Lumbar Spine & Low Back Pain

Recalcitrant Back Pain Could Be Vertebral Osteomyelitis

New guidelines from ISDA alert doctors to this possibility   THURSDAY, July 30, 2015 (HealthDay News) — Vertebral osteomyelitis should be considered in cases of back or neck pain unresponsive to conservative measures and elevated inflammatory markers with or without fever, according to new guidelines from the Infectious Disease Society of America published online July […]

Efficacy of Acupuncture on the Quality of Life of Patients with Low Back Pain

Cui Shu Li, Seah Cheng Ngee, Xu Sheng, Fook-Chong Stephanie Man Chung, and Tan Kian Hian. Medical Acupuncture. -Not available-, ahead of print. doi:10.1089/acu.2015.1094. Online Ahead of Print: July 29, 2015 ABSTRACT Objective: To evaluate the effectiveness of acupuncture treatment on the quality of life and long-term pain relief in patients with low back pain. […]

MRI of the lumbar spine with dedicated G-scan machine in the upright position

Radiol Med. 2015 Jul 28. [Epub ahead of print] Magnetic resonance imaging (MRI) of the lumbar spine with dedicated G-scan machine in the upright position: a retrospective study and our experience in 10 years with 4305 patients. Splendiani A Abstract PURPOSE: To evaluate the pathological changes of the lumbar spine and the instability of the […]

What is the best time point to identify patients at risk of developing persistent low back pain?

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 […]

Deep gluteal syndrome – Full Text

Hal David Martin Manoj Reddy Juan Gómez-Hoyos Journal of Hip Preservation Surgery, Volume 2, Issue 2, 1 July 2015, Pages 99–107, https://doi.org/10.1093/jhps/hnv029 Published: 06 June 2015 Abstract Deep gluteal syndrome describes the presence of pain in the buttock caused from non-discogenic and extrapelvic entrapment of the sciatic nerve. Several structures can be involved in sciatic […]

Diagnostic Imaging in Seniors With New Back Pain Is Unnecessary, Costly

Clinical Pain Medicine ISSUE: JULY 2015 | VOLUME: 13(7) Early diagnostic imaging for new-onset back pain in older adults is costly and not associated with better outcomes, according to a new study. While early imaging (prior to six weeks after an index visit) in younger adults is discouraged by evidence-based guidelines, the timing of imaging […]

The Chiropractic Hospital-Based Interventions Research Outcomes Study: Consistency of Outcomes Between Doctors of Chiropractic Treating Patients With Acute Lower Back Pain

JMPT, June 2015Volume 38, Issue 5, Pages 311–323 Jeffrey A. Quon, DC, MHSc, PhD Abstract Objective The aim of this study was to determine if effectiveness differs between community-based doctors of chiropractic administering standardized evidence-based care that includes high-velocity low-amplitude spinal manipulative therapy (SMT) for acute low back pain (LBP). Methods A secondary analysis of […]

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 (PTs) use traction, patients for whom traction is used, preferred delivery modes/parameters, supplemental interventions, and whether professional characteristics influence traction usage. Background Several systematic reviews and clinical guidelines question traction’s effectiveness for managing low back pain (LBP), […]

Baseline Examination Factors Associated With Clinical Improvement After Dry Needling In Individuals With Low Back Pain

Authors: Shane L. Koppenhaver, PT, PhD Journal of Orthopaedic & Sports Physical Therapy, Ahead of Print Pages: 1-31 doi:10.2519/jospt.2015.5801 Study Design Quasi-experimental. Objectives To explore for associations between demographic, patient history, and physical examination variables and short-term improvement in self-reported disability following dry needling therapy performed on individuals with low back pain (LBP). Background Dry […]

What Are Long-term Predictors of Outcomes for Lumbar Disc Herniation? A Randomized and Observational Study

Clin Orthop Relat Res. 2015 Jun;473(6):1920-30. doi: 10.1007/s11999-014-3803-7. Kerr D, Zhao W, Lurie JD. Abstract BACKGROUND: Although previous studies have illustrated improvements in surgical cohorts for patients with intervertebral disc herniation, there are limited data on predictors of long-term outcomes comparing surgical and nonsurgical outcomes. QUESTIONS/PURPOSES: We assessed outcomes of operative and nonoperative treatment for […]

Effects of lumbar stabilization exercise on functional disability and lumbar lordosis angle in patients with chronic low back pain – Full Text

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 […]

Association between knee pain and low back pain

J Pak Med Assoc. 2015 Jun;65(6):626-31. Rahbar M Abstract OBJECTIVE: To evaluate the association between knee pain and lumbar disorders. METHODS: The case-control study was conducted at Physical Medicine and Rehabilitation Department, Tabriz University of Medical Sciences, Iran, from December 2009 to March 2011, and comprised patients with primary complaint of knee pain. A separate […]

Clinical decision rule for primary care patient with acute low back pain at risk of developing chronic pain

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 Experts Recommendations for Chronic Pain Includes Manipulation, Endurance Exercise, Acupuncture, etc

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 […]

Articular dysfunction patterns in patients with mechanical low back pain: A clinical algorithm to guide specific mobilization and manipulation techniques

Manual Therapy Volume 20, Issue 3, June 2015, Pages 499-502 Manual Therapy Professional issue V. Dewitte, B. Cagnie Abstract Recent systematic reviews have demonstrated reasonable evidence that lumbar mobilization and manipulation techniques are beneficial. However, knowledge on optimal techniques and doses, and its clinical reasoning is currently lacking. To address this, a clinical algorithm is […]

Spine motion during coitus (with commentary on the implications)

Physicists and engineers, among others, might be able to appreciate the care that went into this study of female spine motion during coitus: “Documenting female spine motion during coitus with a commentary on the implications for the low back pain patient,”Natalie Sidorkewicz and Stuart M. McGill, European Spine Journal, Volume 24, Issue 3, March 2015, pp. 513-520. The […]

Can patients identify what triggers their back pain?

Pain. 2015 Jun 1. [Epub ahead of print] Can patients identify what triggers their back pain? Secondary analysis of a case-crossover study. Parreira P Abstract The aim of this case-crossover study was to investigate the extent to which patients can accurately nominate what triggered their new episode of sudden onset, acute low back pain (LBP). […]

Associations between lumbosacral transitional anatomy types and degeneration at the transitional and adjacent segments

Farshad-Amacker NA, et al. Spine J. 2015. Show full citation Abstract BACKGROUND CONTEXT: The relation between specific types of lumbosacral transitional vertebra and the degree of degeneration at and adjacent to the transitional level is unclear. It is also unknown whether the adjacent cephalad segment to a transitional vertebra is prone to greater degeneration than a […]

Depression May Increase Risk of Low Back Pain

05.27.2015 Patients with symptoms of depression are at increased risk of developing a new episode of low back pain compared with those who are not depressed, a meta-analysis has found. Analysis also showed that the more severe the depression, the greater the risk of low back pain. In a pooled analysis of 19 studies, 11 […]

First study on the effects of unstable shoes with curved soles on trunk muscles and lumbar lordosis

Date: May 18, 2015 Source: Asociación RUVID Summary: Unstable shoes – compared to normal shoes – improve trunk muscle activity in order to maintain balance, which in turn favors spine stability and can help reduce low back pain, new research concludes. The few studies that have been conducted so far on this type of footwear […]