Effectiveness of manual therapies: the UK evidence report

Effectiveness of manual therapies: the UK evidence report
Conclusions: Spinal manipulation/mobilization is effective in adults for: acute, subacute, and chronic low back pain; migraine and cervicogenic headache; cervicogenic dizziness; manipulation/mobilization is effective for several extremity joint conditions; and thoracic manipulation/mobilization is effective for acute/subacute neck pain. The evidence is inconclusive for cervical manipulation/mobilization alone for neck pain of any duration, and for manipulation/mobilization for mid back pain, sciatica, tension-type headache, coccydynia, temporomandibular joint disorders, fibromyalgia, premenstrual syndrome, and pneumonia in older adults. Spinal manipulation is not effective for asthma and dysmenorrhea when compared to sham manipulation, or for Stage 1 hypertension when added to an antihyper…

Topical NSAID Therapy for Musculoskeletal Pain

Topical NSAID Therapy for Musculoskeletal Pain
Conclusions. Topical NSAIDs may vary significantly in their absorption kinetics and pharmacodynamic effects, based on NSAID molecule and the formulation chosen. Some topical NSAID formulations have been shown to be more effective than placebo in multiple studies, or to have comparable efficacy and a better safety profile than oral NSAIDs for single joint osteoarthritis and acute muscle injuries. In acute and chronic low back pain, widespread musculoskeletal pain, and in peripheral neuropathic pain syndromes, the current evidence does not support the use of topical NSAIDs. (Source: Pain Medicine)

Exertional paraspinal muscle rhabdomyolysis and compartment syndrome: a cause of back pain not to be missed

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3270717cid=c_1_41_ffid=33456url=http://www.springerlink.com/content/754377vl62421712/ Exertional paraspinal muscle rhabdomyolysis and compartment syndrome: a cause of back pain not to be missed /abrWe describe a case of acute, severe exertional compartment syndrome of the paraspinal muscles in a young and healthy male ultimately resulting in significant rhabdomyolysis and acute kidney injury. The rarity of the syndrome has prevented the establishment of specific guidelines for management; therefore, we will discuss this case in the context of similar previously reported cases, contrasting the various treatment approaches and outcomes described in previous reports. This discussion outlines a syndrome not commonly considered in the differential diagnosis of back pain. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10067-010-1391-9Authors Lori Wik, University of Alberta Division of General Internal Medicine, Department of Medicine, Faculty of Medicine and Dentist… br

Study reveals inconsistencies in low back pain care

bra target=_blank rel=nofollow href=http://www.medworm.com/index.php?rid=3282355cid=c_1_41_ffid=38126url=http://www.arc.org.uk/news/article/19622797 Study reveals inconsistencies in low back pain care /abrGPs often fail to follow guidelines for the treatment of people with low back pain, new research suggests. (Source: Arthritis Research Campaign) br

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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

Scoliosis Back Pain

Scoliosis Back Pain
Scoliosis back pain is a great conundrum for dorsopathy patients, since this spinal curvature condition is often blamed for sourcing symptoms, yet treatments are rarely, if ever, successful. Scoliosis describes a spinal abnormality in which the patient suffers an atypical side to side curvature of the spine at one or more locations. Some patients have a single abnormal curve, generally referred to as a “C” curve, while others have 2 or more abnormal curves, generally referred to as an “S” curve.

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The Nordic back pain subpopulation program: Course patterns established through weekly follow-ups in patients treated for low back pain

The Nordic back pain subpopulation program: Course patterns established through weekly follow-ups in patients treated for low back pain
Conclusions: We suggest that follow-ups in studies concerning primary sector LBP care are conducted in week seven after treatment was initiated and at some later point which cannot be established from this study. In clinical practice we recommend that patients’ LBP status is systematically followed for the first four weeks since lack of improvement during that period should cause watchfulness. (Source: Chiropractic & Osteopathy)

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Back Pain Causes and Treatment

Back Pain Causes and Treatment
There are many back pain causes - however, identifying causes is vital to the long term resolution of the problem, and your doctor or Chartered Physiotherapist will help you figure that out. More often than not the underlying problem has been present for some time before the pain evolves, or the problem is aggravated by a stressful movement or situation resulting in pain.

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Practice: New AAN Guideline Examines Transcutaneous Electric Nerve Stimulation

Practice: New AAN Guideline Examines Transcutaneous Electric Nerve Stimulation
According to an evidence-based guideline published on the web on December 30, 2009, TENS is not recommended for the treatment of chronic low-back pain due to lack of proven efficacy. However, there is good evidence that TENS should be considered (Source: American Academy of Neurology)

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Pregabalin, celecoxib, and their combination for treatment of chronic low-back pain

Pregabalin, celecoxib, and their combination for treatment of chronic low-back pain
Conclusions  Combination of celecoxib and pregabalin is more effective than monotherapy for chronic low-back pain, with similar adverse effects. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10195-009-0077-zAuthors Carlo Luca Romanò, Istituto Ortopedico I.R.C.C.S. Galeazzi Via Riccardo Galeazzi, 4 20166 Milan ItalyDelia Romanò, Istituto Ortopedico I.R.C.C.S. Galeazzi Via Riccardo Galeazzi, 4 20166 Milan ItalyCristina Bonora, Istituto Ortopedico I.R.C.C.S. Galeazzi Via Riccardo Galeazzi, 4 20166 Milan ItalyGiuseppe Mineo, Università degli Studi di Milano Istituto Ortopedico I.R.C.C.S. Galeazzi Via Riccardo Galeazzi, 4 20166 Milan Italy Journal Journal of Orthopaedics and TraumatologyOnline ISSN 1590-9999Print ISSN 1590-9921 (Source: Journal …

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