Lumbar Spine & Low Back Pain

The bidirectional relationship between pain intensity and sleep disturbance/quality in patients with low back pain

Clin J Pain. 2014 Sep;30(9):755-65. doi: 10.1097/AJP.0000000000000055. Saad M Alsaadi Abstract Objectives: This study investigated the bidirectional relationship between the intensity of low back pain (LBP) and sleep disturbance. Further, the study aimed to determine whether any relationship is dependent on pain duration, symptoms of depression and anxiety, and the method of sleep assessment (subjective vs. […]

American Academy of Neurology Warns Against Opioids in Chronic Noncancer Pain

By Kristina Fiore, Staff Writer, MedPage Today Published: Sep 29, 2014 Download Full Text Article Action Points A position paper from the American Academy of Neurology suggests that the risks for chronic opioid therapy for some chronic conditions such as headache, fibromyalgia, and chronic low back pain likely outweigh the benefits. It also suggests that […]

For Back Pain or Headache, Painkillers Do More Harm than Good

Alice Park @aliceparkny Sept. 29, 2014 Story Source;  TIME For the first time, a major medical organization takes a stand on rampant overuse of opioids for treating back pain, headaches and migraines Powerful painkillers do little to improve patients’ daily functioning, finds the American Academy of Neurology in a new position statement on opioid painkillers […]

Women’s experiences of low back pain during pregnancy

J Back Musculoskelet Rehabil. 2014 Sep 29. [Epub ahead of print] Women’s experiences of low back pain during pregnancy. Mota M Abstract OBJECTIVES: This study investigated the self-reported prevalence and impact of low back pain (LBP) during pregnancy in primiparous and multiparous women, and their treatment-seeking rationales and experiences, including their use of physiotherapy. METHODS: […]

Determinants of evolution of endplate and disc degeneration in the lumbar spine: a multifactorial perspective

Eur Spine J. 2014 Sep;23(9):1863-8. doi: 10.1007/s00586-014-3382-z. Epub 2014 Jun 5. Farshad-Amacker NA1, Hughes AP, Aichmair A, Herzog RJ, Farshad M. Abstract PURPOSE: Evolution and progression of disc and endplate bone marrow degeneration of the lumbar spine are thought to be multifactorial, yet, their influence and interactions are not understood. The aim of this study […]

Short-Term Effect of Spinal Manipulation on Pain Perception, Spinal Mobility, and Full Height Recovery in Male Subjects With Degenerative Disk Disease – Full Text

Archives of Physical Medicine and Rehabilitation Volume 95, Issue 9, Pages 1613–1619, September 2014 Felipe Vieira-Pellenz, PT, PhD Abstract Objective To evaluate the short-term effect on spinal mobility, pain perception, neural mechanosensitivity, and full height recovery after high-velocity, low-amplitude (HVLA) spinal manipulation (SM) in the lumbosacral joint (L5-S1). Design Randomized, double-blind, controlled clinical trial with […]

Treating Back-Related Leg Pain With Spinal Manipulation and Home Exercise

Ann Intern Med. 2014;161(6):I-15. doi:10.7326/P14-9031 What is the problem and what is known about it so far? Back-related leg pain (BRLP), such as sciatica, is often disabling and causes more work loss, medication use, and health-related costs than uncomplicated low back pain. Nonpharmacologic interventions, including spinal manipulation, exercise, and education promoting self-management, are increasingly recommended as […]

Spinal Manipulation and Home Exercise With Advice for Subacute and Chronic Back-Related Leg Pain

16 September 2014 Spinal Manipulation and Home Exercise With Advice for Subacute and Chronic Back-Related Leg Pain: A Trial With Adaptive Allocation Gert Bronfort, DC, PhD Background: Back-related leg pain (BRLP) is often disabling and costly, and there is a paucity of research to guide its management. Objective: To determine whether spinal manipulative therapy (SMT) […]

Back-Related Leg Pain: Spine Manipulation Helps

Troy Brown, RN September 16, 2014 In patients with back-related leg pain (BRLP), spinal manipulative therapy (SMT) plus home exercise and advice (HEA) provided more short-term improvement in pain and function than HEA alone, according to a recent study. Gert Bronfort, DC, PhD, from the Center for Spirituality & Healing, University of Minnesota, Minneapolis, and […]

Chiro Tx Helps Back-Related Leg Pain

by Shara Yurkiewicz, Staff Writer, MedPage Today 2014-09-15 Action Points Note that this randomized trial comparing spinal manipulation plus home exercise and advice with home exercise and advice alone in patients with back-related leg pain found that the spinal manipulation arm had significantly better pain scores at 12 weeks. Be aware that the study was […]

Significance of cartilage endplate within herniated disc tissue

European Spine Journal September 2014, Volume 23, Issue 9, pp 1869-1877 Date: 20 Jun 2014 Significance of cartilage endplate within herniated disc tissue Polly Lama Abstract Purpose Disc herniations sometimes contain hyaline cartilage fragments, but their origins and significance are uncertain. Methods Herniations were removed surgically from 21 patients (aged 35–74 years) whose main symptom […]

MRI – what important findings can it show in children with back pain?

