A review of six court decisions in Canada Boucher P, et al. J Forensic Leg Med. 2014 Feb;22:159-69. doi: 10.1016/j.jflm.2013.12.026. Epub 2014 Jan 7. PubMed Reference Abstract The purpose of this review is to expand practitioners’ knowledge on areas of liability when treating low back pain patients. Six cases where chiropractors in Canada were sued […]
D. Scott Kreiner, MD The Spine Journal Volume 14, Issue 1, 1 January 2014, Pages 180–191 Abstract Background context The objective of the North American Spine Society’s (NASS) Evidence-Based Clinical Guideline for the Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy is to provide evidence-based recommendations to address key clinical questions surrounding the diagnosis and treatment […]
Patterns of lumbar disc degeneration are different in degenerative disc disease and disc prolapse magnetic resonance imaging analysis of 224 patients Rishi M Kanna, MS MRCS FNB The Spine Journal: Available online 16 November 2013: In Press Abstract Background Context Existing research works on lumbar disc degeneration have remained inconclusive regarding its etiology, pathogenesis, symptomatology, […]
D. Scott Kreiner, MD The Spine Journal: Available online 16 November 2013: In Press Abstract Background context The objective of the North American Spine Society’s (NASS) Evidence-Based Clinical Guideline for the Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy is to provide evidence-based recommendations to address key clinical questions surrounding the diagnosis and treatment of lumbar […]
Rainville J, et al. Spine (Phila Pa 1976). 2013 Jul 1;38(15):1282-7. Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA 02120, USA. jrainvil@nebh.org Abstract STUDY DESIGN: Comparative study using combined data from 2 prospective cohort studies. OBJECTIVE: To expose the differences between the clinical characteristics of neurogenic claudication from magnetic resonance image-documented lumbar spinal […]
In conclusion, these poor results show that non-negligible numbers of LBP patients will be incorrectly diagnosed when MRI is used in isolation.
Gray, Benjamin L. MD; Buchowski, Jacob M. MD, MS; Bumpass, David B. MD; Lehman, Ronald A. Jr. MD; Mall, Nathan A. MD; Matava, Matthew J. MD Spine . 38(38):1934–1938, 15 October 2013. doi: 10.1097/BRS.0b013e3182a67678 Abstract Study Design. Retrospective analysis of a prospectively collected database. Objective. To determine the overall incidence, location, and type of disc […]
Curr Med Res Opin. 2013 Aug;29(8):1025-31. doi: 10.1185/03007995.2013.807788. Epub 2013 Jun 7. Siracusa G, Sparacino A, Lentini VL. Abstract OBJECTIVE: Neurogenic bladder refers to morphofunctional alterations of the bladder-sphincter complex secondary to central or peripheral neurological lesions. Discal etiology can be suggested by clinical observation in patients complaining of classical lower back pain, but not […]
This systematic review and meta-analysis demonstrate that neurological testing procedures have limited overall diagnostic accuracy in detecting disc herniation with suspected radiculopathy.
Lurie, Jon D. MD, MS Spine: 15 June 2013 – Volume 38 – Issue 14 – p 1216–1225 Abstract Study Design. A retrospective cohort design. Objective. To determine whether baseline magnetic resonance imaging findings, including central/foraminal stenosis, Modic change, disc morphology, facet arthropathy, disc degeneration, nerve root impingement, and thecal sac compression, are associated with […]
J Manipulative Physiol Ther. 2013 May;36(4):218-25. doi: 10.1016/j.jmpt.2013.04.005. Epub 2013 May 22. Symptomatic magnetic resonance imaging-confirmed lumbar disk herniation patients: a comparative effectiveness prospective observational study of 2 age- and sex-matched cohorts treated with either high-velocity, low-amplitude spinal manipulative therapy or imaging-guided lumbar nerve root injections. Peterson CK, Leemann S, Lechmann M, Pfirrmann CW, Hodler […]
Symptomatic magnetic resonance imaging-confirmed lumbar disk herniation patients: a comparative effectiveness prospective observational study of 2 age- and sex-matched cohorts treated with either high-velocity, low-amplitude spinal manipulative therapy or imaging-guided lumbar nerve root injections. Peterson CK, Leemann S, Lechmann M, Pfirrmann CW, Hodler J, Humphreys BK. J Manipulative Physiol Ther. 2013 May;36(4):218-25. doi: 10.1016/j.jmpt.2013.04.005. Epub […]
Disabil Rehabil. 2012;34(17):1473-80. doi: 10.3109/09638288.2011.647231. Epub 2012 Jan 23. K S Manjunath Prasad Abstract Purpose: Backache and sciatica due to protuberant disc disease is a major cause of lost working days and health expenditure. Surgery is a well-established option in the management flowchart. There is no strong evidence proving that traction for sciatica is effective. […]
A Systematic Review Endean, Alison MBChB, MRCP Spine: 15 January 2011 – Volume 36 – Issue 2 – p 160–169 Abstract Study Design. Systematic review and meta-analysis. Objective. To assess how confidently low back pain (LBP) can be attributed to abnormalities on magnetic resonance imaging (MRI), and thereby explore the potential value of MRI abnormalities […]
Drew Oliphant, DC Journal of Manipulative and Physiological Therapeutics Volume 27, Issue 3 , Pages 197-210, March 2004 Journal Reference Abstract Objective To provide a qualitative systematic review of the risk of spinal manipulation in the treatment of lumbar disk herniations (LDH) and to estimate the risk of spinal manipulation causing a severe adverse reaction […]
Sharon Young, PT Young S, et al. The Spine Journal. November 2003; Vol. 3, Iss. 6, pp. 460-465. Background context Research has demonstrated some progress in using a clinical examination to predict discogenic or sacroiliac (SI) joint sources of pain. No clear predictors of symptomatic lumbar zygapophysial joints have yet been demonstrated. Purpose To identify significant […]