Musculoskeletal System

We’re Treating Low Back Pain All Wrong

— Let’s reexamine the current approach to treatment by Christine Goertz, DC, PhD April 14, 2023 In December 2019, I attended a National Academies of Sciences workshop on the role of non-pharmacological approaches to pain management. At the end of the meeting, as expected, panelists concluded that more research was needed. However, to my surprise, several scientists […]

Treatment of Insertional Achilles Tendinopathy Using Adjunct Electroacupuncture Therapy: A Randomized Controlled Trial

Matthew Hawks, Erik Clauson, Pamela Hughes, Rebecca Lauters, and Paul Crawford Published Online:13 Apr 2023https://doi.org/10.1089/acu.2022.0051 Abstract Objective: Achilles tendinopathy is a common musculoskeletal condition associated with decreased functionality. The insertional variant (<2cm from the calcaneus) is less responsive to eccentric-exercise therapy. This study looked at the effect of electroacupuncture (EA) + eccentric exercise for treating […]

Adolescents who use smartphones for more than three hours a day found to suffer more from back pain

Published April 7, 2023 | Originally published on MedicalXpress Breaking News-and-Events Thanks to the popularization of smartphones and tablets, and the multiplication of video channels, computer games and educational apps, children and adolescents are spending more and more time looking at screens, usually with bad posture, which can cause back pain, among other problems. A […]

The McKenzie method for (sub)acute non-specific low back pain (not an effective treatment for subacute NSLBP)

Cochrane Database Syst Rev. 2023 Apr 5;4(4):CD009711. doi: 10.1002/14651858.CD009711.pub2. Matheus O Almeida Abstract Background: There is widespread agreement amongst clinicians that people with non-specific low back pain (NSLBP) comprise a heterogeneous group and that their management should be individually tailored. One treatment known by its tailored design is the McKenzie method (e.g. an individualized program […]

Effects of spinal manipulation or mobilization as an adjunct to neurodynamic mobilization for lumbar disc herniation with radiculopathy: a randomized clinical trial

J Man Manip Ther. 2023 Mar 22;1-13. doi: 10.1080/10669817.2023.2192975. Online ahead of print. Musa Sani Danazumi PMID: 36950742 DOI: 10.1080/10669817.2023.2192975 Abstract Objectives: To determine the long-term clinical effects of spinal manipulative therapy (SMT) or mobilization (MOB) as an adjunct to neurodynamic mobilization (NM) in the management of individuals with Lumbar Disc Herniation with Radiculopathy (DHR). Design: Parallel group, single-blind […]

Docs’ Liking for Knee Injection Tied to Industry Payments

— Threefold rate for giving hyaluronic acid shots among those paid more than $100 by John Gever, Contributing Writer, MedPage Today March 20, 2023 Physicians accepting payments from drug and device companies administered significantly more hyaluronic acid (HA) injections to Medicare beneficiaries for knee osteoarthritis, researchers found. Those receiving more than $100 in cash or […]

Temporomandibular Disorder Treated With Chiropractic Therapy

Cureus. 2023 Mar; 15(3): e36377. Published online 2023 Mar 19. doi: 10.7759/cureus.36377 PMCID: PMC10025577 PMID: 36945237 Monitoring Editor: Alexander Muacevic and John R Adler Eric Chun-Pu Chu Abstract Temporomandibular disorders (TMDs) are common and affect the temporomandibular joint (TMJ) and surrounding musculoskeletal tissues. Although traditional rehabilitative treatments such as physiotherapy, occlusal splints, orthodontics, and electrotherapy […]

Induced leg length inequality affects pelvis orientation during upright standing immediately following a sit-to-stand transfer: a pre-post measurement study

Published: 17 March 2023 Simon P. Vella, Michael Swain, Aron Downie, Samuel J. Howarth, Martha Funabashi & Roger M. Engel BMC Musculoskeletal Disorders volume 24, Article number: 203 (2023) Abstract Background Leg length inequality (LLI) greater than 20 mm has been associated with low back pain (LBP) and its correction is clinically recommended. Much less […]

Marathon Running Not a Risk Factor for Arthritis

— A good thing too, because most aren’t going to quit by John Gever, Contributing Writer, MedPage Today March 10, 2023 LAS VEGAS — Intensity of distance running had no bearing on the prevalence of hip and knee osteoarthritis among participants in recent editions of the Chicago Marathon, researchers reported here. Rather, the risk factors […]

Rotator Cuff Reoperation More Likely With Acromioplasty

— Study in Medicare patients adds fuel to ongoing debate by John Gever, Contributing Writer, MedPage Today March 8, 2023 LAS VEGAS — Medicare patients who underwent acromioplasty in conjunction with rotator cuff reconstruction were more likely, not less, to need reoperation within 5 years, researchers found. In what is likely the largest analysis conducted […]

Nonopioid pharmacological management of acute low back pain: A level I of evidence systematic review

Alice Baroncini, Nicola Maffulli, Hazim Al-Zyoud, Andreas Bell, Aleksandar Sevic, Filippo Migliorini First published: 22 February 2023 https://doi.org/10.1002/jor.25508 Abstract Acute low back pain (LBP) imposes a significant socioeconomical burden as it is the condition that, worldwide, cause the most disability. Nonetheless, the literature regarding the best pharmacological management of acute LBP is limited, and the […]

