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 –
- Painful Movement, SMT and Chronic LBP
- And Finally, a Story about Hip Osteoarthritis and non-pharmacological conservative treatment on pain
For HealthBeat …. This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #680 recorded July 19, 2019
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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Painful Movement, SMT and Chronic LBP
Heightened anticipation and fear of movement-related pain has been linked to detrimental fear-avoidance behavior in chronic low back pain (cLBP).
Spinal manipulative therapy (SMT) has been proposed to work partly by exposing patients to non-harmful but forceful mobilization of the painful joint, thereby disrupting the relationship among pain anticipation, fear, and movement.
A 2018 study, published in the Journal of Pain, investigated the brain processes underpinning pain anticipation and fear of movement in cLBP, and their modulation by SMT, using functional magnetic resonance imaging.
cLBP, relative to Healthy Control subjects, demonstrated higher blood oxygen level–dependent signal in brain circuitry that has previously been implicated in salience, social cognition, and mentalizing, while observing back straining compared with neutral exercises.
The engagement of this circuitry was reduced after SMT, and especially the spinal manipulation session, proportionally to the magnitude of SMT-induced reduction in anticipated pain and fear.
This study sheds light on the brain processing of anticipated pain and fear of back-straining movement in cLBP, and suggests that SMT may reduce cognitive and affective-motivational aspects of fear-avoidance behavior, along with corresponding brain processes.
Surf to our Show Notes for Links – https://www.jpain.org/article/S1526-5900(18)30303-1/fulltext
Hip Osteoarthritis and on-pharmacological conservative treatment on pain
The purpose of a recent review, published in the journal Manual Therapy, was to identify the effects of non-pharmacological conservative treatment on pain, range of motion and physical function in patients with mild to moderate hip osteoarthritis.
Results of the review found that High quality of evidence showed that manual therapy and exercise therapy are effective in improving pain, hip range of motion and physical function.
However, high quality studies based on combined therapies showed controversy in their effects on pain, hip range of motion and physical function.
The study concluded that exercise therapy and manual therapy and its combination with patient education provides benefits in pain and improvement in physical function.
The effects of combined therapies remain unclear. Further investigation is necessary to improve the knowledge about the effects of non-pharmacological conservative treatments on pain, hip range of motion and physical function
Surf to our Show Notes for Links – https://reader.elsevier.com/reader/sd/pii/S0965229918310793
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Finally, I leave you with the following quote:
“Often people ask how I manage to be happy despite having no arms and no legs. The quick answer is that I have a choice. I can be angry about not having limbs, or I can be thankful that I have a purpose. I choose gratitude.”
― Nick Vujicic
For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.