Chiropractic Spinal Manipulation and Likelihood of Tramadol Prescription in Adults with Radicular Low Back Pain
A recent study published in BMJ Open examined the impact of chiropractic spinal manipulation (CSM) on the likelihood of tramadol prescriptions among adults with radicular low back pain (LBP). The study analyzed medical data from over 115 million U.S. patients, comparing those who received CSM with those receiving usual medical care. Key findings revealed that […]
Does Manual Therapy Affect Functional and Biomechanical Outcomes of a Sit-to-Stand Task in a Population with LBP?
A sit-to-stand (STS) task is critical to many activities of daily living and is estimated to be performed an average of 60 times per day. This multi-planar, multi-joint movement requires over 60% of a person’s total sagittal plane ROM in the lumbar spine and has been used to indicate functional impairment for patients with low […]
Association Between Chiropractic Spinal Manipulation and Gabapentin Prescription in Adults with Radicular Low Back Pain
A recent study discovered a significant association between chiropractic spinal manipulative therapy (CSMT) and a decrease in the use of gabapentin in the treatment of radicular low back pain (rLBP) amongst adults under 50. Researchers carried out this retrospective cohort study in the U.S., tapping a network of over 122 million patients’ medical and pharmacy […]
Sense of Effort is Distorted in People with Chronic Low Back Pain
Accurate proprioception is a critical feedback loop when we are moving our bodies. Proprioception includes joint position, the sensation of force, and sensations related to descending motor commands and control. Alteration of proprioception for patients with low back pain can be devastating. It can feed into fear avoidance behavior and limit their desire to move. […]
A Multidimensional Nomogram Combining Clinical Factors and Imaging Features to Predict 1-Year Recurrence of Low Back Pain with or without Radicular Pain After Manipulation/Mobilization
A groundbreaking retrospective study developed a multidimensional nomogram to accurately predict the 1-year recurrence of low back pain (LBP) post spinal manipulation/mobilization (SM/M). The study enrolled 786 patients who received SM/M as primary therapy for LBP, who were then split into training and validation sets. The researchers utilized Cox regression analyses to identify significant clinical […]
Changes in Pain Sensitivity and Spinal Stiffness in Relation to Responder Status Following Spinal Manipulative Therapy in Chronic Low Back Pain
Spinal manipulative therapy has been recommended as a front-line treatment for spinal pain in nearly every clinical guideline due to its efficacy and safety. However, the specific mechanisms of action continue to be revealed through new research. In this study, the researchers evaluated the associations between the manipulated segments and changes in pain and stiffness. […]
Prevention and treatment of low back pain: evidence, challenges, and promising directions
Low back pain is now the leading cause of disability worldwide, with over 540 million people affected each day. The Lancet recently released a series of papers designed to stimulate a new conversation around the evaluation and treatment of low back pain. They cite improved integrative care and updated clinical pathways as possible solutions to […]
Exploring the Immediate and Short-Term Effect of Lumbar Spinal Manipulation on Pressure Pain Threshold
A recent randomized controlled trial published in Chiropractic & Manual Therapies explored the effects of lumbar spinal manipulation therapy (SMT) on pain sensitivity in healthy participants. The study measured changes in pain pressure threshold (PPT), a reliable indicator of pain sensitivity, comparing SMT with a deactivated ultrasound control group. The findings revealed that SMT significantly […]
Risk Factors Associated with Transition from Acute to Chronic Low Back Pain in US Patients Seeking Primary Care
It’s been said that the current opioid epidemic is, in fact, a chronic pain epidemic. The overall unadjusted rate of transition from acute to chronic low back pain stands at 32%, which is a clear indication that acute phase management is critical. A patient’s ability to discover the most appropriate care and treatment options early […]
Spinal High-Velocity Low Amplitude Manipulation in Acute Nonspecific Low Back Pain
NSAID’s remain one of the de facto first-line treatment options for people with low back pain, with over 30 billion doses taken each year in the US alone. Over the past few years, most guidelines have recommended an initial course of non-pharmacological care for spinal complaints. Additionally, research showcasing the efficacy andsafety of spinal manipulation […]
