Musculoskeletal System

What Therapies Are Effective For Neck Pain From Whiplash?

This study suggests that mobilization, manipulation, and clinical massage are effective interventions for the management of neck pain. All of these therapies are offered at my office for the treatment of whiplash. Spine J. 2016 Dec;16(12):1598-1630. doi: 10.1016/j.spinee.2015.08.024. Epub 2015 Dec 17. Are manual therapies, passive physical modalities, or acupuncture effective for the management of […]

Low Back Pain – Evidence Based Patient Education [Video]

Low Back Pain Low back pain affects up to 90% of the population, there are some yellow and red flags to keep in mind

Correlation of MRI Findings with Clinical Findings for Lumbar Disc Herniation

Asian Spine J. 2016 Dec;10(6):1115-1121. doi: 10.4184/asj.2016.10.6.1115. Epub 2016 Dec 8. Shumayou Dutta PMID: 27994789 PMCID: PMC5165003 DOI: 10.4184/asj.2016.10.6.1115 Abstract Study design: A single-center prospective study. Purpose: A magnetic resonance imaging (MRI) scan is undeniably the gold standard for the diagnosis of a lumbar disc prolapse. Unfortunately it shares a strong association with incidental findings. […]

Open-label placebo treatment in chronic low back pain: A randomized controlled trial

Pain, 11/29/2016 Carvalho C, et al. Researchers performed this randomized controlled trial to explore whether placebo effects in chronic low back pain could be harnessed ethically by adding open–label placebo (OLP) treatment to treatment as usual (TAU) for 3 weeks. They conclude that in chronic low back pain, OLP pills presented in a positive context […]

Efficacy of Cabbage Leaf Wraps in the Treatment of Symptomatic Osteoarthritis of the Knee: A Randomized Controlled Trial (Full Text)

Clin J Pain. 2016 Nov;32(11):961-971. Lauche R1, Gräf N, Cramer H, Al-Abtah J, Dobos G, Saha FJ. Abstract OBJECTIVES: Osteoarthritis (OA) of the knee is one of the most common chronic diseases among older adults. This study aimed to test the effects of cabbage leaf wraps (CLWs) in the treatment of symptomatic OA. METHODS: Patients […]

The effect of manipulation plus massage therapy versus massage therapy alone in people with tension-type headache. A randomized controlled clinical trial

European Journal of Physical and Rehabilitation Medicine, 11/29/2016 Espi–Lopez GV, et al. – A randomized, single–blinded, controlled clinical trial was conducted to compare the impact of spinal manipulation combined with massage versus massage alone on range of motion of the cervical spine, headache frequency, intensity and disability in patients with tension–type headache (TTH). The results […]

Variations in Occipitocervical and Cervicothoracic Alignment Parameters Based on Age: A Prospective Study of Asymptomatic Volunteers Using Full-Body Radiographs Iyer, Sravisht MD

Spine: 1 December 2016 – Volume 41 – Issue 23 – p 1837–1844 doi: 10.1097/BRS.0000000000001644 Abstract Study Design. Cross-Sectional Cohort Study Objective. To describe age-stratified normative values of novel occipitocervical, cervical, and cervicothoracic alignment parameters. Summary of Background Data. Full-body radiographic images obtained without stitching or vertical distortion represent an ideal method to evaluate occipitocervical […]

Diagnosis and Treatment of C4 Radiculopathy

Spine: 1 December 2016 – Volume 41 – Issue 23 – p 1790–1794 doi: 10.1097/BRS.0000000000001620 Abstract Study Design. Clinical case series. Objective. This study sought to clarify symptoms, diagnostic criteria, and treatment of C4 radiculopathy, and the role of diagnostic C4 root block in this entity. Summary of Background Data. Although well understood cervical dermatomal/myotomal […]

Total Knee Arthroplasty After Knee Arthroscopy in Patients Older Than 50 Years

Jason A. Boyd, MD; Ian M. Gradisar, MD   Orthopedics November/December 2016 – Volume 39 · Issue 6: e1041-e1044 Posted November 29, 2016 DOI: 10.3928/01477447-20160719-01 Abstract Several orthopedic registries have described the incidence of total knee arthroplasty (TKA) in patients who have undergone knee arthroscopy. Patient risk factors may play a role in the conversion […]

Does vitamin D deficiency trigger carpal tunnel syndrome?

