Show Notes for March 22, 2013

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.

In this week’s news:  We’ll Be Looking At –

  • Spinal fusion for chronic low back pain
  • Yoga Stress and Inflammation
  • And Finally, a Story about Early Predictors of Lumbar Spine Surgery


For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #402, recorded March 22, 2013.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

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And Now for some news ….

Spinal fusion for chronic low back pain

Spinal fusion is a common but controversial treatment for chronic low back pain (LBP) with outcomes similar to those of programmed conservative care. To improve the results of fusion, tests for patient selection are used in clinical practice.

A recent study the Spine Journal was published to determine the prognostic accuracy of tests for patient selection that are currently used in clinical practice to identify those patients with chronic LBP who will benefit from spinal fusion.

The authors reviewed studies that compared the results of magnetic resonance imaging (MRI), provocative discography, facet joint blocks, orthosis immobilization, and temporary external fixation with the clinical outcome of patients who underwent spinal fusion for chronic LBP.

The Outcome Measures were to determine the prognostic accuracy of tests to predict the clinical outcome of spinal fusion in terms of sensitivity, specificity, and likelihood ratios (LRs).

The study concluded that no subset of patients with chronic LBP could be identified for whom spinal fusion is a predictable and effective treatment. Best evidence does not support the use of current tests for patient selection in clinical practice.

Surf to our Show Notes for Links – http://www.ncbi.nlm.nih.gov/pubmed/23127364

Yoga Stress and Inflammation

Previously it was shown that a brief yoga-based lifestyle intervention was efficacious in reducing oxidative stress and risk of chronic diseases even in a short duration.

The objective of a recent study published in the Journal of Alternative and Complementary Medicine, was to assess the efficacy of this intervention in reducing stress and inflammation in patients with chronic inflammatory diseases.

This study reports preliminary results from a nonrandomized prospective ongoing study with pre–post design.

The study was conducted at the Integral Health Clinic, an outpatient facility conducting these yoga-based lifestyle intervention programs for prevention and management of chronic diseases.

Patients with chronic inflammatory diseases and overweight/obese subjects were included while physically challenged, and those on other interventions were excluded from the study.

The study concluded that this brief yoga-based lifestyle intervention reduced the markers of stress and inflammation as early as 10 days in patients with chronic diseases; however, complete results of this study will confirm whether this program has utility as complementary and alternative therapy.

Surf to our Show Notes for Links – http://www.ncbi.nlm.nih.gov/pubmed/22830969

Early Predictors of Lumbar Spine Surgery

A recent study published in the journal Spine was published to identify early predictors of lumbar spine surgery within 3 years after occupational back injury.

Back injuries are the most prevalent occupational injury in the United States. Few prospective studies have examined early predictors of spine surgery after work-related back injury.

The authors of the study examined the early predictors of lumbar spine surgery within 3 years among Washington State workers with new worker’s compensation temporary total disability claims for back injuries.

Reduced odds of surgery were observed for those under age 35, women, Hispanics, and those whose first provider was a chiropractor. 42.7% of workers who first saw a surgeon had surgery, in contrast to only 1.5% of those who saw a chiropractor.

The study concluded that baseline variables in multiple domains predicted lumbar spine surgery. There was a very strong association between surgery and first provider seen for the injury, even after adjustment for other important variables.

Surf to our Show Notes for Links – http://www.ncbi.nlm.nih.gov/pubmed/23238486

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Finally, I leave you with the following quote:

Ego is to the true self what a flashlight is to a spotlight.”
– John Bradshaw

For Chiropractic OnLine Today’s HealthBeat, This has been Dr. Todd Eglow.

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