Nonopioid pharmacological management of acute low back pain: A level I of evidence systematic review

Journal of Orthopedic Research Alice Baroncini, Nicola Maffulli, Hazim Al-Zyoud, Andreas Bell, Aleksandar Sevic, Filippo Migliorini First published: 22 February 2023 https://doi.org/10.1002/jor.25508 Abstract Acute low back pain (LBP) imposes a significant socioeconomical burden as it is the condition that, worldwide, cause the most disability. Nonetheless, the literature regarding the best pharmacological management of acute LBP […]

Magnetic Resonance Spectroscopy Displays the Structural and Biochemical Effects of Spinal Manipulative Therapy in Lumbar Discogenic Pain: a case report

SN Comprehensive Clinical Medicine https://doi.org/10.21203/rs.3.rs-2596102/v1 Jessica F Billham Abstract INTRODUCTION: We report utility of magnetic resonance spectroscopy (MRS) in identifying the intervertebral disc (IVD) as a pain generator, describe the contemporary pathophysiology underlying biochemical and structural components of discogenic low back pain (DLBP), and exhibit therapeutic responses to spinal manipulation. CLINICAL FEATURES: A 29-year old […]

Cervicogenic visual dysfunction: an understanding of its pathomechanism

Med Pharm Rep. 2023 Jan; 96(1): 16–19. Published online 2023 Jan 25. doi: 10.15386/mpr-2507 PMCID: PMC9924804 PMID: 36818319 Kingsley King Yi Leung Abstract Atypical symptoms of cervical spondylosis include headache, nausea, gastrointestinal discomfort, blurred vision, tinnitus, hypomnesia, and palpitations. Successful treatment of these atypical symptoms has been achieved after conservative non-invasive and surgical spinal treatments, […]

Dry needling in the management of tendinopathy: A systematic review of randomized control trials

Journal of Bodywork and Movement Therapies VOLUME 33, P128-135, JANUARY 2023 Shibili Nuhmani Abstract Introduction The objective of the study is to evaluate the best available evidence on the effectiveness of DN in the management of tendinopathy. Methods Seven randomized control trials were selected following an electronic search in PubMed, Web of Science, Scopus, and […]

Association Between Hypercholesterolemia and Neck Pain in a Cross-sectional Population-based Study

Ahorukomeye, Peter BSa,b; Mahajan, Arushi BSb; Du, Jerry Y. MDa; Yu, Charles C. MDc; Bhandutia, Amit K. MDd; Ahn, Nicholas U. MDa,b Spine 48(2):p 137-142, January 15, 2023. | DOI: 10.1097/BRS.0000000000004485 Abstract Study Design. Retrospective cross-sectional analysis. Summary of Background Data. Degenerative changes are a major contributor to chronic neck pain. According to the vascular […]

Manual Therapy and Related Interventions for Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis

Journal of Integrative and Complementary Medicine VOL. 28, NO. 12 | Jihang Du, Qiang Yuan, Xiao-Yan Wang, Jun-Hui Qian, Jie An, Qian Dai, Xiang-Yun Yan, Bojun Xu, Jian Luo, and Hao-Zhong Wang Published Online: 7 Dec 2022 https://doi.org/10.1089/jicm.2022.0542 Abstract Objective: Systematic review and meta-analysis to assess the efficacy of Manual therapy and related interventions in […]

Relationship Between Sacroiliac Joint–related Pain and Spinopelvic Mobility

Tonosu, Juichi MD, PhD Spine: September 15, 2022 – Volume 47 – Issue 18 – p E582-E586 doi: 10.1097/BRS.0000000000004390 Abstract Study Design. A case-control study. Objective. To evaluate the relationship between sacroiliac joint–related pain (SIJ-RP) and spinopelvic mobility. Summary of Background Data. No specific radiological findings are available for the diagnosis of SIJ-RP. A previous […]

Shared genetic susceptibility between trigger finger and carpal tunnel syndrome: a genome-wide association study

The Lancet Rheumatology VOLUME 4, ISSUE 8, E556-E565, AUGUST 2022 Benjamin Patel, BMBCh Published: August, 2022DOI:https://doi.org/10.1016/S2665-9913(22)00180-1 Summary Background Trigger finger and carpal tunnel syndrome are the two most common non-traumatic connective tissue disorders of the hand. Both of these conditions frequently co-occur, often in patients with rheumatoid arthritis. However, this phenotypic association is poorly understood. […]

Effect of Dry Cupping Therapy on Pain and Functional Disability in Persistent Non-Specific Low Back Pain: A Randomized Controlled Clinical Trial

J Acupunct Meridian Stud. 2021 Dec 31;14(6):219-230. doi: 10.51507/j.jams.2021.14.6.219. Marianna de Melo Salemi 1, Vanessa Maria da Silva Alves Gomes 1, Laylla Marjorye Rebouças Bezerra 1, Thania Maion de Souza Melo 1, Geisa Guimarães de Alencar 1, Iracema Hermes Pires de Mélo Montenegro 2, Alessandra Paula de Melo Calado Abstract Background: Cupping therapy is used […]