Physical Modalities

The Clinical Efficacy of Extracorporeal Shock Wave Therapy Combined With Platelet-Rich Plasma and Exercise for Lateral Epicondylitis: Prospective Randomized Sham-Controlled Ultrasonographic Study

Archives of Physical Medicine and Rehabilitation Volume 106, Issue 8 p1173-1182 August 2025 HIGILIGHTS •  Combined ESWT and PRP offer superior pain relief and functional recovery in lateral epicondylitis. •  PRP enhances wrist strength, shown by isokinetic evaluations. •  No differences in ultrasonographic outcomes between treatment groups. •  Therapeutic exercise amplifies the effectiveness of lateral […]

Conservative Treatments of Carpal Tunnel Syndrome: A Systematic Review and Network Meta-analysis

Archives of Physical Medicine and Rehabilitation Volume 106, Issue 9p1447-1458September 2025 Published online April 29, 2025 Yuanhao Chen, Msc Abstract Objective To evaluate the comparative efficacy of various conservative treatments for carpal tunnel syndrome (CTS), including manual therapy (MT), local steroid injections, platelet-rich plasma (PRP) injections, extracorporeal shock wave therapy, and low-level laser therapy, through […]

Red light therapy shows promise for pain relief, inflammation and skin conditions—but other claims might be hyped

Published January 24, 2025 | Originally published on The Conversation Health & Medicine Red light therapy is increasingly viewed as a promising treatment for wrinkles, acne, psoriasis, scars and sun-damaged skin, and as a supportive therapy for some kinds of cancer. But does red light therapy live up to the hype that it’s practically a […]

Vibration therapy to improve pain and function in patients with chronic low back pain: a systematic review and meta-analysis

J Orthop Surg Res. 2023 Sep 26;18(1):727. doi: 10.1186/s13018-023-04217-2. Qiang Li 1, Pan Liu 2 3, Zongbao Wang 4 5, Xin Li 1 PMID: 37752526 PMCID: PMC10523661 DOI: 10.1186/s13018-023-04217-2 Abstract Background: Vibration therapy (VT), a treatment of musculoskeletal disorders, has been developed for clinical applications in the past decade. However, its effect on relieving chronic […]

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 […]

Complementary and Integrative Health Approaches and Pain Care Quality in the Veterans Health Administration Primary Care Setting: A Quasi-Experimental Analysis

J Integr Complement Med. 2023 Mar 27. doi: 10.1089/jicm.2022.0686. Ling Han Abstract Background: Complementary and integrative health (CIH) approaches have been recommended in national and international clinical guidelines for chronic pain management. We set out to determine whether exposure to CIH approaches is associated with pain care quality (PCQ) in the Veterans Health Administration (VHA) […]

Effect of low-level laser therapy on pain and disability in patients with plantar fasciitis: A systematic review and meta-analysis

Musculoskeletal Science and Practice Volume 57, February 2022, 102478 Janice S.Guimarães Highlights •  Plantar fasciitis (PF) is one of the most common foot disorders. •  For the disability outcome, we did not identify any improvement with the use of LLLT. •  We did not identify any significant difference when LLLT was compared to ESWT. •  […]

Extracorporeal Shockwave Therapy in the Treatment of Trigger Finger: A Randomized Controlled Study

Archives of Physical Medicine and Rehabilitation VOLUME 102, ISSUE 11, P2083-2090.E1, NOVEMBER 01, 2021 Yu-Pin Chen, MD, PhD HIGHLIGHTS • Clinical effectiveness of extracorporeal shockwave therapy (ESWT) for trigger finger (TF) remains unclear. • Wide-focused ESWT could be safe and effective for pain relief and functional improvement in TF. • Dose-related effectiveness of wide-focused ESWT […]

AMA Patient Page – Low Back Pain

AMA Patient Page July 20, 2021 Low Back Pain Adrian C. Traeger, PhD JAMA. 2021;326(3):286. doi:10.1001/jama.2020.19715 Journal Reference

Effects of osteopathic manipulative treatment and bio-electromagnetic energy regulation therapy on lower back pain

Auger, Kyle, Shedlock, Gregory, Coutinho, Kasey, Myers, Nicole E. and Lorenzo, Santiago. “Effects of osteopathic manipulative treatment and bio-electromagnetic energy regulation therapy on lower back pain” Journal of Osteopathic Medicine, vol. 121, no. 6, 2021, pp. 561-569. https://doi.org/10.1515/jom-2020-0132 Abstract Context Lower back pain (LBP) is prevalent and is a leading contributor to disease burden worldwide. […]

Non-invasive Management of Soft Tissue Disorders of the Shoulder: A Clinical Practice Guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration

Eur J Pain. 2021 May 4. doi: 10.1002/ejp.1788. Online ahead of print. Hainan Yu Abstract Objectives: To develop an evidence-based guideline for the non-invasive management of soft tissue disorders of the shoulder (shoulder pain), excluding major pathology. Methods: This guideline is based on high-quality evidence from seven systematic reviews. Multidisciplinary experts considered the evidence of effectiveness, safety, […]

