers

MedPageToday.com Published: Apr 18, 2013 | Updated: Apr 19, 2013 By Charles Bankhead , Staff Writer, MedPage Today Story Source Action Points Note that this randomized trial demonstrated that treatment with zoledronic acid (Brand names: Reclast, Zometa/bisphosphonate) increased sclerostin, which may inhibit healthy bone turn-over. Be aware that no clinical outcomes (such as fracture) were […]

The Outcomes of Manipulation or Mobilization Therapy Compared with Physical Therapy or Exercise for Neck Pain: A Systematic Review – Full Text

Evid Based Spine Care J. 2013 Apr; 4(1): 30–41. doi: 10.1055/s-0033-1341605 PMCID: PMC3699243 PMID: 24436697 Josh Schroeder Abstract Study Design Systematic review. Study Rationale Neck pain is a prevalent condition. Spinal manipulation and mobilization procedures are becoming an accepted treatment for neck pain. However, data on the effectiveness of these treatments have not been summarized. Objective To compare […]

Chiropractic care helps low back pain in pregnancy more than standard obstetric care

A randomized controlled trial comparing a multimodal intervention and standard obstetrics care for low back and pelvic pain in pregnancy George JW Am J Obstet Gynecol. 2013 Apr;208(4):295.e1-7. doi: 10.1016/j.ajog.2012.10.869. Epub 2012 Oct 23. PubMed Reference Abstract OBJECTIVE: Women commonly experience low back pain during pregnancy. We examined whether a multimodal approach of musculoskeletal and […]

Migraine Headache – Not due to arterial dilation

Have We Misunderstood the Cause of Migraines? By Niels Ebdrup Full Story April 16, 2013 Editor’s Note: This article was provided by our partner, ScienceNordic. The original is here. Danish researchers have taken a crucial step toward a new explanation of where and why it hurts when we have a migraine. This throbbing pain in the head, which […]

Treatment of the sacroiliac joint in patients with leg pain – Manual Therapy Treatment of Choice

Treatment of the sacroiliac joint in patients with leg pain: a randomized-controlled trial. Visser L Eur Spine J. 2013 Oct;22(10):2310-7. doi: 10.1007/s00586-013-2833-2. Epub 2013 May 30. Abstract PURPOSE The sacroiliac joint (SIJ) may be a cause of sciatica. The aim of this study was to assess which treatment is successful for SIJ-related back and leg […]

Carpal Tunnel Syndrome: Workplace and Individual Risk Factors

A Prospective Study of Carpal Tunnel Syndrome Workplace and Individual Risk Factors Susan Burt, James A Deddens, Ken Crombie, Yan Jin, Steve Wurzelbacher, Jessica Ramsey Disclosures Occup Environ Med. 2013;70(8):568-574. Abstract Objectives To quantify the risk for carpal tunnel syndrome (CTS) from workplace physical factors, particularly hand activity level and forceful exertion, while taking into […]

Hydrocodone Curbs Back Pain All by Itself

Published: Apr 15, 2013 By Ed Susman , Contributing Writer, MedPage Today Action Points This study was published as an abstract and presented at a conference. These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal. Treatment with extended-release hydrocodone without acetaminophen offered effective relief from chronic low back […]

Adding Chiropractic Manipulative Therapy to Standard Medical Care for Patients With Acute Low Back Pain

Results of a Pragmatic Randomized Comparative Effectiveness Study Goertz, Christine M. DC, PhD Spine: 15 April 2013 – Volume 38 – Issue 8 – p 627–634 Journal Reference Abstract Study Design. Randomized controlled trial. Objective. To assess changes in pain levels and physical functioning in response to standard medical care (SMC) versus SMC plus chiropractic […]

Central Fat Has Role in Women’s Fracture Risk

Published: Apr 12, 2013 By Nancy Walsh , Staff Writer, MedPage Today Action Points Older women with low abdominal fat stores were at substantially higher risk for fractures, particularly of the vertebrae. Note that fracture risk among both women and men was significantly greater with older age, previous fracture, history of falls, and lower bone […]

Fluoride No Help in Osteopenia

Published: Apr 11, 2013 By Kristina Fiore , Staff Writer, MedPage Today Action Points This is a double-blind, placebo controlled trial designed to evaluate the bone effects of several doses of fluoride in postmenopausal women with osteopenia. The study found no effect of fluorides compared with placebo on bone mineral density.   Low-dose fluoride didn’t […]

Management of chronic tendon injuries

Childress MA,et al. Am Fam Physician. 2013 Apr 1;87(7):486-90. Abstract Chronic tendon injuries present unique management challenges. The assumption that these injuries result from ongoing inflammation has caused physicians to rely on treatments demonstrated to be ineffective in the long term. Nonsteroidal anti-inflammatory drugs should be limited in the treatment of these injuries. Corticosteroid injections […]

Posture Provides Clue for Future Disability

The shape of an individual’s spinal column may predict his or her risk for nursing home admission or need of home assistance in old age….

Very Flexible Dancers Less Fit, More Anxious

Janis C. Kelly April 04, 2013 Generalized flexibility or joint hypermobility is highly valued among professional dancers and widely sought by dance students, but Dutch researchers have found that the more flexible dancers from the Amsterdam School of Arts Academy for dance and theater were also at greatest risk for injury. Mark C. Scheper, PhD, […]

Reoperation rate after surgery for lumbar herniated intervertebral disc disease

Nationwide cohort study Kim CH Spine (Phila Pa 1976). 2013 Apr 1;38(7):581-90. doi: 10.1097/BRS.0b013e318274f9a7. PubMedReference Abstract STUDY DESIGN: Retrospective cohort study using national health insurance data. OBJECTIVE: To provide a longitudinal reoperation rate after surgery for lumbar herniated intervertebral disc (HIVD) disease, and to compare the reoperation rates of surgical methods. SUMMARY OF BACKGROUND DATA: […]