Pain

Changes in pain sensitivity following spinal manipulation: a systematic review and meta-analysis

The Facts: a. Spinal manipulation is a common form of treatment for musculoskeletal conditions. b. It is frequently used for the treatment of pain. c. The mechanism by which this manipulative therapy reduces pain is unclear. d. However, one method by which spinal manipulation may reduce pain is by reducing pain sensitivity. e. “Meta-analysis was […]

Manual Therapy Followed by Specific Active Exercises Versus a Placebo Followed by Specific Active Exercises on the Improvement of Functional Disability in Patients With Chronic Non Specific Low Back Pain

A RANDOMIZED CONTROLLED TRIAL Pierre Balthazard, Pierre de Goumoens, Gilles Rivier, Philippe Demeulenaere, Pierluigi Ballabeni, Olivier DériazDisclosures BMC Musculoskelet Disord. 2012;13(162) ABSTRACT Background: Recent clinical recommendations still propose active exercises (AE) for CNSLBP. However, acceptance of exercises by patients may be limited by pain-related manifestations. Current evidences suggest that manual therapy (MT) induces an immediate […]

Multivariable analysis of the relationship between pain referral patterns and the source of chronic low back pain

Review article Laplante BL, et al. Citation Pain Physician. 2012 Mar-Apr;15(2):171-8. Abstract BACKGROUND: Discogenic, facet joint, and sacroiliac joint mediated axial low back pain may be associated with overlapping pain referral patterns into the lower limb. Differences between pain referral patterns for these three structures have not been systematically investigated. OBJECTIVE: To examine the individual […]

The Nervous System and Metabolic Dysregulation: Emerging Evidence Converges on Ketogenic Diet Therapy

David N. Ruskin Front Neurosci. 2012; 6: 33. Published online 2012 Mar 26. Prepublished online 2012 Jan 16. doi: 10.3389/fnins.2012.00033 Abstract A link between metabolism and brain function is clear. Since ancient times, epileptic seizures were noted as treatable with fasting, and historical observations of the therapeutic benefits of fasting on epilepsy were confirmed nearly […]

Exercise Prescription for Chronic Back or Neck Pain: Who Prescribes It? Who Gets It? What Is Prescribed?

Arthritis Care Research News Alerts. 2009;61(2):192-200. Exercise is commonly used to improve physical function, decrease symptoms and minimize disability caused by chronic low back or neck pain. Numerous randomized trials and clinical practice guidelines have supported this practice, and studies suggest that individually tailored, supervised exercise programs are associated with the best outcomes. Nevertheless, there […]

Neural mechanism underlying acupuncture analgesia

Progress in Neurobiology Volume 85, Issue 4, August 2008, Pages 355–375 Zhi-Qi Zhao Abstract Acupuncture has been accepted to effectively treat chronic pain by inserting needles into the specific “acupuncture points” (acupoints) on the patient’s body. During the last decades, our understanding of how the brain processes acupuncture analgesia has undergone considerable development. Acupuncture analgesia […]

The biochemical origin of pain: The origin of all pain is inflammation and the inflammatory response

The biochemical origin of pain: The origin of all pain is inflammation and the inflammatory response. Part 2 of 3 – Inflammatory profile of pain syndromes Sota Omoigui Division of Inflammation and Pain Research, L.A Pain Clinic, 4019 W. Rosecrans Avenue, Los Angeles, CA 90250, United States Published Online: August 29, 2007 Summary Every pain […]

Hip Joint Pain Referral Patterns: A Descriptive Study

John M. Lesher, MD, MPH, Paul Dreyfuss, MD, Nelson Hager, MD, Michael Kaplan, MD, Michael Furman, MD Pain Medicine, Volume 9, Issue 1, January 2008, Pages 22–25, https://doi.org/10.1111/j.1526-4637.2006.00153.x Published: 23 July 2007 ABSTRACT Objective. To determine hip joint pain referral patterns. Design. Retrospective analysis. Setting. Multicenter. Patients. Fifty-one consecutive patients meeting clinical criteria of a symptomatic hip joint. Interventions. Fluoroscopically […]

Osteopathic manipulative medicine considerations in patients with chronic pain

J Am Osteopath Assoc. 2005 Sep;105(9 Suppl 4):S29-36. Kuchera ML. Abstract Osteopathic manipulative medicine (OMM) incorporates diagnostic and therapeutic strategies that address body unity, homeostatic mechanisms, and structure-function interrelationships. In regard to pain, osteopathic physicians take thorough histories guided by palpatory examination to determine the quality, duration, and origin of this condition, how it uniquely […]