Exercise therapy for chronic nonspecific low-back pain

Exercise therapy for chronic nonspecific low-back pain
This articles aims to give an overview on the effectiveness of exercise therapy in patients with low back pain.For this overview, existing Cochrane reviews for the individual interventions were screened for studies fulfilling the inclusion criteria, and the search strategy outlined by the Cochrane Back Review Group (CBRG) was followed. Studies were included if they fulfilled the following criteria: (1) randomised controlled trials,(2) adult (≥18 years) population with chronic (≥12 weeks) nonspecific low back pain and (3) evaluation of at least one of the main clinically relevant outcome measures (pain, functional status, perceived recovery or return to work).Two reviewers independently selected studies and extracted data on study characteristics, risk of bias and outcomes at short-term…

Back pain: Which pain reliever is best?

Back pain: Which pain reliever is best?
Several over-the-counter medicines may help relieve low back pain. Acetaminophen . . . (Source: MayoClinic.com Full Feed)

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Back pain: Would a back brace help?

Back pain: Would a back brace help?
If you have chronic low back pain, it may help . . . (Source: MayoClinic.com Full Feed)

Back pain: When is surgery an option?

Back pain: When is surgery an option?
Surgery for low back pain is rarely needed. In fact, . . . (Source: MayoClinic.com Full Feed)

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Correction of lumbar coronal plane deformity using unilateral cage placement.

Correction of lumbar coronal plane deformity using unilateral cage placement.
Authors: Heary RF, Karimi RJ The authors describe a surgical technique for the correction of symptomatic degenerative lumbar scoliosis. Using a single, unilateral, interbody cage placed on the concave side of the coronal deformity, combined with a dorsal decompression and instrumented posterolateral fusion, this technique has resulted in excellent curve correction, fusion results, and clinical outcomes in a series of 4 patients. Each of these patients presented with intractable, axial low-back pain and symptomatic unilateral nerve root compression on the concave side of a lumbar scoliotic deformity. The management is described in detail. PMID: 20192720 [PubMed - in process] (Source: Neurosurgical Focus)

The relationship between hip abductor muscle strength and iliotibial band tightness in individuals with low back pain

The relationship between hip abductor muscle strength and iliotibial band tightness in individuals with low back pain
Background: Shortening of the iliotibial band (ITB) has been considered to be associated with low back pain (LBP). It is theorized that ITB tightness in individuals with LBP is a compensatory mechanism following hip abductor muscle weakness. However, no study has clinically examined this theory. The purpose of this study was to investigate the muscle imbalance of hip abductor muscle weakness and ITB tightness in subjects with LBP. Methods: A total of 300 subjects with and without LBP between the ages of 20 and 60 participated in this cross-sectional study. Subjects were categorized in three groups: LBP with ITB tightness (n=100), LBP without ITB tightness (n=100) and no LBP (n=100). Hip abductor muscle strength was measured in all subjects. Results: Analysis of Covariance (ANCOVA) with the…

Acupuncture in Primary Care

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3309689cid=c_1_35_ffid=38633url=http://www.primarycare.theclinics.com/article/PIIS009545430900089X/abstract?rss=yes Acupuncture in Primary Care /abrAcupuncture, an ancient traditional Chinese medical therapy, is used widely around the world. When practiced by a certified provider, it is safe and patients often find it calming and relaxing. Animal and human studies have found a physiologic basis for acupuncture needling in that it affects the complex central and peripheral neurohormonal network. Although it is unclear whether acupuncture is beneficial over sham/placebo acupuncture, acupuncture care yields clinically relevant short- and long-term benefits for low back pain, knee osteoarthritis, chronic neck pain, and headache. The integration of acupuncture into a primary care setting also appears to be cost-effective. The practice of acupuncture in primary care requires rigorous training, financial discipline, and good communication sk… br

MRI classification of interspinous ligament degeneration of the lumbar spine: intraobserver and interobserver reliability and the frequency of disagreement

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3296635cid=c_1_31_ffid=33431url=http://www.springerlink.com/content/81×7186184w75k18/ MRI classification of interspinous ligament degeneration of the lumbar spine: intraobserver and interobserver reliability and the frequency of disagreement /abrAbstractnbsp;nbsp;Posterior spinal ligament pathology is becoming increasingly recognized as a significant cause of low back pain. Despite the growing clinical importance of interspinous ligament degeneration in low back pain patients, formal reliability studies for the magnetic resonance imaging (MRI) evaluation of interspinous ligaments have not been performed. We proposed an MRI classification system for interspinous ligament degeneration and conducted a comprehensive reliability and reproducibility assessment. Fifty patients who had low back pain with or without leg discomfort (26 males and 24 females) with a mean age of 48.8nbsp;years (range 23–85nbsp;years) were studied. The classification for lumbar interspinous ligament degeneration was developed on the basis of the lit… br

Lumbar facet syndromes.

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3176555cid=c_1_42_ffid=34487url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfiledb=PubMedcmd=Retrievelist_uids=20071922dopt=Abstract Lumbar facet syndromes. /abrThis article reviews the anatomy and biomechanics of the lumbar facet joints, presenting symptoms and physical examination findings seen with facet pain. We also will discuss diagnostic and treatment paradigms that are helpful to the clinician treating low back pain in athletes. PMID: 20071922 [PubMed - in process] (Source: Current Sports Medicine Reports) br

Medical Physicians Ignore Low Back Pain Guidelines

Medical Physicians Ignore Low Back Pain Guidelines
A February 2010 study of 3,533 general practice low back pain patients found that many providers are not following their own evidence based guidelines. Guidelines do provide the overall best evidence but are not meant to be a cookbook approach to care. There is also a need for flexibility so the physician can deviate from guidelines when the specific needs and desires of the patient dictate. In addition, the clinical judgment of the physician may override the guidelines when in a particular patient’s case they are inappropriate. (Source: ChiroACCESS: Tools for Better Patient Care)

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