Musculoskeletal System

Association between knee pain and low back pain

J Pak Med Assoc. 2015 Jun;65(6):626-31. Rahbar M Abstract OBJECTIVE: To evaluate the association between knee pain and lumbar disorders. METHODS: The case-control study was conducted at Physical Medicine and Rehabilitation Department, Tabriz University of Medical Sciences, Iran, from December 2009 to March 2011, and comprised patients with primary complaint of knee pain. A separate […]

Nutritional Approach for Carpal Tunnel Syndrome

For over 30 years it has been known that many conditions treated by surgery could be totally cured with pennies worth of nutrients. But there’s no money in pennies of nutrients. Surgeon Dr. John Ellis wrote extensively about how vitamin B6 cleared the majority of carpal tunnel syndromes, and other clinicians confirmed this. The normal […]

Clinical decision rule for primary care patient with acute low back pain at risk of developing chronic pain

The Spine Journal Volume 15, Issue 7, 1 July 2015, Pages 1577–1586 Clinical Study Wolf E. Mehling, MD Abstract Background context Primary care clinicians need to identify candidates for early interventions to prevent patients with acute pain from developing chronic pain. Purpose We conducted a 2-year prospective cohort study of risk factors for the progression […]

Family Practice Experts Recommendations for Chronic Pain Includes Manipulation, Endurance Exercise, Acupuncture, etc

Family Practice Essentials. 2015 May;432:21-6. Chronic pain management: nonpharmacological therapies for chronic pain. Chang KL, Fillingim R2, Hurley RW3, Schmidt S4. Abstract Nonpharmacologic therapies have become a vital part of managing chronic pain (CP). Although these can be used as stand-alone therapies, nonpharmacologic treatments often are used to augment and complement pharmacologic treatments (ie, multimodal […]

Clinical Comparative Study for Ultrasound-Guided Trigger-Point Needling for Myofascial Pain

Bubnov Rostyslav V. and Wang Jun. Medical Acupuncture. December 2013, 25(6): 437-443. ABSTRACT Background: Most pain syndromes in clinical practice are myofascial in nature and are caused by the myofascial trigger point (MTrP) formation. Recent clinical studies show that MTrP dry needling is most effective to release myofascial pain after local twitch response (LTR) is […]

Articular dysfunction patterns in patients with mechanical low back pain: A clinical algorithm to guide specific mobilization and manipulation techniques

Manual Therapy Volume 20, Issue 3, June 2015, Pages 499-502 Manual Therapy Professional issue V. Dewitte, B. Cagnie Abstract Recent systematic reviews have demonstrated reasonable evidence that lumbar mobilization and manipulation techniques are beneficial. However, knowledge on optimal techniques and doses, and its clinical reasoning is currently lacking. To address this, a clinical algorithm is […]

A Somatovisceral Reflex of Lowered Blood Pressure and Pulse Rate

Asian Journal of Multidiciplinary Studies Vol 3, No 6 (2015) Steven David Roffers, J. Michael Menke, David Houston Morris Abstract OBJECTIVE: A randomized controlled trial (RCT) was designed to test effects of specific thoracic (T1 to T5) manipulations using an Activator instrument for changes in diastolic and systolic blood pressure, blood pressure classification, and pulse […]

Spine motion during coitus (with commentary on the implications)

Physicists and engineers, among others, might be able to appreciate the care that went into this study of female spine motion during coitus: “Documenting female spine motion during coitus with a commentary on the implications for the low back pain patient,”Natalie Sidorkewicz and Stuart M. McGill, European Spine Journal, Volume 24, Issue 3, March 2015, pp. 513-520. The […]

Study links smoking with worse subjective treatment outcomes for rotator cuff tears

June 8, 2015 LYON, France — Results from a prospective study of patients with symptomatic, full-thickness rotator cuff tears highlighted smoking as an independent predictor of poorer patient-reported outcomes. “We have found that smoking is an independent predictor of outcome for patients with rotator cuff tears,” Bruce S. Miller, MD, said during his presentation at […]

Manual therapy for the management of pain and limited range of motion in subjects with signs and symptoms of temporomandibular disorder

Manual therapy for the management of pain and limited range of motion in subjects with signs and symptoms of temporomandibular disorder: a systematic review of randomised controlled trials L. B. Calixtre Article first published online: 7 JUN 2015 Summary There is a lack of knowledge about the effectiveness of manual therapy (MT) on subjects with […]

