Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Jun 2000
ReviewAlcohol and low-back pain: a systematic literature review.
The role of lifestyle factors is an important issue in the prevention and treatment of disease. Although certain lifestyle factors in relation to low-back pain have evoked much interest, interest has not focused on alcohol consumption. An appraisal of the epidemiologic literature seems warranted. ⋯ Alcohol consumption does not seem to be associated with low-back pain, but well-designed specific alcohol/low-back pain-centered studies are lacking.
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J Manipulative Physiol Ther · Jun 2000
Clinical Trial Controlled Clinical TrialShort-term effects of lumbar posteroanterior mobilization in individuals with low-back pain.
To establish the short-term effects of lumbar posteroanterior mobilization in patients with low-back pain, compared with a control intervention. ⋯ Lumbar posteroanterior mobilization was not observed to produce any objectively measurable change in the mechanical behavior of the lumbar spine of patients with low-back pain. Improvement in some pain variables was observed in comparison with a control procedure, but this may be due to a placebo effect.
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J Manipulative Physiol Ther · Jun 2000
Chiropractic management of mechanical neck and low-back pain: a retrospective, outcome-based analysis.
Evidence suggests that spinal manipulation is an effective treatment for mechanical neck and low-back pain (LBP). Treatment efficacy is important to establish for these symptoms because combined they account for a considerable amount of disability and substantial associated direct and indirect costs to society. ⋯ Patients attending a private chiropractic clinic for treatment of mechanical neck pain or LBP had statistically significant reductions in their pain-related disability after treatment. These results indicate that chiropractic manipulation is beneficial for the treatment of mechanical neck pain and LBP. However, care must be taken when drawing conclusions from these outcomes. The study design does not account for the natural history of low back- or neck pain-related disability and therefore does not allow for claims of treatment efficacy. In addition, it has been suggested that patients presenting to medical doctors with these symptoms have significant overlying comorbidity when compared with patients presenting to a chiropractor.
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J Manipulative Physiol Ther · Jun 2000
Clinical TrialSilver needle therapy for intractable low-back pain at tender point after removal of nucleus pulposus.
To examine the use of a new silver needle therapy for treating tender points involved in intractable low-back pain after removal of nucleus pulposus. ⋯ Silver needle therapy shows promise for treating low-back pain after surgery for disc herniation. Further clinical trials are needed to confirm the effectiveness of this treatment.