BEST CARE FOR PATIENTS WITH LUMBAR FUSION

For patients who undergo spine surgery, an integrated program of preoperative lifestyle intervention and early rehabilitation is more cost-effective than a standard care program alone, says an article published in October 2008 on BMC Health Services Research. The aim of the study was to assess the quality of life and to estimate the cost-effectiveness of…

PT EFFECTIVE FOR MANAGEMENT OF LOW BACK PAIN

Physical Therapy reported as ‘cornerstone’ of non-surgical treatment, as reported in the Journal of the American Academy of Orthopaedic Surgeons A new review article published in the Journal of the American Academy of Orthopaedic Surgeons should help convince many patients with low back pain to consider physical therapy first, according to Cindy Knight, PTMSOCS, partner…

PT UNDERUTILIZED IN PATIENTS WITH BACK PAIN

People with back pain use many types of medical interventions, but often not those with the strongest evidence of effectiveness, such as therapeutic exercise, according to a Newswise article based on a study in the April 1 issue of Spine. In a random telephone survey, researchers from the University of North Carolina, identified 732 adults…

EXERCISE AFTER LOW BACK SURGERY

Exercise programs starting 4 to 6 weeks postsurgery in adults after first-time lumbar disc surgery seem to lead to a faster decrease in pain and disability than no treatment, and high-intensity exercise programs seem to lead to a faster decrease in pain and disability than low-intensity programs, say authors of a systematic review published in…

GUIDELINES CALL FOR ‘SELECTIVE APPROACH’ TO LOW BACK PAIN

New guidelines issued this week by the American College of Physicians (ACP) recommend diagnostic imaging for patients with low back pain only if they have severe progressive neurologic deficits or signs or symptoms that suggest a serious or specific underlying condition. For all other patients evidence indicates that routine imaging is not associated with clinically…

EXERCISE BETTER FOR LOW BACK PAIN THAN WALKS ALONE

A graded exercise intervention, emphasizing stabilizing exercises, for patients with recurrent low back pain (LBP) still at work seems more effective in improving disability and health parameters than daily walks, says a study in the February 1 issue (Vol 34 Issue 3) of Spine. Seventy-one patients with recurrent LBP seeking care at an outpatient physical…