Diagnostics

The association of combination of disc degeneration, end plate signal change, and Schmorl node with low back pain in a large population study

The Spine Journal Volume 15, Issue 4, 1 April 2015, Pages 622–628 The association of combination of disc degeneration, end plate signal change, and Schmorl node with low back pain in a large population study: the Wakayama Spine Study Masatoshi Teraguchi, MD, PhD Abstract Background context Disc degeneration (DD) reportedly causes low back pain (LBP) […]

MRI instead of physical therapy for low back pain leads to $4,793 higher price

Oh, my aching wallet: MRI instead of physical therapy for low back pain leads to $4,793 higher price By Lenny Bernstein March 27, 2015 Your back hurts (join the club) and you go to see your primary care physician. Most of the time, your doctor will tell you to rest, maybe take some ibuprofen or […]

Abnormal Findings on Magnetic Resonance Images of the Cervical Spines in 1211 Asymptomatic Subjects

Nakashima, Hiroaki MD; Yukawa, Yasutsugu MD; Suda, Kota MD; Yamagata, Masatsune MD; Ueta, Takayoshi MD; Kato, Fumihiko MD Spine 15 March 2015 Vol. 40 – Issue 6: p 392–398 Abstract Study Design. Cross-sectional study. Objective. The purpose of this study was to determine the prevalence and distribution of abnormal findings on cervical spine magnetic resonance […]

Abnormal Findings on Magnetic Resonance Images of the Cervical Spines in 1211 Asymptomatic Subjects

Spine. 40(6):392–398, MAR 2015 DOI: 10.1097/BRS.0000000000000775 , , PMID: 25584950 Issn Print: 0362-2436 Publication Date: 2015/03/15 Hiroaki Nakashima; Yasutsugu Yukawa; Kota Suda; Masatsune Yamagata; Takayoshi Ueta; Fumihiko Kato Abstract Study Design. Cross-sectional study. Objective. The purpose of this study was to determine the prevalence and distribution of abnormal findings on cervical spine magnetic resonance image […]

Comparison Of Cervical Spine Stiffness In Individuals With Chronic Nonspecific Neck Pain And Asymptomatic Individuals

Comparison Of Cervical Spine Stiffness In Individuals With Chronic Nonspecific Neck Pain And Asymptomatic Individuals Authors: Lewis A. Ingram Study Design Clinical measurement, cross-sectional. Objective To determine if spinal joint stiffness is different in individuals with nonspecific neck pain, and whether stiffness magnitude is associated with pain intensity and disability. Background Manual therapists commonly evaluate […]

The correlation of radiographic findings and patient symptomatology in cervical degenerative joint disease

The correlation of radiographic findings and patient symptomatology in cervical degenerative joint disease: a cross-sectional study Iris Sun Rudy, Alexandra Poulos, Laura Owen, Ashlee Batters, Kasia Kieliszek, Jessica Willox and Hazel Jenkins Chiropractic & Manual Therapies 2015, 23:9 doi:10.1186/s12998-015-0052-0 Abstract Background There are few known studies investigating the correlation of symptomatology with the specific subtypes of cervical spine […]

COLOUR DOPPLER ULTRASOUND IN THE ASSESSMENT OF LUMBAR SPINE BLOOD FLOW IN PATIENTS WITH LOW BACK PAIN

S. Espahbodi J Bone Joint Surg Br 2006 vol. 88-B no. SUPP II 305-306 Abstract Introduction: Duplex ultrasound has recently been used to demonstrate inflammatory hyperaemia in arteries supplying inflamed joints in RA, bursitis, and tendonitis. The technique has yet to be applied to examine blood flow in lumbar arteries in LBP patients, though we […]

Do bacteria play an important role in the pathogenesis of low back pain?

ANZ J Surg. 2015 Feb 3. doi: 10.1111/ans.12983. [Epub ahead of print] Do bacteria play an important role in the pathogenesis of low back pain? Fisher TJ, Osti OL. Abstract Considerable interest has been generated recently regarding an alternative hypothesis for the pathogenesis of low back pain and radiculopathy in the presence of intervertebral disc […]

Modic Classifications

Bone Morphology and Modic Classifications – William Morgan, DC VERTEBRAL BODY EDEMA IS A COMMON FINDING on magnetic resonance imaging (MRI). Though degenerative changes such as bony edema may equate to unimportant background noise for the busy clinician, recent studies have found that vertebral marrow edema is clinically significant and can be a progressive condition. […]

Evaluation of a systematic approach to pediatric back pain: the utility of magnetic resonance imaging

