Lumbar Spine & Low Back Pain

Acupuncture vs Sham Acupuncture for Chronic Sciatica From Herniated Disk

October 23, 2024 Acupuncture vs Sham Acupuncture for Chronic Sciatica From Herniated Disk TAKE-HOME MESSAGE This randomized clinical trial evaluated the efficacy and safety of acupuncture for the treatment of patients with chronic sciatica pain. The primary outcome was a change in visual analog scale score for leg pain. Participants in the acupuncture group had […]

The association between sleep disorder, sleep duration and chronic back pain

Published: 14 October 2024 The association between sleep disorder, sleep duration and chronic back pain: results from National Health and Nutrition Examination Surveys, 2009–2010 Meiru Zhong & Zhou Wang BMC Public Health Volume 24, Article number: 2809 (2024) Abstract Background Back pain is a typical condition, and the association among sleep disorders, sleep duration and […]

Structured Run-Walk Program May Help Lower Back Pain

This Exercise May Help Lower Back Pain, No Special Equipment Needed — Carefully structured run-walk program proves mettle in small trial by John Gever, Contributing Writer, MedPage Today October 8, 2024 Adults younger than age 45 with chronic, nonspecific lower back pain saw significant pain relief with a structured run-walk program in a randomized trial. […]

Acupuncture May Relieve Pain-Specific Disability in Degenerative Lumbar Stenosis

July 11, 2024 Greater improvement seen for acupuncture versus sham acupuncture in mean modified Roland–Morris Disability Questionnaire score TUESDAY, July 9, 2024 (HealthDay News) — For patients with degenerative lumbar spinal stenosis (DLSS) and predominantly neurogenic claudication pain symptoms, acupuncture may relieve pain-specific disability, according to a study published online July 2 in the Annals […]

Topical Diclofenac vs Oral Ibuprofen for Acute Low Back Pain

March 21, 2024 Annals of Emergency Medicine TAKE-HOME MESSAGE This randomized placebo-controlled trial evaluated the use of diclofenac gel versus oral ibuprofen for acute low back pain in the emergency department and found that topical diclofenac gel was significantly less effective in relieving pain and improving function 2 days after prescription compared with oral ibuprofen 400 […]

Medication recommendations for treatment of lumbosacral radiculopathy: A systematic review of clinical practice guidelines

Physical Medicine & Rehabilitation Morgan R. Price DC, Kaelyn E. Mead DC, Diana M. Cowell PharmD, BCPS, Alyssa M. Troutner DC, MS, Tyler E. Barton DC, Sheryl A. Walters MLS, Clinton J. Daniels DC, MS First published: 17 April 2024 https://doi.org/10.1002/pmrj.13142 Abstract Objective The purpose of this systematic review was to ascertain guideline-recommended pharmaceutical approaches […]

Effectiveness of Long-Term Opioid Therapy for Chronic Low Back Pain

April 02, 2024 Journal of the American Board of Family Medicine: JABFM TAKE-HOME MESSAGE This propensity score–matched retrospective cohort study evaluated the effectiveness of long-term opioid therapy (LTOT) for up to 12 months in treating individuals with chronic low back pain. No difference was observed between the LTOT and control groups with regard to mean […]

NADA Ear Acupuncture and Medical Acupuncture for Pain- and Health-Related Quality of Life among Older Patients with Chronic Nonspecific Low Back Pain: A Prospective Clinical Trial

Brain Sci. 2024 Mar; 14(3): 205. Published online 2024 Feb 23. doi: 10.3390/brainsci14030205 PMCID: PMC10968796 PMID: 38539594 Abstract Background: The purpose of this study was to investigate the efficacy and safety of the NADA (National Acupuncture Detoxification Association)-standardized ear acupuncture protocol in comparison to medical acupuncture (MA) in the treatment of chronic nonspecific low back […]

Chronic Low Back Pain in Adults: Evaluation and Management

Am Fam Physician. 2024 Mar;109(3):233-244. Chronic Low Back Pain in Adults: Evaluation and Management Donald Clinton Maharty PMID: 38574213 Abstract Chronic low back pain, defined as lumbar pain persisting for 12 weeks or more, occurs in about 13% of U.S. adults. Patients with chronic low back pain should have a history and physical examination to […]

Dosing of lumbar spinal manipulative therapy and its association with escalated spine care: A cohort study of insurance claims

