Low back pain is the leading cause of disability in our country, costing billions of dollars per year, felt by both the healthcare system and taxpayers. Acute low back pain lasting less than 30 days is a very common condition experienced by up to 90% of us during our lifespans. Thankfully, there is a very...
Lumbar spinal stenosis is a relatively common condition affecting older adults. Narrowing of the bony canals surrounding the spinal nerves due to arthritis and/or loss vertebral disc height increases the probability of nerve compression. Patient’s often describe leg pain greater than back pain, as well as, associated numbness, pins and needles, or weakness in their...
The evidence continues to build on the benefits of early Physical Therapy for patients with low back pain. Previous researchers have found successful outcomes and decreased health care costs (up to $1500 per episode of care) when patients are treated with early vs. delayed Physical Therapy or compared to usual care including primary care, education,...
Low back pain remains one of the top reasons patients seek treatment from physicians and Physical Therapists. Acute low back pain defined as lasting < 12 weeks is effectively treated by Physical Therapists with spinal manipulation, directional exercise, and strength training. Patient outcomes are significantly improved when patients are provided with treatments consistent with their...
Low back pain is a common condition best treated by Physical Therapists due to their unique ability to effectively provide all evidence based treatments (including spinal manipulation, directional exercise, and strength training) for this patient population. Large systematic reviews of the existing medical literature have repeatedly shown the benefits of strength training to reduce the...
In previous blogs we have discussed the limitations of imaging, including MRI, for musculoskeletal conditions including low back pain. The presence of pathology including disc herniations, nerve compression, arthritis, and degenerative disc disease increases with age in both pain free and painful individuals. The high degree of positive findings among asymptomatic individuals questions the ability...
Low back pain remains one of the constants in life, but thankfully is easily treated with Physical Therapy interventions including spinal manipulation, strength training, and directional exercise. Authors report 85-90% of low back pain symptoms cannot be attributed to any one tissue or pathology and remain non specific in nature. These findings, in part, have...
The 3 inevitable events in our society include death, taxes, and low back pain. Many of us will experience a significant episode of low back pain in our lives but the vast majority of these symptoms are not associated with serious pathology such as fracture or cancer. In our previous posts on low back pain...
Lumbar spinal stenosis is a relatively common condition in older adults with an estimated incidence of 1 in every 1000 adults over 65 years old. Age related changes in the spine lead to increased weight bearing across the posterior elements of the spine, arthritic changes in spinal joints, and decreased cross sectional area in the...