Previous research has shown an improvement and regression of lumbar disc injuries with conservative treatments including Physical Therapy. Based on clinical practice guidelines and the available evidence, few patients with back and leg pain require surgical interventions for a lumbar disc injury. Many who pursue surgical intervention seek relief of their associated leg symptoms, but until...
Our previous posts have documented the success of Physical Therapy treatments on sciatica, radiating pain down the back of leg, compared to other conservative treatments and surgery. Specifically, no differences have been noted between surgery and PT at long term follow up. Another medical intervention for sciatica includes non steroidal anti inflammatory drugs (NSAIDs). These...
As healthcare costs continue to rise, all stakeholders (patients, providers, and payers) are looking for ways to reduce costs associated with common conditions. In our field, we commonly see patients given generic, one size fits all exercise programs for common conditions including low back pain. Our previous post highlights the limitations of this approach including...
Physical Therapy remains the first line treatment for lumbar disk injuries due to its’ non invasive nature and clinical effectiveness. The natural history of disk injuries is not well established but preliminary data covered in prior blog posts demonstrates regression of these injuries over time. A recent case study in the New England Journal of...
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 we...
Background Sacroiliac (SI) joint pain is an less common source of low back pain but has a higher incidence pregnant and post partum patients, as well as, after trauma. The incidence of SI pain in patients with low back pain is 13% (9-26%) (1). The majority of patients will report buttock pain (94%), lower lumbar...