February 14, 2011 Roughly 3.4 million emergency department visits, or an average of 9,400 visits a day, that occurred at U.S. hospitals in 2008 were related to back problems, according to a press release from Agency for Healthcare Research and Quality. In addition, more than 663,000 inpatient stays — a daily average of nearly 1,820 stays […]
Walker, Bruce F DC Spine: 1 February 2011 – Volume 36 – Issue 3 – p 230–242 Journal Reference Abstract Study Design. Cochrane systematic review of randomized controlled trials. Objective. To determine the effects of combined chiropractic interventions on pain, disability, back-related function, overall improvement, and patient satisfaction in adults with low-back pain (LBP). Summary […]
Spine J. 2010 Dec;10(12):1055-64. doi: 10.1016/j.spinee.2010.08.019. The Chiropractic Hospital-based Interventions Research Outcomes (CHIRO) study: a randomized controlled trial on the effectiveness of clinical practice guidelines in the medical and chiropractic management of patients with acute mechanical low back pain. Bishop PB, Quon JA, Fisher CG, Dvorak MF. Abstract BACKGROUND CONTEXT: Evidence-based clinical practice guidelines (CPGs) […]
Spine J. 2010 Jun;10(6):514-29. doi: 10.1016/j.spinee.2010.03.032. Synthesis of recommendations for the assessment and management of low back pain from recent clinical practice guidelines. Dagenais S, Tricco AC, Haldeman S. Abstract BACKGROUND CONTEXT: Low back pain (LBP) is a prevalent, costly, and challenging condition to manage. Clinicians must choose among numerous assessment and management options. Several […]
Gert Bronfort, Mitch Haas, Roni Evans, Brent Leininger and Jay Triano Chiropractic & Osteopathy 2010, 18:3 Abstract Background The purpose of this report is to provide a succinct but comprehensive summary of the scientific evidence regarding the effectiveness of manual treatment for the management of a variety of musculoskeletal and non-musculoskeletal conditions. Methods The conclusions […]
Low Back Pain and Best Practice Care A Survey of General Practice Physicians Christopher M. Williams, MAppSc Arch Intern Med. 2010;170(3):271-277. doi:10.1001/archinternmed.2009.507. ABSTRACT Background Acute low back pain (LBP) is primarily managed in general practice. We aimed to describe the usual care provided by general practitioners (GPs) and to compare this with recommendations of best […]
ARTHRITIS & RHEUMATISM Vol. 60, No. 10, October 2009, pp 3072–3080 Nicholas Henschke Objective. To determine the prevalence of serious pathology in patients presenting to primary care settings with acute low back pain, and to evaluate the diagnostic accuracy of recommended “red flag” screening questions. Methods. An inception cohort of 1,172 consecutive patients receiving primary […]
Results of a double-blind, randomised, placebo controlled, multicentre trial B M Giannetti Br J Sports Med doi:10.1136/bjsm.2009.058677 Published Online First 21 May 2009 Journal Reference Abstract Objective The objective was to show the superiority of comfrey root extract ointment to placebo ointment in patients with acute upper or lower back pain. Design The study was […]
A randomised controlled trial of spinal manipulative therapy in acute low back pain P Jüni Ann Rheum Dis 2009;68:1420-1427 doi:10.1136/ard.2008.093757 Published Online First 5 September 2008 Journal Reference Abstract Objective: To determine whether treatment with spinal manipulative therapy (SMT) administered in addition to standard care is associated with clinically relevant early reductions in pain and […]
Best Evidence Review Assessment of Diclofenac or Spinal Manipulative Therapy, or Both, in Addition to Recommended First-line Treatment for Acute Low Back Pain: A Randomized Controlled Trial Hancock MJ, Maher GC, Latimer J, et al Lancet. 2007;370:1638-1643 Full Story PubMed Reference Journal Reference Abstract Previous recommendations have noted that nonsteroidal anti-inflammatory drugs (NSAIDs) and spinal […]
A review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline Chou R, Huffman LH; American Pain Society; American College of Physicians. Ann Intern Med. 2007 Oct 2;147(7):492-504 PubMed Reference Abstract BACKGROUND: Many nonpharmacologic therapies are available for treatment of low back pain. PURPOSE: To assess benefits and harms of […]
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 […]
J Manipulative Physiol Ther. 2005 Oct;28(8):555-63. Haas M, Sharma R, Stano M. Abstract OBJECTIVES: To identify relative provider costs, clinical outcomes, and patient satisfaction for the treatment of low back pain (LBP). METHODS: This was a practice-based, nonrandomized, comparative study of patients self-referring to 60 doctors of chiropractic and 111 medical doctors in 51 chiropractic […]
Nicholas F. Taylor European Spine Journal April 2003, Volume 12, Issue 2, pp 166-172 Abstract. Little is known about self-selected speed and fast walking in people with acute low back pain. This study aimed to investigate (1) the strategies that people with acute low back pain use to change from self-selected speed to fast walking […]
John Albright, MD, Clinical Specialty Expert Physical Therapy October 2001 vol. 81 no. 10 1641-1674 Abstract Introduction. A structured and rigorous methodology was developed for the formulation of evidence-based clinical practice guidelines (EBCPGs), then was used to develop EBCPGs for selected rehabilitation interventions for the management of low back pain. Methods. Evidence from randomized controlled […]
Waddell G, McIntosh A, Hutchinson A, Feder G, Lewis M, (1999) Low Back Pain Evidence Review London: Royal College of General Practitioners There is now a considerable weight of evidence, linked with international experience, to show that clinical guidelines are only likely to influence practice if these guidelines form part of an implementation programme. In […]
AHCPR Clinical Practice Guidelines, No. 14 S Bigos, O Bowyer, and G Braen. Rockville (MD): Agency for Health Care Policy and Research (AHCPR); December 1994. Report No.: 95-0642 Findings and recommendations on the assessment and treatment of adults with acute low back problems-activity limitations due to symptoms in the low back and/or back-related leg symptoms […]
HADLER, NORTIN M. MD Spine: September 1987 Abstract Fifty-four subjects volunteered to participate in a controlled study contrasting spinal manipulation with spinal mobilization without the rotational forces and leverage required to move facet joints. All suffered from regional low-back pain for less than 1 month, were ages 18-40, had never previously undergone any form of […]