Chronic Low Back Pain

Total annual costs for chronic low back pain patients without neurological involvement were lower in TENS patients

….”Total annual costs for chronic low back pain patients without neurological involvement were lower in TENS patients….”

Effectiveness and Acceptance of Acupuncture in Patients with Chronic Low Back Pain

Results of a Prospective, Randomized, Controlled Trial WeißJohannes, QuanteSabine, XueFuping, MucheRainer, and Reuss-BorstMonika. The Journal of Alternative and Complementary Medicine. December 2013, 19(12): 935-941. doi:10.1089/acm.2012.0338. Objective: To investigate the effectiveness of additional acupuncture in patients with chronic low back pain participating in an inpatient rehabilitation program. Design: Patients were randomly assigned to one of two […]

Effectiveness and Acceptance of Acupuncture in Patients with Chronic Low Back Pain

Effectiveness and Acceptance of Acupuncture in Patients with Chronic Low Back Pain: Results of a Prospective, Randomized, Controlled Trial Weiß Johannes, Quante Sabine, Xue Fuping, Muche Rainer, and Reuss-Borst Monika. The Journal of Alternative and Complementary Medicine. December 2013, 19(12): 935-941. doi:10.1089/acm.2012.0338. Published in The Journal of Alternative and Complementary Medicine, Volume: 19 Issue 12: […]

Effectiveness of Acupuncture for Nonspecific Chronic Low Back Pain

A Systematic Review and Meta-analysis Lam, Megan BA, MSc Spine: 15 November 2013 – Volume 38 – Issue 24 – p 2124–2138 Abstract Study Design. A systematic review and meta-analysis of randomized controlled trials (RCTs). Objective. To evaluate the totality of evidence in relation to the effectiveness of acupuncture for nonspecific chronic low back pain […]

Spinal fusions serve as case study for debate over when certain surgeries are necessary

By Peter Whoriskey and Dan Keating October 27, 2013 By some measures, Federico C. Vinas was a star surgeon. He performed three or four surgeries on a typical weekday at the Daytona Beach, Fla., hospital that employed him, and a review showed him to be nearly five times as busy as other neurosurgeons. The hospital […]

Innervation of pathologies in the lumbar vertebral end plate and intervertebral disc

Aaron J. Fields, PhD Abstract Background context Magnetic resonance imaging (MRI) has limited diagnostic value for chronic low back pain because of the unclear relationship between any anatomic abnormalities on MRI and pain reported by the patient. Assessing the innervation of end plate and disc pathologies—and determining the relationship between these pathologies and any abnormalities […]

Dose-response and efficacy of spinal manipulation for care of chronic low back pain:

A randomized controlled trial Mitchell Haas, DC Abstract Background context There have been no full-scale trials of the optimal number of visits for the care of any condition with spinal manipulation. Purpose To identify the dose-response relationship between visits to a chiropractor for spinal manipulation and chronic low back pain (cLBP) outcomes and to determine […]

Determining the Optimal Number of Spinal Manipulation Sessions for Chronic Low-Back Pain

Findings from the largest and most rigorous, randomized dose-response study of spinal manipulative therapy (SMT) for chronic low-back pain suggest that 12 sessions (SMT) may be the best “dose” for people with chronic low-back pain. The study, published in The Spine Journal, was funded by NCCAM. Spinal manipulative therapy, most commonly performed by licensed clinicians (such as […]

Opioids compared to placebo or other treatments for chronic low-back pain

Chaparro LE, et al. Cochrane Database Syst Rev. 2013 Aug 27;8:CD004959. doi: 10.1002/14651858.CD004959.pub4. Abstract BACKGROUND: The use of opioids in the long-term management of chronic low-back pain (CLBP) has increased dramatically. Despite this trend, the benefits and risks of these medications remain unclear. This review is an update of a Cochrane review first published in […]

Acupuncture for Chronic Low Back Pain

A Multicenter, Randomized, Patient-Assessor Blind, Sham-Controlled Clinical Trial Cho, Yu-Jeong KMD Spine: 01 April 2013 – Volume 38 – Issue 7 – p 549–557 Abstract Study Design. Multicenter, randomized, patient-assessor blind, sham-controlled clinical trial. Objective. To investigate the efficacy of acupuncture treatment with individualized setting for reduction of bothersomeness in participants with chronic low back […]

Non-thrust manual therapy reduces erector spinae short-latency stretch reflex asymmetries in patients with chronic low back pain

Goss DA Jr,et al. J Electromyogr Kinesiol. 2012 Oct;22(5):663-9. doi: 10.1016/j.jelekin.2012.01.004. Epub 2012 Jan 28. Affiliation Ohio Musculoskeletal and Neurological Institute, Ohio University, Athens, OH 45701, USA. Abstract The purpose of this study was to determine if non-thrust manual therapy (MT) attenuated side-to-side differences (asymmetry) of the erector spinae (ES) stretch reflex amplitude in nine […]

