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Low back—clinical

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10 papers 0 to 25 followers
https://www.readbyqxmd.com/read/27797737/it-is-time-to-stop-causing-harm-with-inappropriate-imaging-for-low-back-pain
#1
EDITORIAL
Ben Darlow, Bruce B Forster, Kieran O'Sullivan, Peter O'Sullivan
No abstract text is available yet for this article.
October 20, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27801521/surgical-options-for-lumbar-spinal-stenosis
#2
REVIEW
Gustavo C Machado, Paulo H Ferreira, Rafael Ij Yoo, Ian A Harris, Marina B Pinheiro, Bart W Koes, Maurits W van Tulder, Magdalena Rzewuska, Christopher G Maher, Manuela L Ferreira
BACKGROUND: Hospital charges for lumbar spinal stenosis have increased significantly worldwide in recent times, with great variation in the costs and rates of different surgical procedures. There have also been significant increases in the rate of complex fusion and the use of spinal spacer implants compared to that of traditional decompression surgery, even though the former is known to incur costs up to three times higher. Moreover, the superiority of these new surgical procedures over traditional decompression surgery is still unclear...
November 1, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27376890/red-flags-presented-in-current-low-back-pain-guidelines-a-review
#3
Arianne P Verhagen, Aron Downie, Nahid Popal, Chris Maher, Bart W Koes
OBJECTIVE: The purpose of this study was to identify and descriptively compare the red flags endorsed in guidelines for the detection of serious pathology in patients presenting with low back pain to primary care. METHOD: We searched databases, the World Wide Web and contacted experts aiming to find the multidisciplinary clinical guideline in low back pain in primary care, and selected the most recent one per country. We extracted data on the number and type of red flags for identifying patients with higher likelihood of serious pathology...
September 2016: European Spine Journal
https://www.readbyqxmd.com/read/27046146/comparison-of-outcomes-in-mri-confirmed-lumbar-disc-herniation-patients-with-and-without-modic-changes-treated-with-high-velocity-low-amplitude-spinal-manipulation
#4
Michelé Annen, Cynthia Peterson, Serafin Leemann, Christof Schmid, Bernard Anklin, B Kim Humphreys
OBJECTIVE: The purpose of this study was to determine if there is a difference in outcomes between Modic positive and negative lumbar disc herniation (LDH) patients treated with spinal manipulative therapy (SMT). METHODS: This prospective outcomes study includes 72 MRI confirmed symptomatic LDH patients treated with SMT. Numerical rating scale (NRS) pain and Oswestry disability data were collected at baseline. NRS, patient global impression of change to assess overall improvement, and Oswestry data were collected at 2 weeks, 1, 3, 6 months and 1 year...
March 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/27034106/symptomatic-mri-confirmed-lumbar-disc-herniations-a-comparison-of-outcomes-depending-on-the-type-and-anatomical-axial-location-of-the-hernia-in-patients-treated-with-high-velocity-low-amplitude-spinal-manipulation
#5
Marco Ehrler, Cynthia Peterson, Serafin Leemann, Christof Schmid, Bernard Anklin, B Kim Humphreys
OBJECTIVE: The purpose of this study was to evaluate whether specific MRI features, such as axial location and type of herniation, are associated with outcomes of symptomatic lumbar disc herniation patients treated with spinal manipulation therapy (SMT). METHODS: MRI and treatment outcome data from 68 patients were included in this prospective outcomes study. Pain numerical rating scale (NRS) and Oswestry physical disability questionnaire (OPDQ) levels were measured at baseline...
March 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/26906169/intra-articular-facet-joint-injections-for-low-back-pain-a-systematic-review
#6
Rajni Vekaria, Ree'thee Bhatt, David R Ellard, Nicholas Henschke, Martin Underwood, Harbinder Sandhu
PURPOSE: Evidence supporting the use of therapeutic intra-articular facet joint injections for patients with suspected facet joint pain is sparse. A systematic review including a narrative synthesis was carried out to determine if intra-articular facet joint injections with active drug are more effective in reducing back pain and back pain-related disability than a sham procedure or a placebo/inactive injection. Secondly, to determine if intra-articular facet joint injections with active drug or placebo/inactive injection are more effective in reducing back pain and back pain-related disability than conservative treatment...
April 2016: European Spine Journal
https://www.readbyqxmd.com/read/26957096/sacroiliac-joint-fusion-for-low-back-pain-a-systematic-review-and-meta-analysis
#7
REVIEW
Kiran Kumar Lingutla, Raymond Pollock, Sashin Ahuja
BACKGROUND CONTEXT: Although pain is generally regarded as originating in the lumbar spine, it has been estimated that in 15-30 % of patients, LBP originates from the sacroiliac joint (SIJ). PURPOSE: To determine whether sacroiliac joint fusion (SIJF) for LBP is effective in reducing pain when the SIJ is known to be the pain generator. STUDY DESIGN/SETTING: Systematic review and meta-analysis. METHODS: A systematic literature review and meta-analysis was performed of observational studies describing outcome of SIJF in patients with LBP...
June 2016: European Spine Journal
https://www.readbyqxmd.com/read/26902856/why-we-need-nonpharmacologic-approaches-to-manage-chronic-low-back-pain-in-older-adults
#8
COMMENT
M Carrington Reid, Anthony D Ong, Charles R Henderson
No abstract text is available yet for this article.
March 2016: JAMA Internal Medicine
https://www.readbyqxmd.com/read/26793042/femoroacetabular-impingement-a-retrospective-case-study-with-8-year-follow-up
#9
Julia R Stobert, Peter C Emary, John A Taylor
OBJECTIVE: The purpose of this case report is to describe a patient with femoroacetabular impingement (FAI) who was initially misdiagnosed and treated for a hip flexor strain. CLINICAL FEATURES: A 36-year-old male patient presented with insidious onset of progressive anterior right hip and groin pain of 7 years' duration. He was diagnosed with a right-sided hip flexor muscle strain and was discharged from care 1 month later. The patient then returned to the office 8 years later for treatment of unrelated lower back pain...
December 2015: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/26656041/similar-effects-of-thrust-and-nonthrust-spinal-manipulation-found-in-adults-with-subacute-and-chronic-low-back-pain-a-controlled-trial-with-adaptive-allocation
#10
Ting Xia, Cynthia R Long, Maruti R Gudavalli, David G Wilder, Robert D Vining, Robert M Rowell, William R Reed, James W DeVocht, Christine M Goertz, Edward F Owens, William C Meeker
STUDY DESIGN: A three-arm controlled trial with adaptive allocation. OBJECTIVES: The aim of this study was to compare short-term effects of a side-lying, thrust spinal manipulation (SM) procedure and a nonthrust, flexion-distraction SM procedure in adults with subacute or chronic low back pain (LBP) over 2 weeks. SUMMARY OF BACKGROUND DATA: SM has been recommended in recently published clinical guidelines for LBP management. Previous studies suggest that thrust and nonthrust SM procedures, though distinctly different in joint loading characteristics, have similar effects on patients with LBP...
June 2016: Spine
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