Lumbar Spine & Low Back Pain

Effects of Chiropractic Care on Strength, Balance, and Endurance in Active-Duty U.S. Military Personnel with Low Back Pain: A Randomized Controlled Trial

The Journal of Alternative and Complementary MedicineVol. 26, No. 7Original Articles Robert Vining, Cynthia R. Long, Amy Minkalis, M. Ram Gudavalli, Ting Xia, Joan Walter, Ian Coulter, and Christine M. Goertz Published Online:14 Jul 2020https://doi.org/10.1089/acm.2020.0107 Abstract Objectives: To investigate whether chiropractic care influences strength, balance, and/or endurance in active-duty United States military personnel with low […]

Regression of Lumbar Disc Herniation Following Non-surgical Treatment – Full Text

European Journal of Molecular & Clinical Medicine, 2020; 7(1): 27-29 Eric Chun-Pu Chu, Divya Midhun Chakkaravarthy, Fa-Sain Lo, Amiya Bhaumik. Abstract Symptomatic disc herniation is the most common disc pathology and can result in substantial disability and poor quality of life. Here, we present a male patient who was diagnosed as having lumbar disc herniation […]

Predictors of instanteous relief from spinal manipulation for non-specific low back pain: a delphi study

Stanley Innes, Amber Beynon, Christopher Hodgetts, Rachel Manassah, Denyse Lim & Bruce F. Walker Chiropractic & Manual Therapies volume 28, Article number: 39 (2020) Abstract Background There is some evidence and anecdotal reports that high-velocity low-amplitude (HVLA) spinal manipulation therapy (SMT) for non-specific low back pain (NSLBP) may immediately reduce pain in some patients. The […]

Therapeutic Ultrasound for Chronic Low Back Pain

Cochrane Database Syst Rev. 2020 Jul 5;7:CD009169. doi: 10.1002/14651858.CD009169.pub3. Safoora Ebadi Abstract Background: This is an update of a Cochrane Review published in 2014. Chronic non-specific low back pain (LBP) has become one of the main causes of disability in the adult population around the world. Although therapeutic ultrasound is not recommended in recent clinical guidelines, […]

Persian manual therapy method for chronic low-back pain with lumbar radiculopathy; a randomized controlled trial

JBMT VOLUME 24, ISSUE 3, P123-130, JULY 01, 2020 Mohamad Sanei Abstract Background Manual therapy is a non-surgical approach for management of musculoskeletal symptoms. This study investigated safety and efficacy of a Persian manual therapy method (Fateh technique) for management of chronic low-back pain (LBP) and radiculopathy. Methods In this controlled trial, 52 eligible patients […]

Evaluation of persons with suspected lumbosacral and cervical radiculopathy: Electrodiagnostic assessment and implications for treatment and outcomes (Part II)

Muscle and Nerve Timothy R. Dillingham MD MS Thiru M. Annaswamy MD, MA, FAAPMR Christopher T. Plastaras MD First published: 21 June 2020 https://doi.org/10.1002/mus.27008 Abstract The electrodiagnostic (EDX) examination with needle electromyography (EMG) is the most important means of testing for radiculopathy. This test has modest sensitivity but high specificity and complements imaging of the […]

Effectiveness of spinal manipulation and myofascial release compared with spinal manipulation alone on health-related outcomes in individuals with non-specific low back pain: randomized controlled trial

Physiotherapy Volume 107, June 2020, Pages 71-80 Taise AngeliBoff Abstract Objective To investigate the effectiveness of spinal manipulation combined with myofascial release compared with spinal manipulation alone, in individuals with chronic non-specific low back pain (CNLBP). Design Randomized controlled trial with three months follow-up. Setting Rehabilitation clinic. Participants Seventy-two individuals (between 18 and 50 years […]

Immediate Effects of a Single Spinal Manipulation on Lower-Limb Strength in Healthy Individuals: A Critically Appraised Topic

Journal of Sport Rehabilitation Christopher Kevin Wong Clinical Scenario: Many people with lower quarter musculoskeletal dysfunction present with muscle weakness. Strength training hypertrophies muscle and increases strength, but often requires periods over 6 weeks, which can exceed the episode of care. Weakness can persist despite muscle hypertrophy, particularly in the early stages of joint pathology or […]

Immediate effects of a lumbar spine manipulation on pain sensitivity and postural control in individuals with nonspecific low back pain: a randomized controlled trial

Jefferson Fagundes Loss, Luciano de Souza da Silva, Iã Ferreira Miranda, Sandro Groisman, Edgar Santiago Wagner Neto, Catiane Souza & Cláudia Tarragô Candotti Chiropractic & Manual Therapies Volume 28, Article number: 25 (2020) Abstract Background According to the American Physical Therapy Association, there is strong evidence to show that vertebral mobilization and manipulation procedures can […]

Rapid Acupuncture for Musculoskeletal Pain in the Emergency Room of the Hospital Servidor Publico Estadual, Brazil: A Quasi-Experimental Study

J Integr Med. 2020 May 28;S2095-4964(20)30054-6. doi: 10.1016/j.joim.2020.05.002. Online ahead of print. Luciana Aikawa 1, Alexandre Massao Yoshizumi 2, Mirian Matsura Shirassu 1, Marcia Kiyomi Koike 3 PMID: 32553560 DOI: 10.1016/j.joim.2020.05.002 Abstract Objective: To compare differences in self-reported musculoskeletal pain before and after receiving rapid acupuncture for pain at an outpatient emergency department. Methods: Exactly […]

