Chronic low back pain (CLBP) is a worldwide epidemic, with prevalence rate of 75–84% in developed countries. With the increasing, health-care professionals must question current best practice guidelines. In 2014, spinal neurosurgeon and rehabilitation specialist Dr. David Johnson unique program referred to as NearoHAB®. The program’s uniqueness founded on principle that effective eliminate root...

BACKGROUND The purpose of the present study was to determine if the duration of symptoms affects outcomes following the treatment of intervertebral lumbar disc herniation. METHODS An as-treated analysis was performed on patients enrolled in the Spine Patient Outcomes Research Trial (SPORT) for the treatment of intervertebral lumbar disc herniation. Randomized and observational cohorts were co...

CONTEXT For patients with lumbar disk herniation, the Spine Patient Outcomes Research Trial (SPORT) randomized trial intent-to-treat analysis showed small but not statistically significant differences in favor of diskectomy compared with usual care. However, the large numbers of patients who crossed over between assigned groups precluded any conclusions about the comparative effectiveness of op...

BACKGROUND The relationship between objective measurements and subjective symptoms of patients with spinal stenosis and the degree of narrowing of the spinal canal is not clear. The purpose of this study was to evaluate patients undergoing surgery for lumbar spinal stenosis and intermittent neurogenic claudication with functional testing, quantitative imaging, and patient self-assessment. MET...

OBJECTIVE To test the equivalence for clinical effectiveness between microdecompression and laminectomy in patients with central lumbar spinal stenosis. DESIGN Multicentre observational study. SETTING Prospective data from the Norwegian Registry for Spine Surgery. PARTICIPANTS 885 patients with central stenosis of the lumbar spine who underwent surgery at 34 Norwegian orthopaedic or neuro...

conclusion lumbar medial branch nerve block under ultrasound guidance was associated with high rates of treatment success and excellent treatment outcomes for facet joint pain. it is also feasible and administers no radiation. thus, ultrasound-guided procedures can be used instead of conventional methods. results the success rate was 98% (87/89 blocks), which was due to our use of ultrasound gu...

Objectives: Altered movement strategy and postural control has been observed in Low Back Pain (LBP) patients. Objective of this study was to determine postural response following support surface translation, also correlations between postural response related measures and disability caused by LBP. Methods: 20 healthy subjects and 20 patients with recurrent non specific LBP participated in th...

BACKGROUND Although previous research suggests a relationship between chronic low back pain (cLBP) and adiposity, this relationship is poorly understood. No research has explored the relationship between abdominal-specific subcutaneous and visceral adiposity with pain and disability in cLBP individuals. The aim of this study therefore was to examine the relationship of regional and total body a...