J Back Musculoskelet Rehabil. 2016 Nov 21;29(4):835-839. Tanik N Abstract OBJECTIVE: Vitamin D deficiencies are associated with a variety of chronic diseases. The goal of the present study was to investigate the relationship between vitamin D levels and carpal tunnel syndrome (CTS). METHODS: This study included 90 patients with mild to moderate CTS and assessed […]

Knee OA No Excuse to Skip Out on Physical Activity

by Ryan Basen Staff Writer, MedPage Today November 17, 2016 WASHINGTON — Most people with knee osteoarthritis (OA) were able to walk the 6,000 daily steps they needed to improve their condition and prevent disability, according to researchers here. In a prospective observational study, nearly half of the 1,790 knee OA patients (or high-risk knee […]

Serum vitamin C and spinal pain: a nationwide study

Pain. 2016 Nov;157(11):2527-2535. doi: 10.1097/j.pain.0000000000000671. Clermont E Dionne PMID: 27434504 DOI: 10.1097/j.pain.0000000000000671 Abstract Back pain brings about one of the heaviest burden of disease. Despite much research, this condition remains poorly understood, and effective treatments are frustratingly elusive. Thus, researchers in the field need to consider new hypotheses. Vitamin C (ascorbic acid) is an essential […]

Cost-effectiveness of spinal manipulative therapy, supervised exercise, and home exercise for older adults with chronic neck pain

Brent Leininger, DC, MS The Spine Journal Volume 16, Issue 11, November 2016, Pages 1292–1304 Abstract Background Context Chronic neck pain is a prevalent and disabling condition among older adults. Despite the large burden of neck pain, little is known regarding the cost-effectiveness of commonly used treatments. Purpose This study aimed to estimate the cost-effectiveness […]

The Treatment of Neck Pain–Associated Disorders and Whiplash-Associated Disorders: A Clinical Practice Guideline

JMPT October 2016 Volume 39, Issue 8, Pages 523–564.e27 André E. Bussières, DC, PhD Abstract Objective The objective was to develop a clinical practice guideline on the management of neck pain–associated disorders (NADs) and whiplash-associated disorders (WADs). This guideline replaces 2 prior chiropractic guidelines on NADs and WADs. Methods Pertinent systematic reviews on 6 topic […]

Evaluation of Psoas Major and Quadratus Lumborum Recruitment Using Diffusion-Weighted Imaging Before and After Five Trunk Exercises

Authors: Atsushi Imai, PhD Journal of Orthopaedic & Sports Physical Therapy, 2016 Volume:0 Issue:0 Pages:1–25 DOI: 10.2519/jospt.2017.6730 Study Design Controlled laboratory study; pre-test post-test. Background Diffusion-weighted (DW) imaging is a non-invasive magnetic resonance imaging technique that can be used to assess the recruitment of the psoas major (PM) and quadratus lumborum (QL). The recruitment of […]

Low back pain prevalence in healthcare professionals and identification of factors affecting low back pain

J Back Musculoskelet Rehabil. 2016 Nov 11. [Epub ahead of print] Cınar-Medeni O Abstract BACKGROUND: Work-related musculoskeletal system diseases are commonly observed among nurses, physiotherapists, dentists, and dieticians. OBJECTIVE: To assess working postures of nurses, physiotherapists, dentists and dieticians, to identify whether low back pain (LBP) is present, and to put forth the correlation between […]

Update on the clinical effect of acupuncture therapy in patients with gouty arthritis: Systematic review and meta-analysis

Evidence-based Complementary and Alternative Medicine , 11/01/2016 Lu WW, et al. The aim of this study is to evaluate the clinical efficacy and safety of acupuncture therapy in the treatment of acute gouty arthritis. In context of the findings,, the authors illustrate that acupuncture is an effective and safe therapy for patients with gouty arthritis. […]

Serum vitamin C and spinal pain: A nationwide study

Pain — Dionne C, et al. | November 01, 2016 In this study, suboptimal serum vitamin C concentrations appeared to be associated with the prevalence of neck pain, low back pain, and low back pain with pain below knee, self–reported diagnosis of arthritis/rheumatism, and related functional limitations’ score. Authors recommend further investigation to determine the […]

Randomized controlled trial comparing hyaluronic acid, platelet-rich plasma and the combination of both in the treatment of mild and moderate osteoarthritis of the knee

Lana JFSD Abstract Objective: This study aims to evaluate the clinical effects of Platelet Rich Plasma (PRP) and Hyaluronic Acid (HA) as individual treatments for mild to moderate Osteoarthritis (OA), and also examine the potential synergistic effects of PRP in combination with HA. Research continues to emerge examining the potential therapeutic efficacy of HA and […]

Migraine Linked to Mouth Bacteria

Pauline Anderson October 21, 2016 Researchers may have uncovered a mechanism behind nitrate-based triggers in migraine. They found that compared with people who don’t experience migraines, those who do have significantly more nitrate, nitrite, and nitric oxide reductase genes in oral and fecal samples. For this study, the investigators examined these genes in stool and […]