Low back pain, along with death and taxes, remains one of the certainties of life. This condition affects over 90% of Americans and is often benign, but painful, in nature. Currently spending on low back pain is over 100 billion dollars a year and much of this spending can be attributed to unnecessary and unwarranted...
Low back pain remains the most common musculoskeletal diagnosis seen by primary care providers including Physical Therapists. While the majority of cases of low back pain are not serious in nature symptoms tend to be recurrent and can become chronic (> 3 months) if left untreated. As low back pain progresses from acute to chronic...
In the absence of rare spine pathology the only abnormal low back MRI is a normal MRI. After age 30 many of our spines will age and positive findings will become more common in patients with and without back pain. MRIs have tremendous sensitivity and can find even the smallest amount of pathology, but their...
Death, taxes, and low back pain are three of the certainties of life with over 90% of individuals reporting low back pain at some point in their lives. Our previous posts have described the ability of Physical Therapy to both accelerate a patient’s recovery from low back pain and reduce its’ risk of recurrence. A...
There is a current, albeit unproven, thought about the dangers of repetitive spinal flexion. Those who repeat this unfounded belief feel repetitive forward bending places the spine in a less than optimal position leading to back pain or injury. These thoughts have been disproven by the research and forward bending of the spine does not...
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...
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...
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...
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...
The old saying that you can’t unring a bell is true in imaging for musculoskeletal conditions. Most patients cannot unsee their MRI results despite improvements in their symptoms and activity level with Physical Therapy treatments. Once terms such as bulging or degeneration have been utilized to describe their spines they never regain full confidence in...
