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 –
- Mechanisms and Origins of Spinal Pain
- And Finally, a Story about Sex Specific Sacroiliac Joint Biomechanics During Standing
For HealthBeat …. This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #723 recorded September 4, 2020
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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Mechanisms and Origins of Spinal Pain
Spinal pain, especially low back pain (LBP), is a widespread clinical and diagnostic problem for both patients and physicians, because back pain has an equivalently wide variety of causes and provocations.
Because of its variable nature and manifestations, back pain is challenging to diagnose and treat correctly. In addition, the pain is induced not only by direct mechanical pressure such as a herniated disk or degenerated bone but also by inflammation and associated proinflammatory cytokines.
The authors of a recent review explored the microscopic and macroscopic mechanisms for each category of LBP and depict the relationship between imaging findings and pain mechanisms.
This review focuses on the detailed anatomy related to the pain-signaling pathway and the roles of chemicals in inducing different mechanisms of LBP.
MRI findings that serve as representative examples of key concepts are demonstrated according to each mechanism, and treatment options are reviewed on the basis of different causes of LBP.
By knowing these concepts, radiologists can help correlate imaging findings with potential underlying mechanisms and help guide clinicians in the management of LBP.
Surf to our Show Notes for Links – https://pubs.rsna.org/doi/pdf/10.1148/rg.2020190185
Sex Specific Sacroiliac Joint Biomechanics During Standing
The comparison of sacroiliac joint (SIJ) angular motions, pelvis ligaments strain, load sharing, and stress distribution across the joint for male and female spine-pelvis-femur models using finite element analysis.
A recent study in the journal Spine, was published to quantify biomechanical parameters at SIJ for all motions for both male and female models.
SIJ has been recognized as a main source of pain in 13% to 30% of patients with low back pain. It is shown that the SIJ rotation and translation in different planes are not exceeding 2° to 3° and 2 mm, respectively.
The study concluded that the female SIJ had higher mobility, stresses, loads, and pelvis ligament strains compared with the male SIJ which led to higher stress across the joint, especially on the sacrum under identical loading conditions.
This could be a possible reason for higher incidence of SIJ pain and pelvic stress fracture in females.
Surf to our Show Notes for Links – https://pubmed.ncbi.nlm.nih.gov/29509655/
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― Jim Rohn
For Chiropractic OnLine Today’s HealthBeat, Wishing everyone to stay Safe and Healthy, This has been Dr. Todd Eglow.