Lumbar Spine & Low Back Pain

Longitudinal associations between incident lumbar spine MRI findings and chronic low back pain or radicular symptoms

Retrospective analysis of data from the longitudinal assessment of imaging and disability of the back (LAIDBACK) BMC Musculoskeletal Disorders, 05/13/2014 Evidence Based Medicine  Clinical Article Suri P, et al. – There are few longitudinal cohort studies examining associations between incident MRI findings and incident spine–related symptom outcomes. Prior studies do not discriminate between the two distinct outcomes […]

Longitudinal associations between incident lumbar spine MRI findings and chronic low back pain or radicular symptoms

Longitudinal associations between incident lumbar spine MRI findings and chronic low back pain or radicular symptoms: retrospective analysis of data from the longitudinal assessment of imaging and disability of the back (LAIDBACK) Pradeep Suri BMC Musculoskeletal Disorders201415:152 https://doi.org/10.1186/1471-2474-15-152 ©  Suri et al.; licensee BioMed Central Ltd. 2014 Received: 20 November 2013 Accepted: 6 May 2014 Published: 13 May 2014 Abstract Background There are few longitudinal […]

Indications, benefits, and risks of pilates exercise for people with chronic low back pain

A Delphi survey of pilates-trained physical therapists Physical Therapy, 05/12/2014 Clinical Article Wells C, et al. – The objective of this study was to establish a consensus regarding the indications, contraindications, and precautions of Pilates exercise and the potential benefits and risks of Pilates exercise for people with chronic low back pain (CLBP). These findings […]

The efficacy of manual therapy and exercise for different stages of non-specific low back pain: an update of systematic reviews – Full Text Article

J Man Manip Ther. 2014 May; 22(2): 59–74. doi: 10.1179/2042618613Y.0000000041 PMCID: PMC4017797 PMID: 24976749 Benjamin Hidalgo Abstract Objective to review and update the evidence for different forms of manual therapy (MT) for patients with different stages of non-specific low back pain (LBP). Data sources MEDLINE, Cochrane-Register-of-Controlled-Trials, PEDro, EMBASE. Method A systematic review of MT with […]

The timing of surgery in lumbar disc prolapse: A systematic review

Indian Journal of Orthopedic Surgery Year : 2014  |  Volume : 48  |  Issue : 2  |  Page : 127-135 Ashutosh B Sabnis, Ashish D Diwan Abstract Herniation of nucleus pulposus leading to leg pain is the commonest indication for lumbar spine surgery. However, there is no consensus when to stop conservative treatment and when […]

The efficacy of manual therapy and exercise for different stages of non-specific low back pain: an update of systematic reviews

The efficacy of manual therapy and exercise for different stages of non-specific low back pain: an update of systematic reviews. Hidalgo B1, Detrembleur C1, Hall T2, Mahaudens P3, Nielens H3. J Man Manip Ther. 2014 May;22(2):59-74. doi: 10.1179/2042618613Y.0000000041. PubMed Reference Abstract OBJECTIVE: to review and update the evidence for different forms of manual therapy (MT) […]

Will That Disc Herniation Get Better?

May 3, 2014 by Dr Matthew D. Long One of the most important aspects of patient care is offering an accurate prognosis for any given condition. Whether we see our role as an expert diagnostician in the neuromusculoskeletal system, or in a more functional role as a facilitator of greater wellbeing, our patients do expect […]

Two-year comprehensive medical management of degenerative lumbar spine disease : a value analysis of cost, pain, disability, and quality of life

Two-year comprehensive medical management of degenerative lumbar spine disease (lumbar spondylolisthesis, stenosis, or disc herniation): a value analysis of cost, pain, disability, and quality of life. Parker SL, et al. J Neurosurg Spine. 2014 May 2. [Epub ahead of print] Abstract Object Current health care reform calls for a reduction of procedures and treatments that […]

Effects of Spinal Stabilization Exercise on the Cross-sectional Areas of the Lumbar Multifidus and Psoas Major Muscles, Pain Intensity, and Lumbar Muscle Strength of Patients with Degenerative Disc Disease

J Phys Ther Sci. 2014 Apr;26(4):579-82. doi: 10.1589/jpts.26.579. Epub 2014 Apr 23. Kim S Abstract [Purpose] The aim of this study was to evaluate the efficacy of using spinal stabilizing exercise to reduce atrophy of the multifidus and psoas major muscles, reduce the levels of pain and disability, and increase paraspinal muscle strength in patients […]

