Journal of Orthopaedic & Sports Physical Therapy Published Online: February 28, 2021Volume 51 Issue 3 Pages103-114 https://www.jospt.org/doi/10.2519/jospt.2021.9748 Abstract Objective To assess the effectiveness of prehabilitation in patients with degenerative disorders of the lumbar spine who are scheduled for spine surgery. Design Intervention systematic review with meta-analysis. Literature Search Seven electronic databases were systematically searched for […]
Archives of Physical Medicine and Rehabilitation VOLUME 102, ISSUE 3, P463-469, MARCH 01, 2021 Carlos Cruz-Montecinos, MSc. Highlights • The effect of dual tasking on muscle endurance performance after lumbar diskectomy remains uninvestigated. • Compared with single tasking, dual tasking has a positive effect on trunk muscle endurance in patients with lumbar diskectomy. • The […]
Complementary Therapies in Clinical Practice Volume 42, February 2021, 101261 Clinton J. Daniels Highlights • Three adequately powered randomized clinical trials investigated manual and manipulative therapy (MMT) after lumbar surgery. • There is moderate evidence that inpatient neural mobilization does not improve outcomes after lumbar surgery. • Low-level literature is suggestive of MMT being beneficial […]
January 1, 2021 BY RONALD FEISE, DC A patient tells you his father has had low back pain for several years and has tried many treatments, but nothing has helped. Spinal fusion has been recommended. Complicating matters, his father lives on the other side of the country. How do you respond? What does the current […]
World Neurosurg. 2020 Nov 27;146:298-306. doi: 10.1016/j.wneu.2020.11.121. Wenbo Xu Abstract Objective: We sought to evaluate the efficacy and safety of lumbar fusion versus nonoperative care for the treatment of chronic low back pain associated with degenerative disk disease. Methods: A comprehensive duplicate electronic database search including PubMed, Embase, Cochrane Library, and China National Knowledge Infrastructure was conducted […]
From this article: Patients in the surgical group underwent standard microdiskectomy approaches. Nonsurgical care consisted of patient education, activity/exercise, oral analgesics, use of active physiotherapy provided at the discretion of physiotherapists not associated with the trial, and an epidural glucocorticoid injection administered by a fellowship-trained anesthesiologist. ~ Dr. Broussard -Single-center study shows superior pain relief […]
Petersen, Tom PhDa; Juhl, Carsten B. PhDb,c; Fournier, Gilles L. MDdAuthor Information SPINE: April 1, 2020 – Volume 45 – Issue 7 – p 483-490 doi: 10.1097/BRS.0000000000003304 Study Design. Prospective cohort study. Objective. The aims of this study were to evaluate the outcome of surgical and nonsurgical treatment for patients with lumbar herniated disc (LHD) […]
— But Canadian study may have important limitations by Judy George, Senior Staff Writer, MedPage Today March 18, 2020 Microdiscectomy produced better pain relief than standard nonsurgical care (see below) for patients with chronic sciatica caused by lumbar disk herniation, a single-center trial showed. Six months after surgery, leg-pain intensity scores were 2.8 in the surgical group […]
MARCH 11, 2020 by Cornell University A new two-step technique to repair herniated discs uses hyaluronic acid gel to re-inflate the disc and collagen gel to seal the hole, essentially repairing ruptured discs like you’d repair a flat tire. After a rupture, a jelly-like material leaks out of a herniated disc, causing inflammation and pain. […]
A Systematic Review and Meta-analysis Zhou, Jiaming MD SPINE: February 1, 2020 – Volume 45 – Issue 3 – p 208-216 doi: 10.1097/BRS.0000000000003218 Study Design. A systematic review and meta-analysis. Objective. The objective of this study was to investigate the incidence of surgical site infection (SSI) in patients following spine surgery and the rate of […]
A Retrospective Study of Incidence and Risk Ishak, Basem MD SPINE: January 15, 2020 – Volume 45 – Issue 2 – p 109-115 doi: 10.1097/BRS.0000000000003184 Study Design. Retrospective study. Objective. To determine incidence, risk factors, complications, and early postoperative outcome in patients with intraoperative ischemic stroke during elective spine surgery. Summary of Background Data. Overall, […]
A Nationwide Sample Cohort Study With a 10-year Follow-up Kim, Chi Heon MD, PhD∗,†; Chung, Chun Kee MD, PhD∗,†,‡; Choi, Yunhee PhD§; Kim, Min-Jung MS§; Yim, Dahae MS§; Yang, Seung Heon MD∗,†; Lee, Chang Hyun MD∗,†; Jung, Jong-Myung MD¶; Hwang, Sung Hwan MD∗,†; Kim, Dong Hwan MD∗,†; Yoon, Joon Ho MD∗,†; Park, Sung Bae MD, […]
The Spine Journal Volume 18, Issue 9, September 2018, Pages 1632-1636 The Spine Journal R. Kirk OwensII MD Abstract Background Context Although lumbar disc herniation (LDH) classically presents with lower extremity radiculopathy, there are patients who have substantial associated back pain. Purpose The present study aims to determine if patients with LDH with substantial back […]
September 11, 2018 // by David Hanscom Stop and Think Carefully about Back Surgery If you’re considering having spinal surgery as the final fix for your back pain, I’d like to help you to think again about your options. I’m a spinal surgeon and I want you to know that surgery is not your best option […]
PLoS One. 2018 Jun 12;13(6):e0199042. doi: 10.1371/journal.pone.0199042. eCollection 2018. Koh W, Kang K, Lee YJ, Kim MR, Shin JS, Lee J, Lee JH, Shin KM, Ha IH. Abstract INTRODUCTION: Low back pain (LBP) is a globally prevalent disorder with high social significance. Invasive surgical procedures are increasingly being used to treat LBP despite a lack […]
March 28, 2018 TAKE-HOME MESSAGE Adults undergoing lumbar fusion surgery (N = 2491) for chronic back pain were retrospectively followed to evaluate patterns of opioid use following surgery. Long-term opioids were used by 1045 individuals before surgery and by 1094 individuals postoperatively. Long-term postoperative use of opioids was observed in 77.1% of preoperative users and […]
By Linda Carroll msnbc.com contributor updated 10/14/2010 8:55:44 AM ET Just a month after back surgery, Nancy Scatena was once again in excruciating pain. The medications her doctor prescribed barely took the edge off the unrelenting back aches and searing jolts down her left leg. “The pain just kept intensifying,” says the 52-year-old Scottsdale, Ariz., […]
Francio, Vinicius TieppoDavani, Saeid et al. Archives of Physical Medicine and Rehabilitation , Volume 98 , Issue 10 , e18 – e19 Research Objectives: To educate clinicians about the benefits of spinal manipulation and therapeutic exercises in cases of post-surgical lumbar radiculopathy, which is consider a relative contra-indication, successfullyused in this case. Lumbar radiculopathy due […]
KimYoung Eun Medical Engineering & Physics Available online 31 July 2017 Highlights • Sensor-driven control mechanism was proposed for multifidus atrophy. • Fusion generated the reduction in the activity of multifidus muscle. • Less change in back muscle integrity was produced in non-fusion stabilization. • Muscle damage during surgery generated further changes in the muscle […]
Dr. David Hanscom, a spine surgeon gives his recommendations on back surgery in this article in the National Pain Report. July 1, 2017 As a spine surgeon, who has been practicing surgery for over 30 years, I have attacked top-level fellowship spine problems with a fury. Convinced that I could help almost anyone in pain […]