Lumbar Spine & Low Back Pain

Diagnostic Tests for Low Back Disorders

Hegmann, Kurt T., MD Journal of Occupational and Environmental Medicine: April 2019 – Volume 61 – Issue 4 – p e155–e168 doi: 10.1097/JOM.0000000000001551 ACOEM PRACTICE GUIDELINE Objective: The aim of this study was to summarize evidence-based diagnostic guidelines for low back disorders. Methods: A comprehensive literature review was conducted. A total of 101 articles of high or […]

Patient-reported improvements of pain, disability, and health-related quality of life following chiropractic care for back pain – A national observational study in Sweden

Jjournal of Bodywork and Movement Therapies April 2019 Volume 23, Issue 2, Pages 241–246 F. Gedin Abstract Background Chiropractic care is a common but not often investigated treatment option for back pain in Sweden. The aim of this study was to explore patient-reported outcomes (PRO) for patients with back pain seeking chiropractic care in Sweden. Methods Prospective […]

Acupuncture-Analgesia-Mediated Alleviation of Central Sensitization

Evid Based Complement Alternat Med. 2019 Mar 7;2019:6173412. doi: 10.1155/2019/6173412. eCollection 2019. Lai HC Abstract Pain can trigger central amplification called central sensitization, which ultimately results in hyperalgesia and/or allodynia. Many reports have showed acupuncture has an analgesic effect. We searched the related article on PubMed database and Cochrane database to discover central sensitization pathway […]

Increased Salience Network Connectivity following Spinal Manipulative Therapy is Associated with Reduced Pain in Chronic Low Back Pain Patients

The Journal of Pain K. Isenburg, M. Loggia April 2019 Volume 20, Issue 4, Supplement, Page S42 Abstract Chronic low back pain (cLBP) has been associated with maladaptive brain plasticity, and non-pharmacological therapies such as Spinal Manipulative Therapy (SMT) have shown promise in reducing pain and modifying intrinsic brain physiology. However, more translational research is […]

Walking breaks can reduce prolonged standing induced low back pain

Hum Mov Sci. 2019 Mar 22;66:31-37. doi: 10.1016/j.humov.2019.03.012. [Epub ahead of print] Gallagher KM. Abstract Standing is commonly recommended to reduce sedentary behavior in the workplace; however, constrained prolonged standing has also been linked to musculoskeletal symptoms, such as low back pain (LBP). Light physical activity breaks, such as walking, may change lumbar spine posture […]

Modic Changes are not Associated with Long-Term Pain and Disability – A Cohort Study With 13-Year Follow-up

SPINE. Publish Ahead of Print():, MAR 2019 DOI: 10.1097/BRS.0000000000003051 , PMID: 30985571 Issn Print: Model.IssnPrint Publication Date: 2019/03/01 Peter Udby Abstract Study Design. A comparative cohort study with 13-year follow-up. Objective. To assess whether Modic Changes (MCs) are associated with long-term physical disability, back pain and sick leave. Summary of Background Data. Previous studies have […]

Insomnia and Chronic Pain

~ Study investigates role of psychiatric disorders in sleep-pain relationship by Judy George, Contributing Writer, MedPage Today March 12, 2019 DENVER — The presence of a psychiatric disorder did not appear to influence relationships between pain and sleep, researchers reported here. Sleep and pain were significantly correlated and their association was similar regardless of whether […]

Effect of spinal manipulative therapy on mechanical pain sensitivity in patients with chronic nonspecific low back pain: a pilot randomized, controlled trial

Journal of Manual & Manipulative Therapy Bryan M. Bond Published online: 05 Mar 2019 ABSTRACT Objectives: The long-term goal of our study is to improve the understanding of the biological mechanisms associated with spinal manipulative therapy (SMT) in low back pain. Methods: This project involved a pilot randomized, blinded clinical trial (ClinicalTrials.gov registration number NCT03078114) […]

Is spinal mobilization effective for low back pain?: A systematic review

Complementary Therapies in Clinical Practice Volume 34, February 2019, Pages 51-63 Kosaku Aoyagi Highlights • Fourteen studies in spinal mobilization alone for low back pain were assessed. • The quality of the studies was moderate to high. • The outcomes of pain, function and range of motion have higher level of evidence. • Future studies may […]

An observational study on trajectories and outcomes of chronic low back pain patients referred from a spine surgery division for chiropractic treatment – Full Text Article

Brigitte Wirth Chiropractic & Manual Therapies 2019 27:6 https://doi.org/10.1186/s12998-018-0225-8© The Author(s). 2019 Received: 16 May 2018Accepted: 13 December 2018Published: 5 February 2019 Background A close collaboration between surgeons and non-surgical spine experts is crucial for optimal care of low back pain (LBP) patients. The affiliation of a chiropractic teaching clinic to a university hospital with […]

