Lumbar Spine & Low Back Pain

Mind-Body Therapy Bests Usual Care for Back Pain

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) […]

What level of pain are patients happy to live with after surgery for lumbar degenerative disorders?

The Spine Journal Volume 16, Issue 4, Supplement, April 2016, Pages S12–S18 Proceedings of the 2016 BritSpine Biennial Scientific Congress of the United Kingdom Spine Societies Tamas F. Fekete, MD, Daniel Haschtmann, MD, Frank S. Kleinstück, MD, François Porchet, MD, Dezsö Jeszenszky, MD, PhD, Anne F. Mannion, PhD Abstract Background Context A new approach to […]

Importance of psychological factors for the recovery from a first episode of acute non-specific neck pain

Importance of psychological factors for the recovery from a first episode of acute non-specific neck pain – a longitudinal observational study Brigitte Wirth, B. Kim Humphreys and Cynthia Peterson Chiropractic & Manual Therapies 2016 24:9 Abstract Background The influence of psychological factors on acute neck pain is sparsely studied. In a secondary analysis of prospectively […]

Effect of education on non-specific neck and low back pain: A meta-analysis of randomized controlled trials

Manual Therapy Volume 4, Issue 3, March 25, 2016 Kantheera Ainpradub Highlights •Education is recommended as an important component of neck and low back pain care. •This study reviewed the effectiveness of education for neck and low back pain care. •Education was ineffective in preventing neck pain and treating neck and low back pain. •Evidence […]

Estimating the Risk of Chronic Pain: Development and Validation of a Prognostic Model (PICKUP) for Patients with Acute Low Back Pain

Adrian C. Traeger Abstract Background Low back pain (LBP) is a major health problem. Globally it is responsible for the most years lived with disability. The most problematic type of LBP is chronic LBP (pain lasting longer than 3 mo); it has a poor prognosis and is costly, and interventions are only moderately effective. Targeting […]

Mindfulness meditation provides opioid-free pain relief, study finds

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 […]

Association Between the Plasma Levels of Mediators of Inflammation With Pain and Disability in the Elderly With Acute Low Back Pain: Data From the Back Complaints in the Elders (BACE)-Brazil Study

Spine: February 2016 – Volume 41 – Issue 3 – p 197–203 doi: 10.1097/BRS.0000000000001214 de Queiroz, Bárbara Zille PhD Abstract Study Design. Cross-sectional study with subsample of elderly women with acute low back pain (LBP), from Back Complaints in the Elders-Brazil (BACE-Brazil) Objective. To investigate the association between plasma levels of mediators of inflammation (interleukin-1 […]

Targeting Patient Subgroups With Chronic Low Back Pain for Osteopathic Manipulative Treatment

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 […]

The Association Between Use of Chiropractic Care and Costs of Care Among Older Medicare Patients With Chronic Low Back Pain and Multiple Comorbidities

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 […]

Mindful Meditation Might Help Ease Back Pain

February 24, 2016 | By Health Editor By Alan Mozes HealthDay Reporter TUESDAY, Feb. 23, 2016 (HealthDay News) — Mindful meditation may offer a measure of pain relief to seniors suffering from chronic lower back pain, new research suggests. The study involved nearly 300 older adults with long-term lower back pain, half of whom were […]

Prevention of Low Back Pain: A Systematic Review and Meta-analysis

JAMA Intern Med. 2016 Feb 1;176(2):199-208. doi: 10.1001/jamainternmed.2015.7431. Steffens D, Maher CG, Pereira LS, Stevens ML, Oliveira VC, Chapple M, Teixeira-Salmela LF, Hancock MJ. Abstract IMPORTANCE: Existing guidelines and systematic reviews lack clear recommendations for prevention of low back pain (LBP). OBJECTIVE: To investigate the effectiveness of interventions for prevention of LBP. DATA SOURCES: MEDLINE, […]

Auricular Acupuncture Diagnosis in Patients With Lumbar Hernia

Complementary Therapies in Medicine Available online 15 February 2016 Highlights •1. Auricular acupuncture diagnosis (AAD): a helpful tool for every practitioner. •AAD is suitable for a complementary interpretation of somatic and mental disorders. •2. AAD in lumbar-sciatic pain associated to lumbar hernia. •Specific auricular areas allow the diagnosis of lumbar-sciatic pain in lumbar hernia. •3. […]

Non-steroidal anti-inflammatory drugs for chronic low back pain – Cochrane Review

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. […]

Epidural Steroid Injections Cut Spending for Low Back Pain

Pauline Anderson February 20, 2016 PALM SPRINGS, California — Epidural steroid injections cut medical spending by 16.4% in some patients with low back pain, a new study suggests. The award-winning research presented here at the American Academy of Pain Medicine (AAPM) 2016 Annual Meeting found that these injections, which have been shown to improve pain […]

How Effective is Physical Therapy for Common Low Back Pain Diagnoses?

Spine (Phila Pa 1976). 2016 Feb 15. [Epub ahead of print] How Effective is Physical Therapy for Common Low Back Pain Diagnoses? A Multivariate Analysis of 4597 Patients. Eleswarapu AS1, Divi SN, Dirschl DR, Mok JM, Stout C, Lee MJ. Abstract STUDY DESIGN: Retrospective review OBJECTIVE.: To evaluate whether the treatment of low back pain […]

Elevated levels of tumor necrosis factor-α and TNFR1 in recurrent herniated lumbar discs correlate with chronicity of postoperative sciatic pain

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 […]

The Peridural Membrane of the Human Spine is Well Innervated

Bosscher, H. A., Heavner, J. E., Grozdanov, P., Warraich, I. A., Wachtel, M. S. and Dertien, J. (2016), The Peridural Membrane of the Human Spine is Well Innervated. Anat Rec. doi: 10.1002/ar.23315 ABSTRACT There is evidence that low back pain may originate from a peridural membrane (PDM) at the inferior and medial aspect of neural […]

Non-steroidal anti-inflammatory drugs for chronic low back pain

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 […]

Lumbar paraspinal muscle morphometry and its correlations with demographic and radiological factors in adult isthmic spondylolisthesis

J Neurosurg Spine. 2016 Jan 15:1-7. [Epub ahead of print] Lumbar paraspinal muscle morphometry and its correlations with demographic and radiological factors in adult isthmic spondylolisthesis: a retrospective review of 120 surgically managed cases. Thakar S, Sivaraju L, Aryan S, Mohan D, Sai Kiran NA, Hegde AS. Author information Abstract OBJECTIVE The objective of this […]

One Month of Oral Morphine Decreases Gray Matter Volume in the Right Amygdala of Individuals with Low Back Pain: Confirmation of Previously Reported Magnetic Resonance Imaging Results

Pain Med. 2015 Dec 26. pii: pnv047. [Epub ahead of print] Lin JC1, Chu LF2, Stringer EA2, Baker KS3, Sayyid ZN2, Sun J2, Campbell KA4, Younger JW4. Abstract OBJECTIVE: . Prolonged exposure to opioids is known to produce neuroplastic changes in animals; however, few studies have investigated the effects of short-term prescription opioid use in […]