Low Spinal Extension

DOI: 12/14/1995. Patient is a 66 year-old male truck driver who sustained injury to his back while unloading a truck by hand. Per OMNI, patient is diagnosed with failed back syndrome. MRI of the lumbar spine dated 6/9/16 revealed postsurgical changes of the lumbar spine with resection of the posterior elements from L1-L2 to L5-S1 and mild to moderate disc degenerative disease of the lumbar spine at T12-L1, L2-L3 and L3-L4. Per progress report dated 5/03/2016, patient presents for follow up evaluation. He reports that he decided not to proceed with the pain pump trial as he does not want to add more medication to his regiment. He would prefer to start physical therapy for his pain instead of medication. He has been able to control his pain with regimen. He notes at least 40% improvement with

On examination of the lumbar spine, there is marked range of motion limitations in all planes with tenderness and spasm over paraspinal muscles. There is minimal improvement of symptoms.

Postural exercises may help patients to be more aware of their posture and make self-corrections to avoid future injury throughout the workday. In the systematic review by Drescher (Reference 22), the study compared a group receiving postural exercises to a control group who were not receiving postural exercises. It was found that the group that completed postural exercises demonstrated decreased pain and increased cervical ROM. Another high quality study (references 17-19) within this review compared an intervention group receiving postural exercises to the control group. The postural exercise group showed significant reduction in pain at both the 6 month and 3 year follow up, as well as a lower amount of sick days taken from work at the 3 year study. There was no significant different in cervical ROM improvement in these two groups. Initially the cost of this postural training was higher, however ended up being lower when taking into account the cost of sick-leave days, loss of productivity and other interventions.(Drescher) In a study by Schnabel et al, it was determined that active therapy including postural advice and exercise was superior to passive modalities such as massage and ultrasound. (Schnabel) There is limited evidence on specific postural exercises which would best benefit this population, however there has been some proof that

Chiropractors are extensively sought out in North America, and throughout the world, primarily in high-income countries. Their treatment for lower back pain consists of a wide variety of combined therapeutic treatments including different physical therapies, exercise programs, acupuncture, nutritional and lifestyle education. But primarily chiropractors are known for their expertise is the use of Spinal Manipulation therapy or “adjustments” which is a very common treatment of both chronic and acute lower back pain. Chiropractic spinal manipulation therapy (SMT) uses high-velocity low amplitude (HLVA) techniques that is a very hands on therapy directed at the patient 's spine. SMT involves various mobilization and manipulation techniques. The chiropractor manipulates the patient’s spine, by passively increasing their joints range on motion. The therapist will then apply a focused and direct thrust at or near the end feel of the joint. Typically an audible crack can be heard indicating a successful adjustment. There are two different theories into how SMT decreases lower back pain and improves function. First, the mechanical approach theorizes that SMT acts on a functional spinal lesion “subluxation” and that the forced manipulation reduces internal mechanical stress. Thus resulting in an improved function and decreased pain. The second theory focuses on the neuromuscular system. The neuromuscular approach theorizes that SMT exerts its effect on afferent neurons along the

The main purpose of this trial by Petersen et al. (2002) was to compare the efficiency of two treatment programs for chronic low back pain. Treatments included the use of spinal stabilization and the McKenzie approach which are known as main interventions frequently used for the treatment of chronic low back pain. The stabilization method emphasises on retraining of specific deep or local stabilizing muscles of the spine while maintaining the lumbar region in a neutral position. Conversely, McKenzie model involves an inspection that includes repeated end-range spinal movements. Thus, patients were invited to response to these repeated movements to determine a category and a way of preference for therapeutic exercise. In this study, McKenzie group demonstrated statistical improvements (p=0.04) in all dependent variables that were assessed. It was therefore recorded that more than 50% of participants who followed McKenzie treatment demonstrated centralization of symptoms with repeated movements; thus, as per authors, Petersen et al. (2002), McKenzie therapy could be considered as a predictor of patient outcomes.

The back arch helps take the pressure off of the lumbar discs. It also helps elongate the lower spine. You will need to take a deep breath, clasp your hands behind your knees and bring them to your chest. Your hips should be a few inches

Most people are familiar with hearing about individuals with lower back problems affecting the lumbar area or those with neck injuries such as whiplash. In fact, some of them might have experience these maladies personally.

Methods: This retrospective cohort study compares adult low back pain patients with localised pain (n = 58) to low back pain patients with self-reported leg pain symptoms (n = 54) who presented for chiropractic treatment. Patients completed the WIOC patient outcomes questionnaire as baseline which consisted of the Bournemouth Questionnaire, recording responses from an 11 point numerical scale (NRS). Demographic information was also collected. Differences between the two groups using the data collected from this questionnaire were calculated using the Mann Whitney U test. Differences between age and sex were also calculated using the test used.

Lower back pain relief isn't something you can buy in a bottle. As we age, our bones become more brittle and we tend to do less exercise, but did you know that regular exercise is a very important preventive measure in keeping our lower back muscles strengthened. We live in a country of overweight people and many of us struggle with weight problems. The heavier we are, the more weight our back endures. Exercising can keep the back strong as well as keep you on a regular routine of daily overall good health. Even when you are hurting, lower back pain relief comes

Conclusion: The study shows improvement in trends of spine research published by JBJS over the past decade, which suggests an acknowledgement in the development of research techniques and methods.

Low back pain, according to Manek and MacGregor (2005), is defined as “pain, muscle tension, or stiffness localized below the costal margin and above the inferior gluteal folds, with or without leg pain (sciatica)” (p. 134). It can be classified as either specific or nonspecific, but the majority of the cases, approximately 90%, are nonspecific as they have no

Spinal manipulation: This is a hands on technique to adjust the misaligned vertebrae to improve the mobility and flexibility so that the patient can do the daily routine activities like walking, or sitting easily

Once diagnosed with Idiopathic scoliosis it begins a race against the clock, trying to correct the curve, stopping progression of the curve and finding the best pain management options. This is especially the case in adolescents but is also a problem in adults because idiopathic scoliosis can continue to progress after skeletal maturity is achieved (Negrini et al. 2015). In fact, over 60% of idiopathic scoliosis patients experience progression of their spinal curve (Negrini et al. 2015). With a wide variety of treatment options it can be overwhelming and difficult to decide which treatment is best for each patient to help pain management. Non-surgery treatment options for pain management include, physical therapy, chiropractic treatment and bracing.

Low Back Pain is a major health concern and socio-economic problem across the globe (Zimmerspine, 2008). Research indicates that LBP likely to affect between 60-80% of the entire population at some point in their lives (Balgué, 2012). Studies have found that LBP is the second most common reason, after the common cold, for clinical visits in the United States of America (Magee, 2009). Nice (2008) report that LBP is very common in working-age adults between the ages of 40-60 years old. More recently, Browning and Missouri-Columbia, (2011) report a younger and broader age-range with likely sufferers said to be aged between 30-60 years old. Daily low back pain which lasts longer than one week can affect 17.6% of the working public and is the cause

The questionnaire included demographic information (e.g. name, age, height, body weight, job description, work experience, duration of present work) and data on low back pain perceived causes and symptoms. Visual Analogue Scale 100mm (VAS) was used to assess pain and Oswestry Disability Index (ODI) was used to assess functional disability pre and 3months post-operative.