The Impact of Timing of Physical Therapy for Acute Low Back Pain on Health Services Utilization: A Systematic Review

Archives of Physical Medicine and Rehabilitation Elizabeth Arnold Highlights Early physical therapy is within 30 days of the index visit for acute low back pain Early physical therapy for acute low back pain reduces health services utilization Early versus delayed physical therapy is more cost-effective Results are mixed for early physical therapy versus usual care […]

Effect of gabapentin vs pregabalin on pain intensity in adults with chronic sciatica: A randomized clinical trial

JAMA — Robertson K, et al. | January 15, 2019 Researchers investigated gabapentin (GBP) vs pregabalin (PGB) head to head for the treatment of chronic sciatica (CS). As per findings, both pregabalin and GBP were significantly efficacious. However, fewer and less severe adverse events noted with GBP support its superiority. They recommend initiating gabapentin before […]

Elevated glycohemoglobin HbA1c is associated with low back pain in nonoverweight diabetics

The Spine Journal Volume 19, Issue 2, February 2019, Pages 225-231 Alexander Real BS Abstract Background Context Low back pain (LBP) is a common complaint in clinical practice of multifactorial origin. Although obesity has been thought to contribute to LBP primarily by altering the distribution of mechanical loads on the spine, the additional contribution of […]

What is the impact of back pain over time?

Published Monday 14 January 2019 By Maria Cohut Most people struggle with back pain at some point, and its effects on the quality of life can be far-reaching. A new study looks at the outcomes of different types of back pain over time in a representative cohort. Past research has shown that back pain — specifically lower back pain […]

The Effect of Spinal Mobilization With Leg Movement in Patients With Lumbar Radiculopathy—A Double-Blind Randomized Controlled Trial

Article in Archives of Physical Medicine and Rehabilitation · December 2018 with 95 Reads DOI: 10.1016/j.apmr.2018.11.004 Abstract Objectives: To evaluate the effect of spinal mobilization with leg movement (SMWLM) on low back and leg pain intensity, disability, pain centralization, and patient satisfaction in participants with lumbar radiculopathy. Design: A double-blind randomized controlled trial. Setting: General hospital. Participants: Adults (N=60; […]

Lumbar Muscle Activation Pattern During Forward and Backward Walking in Participants With and Without Chronic Low Back Pain: An Electromyographic Study

Journal of Chiropractic Medicine Volume 17, Issue 4, December 2018, Pages 217-225 Original research Bushra Ansari MPT Abstract Objective The purpose of this study was to investigate the electromyographic activity of lumbar multifidus (MF) and erector spinae (ES) muscle during forward walking (FW) and backward walking (BW) in participants with and without chronic low back […]

The biomechanical influence of anterior vertebral body osteophytes on the lumbar spine: A finite element study

The Spine Journal Volume 18, Issue 12, December 2018, Pages 2288-2296 KuanWang MD Abstract BACKGROUND CONTEXT Anterior vertebral body osteophytes are common with degeneration but their biomechanical influence on the whole lumbar spine remains unclear. PURPOSE To investigate the biomechanical influence of anterior vertebral body osteophytes on the whole lumbar spine. STUDY DESIGN/SETTING This is […]

Imaging for low back pain: is clinical use consistent with guidelines? A systematic review and meta-analysis

The Spine Journal Volume 18, Issue 12, December 2018, Pages 2266-2277 Hazel J.JenkinsMChir, PhD candidate Abstract Background Context The problem of imaging patients with low back pain (LBP) when it is not indicated is well recognized. The converse is also possible, although rarely considered. The extent of these two problems is presently unclear. Purpose This […]

Evaluation of the Correlation of Magnetic Resonance Imaging and Electrodiagnostic Findings in Chronic Low Backache Patients – Full Text Article

Asian J Neurosurg. 2018 Oct-Dec; 13(4): 1078–1083. doi: [10.4103/ajns.AJNS_169_17] PMCID: PMC6208195 PMID: 30459872 Roop Singh Abstract Background: Low back pain (LBP) is one of the most common medical complaints and leading cause of workforce loss in many countries. Magnetic resonance imaging (MRI) is a highly sensitive method for the detection of lesions in the spine […]

Kinesio Taping to generate skin convolutions is not better than sham taping for people with chronic non-specific low back pain: a randomised trial – Full Text Article

J Physiother. 2014 Jun;60(2):90-6. doi: 10.1016/j.jphys.2014.05.003. Epub 2014 Jun 10. Patrícia do Carmo Silva Parreira Abstract Question: For people with chronic low back pain, does Kinesio Taping, applied according to the treatment manual to create skin convolutions, reduce pain and disability more than a simple application without convolutions? Design: Randomised trial with concealed allocation, intention-to-treat analysis and blinded […]