Category: Lower Back Pain

Back, Diagnostic Skills, Home, Lower Back Pain, Lumbar, Manual Therapeutics

Non-Responsive Cases in Physical Therapy: Two Referral Scenarios Highlighting the Need for Further Investigation

Introduction Referral in physical therapy is not limited to high-risk cases such as cancer, infection, and others. While physical therapy is often effective in managing various musculoskeletal conditions, there are instances where patients do not respond as expected to treatment. In such cases, referral becomes necessary to explore underlying issues and consider alternative interventions. This article presents two cases where patients failed to respond to … Continue reading Non-Responsive Cases in Physical Therapy: Two Referral Scenarios Highlighting the Need for Further Investigation

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Back, Diagnostic Accuracy, Diagnostic Efficiency, Diagnostic Skills, Evidence Based Practice, Home, Lower Back Pain, Lumbar, Manual Therapeutics, Pelvis, Sacral

In-field note: a patient appeared with an extraspinal source of referred leg discomfort

Introduction Low back pain is not a disease, it is a symptom. It can be defined as pain between the bottom ribs and the buttock creases(Dionne et al., 2008). Chronic low back pain patients are always asking about the cause of their pain(McPhillips-Tangum et al., 1998; Cherkin et al., 1998). A lot of people can experience it during their life. For instance, 6.3%–14.4% of people … Continue reading In-field note: a patient appeared with an extraspinal source of referred leg discomfort

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Back, Evidence Based Practice, Home, Lower Back Pain, Lumbar, Manual Therapeutics

Residual leg numbness after lumber decompression surgeries: A summary of research evidence.

Introduction: Lumbar disc herniation (LDH) is the most frequent lumbar degenerative illness that causes patients to have redundant pain (Ravindra et al., 2018). Lower back pain (LBP) and sciatica symptoms, such as leg pain (LP) and leg numbness (LN), are common in patients with LDH (Deyo et al., 2016). In addition, LN is a major factor influencing clinical outcomes and patient satisfaction following decompression surgery … Continue reading Residual leg numbness after lumber decompression surgeries: A summary of research evidence.

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Back, Evidence Based Practice, Home, Lower Back Pain, Lumbar, Manual Therapeutics

Low back pain in pregnancy

Back discomfort is a frequent, but not universal, symptom of pregnancy for many women. This blog compiles some of the evidence linked to prevalence and makes some management recommendations. Prevalence Back discomfort is reported by 47% to 80% of pregnant women at some stage during their pregnancy (Mantle et al. 1977; Gent D. and Hottlieb K. 1985; Berg et al. 1988; Ostgaard et al. 1991, … Continue reading Low back pain in pregnancy

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Back, Diagnostic Skills, Evidence Based Practice, Home, Lower Back Pain, Lumbar, Manual Therapeutics

Centralization: a brief overview

The increasing reduction and elimination of distal pain in response to therapeutic loading procedures is referred to as centralization. This page provides a quick overview of the phenomenon as well as a discussion of its characteristics. Let’s get started!. The centralization phenomenon of pain is a critical evaluative finding during the physical examination. Pain is progressively abolished in a distal-to-proximal direction in response to therapeutic … Continue reading Centralization: a brief overview

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