Early methods of classification for low back pain were based on either anatomical findings, restrictions of movement, or assessing alignment of body landmarks. Many of these classification still are in use today. [Read more…] about Evaluation and Management of Back and Neck Pain – Divide and Conquer, Part 2
Healthcare Provider Information
Evaluation and Management of Back and Neck Pain – Divide and Conquer, Part 1
How do we treat back pain? That question, as simple as it sounds, can be one of the most controversial and divisive questions that anyone could ask a physical therapist. There are millions of people out there with low back pain (about 80% of adults have an episode of significant low back pain during their lifetime) and, it seems, a million different ways to treat it. Published research over the past 15 years or so (I’m speaking of serious research, peer-reviewed by experts in content and statistical analysis) has trended in a few general directions: [Read more…] about Evaluation and Management of Back and Neck Pain – Divide and Conquer, Part 1
Spinal Decompression – What Is It?
This is a big question these days! Everywhere me and my patients look (or listen) we hear about “Spinal Decompression” and it’s 85% to 95% (the number varies from commercial to commercial) success rate. I thought I knew what it was all about, but decided to do some research over the past couple of days.Spinal Decompression mostly refers to a type of spinal traction device called the DRX 9000, but can refer to other devices such as the Vax-D, DRS, and even the Chattanooga Triton Spinal Traction machine. [Read more…] about Spinal Decompression – What Is It?
The Role of Pain in Injury and Rehabilitation
“Is it OK for me to do _____ right now?” Patients often ask that, or a variation of the question such as “I’d like to do _____ this weekend, but I wasn’t sure if I should avoid that or not.” [Read more…] about The Role of Pain in Injury and Rehabilitation
Mechanical and Inflammatory Pain
A patient asked me a question today that I get from time to time: “If I get one of those spinal injections…is that a cure or does it just cover up the pain?” The question is common, but answer is a little more complex and needs some background to explain fully. One of the determinants in diagnosis and treatment of orthopedic problems is the concept of mechanical versus inflammatory pain. [Read more…] about Mechanical and Inflammatory Pain