Journal of manipulative and physiological therapeutics
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This study investigates if patients with intermittent low back pain (LBP) have a permanently increased pain perception between attacks. ⋯ Patients with intermittent LBP do not seem to have an altered pain perception between attacks, with the possible exception of facilitation on a local segmental spinal cord level.
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J Manipulative Physiol Ther · Nov 2007
ReviewDiagnostic imaging practice guidelines for musculoskeletal complaints in adults--an evidence-based approach: introduction.
Imaging technology can improve patient outcomes by allowing greater precision in diagnosing and treating patients. However, there is evidence that overuse, underuse, and misuse of imaging services occur. The purpose of this project was to develop evidence-based diagnostic imaging practice guidelines for musculoskeletal complaints for use by doctors of chiropractic and other primary health care professionals. ⋯ These evidence-based diagnostic imaging practice guidelines are intended to assist chiropractors and other primary care providers in decision making on the appropriate use of diagnostic imaging for specific clinical presentations. In all cases, the guidelines are intended to be used in conjunction with sound clinical judgment and experience. Application of these guidelines should help avoid unnecessary radiographs, increase examination precision,and decrease health care costs without compromising the quality of care. All guidelines are documents to be refined and modified regularly with new information and experience.
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J Manipulative Physiol Ther · Nov 2007
ReviewDiagnostic imaging practice guidelines for musculoskeletal complaints in adults--an evidence-based approach. Part 1. Lower extremity disorders.
The aim of this study was to develop evidence-based diagnostic imaging practice guidelines to assist chiropractors and other primary care providers in decision making for the appropriate use of diagnostic imaging of lower extremity disorders. ⋯ The guidelines are intended to be used in conjunction with sound clinical judgment and experience and should be updated regularly. Dissemination and implementation strategies are discussed. Future research is needed to validate their content.
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J Manipulative Physiol Ther · Oct 2007
Randomized Controlled TrialChanges in pressure pain sensitivity in latent myofascial trigger points in the upper trapezius muscle after a cervical spine manipulation in pain-free subjects.
This study analyzed the immediate effects on pressure pain threshold (PPT) in latent myofascial trigger points (MTrPs) in the upper trapezius muscle of a single cervical spine manipulation directed at the C3 through C4 level. ⋯ Our results suggest that a cervical spine manipulation directed at the C3 through C4 segment induced changes in pressure pain sensitivity in latent MTrPs in the upper trapezius muscle. Different therapeutic mechanisms, either segmental or central, may be involved at the same time.
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J Manipulative Physiol Ther · Oct 2007
Case ReportsA case of pheochromocytoma presenting as low back pain.
This case report describes and discusses a patient with a pheochromocytoma who presented to a chiropractic office with low back pain. ⋯ Pheochromocytomas are rare catecholamine-producing tumors of the adrenal glands that can mimic musculoskeletal conditions such as low back pain. Chiropractic physicians should be aware of the various clinical presentations and, when pheochromocytoma is suspected, make prompt referral to medical providers for diagnostic evaluation and treatment.