Low Back Pain and Myofascial Trigger Points

doi:10.1179/JMT.2007.15.3.69E

Paper

Low Back Pain and Myofascial Trigger Points

Published Jul 1, 2007 · D. Simons

Journal of Manual & Manipulative Therapy

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Abstract

the common diagnosis of lumbar degenerative disc disease the increasingly prevalent treatment of spinal fusion has indications which are unclear7,8. The economic impact of low back pain is growing and “grave”9. We need more than a truce with the chiropractors; we need an alliance. If our collective resources were focused on educating the public, government, medical community, and third-party payers about the benefits of manual and mechanical treatments, then there would be more than enough patients for both professions. In the US, where the healthcare system is generally agreed upon as broken, manual and manipulative treatments are underutilized and undervalued. This is to the detriment of Americans and our economy. It is the mutual ethical responsibility of the physical therapy and chiropractic professions to reframe our adversarial relationship into one of mutual respect and collaboration.

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Key takeawayPhysical therapy and chiropractors can benefit from a mutual alliance to educate the public, government, medical community, and payers about the benefits of manual and manipulative treatments for low back pain.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

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Low Back Pain and Myofascial Trigger Points

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References

Clinical Prediction Rules: Time to Sacrifice the Holy Cow of Specificity?

The "sacred cow" of passive intervertebral joint motion evaluation may not be as accurate as previously thought, and clinicians should adapt their approach to individual patients' needs.

Treatment of Chronic Low Back Pain With Successive Injections of Botulinum Toxin A Over 6 Months: A Prospective Trial of 60 Patients

Botulinum toxin A injections effectively improve chronic low back pain with a low incidence of side effects, and the beneficial clinical response is sustained with a second treatment over 6 months.

Strength and Science: Gender, Physiotherapy, and Medicine in the United States, 1918-35

Physiotherapists in the US during the 1920s and 1930s challenged the traditional view of women as weaker, more nurturing sex, but ultimately lost autonomy and became subordinated to physician supervision.

United States Trends in Lumbar Fusion Surgery for Degenerative Conditions

Lumbar fusion rates increased even more rapidly in the 1990s, following the approval of new surgical implants and outpacing other major orthopedic procedures.

Trigger Point Acupuncture Treatment of Chronic Low Back Pain in Elderly Patients – a Blinded Rct

Deep needling to trigger points may be more effective in treating chronic low back pain in elderly patients compared to standard acupuncture therapy or superficial needling to trigger points.

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