I talk to a lot of clinicians and am amazed how many have seen out ‘manual/direct-contact (hands-on)’ distraction techniques but don’t give it a try. Recently I had a phone conversation with a doctor who tried it after finding little success with her typical decompression procedures. The patient condition seemed to indicate an upper lumbar […]
Over the past several decades ‘good’ and ‘bad’ posture has been to a large degree based on experimental data concerning the hydrostatic pressure of the nucleus. These studies found that lordotic postures reduce the pressure in the nucleus compared to flexed postures and they concluded that lordotic postures reduced spinal loading. We now know that […]
In case the concept of Force Closure still seems illusive this picture and brief explanation should elucidate further.The lumbodorsal fascia (LF) forms a mechanical link between the gluteus maximus (GM) on one side and the latissimus dorsi on the other. The force transmitted across the pelvis will act to press the surfaces of the left-hand […]
In regards the occupational incidence of LBP Nechemson, in 1980 stated that: LBP occurs with about the same frequency in sedentary occupations as those involved in heavy labor. Sitting, especially prolonged sitting is frequently referred to as a potential hazard for development of LBP, a risk that is increased when driving. In general sitting for […]
Self-Limitation of LBP: “Dixon (1979) states 9 out of 10 cases of LBP are transient & recover in a short time. His studies reveal 44% were better in (2) weeks, 86% in (4) weeks and 93% at (2) months. Only 8% had pain persisting past (2) months. Their conclusion: most pain resolves spontaneously. Because of […]
Eur Spine J Jun;20(6);912 2011 The objective of the study was to identify those with neck pain who may be benefited by the use of a home-traction device (over-door, Comfort-trac etc). The treatment was administered for (2) weeks. The prediction rules were a low FABQ, pre-treatment pain of 7/10, positive distraction test and pain in the […]
Thursday Feb 11, 2016 The Chronicles of ChiropracticThe ACA president Anthony Hamm states:“ACA is of the opinion that nothing less than removal of the “subluxation” language in the definition of physicians will accomplish our objectives. Historically, the facts are that this language has proven to be the major barrier within HHS and CMS when we […]
Jellad A et al. Ann Phys Rehab Med. Nov;52(9) 2009 The objective of this study was to assess the effect of intermittent cervical traction (both manual and mechanical) on pain, disability and use of analgesics. There were (3) test groups consisting of (A) conventional rehab with manual traction; (B) conventional rehab with mechanical traction and (C) […]
Pospiech J et al. Neuroserg Feb;44(2). 1999 I reported on a similar, interesting study previously; Prevalence of Adjacent Segment Degeneration After Spine Surgery: A Systematic Review (Xia, Xiao-Peng et al. Spine: 01 April;38 2013) and how the authors suggested the adjacent segments demonstrate consistent increases in degenerative changes post-surgery…and as we teach at our Kdt seminars, […]
Facet joints are a common “assumed source” of back pain however NO evidence exists that any test for facet joints is ultimately confirmatory. Kemps-type testing has been proposed to have good sensitivity but that knowledge per se affords no diagnostic prevalence. The effectiveness of common tests is at best “moderate” (Bogduk, Twomey) and only so […]