FDA Issues Warning on Common Off-Label Neck, Back Pain Treatment

PT in Motion – News Now THURSDAY, APRIL 24, 2014 FDA Issues Warning on Common Off-Label Neck, Back Pain Treatment The US Food and Drug Administration (FDA) has issued a warning (.pdf) about the dangers of administering epidural injections of corticosteroids to relieve neck and back pain. According to the FDA, the off-label use could result in […]

Tapping into controversial back surgeries

By BEN EISLER CBS NEWS April 24, 2014, 6:30 AM Back pain is one of the most common reasons Americans go to the doctor, and one of the fastest growing treatments is spinal fusion surgery. From 2001 to 2011, the number of spinal fusions in U.S. hospitals increased 70 percent, making them more frequently performed […]

FDA Orders New Warning for Epidural Steroids

Published: Apr 23, 2014 By John Gever, Deputy Managing Editor, MedPage Today Injectable corticosteroids must now carry a new label warning about the risks of severe adverse effects from epidural injections including death, stroke, and permanent blindness and paralysis, the FDA said. The agency decided that such a warning is needed after reviewing numerous reports […]

Spinal Corticosteroids Run Risk of Severe Neuro Effects

Robert Lowes April 23, 2014 Epidural injections of corticosteroids to relieve pain — a widespread, off-label use — run the rare risk for blindness, stroke, paralysis, and death, the US Food and Drug Administration (FDA) announced today. The FDA is requiring manufacturers of corticosteroids to revise drug labels to include this warning. In today’s announcement, […]

A History of Lumbar Disc Herniation From Hippocrates to the 1990s

Truumees E. Clin Orthop Relat Res. 2014 Apr 22. [Epub ahead of print] Abstract In ancient times, a supernatural understanding of the syndrome of lumbar radiculopathy often involved demonic forces vexing the individual with often crippling pain. The ancient Greeks and Egyptians began to take a more naturalistic view and, critically, suspected a relationship between […]

Immediate Changes After Manual Therapy in Resting-State Functional Connectivity as Measured by fMRI in Participants With Induced Low Back Pain

Charles W. Gay, DC Journal of Manipulative & Physiological Therapeutics Received: April 18, 2014; Received in revised form: August 18, 2014; Accepted: September 1, 2014; Published Online: October 02, 2014 DOI: http://dx.doi.org/10.1016/j.jmpt.2014.09.001 Abstract Objective The purposes of this study were to use functional magnetic resonance imaging to investigate the immediate changes in functional connectivity (FC) […]

The Clinical Course of Low Back Pain – Full Text

A Meta-analysis Comparing Outcomes in Randomised Clinical Trials (RCTs) and Observational Studies Majid Artus; Danielle van der Windt; Kelvin P Jordan; Peter R Croft BMC Musculoskelet Disord. 2014;15(68) Abstract Background: Evidence suggests that the course of low back pain (LBP) symptoms in randomised clinical trials (RCTs) follows a pattern of large improvement regardless of the […]

Richard Deyo, M.D.: Manipulating the Pain: Chiropractic and Other “Alternative” Treatments for Back Pain VIDEO

Manipulating the Pain: Chiropractic and Other “Alternative” Treatments for Back Pain Air date: Monday, April 14, 2014, 10:00:00 AM Category: NCCAM Lectures Runtime: 00:57:33 Description: The National Center for Complementary and Alternative Medicine (NCCAM) presents the Integrative Medicine Research Lecture series. The series provides overviews of the current state of research and practice involving complementary […]

An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy

Kreiner DS Spine J. 2014 Jan;14(1):180-91. doi: 10.1016/j.spinee.2013.08.003. Epub 2013 Nov 14. 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 […]

Effectiveness of Myofascial release in the management of chronic low back pain in nursing professionals

Journal of Bodywork and Movement Therapies April 2014 Volume 18, Issue 2, Pages 273–281 M.S. Ajimsha, MPT, ADMFT, PhD Summary Objective To investigate whether Myofascial release (MFR) when used as an adjunct to specific back exercises (SBE) reduces pain and disability in chronic low back pain (CLBP) in comparison with a control group receiving a […]

Does high blood pressure reduce the risk of chronic low back pain? The Nord-Trøndelag Health Study

Eur J Pain. 2014 Apr;18(4):590-8. doi: 10.1002/j.1532-2149.2013.00398.x. Epub 2013 Sep 9. Heuch I1, Heuch I, Hagen K, Zwart JA. Abstract BACKGROUND: Epidemiological studies have suggested inverse relationships between blood pressure and prevalence of conditions such as migraine and headache. It is not yet clear whether similar relationships can be established for back pain in particular […]