PLoS One. 2024 Jan 5;19(1):e0283252. doi: 10.1371/journal.pone.0283252. eCollection 2024. Brian R Anderson 1, James M Whedon 2, Patricia M Herman 3 PMID: 38181030 PMCID: PMC10769084 DOI: 10.1371/journal.pone.0283252 Abstract Objective: The objective of this study was to evaluate the relationship between three distinct spinal manipulative therapy dose groups and escalated spine care by analyzing insurance claims […]

Spinal Cord Stimulation Questioned for Chronic Pain

— Independent studies suggested no benefit, but industry-funded critics cast doubt on the findings by Judy George, Deputy Managing Editor, MedPage Today December 18, 2023 Independent studies suggested that spinal cord stimulation improved chronic pain no more than placebo, but industry-funded critics cast doubt on these findings, researchers said. Recently published papers “found evidence of […]

Spinal manipulation and electrical dry needling as an adjunct to conventional physical therapy in patients with lumbar spinal stenosis: a multi-center randomized clinical trial

Spine J. 2023 Dec 14:S1529-9430(23)03563-5. doi: 10.1016/j.spinee.2023.12.002. Online ahead of print. Ian Young Abstract Background context: Nonoperative management of lumbar spinal stenosis (LSS) includes activity modification, medication, injections, and physical therapy. Conventional physical therapy includes a multimodal approach of exercise, manual therapy, and electro-thermal modalities. There is a paucity of evidence supporting the use of […]

The Role of Systemic Steroids in Sciatica Due to Herniated Lumbar Disc

A Systematic Review and Meta-analysis Vale, João MDa; Rocha, Eduardo MDb; Lemos, Carolina MD, PhDc,d; Valente, Cristina PhDe,f; Andrade, Renato BSce,f,g; Espregueira-Mendes, João MD, PhDe,f,h,i,,j; Rodrigues-Pinto, Ricardo MD, PhD, FEBOTa,c,k Spine 48(23):p E391-E400, December 1, 2023. | DOI: 10.1097/BRS.0000000000004801 Abstract Study Design. Systematic review and meta-analysis. Objective. Evaluate the role of systemic steroids in treating […]

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 […]

Adolescents who use smartphones for more than three hours a day found to suffer more from back pain

Published April 7, 2023 | Originally published on MedicalXpress Breaking News-and-Events Thanks to the popularization of smartphones and tablets, and the multiplication of video channels, computer games and educational apps, children and adolescents are spending more and more time looking at screens, usually with bad posture, which can cause back pain, among other problems. A […]

The McKenzie method for (sub)acute non-specific low back pain (not an effective treatment for subacute NSLBP)

Cochrane Database Syst Rev. 2023 Apr 5;4(4):CD009711. doi: 10.1002/14651858.CD009711.pub2. Matheus O Almeida Abstract Background: There is widespread agreement amongst clinicians that people with non-specific low back pain (NSLBP) comprise a heterogeneous group and that their management should be individually tailored. One treatment known by its tailored design is the McKenzie method (e.g. an individualized program […]

Effects of spinal manipulation or mobilization as an adjunct to neurodynamic mobilization for lumbar disc herniation with radiculopathy: a randomized clinical trial

J Man Manip Ther. 2023 Mar 22;1-13. doi: 10.1080/10669817.2023.2192975. Online ahead of print. Musa Sani Danazumi PMID: 36950742 DOI: 10.1080/10669817.2023.2192975 Abstract Objectives: To determine the long-term clinical effects of spinal manipulative therapy (SMT) or mobilization (MOB) as an adjunct to neurodynamic mobilization (NM) in the management of individuals with Lumbar Disc Herniation with Radiculopathy (DHR). Design: Parallel group, single-blind […]

Induced leg length inequality affects pelvis orientation during upright standing immediately following a sit-to-stand transfer: a pre-post measurement study

Published: 17 March 2023 Simon P. Vella, Michael Swain, Aron Downie, Samuel J. Howarth, Martha Funabashi & Roger M. Engel BMC Musculoskeletal Disorders volume 24, Article number: 203 (2023) Abstract Background Leg length inequality (LLI) greater than 20 mm has been associated with low back pain (LBP) and its correction is clinically recommended. Much less […]

Nonopioid pharmacological management of acute low back pain: A level I of evidence systematic review

Alice Baroncini, Nicola Maffulli, Hazim Al-Zyoud, Andreas Bell, Aleksandar Sevic, Filippo Migliorini First published: 22 February 2023 https://doi.org/10.1002/jor.25508 Abstract Acute low back pain (LBP) imposes a significant socioeconomical burden as it is the condition that, worldwide, cause the most disability. Nonetheless, the literature regarding the best pharmacological management of acute LBP is limited, and the […]