Lumbar Spine & Low Back Pain

Risk factors for lumbar intervertebral disc height narrowing: a population-based longitudinal study in the elderly

BMC Musculoskelet Disord. 2015 Nov 9;16(1):344. doi: 10.1186/s12891-015-0798-5. Akeda K, Yamada T, Inoue N, Nishimura A, Sudo A. Abstract BACKGROUND: The progression of disc degeneration is generally believed to be associated with low back pain and/or degenerative lumbar diseases, especially in the elderly. The purpose of this study was to quantitatively evaluate changes in lumbar […]

Naproxen With Cyclobenzaprine or Oxycodone/Acetaminophen for Acute Low-Back Pain

October 28, 2015 JAMA : The Journal of the American Medical Association TAKE-HOME MESSAGE Patients with acute non-traumatic, non-radicular low-back pain for In patients presenting to the emergency department with acute low-back pain, the addition of cyclobenzaprine or oxycodone/acetaminophen to naproxen had no clinical benefit over naproxen alone. Primary Care Written by David Rakel MD, […]

Effect of Lumbar Disc Degeneration and Low-Back Pain on the Lumbar Lordosis in Supine and Standing: A Cross-Sectional MRI Study

Spine: November 2015 – Volume 40 – Issue 21 – p 1690–1696 Hansen, Bjarke B. MD Abstract Study Design. Cross-sectional study. Objective. To examine the influence of low-back pain (LBP) and lumbar disc degeneration (LDD) on the lumbar lordosis in weight-bearing positional magnetic resonance imaging (pMRI). Summary of Background Data. The lumbar lordosis increases with […]

Naproxen With Cyclobenzaprine, Oxycodone/Acetaminophen, or Placebo for Treating Acute Low Back Pain

A Randomized Clinical Trial October 20, 2015 Benjamin W. Friedman, MD, MS Importance Low back pain (LBP) is responsible for more than 2.5 million visits to US emergency departments (EDs) annually. These patients are usually treated with nonsteroidal anti-inflammatory drugs, acetaminophen, opioids, or skeletal muscle relaxants, often in combination. Objective To compare functional outcomes and […]

A systematic review comparing the costs of chiropractic care to other interventions for spine pain in the United States

BMC Health Serv Res. 2015; 15: 474. Published online 2015 Oct 19. doi: 10.1186/s12913-015-1140-5 PMCID: PMC4615617 Simon Dagenais Abstract Background Although chiropractors in the United States (US) have long suggested that their approach to managing spine pain is less costly than other health care providers (HCPs), it is unclear if available evidence supports this premise. […]

A Randomized Controlled Trial of Chiropractic Compared to Physical Therapy for Chronic Low Back Pain in Community Dwelling Geriatric Patients

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 […]

Inflammatory Back Pain Linked With Bone Loss

09.26.2015 Anti-TNF and NSAID therapies have protective effects by Diana Swift Contributing Writer More than four in 10 patients having inflammatory back pain suggestive of early axial spondyloarthritis (SpA) and followed for 2 years experienced bone loss in the lumbar spine and hip, according to findings published in Rheumatology. Furthermore, even a short duration of […]

Chronic Back Pain May Be Arachnoiditis

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 […]

The efficacy of acupuncture for the treatment of sciatica: a systematic review and meta-analysis

Evidence-based Complementary and Alternative Medicine , 09/23/2015 Ji M, et al. This study aims to assess the effectiveness of acupuncture therapy for sciatica. Acupuncture may be effective in treating the pain associated with sciatica. Methods Comprehensive searches of 8 databases were conducted up until April 2015. Outcomes included effectiveness (proportion of patients who improved totally […]

Advice to Stay Active or Structured Exercise in the Management of Sciatica

A Systematic Review and Meta-analysis Fernandez, Matt MChiro*; Hartvigsen, Jan PhD†; Ferreira, Manuela L. PhD‡,§; Refshauge, Kathryn M. PhD*; Machado, Aryane F. BPT*; Lemes, Ítalo R. BPT*; Maher, Chris G. PhD‡; Ferreira, Paulo H. PhD* Spine 40(18):p 1457-1466, September 15, 2015. | DOI: 10.1097/BRS.0000000000001036 Study Design. A systematic review and meta-analysis. Objective. To evaluate the […]

Advice to Stay Active or Structured Exercise in the Management of Sciatica: A Systematic Review and Meta-analysis.

