Lumbar Spine & Low Back Pain

Does specificity of manipulation matter in the treatment of chronic low back pain?

Posted on 10 April, 2014 by Joe Brence Recently, many in the manual therapy community have been questioning the mechanisms of how spinal manipulation works.  While some hold onto the belief that spinal manipulation has more of a biomechanical and structural influence, others believe the effects to be neurophysiological.    In a 2011 study published in […]

Risk Factors for Serious Underlying Pathology in Adult Emergency Department Nontraumatic Low Back Pain Patients

Thiruganasambandamoorthy V, et al. J Emerg Med. 2014 Apr 8. pii: S0736-4679(14)00155-3. doi: 10.1016/j.jemermed.2013.08.140. [Epub ahead of print] Abstract BACKGROUND: Nontraumatic low back pain (LBP) is a common emergency department (ED) complaint and can be caused by serious pathologies that require immediate intervention or that lead to death. OBJECTIVE: The primary goal of this study […]

Back Pain Pictures Slideshow: Myths and Facts About Back Pain

The Truth About Back Pain Back pain is extremely common. In fact, 80% of people will have significant back pain at some point. Back pain symptoms vary from individual to individual. They can be sharp or dull. Myths regarding back pain are also common. Can you recognize the myths and facts that follow? Full Story

Association between baseline IL-6 and 1-year recovery in lumbar radicular pain

Eur J Pain. 2014 Nov;18(10):1394-401. doi: 10.1002/j.1532-2149.2014.502.x. Epub 2014 Apr 2. Schistad EI, Espeland A, Pedersen LM, Sandvik L, Gjerstad J, Røe C. Abstract BACKGROUND: In the present study, the influence of cytokines on 1-year recovery in lumbar radicular pain was examined. METHODS: In total, 110 patients with symptomatic lumbar disc herniation were followed for […]

Do manual therapies help low back pain? A comparative effectiveness meta-analysis

Spine (Phila Pa 1976). 2014 Apr 1;39(7):E463-72. doi: 10.1097/BRS.0000000000000230. Menke JM1. Author information Abstract STUDY DESIGN: Meta-analysis methodology was extended to derive comparative effectiveness information on spinal manipulation for low back pain. OBJECTIVE: Determine relative effectiveness of spinal manipulation therapies (SMTs), medical management, physical therapies, and exercise for acute and chronic nonsurgical low back pain. […]

Outcomes of pregnant patients with low back pain undergoing chiropractic treatment

A prospective cohort study with short term, medium term and 1 year follow-up Cynthia K Peterson Chiropractic & Manual Therapies 2014, 22:15 doi:10.1186/2045-709X-22-15 Published: 1 April 2014 Journal Reference Abstract (provisional) Background Low back pain in pregnancy is common and research evidence on the response to chiropractic treatment is limited. The purposes of this study […]

Manipulation Under Anesthesia for Lumbopelvic Pain

A Retrospective Review of 18 Cases Douglas J. Taber, DC Journal of Chiropractic Medicine Available online 11 March 2014 Abstract Objective The purpose of this case series is to report the effects of manipulation under anesthesia (MUA) for patients with lumbopelvic (lumbar spine, sacroiliac and/or pelvic, hip) pain in an outpatient ambulatory/hospital-based setting. Methods A […]

Therapeutic ultrasound for chronic low-back pain

Cochrane Database Syst Rev. 2014 Mar 14;(3):CD009169. doi: 10.1002/14651858.CD009169.pub2. Ebadi S Abstract BACKGROUND: Chronic non-specific low-back pain (LBP) has become one of the main causes of disability in the adult population around the world. Therapeutic ultrasound is frequently used by physiotherapists in the treatment of LBP and is one of the most widely used electro-physical […]

Low Back Pain Top Cause of Disability Worldwide

Larry Hand March 24, 2014 Full Story Low back pain (LBP) causes more disability globally than any other condition, according to 2 studies published onlineJanuary 30 and March 24 in the Annals of the Rheumatic Diseases. As the world population continues to age, an urgent need exists for research to find out why and how LBP might be prevented […]

Pathomechanisms of discogenic low back pain in humans and animal models

Ohtori S, et al. Spine J. 2014 Mar 19. pii: S1529-9430(14)00279-4. doi: 10.1016/j.spinee.2013.07.490. [Epub ahead of print] Abstract BACKGROUND CONTEXT: Although they have been explored in humans and animal models, the pathomechanisms of discogenic low back pain (LBP) remain unknown. PURPOSE: To review the literature about the pathomechanisms of discogenic LBP. METHODS: Animal models of […]

Interventions focusing on psychosocial risk factors for patients with non-chronic low back pain in primary care

—a systematic review Family Practice, 03/20/2014  Evidence Based Medicine  Review Article  Clinical Article Ramond–Roquin A, et al. – Low back pain (LBP) is a problem that is frequently encountered in primary care, and current guidelines encourage care providers to take into account psychosocial risk factors in order to avoid transition from acute to chronic LBP. To review […]

