Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast, and Proud to be the #1 Search Result for Chiropractic Podcasts in the iTunes Podcast Directory.
In this week’s news: We’ll Be Looking At –
• Low Back Pain In Adolescents
• Managing Nonspecific Low Back Pain
• And Finally, a Story about Elevated Production of Inflammatory Mediators in Patients With Neck Pain
For HealthBeat, This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #328, recorded October 21, 2011.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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RSS Info – In this edition of HealthBeat, we discuss Low Back Pain In Adolescents, Managing Nonspecific Low Back Pain, And Finally, a Story about Elevated Production of Inflammatory Mediators in Patients With Neck Pain.
Low Back Pain In Adolescents
Low back pain in adolescents usually has an undiagnosable source, resolves spontaneously, and warrants a minimalist approach to tests and imaging, analysis of a large clinical series suggested.
Three-fourths of 2,846 patients had undiagnosable, or nonspecific, mechanical low back pain. The most common pathology associated with low back pain was spondylolysis, which accounted for less than 7% of cases and did not change the conservative approach to follow-up.
Among patients who had x-rays, two-view films proved to be as informative as four-view radiographs. When advanced imaging was used, bone scans were significantly more likely to yield positive results compared with CT, as reported here at the American Academy of Pediatrics meeting.
Note that this study was published as an abstract and presented at a conference. These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal.
As always, COTs HealthBeat recommends discussing back related issues with your Doctor of Chiropractic for other possible diagnostic procedures.
Surf to our Show Notes for links – http://www.medpagetoday.com/MeetingCoverage/AAP/29064
Managing Nonspecific Low Back Pain
A study recently published in the November 2011 issue of the journal Spine, presented information to identify how nonclinical patient factors, specifically sex, patient presentation, and socioeconomic status, influence physician treatment recommendations for assessing and treating acute nonspecific low back pain.
Adherence to evidence-based practice guidelines for nonspecific low back pain remains inconsistent. Therefore, it is important to understand what factors guide physician management of these cases.
Multivariate logistic regression showed seven significant associations of patient factors with treatment recommendations for acute nonspecific low back pain.
The study concluded that all three assessed nonclinical factors influenced physician decisions regarding diagnostic and treatment recommendations for acute nonspecific low back pain. Patient presentation, suggestive of a patient’s emotional state, was shown to be the most influential.
Surf to our Show Notes for Links – http://journals.lww.com/spinejournal/Abstract/2011/11010/Managing_Nonspecific_Low_Back_Pain__Do_Nonclinical.14.aspx
Elevated Production of Inflammatory Mediators in Patients With Neck Pain
A recent study in the Journal of Manipulative and Physiological Therapeutics, JMPT, investigated whether the production of inflammatory mediators and chemotactic cytokines (chemokines) is altered in patients with chronic and recurrent neck pain (NP).
The levels of tumor necrosis factor α (TNF-α), monocyte chemotactic protein 1, and macrophage inflammatory protein 1α or CCL3 were determined by specific immunoassays. Serum levels of nitric oxide metabolites were evaluated simultaneously.
The study concluded that production of inflammatory mediators was consistently elevated in NP patients in this study, both in vitro and in vivo, and activation of inflammatory pathways was accompanied by up-regulation of CC chemokine synthesis.
This suggests that, in neck pain patients, CC chemokines may be involved in regulation of local inflammatory response through recruitment of immune cells to the inflamed tissue and exert pro-nociceptive effects.
Surf to our Show Notes for Links – http://www.jmptonline.org/article/S0161-4754%2811%2900193-X/abstract
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For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.