03.22.2016 Stress reduction, CBT led to greater improvement in pain, functional limits by Kristina Fiore Associate Editor, MedPage Today Two psychosocial approaches worked better than usual care for mitigating disability in chronic low back pain, researchers found. In a randomized controlled trial, both mindfulness-based stress reduction (MBSR) and cognitive behavioral therapy (CBT) improved function (P=0.04) […]
Date: March 15, 2016 Source: Wake Forest Baptist Medical Center Summary: Everyone knows that stubbing your toe hurts. What makes it stop hurting is the body’s main pain-blocking process — the natural production of opioids. Everyone knows that stubbing your toe hurts. What makes it stop hurting is the body’s main pain-blocking process — the […]
J Am Osteopath Assoc. 2016 Mar 1;116(3):156-68. doi: 10.7556/jaoa.2016.032. Targeting Patient Subgroups With Chronic Low Back Pain for Osteopathic Manipulative Treatment: Responder Analyses From a Randomized Controlled Trial. Licciardone JC, Gatchel RJ, Aryal S. Abstract CONTEXT: Osteopathic manipulative treatment (OMT) is often used to treat patients with low back pain (LBP). OBJECTIVE: To identify subgroups […]
JMPT February 2016 Volume 39, Issue 2, Pages 63–75.e2 William B Weeks, MD, PhD, MBA Abstract Objective The purpose of this study was to determine whether use of chiropractic manipulative treatment (CMT) was associated with lower healthcare costs among multiply-comorbid Medicare beneficiaries with an episode of chronic low back pain (cLBP). Methods We conducted an […]
Published: 10 February 2016 Authors: Enthoven WTM, Roelofs PDDM, Deyo RA, van Tulder MW, Koes BW Primary Review Group: Back and Neck Group Review question We assessed the evidence regarding the effect of non-steroidal anti-inflammatory drugs (NSAIDs) among people with chronic low back pain. NSAIDs were compared to placebo, other NSAIDs, other drugs or other kinds of treatment. […]
The Spine Journal Volume 16, Issue 2, February 2016, Pages 243–251 Pablo Andrade, MD, PhD Abstract Background Context Sciatica is a condition characterized by radicular pain that can be secondary to a lumbar disc herniation (LDH). More than 10% of patients report persistent pain after surgery. The underlying mechanisms of postoperative sciatica remain unclear. There […]
Cochrane Database Syst Rev. 2016 Feb 10;2:CD012087. [Epub ahead of print] Enthoven WT, Roelofs PD, Deyo RA, van Tulder MW, Koes BW. Abstract BACKGROUND: Chronic back pain is an important health problem. Non-steroidal anti-inflammatory drugs (NSAIDs) are widely used to treat people with low back pain, especially people with acute back pain. Short term NSAID […]
AJNR Am J Neuroradiol. 2015 Dec;36(12):2394-9. doi: 10.3174/ajnr.A4498. Epub 2015 Sep 10. MRI Findings of Disc Degeneration are More Prevalent in Adults with Low Back Pain than in Asymptomatic Controls: A Systematic Review and Meta-Analysis. Brinjikji W, Diehn FE, Jarvik JG, Carr CM, Kallmes DF, Murad MH4 Luetmer PH. Abstract BACKGROUND AND PURPOSE: Imaging features of […]
Clin Rehabil. 2015 Dec;29(12):1155-67. doi: 10.1177/0269215515570379. Epub 2015 Feb 13. Searle A, Spink M, Ho A, Chuter V. Abstract OBJECTIVE: To determine, for adults with chronic low back pain, which exercise interventions are the most effective at reducing pain compared to other treatments. DATA SOURCES: A search of MEDLINE, CINAHL, EMBASE, SPORTDiscus, PsycINFO and The […]
Dennis E. Enix, DC, MBA Topics in Integrative Health Care 2015, Vol. 6(1) ID: 6.1002 Background: Chronic low back pain is the most frequently reported musculoskeletal condition in the elderly, affecting up to 50% of this age cohort. It is a leading falls related comorbidity and robust predictor of morbidity among the elderly. Methods: This […]