Risk-Stratified Care Improves Low Back Pain

Research · March 01, 2014 Story Source Journal Abstract TAKE-HOME MESSAGE This prospective cohort study evaluated the effect of risk-stratified care for low-back pain in 1647 adults in a family practice of 64 physicians. A risk-stratification tool was used to categorize patients to low-, medium-, or high-risk for persistent disability. At 6 months, risk-stratified care resulted in […]

Lumbar fusion compared with conservative treatment in patients with chronic low back pain

Lumbar fusion compared with conservative treatment in patients with chronic low back pain: a meta-analysis Saltychev, Mikhail; Eskola, Merja; Laimi, Katri International Journal of Rehabilitation Research March 2014 Vol. 37 – Issue 1: p 2–8 Abstract We assess the effect of lumbar fusion (LF) in reducing disability among patients with chronic low back pain (CLBP) […]

Correlation of pain with objective quantification of magnetic resonance images in older adults with chronic low back pain

Spine (Phila Pa 1976). 2014 Mar 15;39(6):469-75. doi: 10.1097/BRS.0000000000000181. Bechara BP1, Agarwal V, Boardman J, Perera S, Weiner DK, Vo N, Kang J, Sowa GA. Abstract STUDY DESIGN: Cross sectional study. OBJECTIVE: The goal of this study is to identify relationships between objectively measured and subjectively scored parameters and reported pain. SUMMARY OF BACKGROUND DATA: […]

Correlation between Degree of Radiologic Signs of Osteoarthritis and Functional Status in Patients with Chronic Mechanical Low Back Pain

Malays J Med Sci. 2014 Mar;21(2):28-33. Correlation between Degree of Radiologic Signs of Osteoarthritis and Functional Status in Patients with Chronic Mechanical Low Back Pain. Ashraf A Abstract BACKGROUND: Osteoarthritis is the most intervening factors in producing mechanical low back pain (LBP). We aimed to evaluate the correlation between radiologic signs of osteoarthritis and functional […]

Outcomes of acute and chronic patients with magnetic resonance imaging-confirmed symptomatic lumbar disc herniations receiving high-velocity, low-amplitude, spinal manipulative therapy: a prospective observational cohort study with one-year follow-up

J Manipulative Physiol Ther Mar-Apr 2014;37(3):155-63. doi: 10.1016/j.jmpt.2013.12.011. Epub 2014 Mar 11. Serafin Leemann Abstract Objective: The purposes of this study were to evaluate patients with low-back pain (LBP) and leg pain due to magnetic resonance imaging-confirmed disc herniation who are treated with high-velocity, low-amplitude spinal manipulation in terms of their short-, medium-, and long-term […]

Foot posture, leg length discrepancy and low back pain

Their relationship and clinical management using foot orthoses – An overview Kendall JC, et al. Show all Journal Foot (Edinb). 2014 Mar 19. pii: S0958-2592(14)00012-1. doi: 10.1016/j.foot.2014.03.004. [Epub ahead of print] Abstract Mechanical low back pain (LBP) is a very common, expensive, and significant health issue in the western world. Functional musculoskeletal conditions are widely […]

Influence of low back pain and prognostic value of MRI in sciatica patients in relation to back pain.

Randomized controlled trial el Barzouhi A, et al. PLoS One. 2014. PLoS One. 2014 Mar 17;9(3):e90800. doi: 10.1371/journal.pone.0090800. eCollection 2014. Abstract BACKGROUND: Patients with sciatica frequently complain about associated back pain. It is not known whether there are prognostic relevant differences in Magnetic Resonance Imaging (MRI) findings between sciatica patients with and without disabling back […]

Outcomes of Acute and Chronic Patients With Magnetic Resonance Imaging–Confirmed Symptomatic Lumbar Disc Herniations Receiving High-Velocity, Low-Amplitude, Spinal Manipulative Therapy

A Prospective Observational Cohort Study With One-Year Follow-Up Serafin Leemann, DC Journal of Manipulative and Physiological Therapeutics Received 14 October 2013; received in revised form 20 December 2013; accepted 25 December 2013. published online 13 March 2014. Full Text Article Abstract Objective The purposes of this study were to evaluate patients with low-back pain (LBP) […]

Occult neural foraminal stenosis caused by association between disc degeneration and facet joint osteoarthritis: demonstration with dedicated upright MRI system.

Radiol Med. 2014 Mar;119(3):164-74. doi: 10.1007/s11547-013-0330-7. Epub 2013 Dec 12. Splendiani A, Ferrari F, Barile A, Masciocchi C, Gallucci M. Abstract PURPOSE: The aim of our study was to evaluate the presence of dynamic foraminal stenosis using a new low-field dedicated magnetic resonance (MR) unit with a balancing system that allows images to be acquired […]