Myofascial Trigger Points, Pain, Disability, and Sleep Quality in Patients with Chronic Nonspecific Low Back Pain

Juan J. Iglesias-González PT Article first published online: 15 AUG 2013 Abstract Objective To investigate the difference in the presence of trigger points (TrPs) between patients with chronic nonspecific low back pain (LBP) and healthy people, and to determine the relationship of TrPs with the intensity of ongoing pain, disability, and sleep quality. Design A […]

A Randomized Controlled Trial of Limited Range of Motion Lumbar Extension Exercise in Chronic Low Back Pain

Steele, James BSc (Hons); Bruce-Low, Stewart PhD; Smith, Dave PhD; Jessop, David PhD; Osborne, Neil PhD Spine 01 July 2013 Vol. 38 – Issue 15: p 1245–1252 Abstract Study Design. Randomized controlled trial. Objective. To compare the effects of full range of motion (ROM) and limited ROM isolated lumbar extension exercise upon full ROM lumbar […]

Chronic Spinal Pain: A Randomized Clinical Trial Comparing Medication, Acupuncture, and Spinal Manipulation

Giles, Lynton G. F.; Muller, Reinhold Spine. 28(14):1490-1502, July 15, 2003. Chronic Spinal Pain: A Randomized Clinical Trial Comparing Medication, Acupuncture, and Spinal Manipulation Study Design. A randomized controlled clinical trial was conducted. Study Design. A randomized controlled clinical trial was conducted. Objective. To compare medication, needle acupuncture, and spinal manipulation for managing chronic (>13 […]

Chronic, Noncancer Pain Boosts Suicide Risk

Fran Lowry May 28, 2013 Certain types of noncancer pain conditions are associated with an increased risk for suicide, a new study suggests. A study conducted by investigators at the University of Michigan in Ann Arbor showed that psychogenic pain, back pain, and migraine, but not arthritis or neuropathy, were associated with an increased risk […]

Acupuncture for chronic low back pain

Acupuncture for chronic low back pain: a multicenter, randomized, patient-assessor blind, sham-controlled clinical trial. Authors Cho YJ, et al.  Journal Spine (Phila Pa 1976). 2013 Apr 1;38(7):549-57. doi: 10.1097/BRS.0b013e318275e601. Affiliation Abstract STUDY DESIGN: Multicenter, randomized, patient-assessor blind, sham-controlled clinical trial. OBJECTIVE: To investigate the efficacy of acupuncture treatment with individualized setting for reduction of bothersomeness in participants with […]

Osteopathic Tx Eases Low Back Pain

Osteopathic Tx Eases Low Back Pain Published: Mar 18, 2013 By Nancy Walsh , Staff Writer, MedPage Today Full Story:  http://www.medpagetoday.com/PrimaryCare/BackPain/37928 Osteopathic manual therapy (OMT) was effective in alleviating chronic low back pain to a clinically significant degree, a randomized study showed. After six sessions of either true or sham osteopathic treatments over 8 weeks, […]

Chronic Low Back Pain Is Associated With Reduced Vertebral Bone Mineral Measures in Community-Dwelling Adults

Chronic Low Back Pain Is Associated With Reduced Vertebral Bone Mineral Measures in Community-Dwelling Adults Andrew M Briggs, Leon M Straker, Angus F Burnett, John D WarkDisclosures BMC Musculoskelet Disord. 2012;13(49) ABSTRACT AND INTRODUCTION Abstract Background Chronic low back pain (CLBP) experienced in middle-age may have important implications for vertebral bone health, although this issue […]

Manual Therapy Followed by Specific Active Exercises Versus a Placebo Followed by Specific Active Exercises on the Improvement of Functional Disability in Patients With Chronic Non Specific Low Back Pain

A RANDOMIZED CONTROLLED TRIAL Pierre Balthazard, Pierre de Goumoens, Gilles Rivier, Philippe Demeulenaere, Pierluigi Ballabeni, Olivier DériazDisclosures BMC Musculoskelet Disord. 2012;13(162) ABSTRACT Background: Recent clinical recommendations still propose active exercises (AE) for CNSLBP. However, acceptance of exercises by patients may be limited by pain-related manifestations. Current evidences suggest that manual therapy (MT) induces an immediate […]

Predictors of Improvement in Patients With Acute and Chronic Low Back Pain Undergoing Chiropractic Treatment

Cynthia K. Peterson, DC Journal of Manipulative and Physiological Therapeutics Volume 35, Issue 7 , Pages 525-533, September 2012 Objectives The purpose of this study was to investigate outcomes and prognostic factors in patients with acute or chronic low back pain (LBP) undergoing chiropractic treatment. Methods This was a prognostic cohort study with medium-term outcomes. […]