Nancy A. Melville September 23, 2015 NATIONAL HARBOR, MD — A clinical profile of chronic back pain accompanied by a specific report of severe pain upon standing for too long and leg tremors may suggest an often overlooked diagnosis of arachnoiditis, researchers say. “Every pain specialist should be aware that if they see a back […]
Caspian J Intern Med. 2015 Spring; 6(2): 98–102. PMCID: PMC4478459 Influence of core stability exercise on lumbar vertebral instability in patients presented with chronic low back pain: A randomized clinical trial Yahya Javadian, PhD Abstract Background: Excessive lumbar vertebrae translation and rotation in sagittal plane has been attributed as an associated factor of lumbar segmental […]
J Back Musculoskelet Rehabil. 2015;28(2):267-76. doi: 10.3233/BMR-140514. Melloh M Abstract BACKGROUND: Early identification of patients at risk of developing persistent low back pain (LBP) is crucial. OBJECTIVE: Aim of this study was to identify in patients with a new episode of LBP the time point at which those at risk of developing persistent LBP can […]
J Phys Ther Sci. 2015 Jun; 27(6): 1983–1985. Published online 2015 Jun 30. doi: 10.1589/jpts.27.1983 PMCID: PMC4500026 Igsoo Cho, MS, PT, Abstract [Purpose] This study examined the effects of lumbar stabilization exercises on the functional disability and lumbar lordosis angles in patients with chronic low back pain. [Subjects] The subjects were 30 patients with chronic […]
The Spine Journal Volume 15, Issue 7, 1 July 2015, Pages 1577–1586 Clinical Study Wolf E. Mehling, MD Abstract Background context Primary care clinicians need to identify candidates for early interventions to prevent patients with acute pain from developing chronic pain. Purpose We conducted a 2-year prospective cohort study of risk factors for the progression […]
Family Practice Essentials. 2015 May;432:21-6. Chronic pain management: nonpharmacological therapies for chronic pain. Chang KL, Fillingim R2, Hurley RW3, Schmidt S4. Abstract Nonpharmacologic therapies have become a vital part of managing chronic pain (CP). Although these can be used as stand-alone therapies, nonpharmacologic treatments often are used to augment and complement pharmacologic treatments (ie, multimodal […]
Phytother Res. 2015 May 22. doi: 10.1002/ptr.5377. [Epub ahead of print] Efficacy and Safety of White Willow Bark (Salix alba) Extracts. Shara M, Stohs SJ. Abstract Willow bark extract has been used for thousands of years as an anti-inflammatory, antipyretic, and analgesic. In spite of its long history of use, relatively few human and animal […]
Clinical Journal of Pain: Post Acceptance: May 08, 2015 doi: 10.1097/AJP.0000000000000250 Sympathetic Dysfunction in Patients with Chronic Low Back Pain and Failed Back Surgery Syndrome. El-Badawy, Mohja A. MD; El Mikkawy, Dalia M. E. MD Abstract Background: Chronic low back pain (LBP) is defined as pain that persists longer than 12 weeks and is often […]
J Back Musculoskelet Rehabil. 2015 Apr 16. [Epub ahead of print] Effects of core stability exercises on multifidus muscles in healthy women and women with chronic low-back pain. Kliziene I, Sipaviciene S, Klizas S, Imbrasiene D. Abstract BACKGROUND: Chronic low-back pain (LBP) may be related to decreased lumbar multifidus muscle cross-sectional area (CSA). OBJECTIVE: In […]
Nancy A. Melville March 26, 2015 NATIONAL HARBOR, MD — Intradiscal biacuplasty (IDB), a minimally invasive treatment for discogenic low back pain, provides reductions in pain and improvements in function superior to those seen with traditional measures of conventional therapy, according to a new study. “[While] intradiscal biacuplasty now has a robust body of literature supporting its […]