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 –
- Low Back Pain and Bladder and Bowel Symptoms
- And Finally a Story about Osteopathic Manipulation and Low Back Pain
For HealthBeat, This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #480 recorded October 10, 2014.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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Low Back Pain and Bladder and Bowel Symptoms
The purposes of a recent study published in the Journal of Chiropractic Medicine, were to estimate the 1-month point prevalence of bowel and bladder symptoms (BBS) among adult chiropractic patients and to evaluate associations between these symptoms and low back pain (LBP).
Patients 18 years or older presenting to a chiropractic college academic health clinic between March 25 and April 25, 2013, were asked to complete a symptom screening questionnaire. The sample included 140 of 1300 patients who visited the clinic during the survey period (11%).
LBP was the primary chief complaint in 42%. The 1-month point prevalence of any bladder symptoms was 75%, while the rate for bowel symptoms was 62%; 55% reported both bowel and bladder symptoms.
The study concluded that the prevalence of bowel and bladder symptoms in chiropractic patients was high. There was no statistically significant association between these symptoms and LBP in this group of patients seeking care for LBP.
Surf to our Show Notes for Links – http://www.journalchiromed.com/article/S1556-3707(14)00092-3/abstract
Osteopathic Manipulation and Low Back Pain
The purpose of a recent study published in the journal Manual Therapy, was to measure changes in biomechanical dysfunction following osteopathic manual treatment (OMT) and to assess how such changes predict subsequent low back pain (LBP) outcomes.
At baseline, prevalence rates of non-neutral lumbar dysfunction, pubic shear, innominate shear, restricted sacral nutation, and psoas syndrome were determined in 230 patients who received OMT.
Five OMT sessions were provided at weeks 0, 1, 2, 4, and 6, and the prevalence of each biomechanical dysfunction was again measured at week 8 immediately before the final OMT session.
Moderate pain improvement at week 12 defined a successful LBP response to treatment.
Significant improvements in each biomechanical dysfunction were observed with OMT; however, only psoas syndrome remission occurred more frequently in LBP responders than non-responders.
Remission of psoas syndrome was the only change in biomechanical dysfunction that predicted subsequent LBP response after controlling for the other biomechanical dysfunctions and potential confounders.
These findings suggest that remission of psoas syndrome may be an important and previously unrecognized mechanism explaining clinical improvement in patients with chronic LBP following OMT.
Surf to our Show Notes for Links – http://www.manualtherapyjournal.com/article/S1356-689X%2814%2900038-1/abstract?cc=y
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For Chiropractic OnLine Today’s HealthBeat, This has been Dr. Todd Eglow.