The prevalence of sacroiliac joint degeneration in asymptomatic adults

J Bone Joint Surg Am. 2015 Jun 3;97(11):932-6. doi: 10.2106/JBJS.N.01101. Eno JJ, Boone CR, Bellino MJ, Bishop JA. Abstract BACKGROUND: Degenerative changes of the sacroiliac joint have been implicated as a cause of lower back pain in adults. The purpose of this study was to determine the prevalence of sacroiliac joint degeneration in asymptomatic patients. […]

Knee and ankle valgus stress elevated in patients with pediatric flexible flatfoot

May 29, 2015 PRAGUE — According to research presented at the 16th EFORT Congress, elevated valgus stress was found in the knees and ankles of patients with pediatric flexible flatfoot. Tamás Terebessy, MD, and colleagues compared data from 23 patients with pediatric flexible flatfeet against 14 healthy controls. A 3-D gait analysis was performed using […]

Can patients identify what triggers their back pain?

Pain. 2015 Jun 1. [Epub ahead of print] Can patients identify what triggers their back pain? Secondary analysis of a case-crossover study. Parreira P Abstract The aim of this case-crossover study was to investigate the extent to which patients can accurately nominate what triggered their new episode of sudden onset, acute low back pain (LBP). […]

Factors associated with pain and disability reduction following exercise interventions in chronic whiplash

Eur J Pain. 2015 May 29. doi: 10.1002/ejp.729. [Epub ahead of print] Landén Ludvigsson M Abstract BACKGROUND: Some studies support the prescription of exercise for people with whiplash-associated disorders (WAD); however, the response is highly variable. Further research is necessary to identify factors which predict response. METHODS: This is a secondary analysis of a randomized, […]

Associations between lumbosacral transitional anatomy types and degeneration at the transitional and adjacent segments

Farshad-Amacker NA, et al. Spine J. 2015. Show full citation Abstract BACKGROUND CONTEXT: The relation between specific types of lumbosacral transitional vertebra and the degree of degeneration at and adjacent to the transitional level is unclear. It is also unknown whether the adjacent cephalad segment to a transitional vertebra is prone to greater degeneration than a […]

Acupuncture Causes Brain Changes in Patients With Hand Pain

Laird Harrison May 28, 2015 PALM SPRINGS, California — Acupuncture appears to thicken the cortex of patients with idiopathic hand pain while alleviating their pain, a new study suggests. The finding provides new evidence for a condition resembling carpal tunnel syndrome but with a different cause, said first author, Norman Kettner, DC, chair of radiology […]

Depression May Increase Risk of Low Back Pain

05.27.2015 Patients with symptoms of depression are at increased risk of developing a new episode of low back pain compared with those who are not depressed, a meta-analysis has found. Analysis also showed that the more severe the depression, the greater the risk of low back pain. In a pooled analysis of 19 studies, 11 […]

First study on the effects of unstable shoes with curved soles on trunk muscles and lumbar lordosis

Date: May 18, 2015 Source: Asociación RUVID Summary: Unstable shoes – compared to normal shoes – improve trunk muscle activity in order to maintain balance, which in turn favors spine stability and can help reduce low back pain, new research concludes. The few studies that have been conducted so far on this type of footwear […]

Do participants with low back pain who respond to spinal manipulative therapy differ biomechanically from non-responders, untreated or asymptomatic controls?

Spine (Phila Pa 1976). 2015 May 27. [Epub ahead of print] Wong AY Abstract STUDY DESIGN: Non-randomized controlled studyObjective. To determine if low back pain (LBP) patients who respond to spinal manipulative therapy (SMT) differ biomechanically from non-responders and untreated asymptomatic controls. SUMMARY OF BACKGROUND DATA: Some, but not all LBP patients report improvement in […]

Cognitive-behavioural treatment for subacute and chronic neck pain

Marco Monticone Editorial Group: Cochrane Back Group Published Online: 26 MAY 2015 Assessed as up-to-date: 20 NOV 2014 DOI: 10.1002/14651858.CD010664.pub2 Copyright © 2015 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. Abstract Background Although research on non-surgical treatments for neck pain (NP) is progressing, there remains uncertainty about the efficacy of cognitive-behavioural therapy (CBT) […]