Effectiveness of treatments for acute and subacute mechanical non-specific low back pain: a systematic review with network meta-analysis

Gianola S, Bargeri S, Del Castillo G, et al British Journal of Sports Medicine Published Online First: 13 April 2021. doi: 10.1136/bjsports-2020-103596 Abstract Objective To assess the effectiveness of interventions for acute and subacute non-specific low back pain (NS-LBP) based on pain and disability outcomes. Design A systematic review of the literature with network meta-analysis. Data sources Medline, […]

The effects of axial loading on the morphometric and T2 characteristics of lumbar discs in relation to disc degeneration

Clinical Biomechanics Volume 83, March 2021, 105291 Clinical Biomechanics VahidAbdollah Highlights • Effects of disc compression and traction measured using geometric and T2 centroids. • The largest responses to loading were observed at the lower lumbar levels. • The magnitude of responses to loading were associated with severity of disc degeneration. • T2 disc centroid, […]

Effects of low-level and high-intensity laser therapy as adjunctive to rehabilitation exercise on pain, stiffness and function in knee osteoarthritis: A systematic review and meta-analysis

Ahmad MA Physiotherapy | March 29, 2021 Researchers aimed at ascertaining if and how low-level (LLLT) or high-intensity laser therapy (HILT) combined with rehabilitation exercise (LLLT + E or HILT + E) affects pain, stiffness and function in knee osteoarthritis (KOA). They searched five databases (PubMed, Web of Science, CINAHL, PEDro and SPORTDiscus) resulting in […]

Pulsed Electromagnetic Fields Accelerate Sensorimotor Recovery Following Experimental Disc Herniation

Chan, Andrew K. MD SPINE: February 15, 2021 – Volume 46 – Issue 4 – p E222-E233 doi: 10.1097/BRS.0000000000003762 Study Design. An experimental animal study. Objective. The aim of this study was to investigate the effect of pulsed electromagnetic fields (PEMF) on recovery of sensorimotor function in a rodent model of disc herniation (DH). Summary […]

VA to Eliminate Spinal Decompression from Standardized Episodes of Care

12/23/2020 Update from the U.S. Department of Veterans Affairs VA to Eliminate Spinal Decompression from Standardized Episodes of Care VA has reviewed its policy relating to chiropractic care and will no longer reimburse spinal decompression Healthcare Common Procedure Coding System (HCPCS) code S9090 on VA standardized episodes of care (SEOC) with dates of service effective […]

Effectiveness of Mechanical Traction for Lumbar Radiculopathy: A Systematic Review and Meta-analysis

Carla Vanti, PT, MSc, OMPT Physical Therapy, pzaa231, https://doi.org/10.1093/ptj/pzaa231 Published: 31 December 2020 Abstract Objective Lumbar radiculopathy is a pain syndrome caused by compression/irritation of the lumbar nerve root(s). Traction is a well-known and commonly used conservative treatment for lumbar radiculopathy, although its effectiveness is disputed. The purpose of this systematic review and meta-analysis of […]

Effects of Manual Therapy and Mechanical Massage on Spinal Alignment, Extension Range of Motion, Back Extensor Electromyographic Activity, and Thoracic Extension Strength in Individuals with Thoracic Hyperkyphosis: A Randomized Controlled Trial

Evidence-Based Complementary and Alternative Medicine Volume 2020 |Article ID 6526935 | https://doi.org/10.1155/2020/6526935 Sung-hoon Jung Abstract Background. Manual therapy has been recommended to reduce and prevent musculoskeletal problems related to thoracic hyperkyphosis. With recent rapid technological developments, manual techniques can now be implemented by mechanical devices; hence, mechanical massage can manipulate the back muscles and mobilize […]

Short-term effect of kinesiology taping on pain, functional disability and lumbar proprioception in individuals with nonspecific chronic low back pain: a double-blinded, randomized trial

November 20, 2020 Soheila Abbasi, Mohammad-Reza Hadian Rasanani, Nastaran Ghotbi, Gholam Reza Olyaei, Ali Bozorgmehr & Omid Rasouli Chiropractic & Manual Therapies volume 28, Article number: 63 (2020) Abstract Background This study aimed to evaluate the effect of kinesiology taping (KT) on lumbar proprioception, pain, and functional disability in individuals with nonspecific chronic low back […]

Taping for conditions of the musculoskeletal system: an evidence map review – Full Text

Published: 15 September 2020 Zachary A. Cupler Chiropractic & Manual Therapies Volume 28, Article number: 52 (2020) Abstract Background Taping is a common treatment modality used by many rehabilitation providers. Several types of tapes and taping methods are used in the treatment of musculoskeletal dysfunction and pain. Purpose To summarize and map the evidence related […]