Ramirez N, et al. J Pediatr Orthop. 2015. J Pediatr Orthop. 2015 Jan;35(1):28-32. doi: 10.1097/BPO.0000000000000190. Abstract BACKGROUND: Several studies have suggested that back pain in the majority of pediatric patients does not have an identifiable cause. Many children undergo extensive diagnostic workup that ultimately results in a nonconfirmative diagnosis. The purpose of this study was to […]

Changes in H-reflex and V-waves following spinal manipulation

Exp Brain Res. 2015 Jan 13. [Epub ahead of print] Changes in H-reflex and V-waves following spinal manipulation. Niazi IK, Türker KS, Flavel S, Kinget M, Duehr J, Haavik H. Abstract This study investigates whether spinal manipulation leads to neural plastic changes involving cortical drive and the H-reflex pathway. Soleus evoked V-wave, H-reflex, and M-wave […]

Diagnostic Ultrasound Imaging for Assessment of Scoliosis

IEEE Trans Med Imaging. 2015 Jan 12. [Epub ahead of print] Ultrasound Volume Projection Imaging for Assessment of Scoliosis. Cheung CW, Zhou GQ, Law SY, Mak TM, Lai KL, Zheng YP. Abstract The standing radiograph is used as a gold standard to diagnose spinal deformity including scoliosis, a medical condition defined as lateral spine curvature […]

A modified Delphi survey on the signs and symptoms of low back pain: indicators for an interventional management approach.

Pain Pract. 2015 Jan;15(1):12-21. doi: 10.1111/papr.12135. Epub 2013 Dec 9. Cid J Abstract BACKGROUND: Low back pain (LBP) symptoms and signs are nonspecific. If required, diagnostic blocks may find the source of pain, but indicators of suspect diagnosis must be defined to identify anatomical targets. OBJECTIVE: To reach a consensus from an expert panel on […]

MRI in Headache

Michael Eller, Peter J Goadsby Expert Rev Neurother. 2013;13(3):263-273. Abstract and Introduction Abstract Headaches are described as primary, where no contributing cause is found, or secondary, where a discrete lesion or other condition has triggered the phenotype. Primary headache is a common condition; migraine causes much of the morbidity in this population, at great personal […]

‘Where Does It Hurt Most?’ Is a Valid Diagnostic Question

by Rita Baron-Faust MedPage Today Staff Writer Two new studies say that patients’ descriptions of back or hip pain may have clinically valid utility in diagnosis of their conditions. A small study involving patients with hip pain in New Zealand found numerical pain rating scale (NPRS) scores from more than a dozen standardized tests, such […]

Regional Lumbar Motion and Patient-Rated Outcomes

Regional Lumbar Motion and Patient-Rated Outcomes: A Secondary Analysis of Data From a Randomized Clinical Trial Rune M. Mieritz, DC, PhD Published Online: November 04, 2014 Objective The purpose of this study was to examine the relationship in change scores between regional lumbar motion and patient-rated pain of the previous week and back-related function in chronic […]

Meniscal Lesions May Help ID Patients With Severe Knee OA

Larry Hand January 16, 2015 Physicians may be able to predict which patients with knee osteoarthritis (OA) will be subject to severe pain by determining whether meniscal lesions are contributing to neuropathic pain (NP) in the knee, according to an article published online December 14 in Arthritis Research & Therapy. Using magnetic resonance imaging (MRI) to make a diagnosis of […]

Radiographic Findings in Individuals With Chronic Low Back Pain

Prevalence of Radiographic Findings in Individuals With Chronic Low Back Pain Screened for a Randomized Controlled Trial: Secondary Analysis and Clinical Implications Robert D. Vining, DC Journal of Manipulative & Physiological Therapeutics Volume 37, Issue 9, Pages 678–687, November–December, 2014 Abstract Objective The purpose of this study is to measure the prevalence of graded disc […]

Ankle–Brachial Index as a Predictor for Heart Failure Risk

November 26, 2014 JACC: Heart Failure TAKE-HOME MESSAGE The authors examined the correlation between ankle–brachial index (ABI) and risk for heart failure (HF) in a large retrospective study involving 13,150 patients (free of HF at baseline) followed up over a period of 17 years. Compared with patients with an ABI of 1.01 to 1.40, those […]

Correlation of Cervical Sagittal Alignment Parameters on Full-Length Spine Radiographs Compared with Dedicated Cervical Radiographs

Bodindr Thepchatri , M.D The Spine Journal Volume 14, Issue 11, Supplement, Pages A1-A8, S1-S224 (1 November 2014) Proceedings of the 29th Annual Meeting of the North American Spine Society, NASS 29th Annual Meeting San Francisco, California 12–15 November 2014 BACKGROUND CONTEXT: Recently, attention has been directed to the impact of adult scoliosis or scoliosis […]