Spine (Phila Pa 1976). 2015 Sep 15;40(18):1457-66. doi: 10.1097/BRS.0000000000001036. Fernandez M Abstract STUDY DESIGN: A systematic review and meta-analysis. OBJECTIVE: To evaluate the evidence on comparative effectiveness of advice to stay active versus supervised structured exercise in the management of sciatica. SUMMARY OF BACKGROUND DATA: Conservative management of sciatica usually includes interventions to promote physical […]

Interventions for preventing and treating low-back and pelvic pain during pregnancy

Cochrane Database Syst Rev. 2015 Sep 30;9:CD001139. doi: 10.1002/14651858.CD001139.pub4. Liddle SD, Pennick V. Abstract BACKGROUND: More than two-thirds of pregnant women experience low-back pain and almost one-fifth experience pelvic pain. The two conditions may occur separately or together (low-back and pelvic pain) and typically increase with advancing pregnancy, interfering with work, daily activities and sleep. […]

Big differences in U.S. healthcare costs for fixing back pain

Date: September 1, 2015 Source: Wolters Kluwer Health: Lippincott Williams and Wilkins Summary: How much does spinal fusion surgery cost? The answer depends on what part of the country you live in, reports a study. The researchers analyzed 2012 Medicare data on the costs of two common types of spinal fusion surgery: anterior cervical discectomy […]

The effect of the stay active advice on physical activity and on the course of acute severe low back pain

BMC Sports Sci Med Rehabil. 2015 Aug 27;7:19. doi: 10.1186/s13102-015-0013-x. eCollection 2015. Olaya-Contreras P, Styf J, Arvidsson D, Frennered K, Hansson T. Abstract BACKGROUND: Disability due to acute low back pain (ALBP) runs parallel with distress and physical inactivity. If low back pain persists, this may lead to long-term sick leave and chronic back pain. […]

Spondylolisthesis and Anterior Spondylolisthesis Article by Dan Murphy, D.C.

From the earliest moments of his life, Joe was an extremely active boy. He would attempt climb up on to everything he could, often falling off: furniture, vehicles, rocks, trees, etc. When he began school, he was constantly involved in every sport available to him: football, baseball, basketball, soccer, gymnastics, and more. Joe particularly like […]

Low back pain, SI joint, Mulligan technique – Video

https://youtu.be/jIR3kCd-qD0 The two tapes used are Hypafix and Leucotape. Hypafix is the underlayment to protect the skin, and the Leucotape is the strong reinforcing tape. Shop Amazon for Hypafix (4 inch) Shop Amazon for Leucotape (1.5 inch) YouTube Link

ESI Beneift Small, Not Sustained, Not Effective for Spinal Stenosis, and No Effect on Long-Term Surgery Risk

Epidural Corticosteroid Injections for Radiculopathy and Spinal Stenosis: A Systematic Review and Meta-analysis Roger Chou, MD Ann Intern Med. Published online 25 August 2015 doi:10.7326/M15-0934 Background: Use of epidural corticosteroid injections is increasing. Purpose: To review evidence on the benefits and harms of epidural corticosteroid injections in adults with radicular low back pain or spinal […]

Influence of core stability exercise on lumbar vertebral instability in patients presented with chronic low back pain

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 […]

Efficacy and safety of acupuncture for acute low back pain in emergency department

Efficacy and safety of acupuncture for acute low back pain in emergency department: a pilot cohort study Evidence-based Complementary and Alternative Medicine , 08/07/2015 Liu YT, et al. Low back pain (LBP) is one of the most common complaints in the emergency department (ED). There are several research articles providing evidence for acupuncture for treating […]

Lumbar Traction For Managing Low Back Pain: A Survey Of Physical Therapists In The United States

Authors: Timothy J. Madson, PT, MS Study Design Cross-sectional survey. Objectives To examine how many physical therapists use traction, the patients for whom traction is used, the preferred delivery modes/parameters of traction, the supplemental interventions used with traction, and whether professional characteristics influence traction usage. Background Several systematic reviews and clinical guidelines have questioned the […]