Dev Period Med. 2014;18(2):187-93. MRI – what important findings can it show in children with back pain? Bekiesińska-Figatowska M. Abstract INTRODUCTION: The percentage of school-age children who have already had an episode of back pain can be as high as 51%, and the incidence of the disease increases with age and physical activity. This paper […]

A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice

By David Seaman, DC, MS, DABCN Dynamic Chiropractic – September 15, 2014, Vol. 32, Issue 18 The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed. However, this is an important issue because GI complaints are a common condition in general; and for women in particular, GI complaints are associated […]

Avoiding ‘not tonight honey, I have a backache’: study

SEPTEMBER 10, 2014 By Andrew M. Seaman, Reuters Health NEW YORK (Reuters Health) – For men who find it painful to put their backs into it during sex, a new Canadian study suggests that some positions are better than others. Researchers identified certain sex positions as less likely to trigger lower-back pain, but said that […]

The effect of kinesio taping in forward bending of the lumbar spine

J Phys Ther Sci. 2014 Sep;26(9):1371-5. doi: 10.1589/jpts.26.1371. Epub 2014 Sep 17. Thiago Vilela Lemos PMID: 25276018 PMCID: PMC4175239 DOI: 10.1589/jpts.26.1371 Free PMC article Abstract [Purpose] The aim of this study was to evaluate the influence of a lumbar fascia Kinesio Taping(®) technique forward bending range of motion. [Subjects and Methods] This was a longitudinal […]

The best evidence in back and neck pain care – CBRG QuickDecks – Slide Shows

CBRG QuickDecks is a set of the summary slides describing findings from systematic reviews published by the Cochrane Back Review Group (CBRG). These summaries provide clinicians and researchers with a snapshot of evidence on various treatment and prevention measures for back and neck pain. Below you will find the summaries organized by intervention type (pharmacological/surgical/ […]

Short-Term Effect of Spinal Manipulation on Pain Perception, Spinal Mobility, and Full Height Recovery in Male Subjects With Degenerative Disk Disease: A Randomized Controlled Trial

VOLUME 95, ISSUE 9, P1613-1619, SEPTEMBER 2014 Felipe Vieira-Pellenz, PT, PhD Published: May 23, 2014 DOI:https://doi.org/10.1016/j.apmr.2014.05.002 Abstract Objective To evaluate the short-term effect on spinal mobility, pain perception, neural mechanosensitivity, and full height recovery after high-velocity, low-amplitude (HVLA) spinal manipulation (SM) in the lumbosacral joint (L5-S1). Design Randomized, double-blind, controlled clinical trial with evaluations at […]

Integrative therapies for low back pain that include complementary and alternative medicine care

Glob Adv Health Med. 2014 Sep;3(5):49-64. doi: 10.7453/gahmj.2014.043. Integrative therapies for low back pain that include complementary and alternative medicine care: a systematic review. Kizhakkeveettil A, Rose K1, Kadar GE1. Abstractin English, Chinese, Spanish STUDY DESIGN: Systematic review of the literature. OBJECTIVE: To evaluate whether an integrated approach that includes different Complementary and Alternative Medicine […]

The long-term course of patients undergoing alternative and integrative therapy for lumbar disc herniation

BMJ Open 2014;4:e005801 doi:10.1136/bmjopen-2014-005801 Complementary medicine The long-term course of patients undergoing alternative and integrative therapy for lumbar disc herniation: 3-year results of a prospective observational study Joon-Shik Shin Abstract Objectives This study aimed to assess the efficacy and safety of an integrative complementary and alternative medicine (CAM) approach in the management of lumbar herniated […]

Effects of the CORE Exercise Program on Pain and Active Range of Motion in Patients with Chronic Low Back Pain

J Phys Ther Sci. 2014 Aug;26(8):1237-40. doi: 10.1589/jpts.26.1237. Epub 2014 Aug 30. Hwi-Young Cho Abstract [Purpose] This study aimed to identify the effects of the CORE exercise program on pain and active range of motion (AROM) in patients with chronic low back pain. [Subjects and Methods] Thirty subjects with chronic low back pain were randomly […]