Use of Complementary Health Approaches for Chronic Low-Back Pain: A Pain Research Registry-Based Study

The Journal of Alternative and Complementary Medicine Vol. 26, No. 5 John C. Licciardone and Vishruti Pandya Published Online:11 May 2020https://doi.org/10.1089/acm.2019.0448 Abstract Objectives: To measure the use of complementary health approaches (CHAs) recommended in recent clinical practice guidelines relating to low-back pain, multivariate factors associated with their use, and clinical outcomes of CHA users and […]

Healthcare Resource Utilization and Management of Chronic, Refractory Low Back Pain in the United States

Spine (Phila Pa 1976) 2020 May 21. doi: 10.1097/BRS.0000000000003572. Online ahead of print. Charis A Spears PMID: 32453242 DOI: 10.1097/BRS.0000000000003572 Abstract Study design: Retrospective analysis of inpatient and outpatient medical insurance claims data from a database containing over 100 million individuals. Objective: To quantify the healthcare resource utilization (HCRU) of non-surgical treatments in the first 2 years after […]

Comparing targeted thrust manipulation with general thrust manipulation in patients with low back pain. A general approach is as effective as a specific one. A randomised controlled trial – Full Text

BMJ Open Sport & Exercise Medicine 2019;5:e000514. doi: 10.1136/bmjsem-2019-000514 Christopher J McCarthy Abstract Background Spinal manipulation is commonly used to treat back pain. The application of spinal manipulation has traditionally involved an element of targeting the technique to a level of the spine where the proposed movement dysfunction is sited. We evaluated the effects of a […]

Sciatic Nerve Release – Motion Specific Release – Video

From the YouTube Website:  In this video Dr. Abelson demonstrates some of the Motion Specific Release (MSR) procedures we use to release the Sciatic Nerve. Symptoms of sciatica can be caused by disc herniation, foraminal stenosis, spinal stenosis, or entrapment of the sciatic nerve. Fortunately, most cases of Sciatica do NOT require Surgery, as long […]

Acupotomy versus Manual Acupuncture for the Treatment of Back and/or Leg Pain in Patients with Lumbar Disc Herniation: A Multicenter, Randomized, Controlled, Assessor-Blinded Clinical Trial

J Pain Res. 2020 Apr 1;13:677-687. doi: 10.2147/JPR.S234761. eCollection 2020. Jeong JK Abstract BACKGROUND: Acupotomy, which involves the addition of a scalpel function to the conventional acupuncture treatment, has recently been applied as a conservative treatment method for lumbar disc herniation (LDH). This study investigated the effectiveness and safety of acupotomy, compared to manual acupuncture, […]

Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review Update [Internet].

Editors Skelly AC, Chou R, Dettori JR, Turner JA, Friedly JL, Rundell SD, Fu R, Brodt ED, Wasson N, Kantner S, Ferguson AJR. Source Rockville (MD): Agency for Healthcare Research and Quality (US); 2020 Apr. Report No.: 20-EHC009. AHRQ Comparative Effectiveness Reviews. Structured Abstract Objectives: We updated the evidence from our 2018 report assessing persistent […]

Reliability of the buttock applied strain test to diagnose radicular pain in patients with low back pain

Pain Practice — Dekel BGS, Sorella MC, Vasarri A, et al. | May 01, 2020 This study was intended to assess reliability of the buttock applied strain test for the diagnosis of radicular pain in patients with low back pain. Researchers included a sum of 395 consecutive patients with low‐back pain (LBP) to examine sensitivity, […]

The Nordic maintenance care program: maintenance care reduces the number of days with pain in acute episodes and increases the length of pain free periods for dysfunctional patients with recurrent and persistent low back pain

The Nordic maintenance care program: maintenance care reduces the number of days with pain in acute episodes and increases the length of pain free periods for dysfunctional patients with recurrent and persistent low back pain – a secondary analysis of a pragmatic randomized controlled trial Andreas Eklund Chiropractic & Manual Therapies Volume 28, Article number: 19 (2020) Abstract Background A […]

Microdiskectomy Superior to Nonsurgical Care for Relieving Pain From Chronic Sciatica

From this article:  Patients in the surgical group underwent standard microdiskectomy approaches. Nonsurgical care consisted of patient education, activity/exercise, oral analgesics, use of active physiotherapy provided at the discretion of physiotherapists not associated with the trial, and an epidural glucocorticoid injection administered by a fellowship-trained anesthesiologist. ~ Dr. Broussard -Single-center study shows superior pain relief […]

Patients With Persistent Low Back Pain and Nerve Root Involvement: To Operate, or Not to Operate, That Is the Question

Petersen, Tom PhDa; Juhl, Carsten B. PhDb,c; Fournier, Gilles L. MDdAuthor Information SPINE: April 1, 2020 – Volume 45 – Issue 7 – p 483-490 doi: 10.1097/BRS.0000000000003304 Study Design. Prospective cohort study. Objective. The aims of this study were to evaluate the outcome of surgical and nonsurgical treatment for patients with lumbar herniated disc (LHD) […]