Category: Lumbar

Back, Home, Lower Back Pain, Lumbar

Spinal manipulation and mobilization in the right direction

Direction for Spinal Manipulation in Patients with Radiculopathies Determining the appropriate direction for spinal manipulation or mobilization in patients presenting with painful radiculopathies remains a common challenge for physiotherapists. Two clinical methods are widely recognized for addressing this challenge: direction-sensitive guided H-reflex testing, as described by Dr. Mohamed Sabahhi, and pre-manipulative testing, developed by Robin McKenzie. While both methods provide valuable clinical insights, the H-reflex-guided … Continue reading Spinal manipulation and mobilization in the right direction

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Back, Diagnostic Skills, Evidence Based Practice, Home, Lower Back Pain, Lumbar

Unraveling the Complex Causes of Low Back Pain: Beyond the Spine

Low back pain (LBP) is among the most prevalent forms of discomfort and is a frequent issue in adults. Despite being sometimes considered a minor inconvenience (Knezevic NN, et al. 2021), LBP is actually one of the leading causes of long-term disability worldwide, affecting around 65% of the global population (Abbafati C, et al. 2019). It is estimated that the lifetime prevalence of LBP ranges … Continue reading Unraveling the Complex Causes of Low Back Pain: Beyond the Spine

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Back, Diagnostic Skills, Evidence Based Practice, Home, Lower Back Pain, Lumbar

Comprehensive Overview of Herniated Disc Localization, Morphology, and Migration patterns

A. Disc Morphology and Terminology  Understanding Normal Discs, Bulging Discs, and Herniated Discs Understanding the differences between bulging, protruded, and extruded discs is crucial. In 2014, Fardon et al. published recommendations to harmonize lumbar disc nomenclature, helping to standardize these definitions (Fardon DF, et al. 2014). 1. Normal Disc -Defined as morphologically normal without considering the clinical context. 2. Bulging Disc 2a- Symmetric Bulging Disc: … Continue reading Comprehensive Overview of Herniated Disc Localization, Morphology, and Migration patterns

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Home, Lower Back Pain, Lumbar, Research Summaries

Understanding Radicular Pain: Pathophysiology and Potential Treatments

Radicular pain is caused by stimulation of the sensory root or dorsal root ganglion (DRG) of a spinal nerve (Merskey et al., 2007). Radicular pain differs from nociceptive pain in that it is caused by neural activity in the dorsal root rather than stimulation of peripheral nerve ends. As a result, it is distinct from both somatic pain and somatic-referred pain. Furthermore, radicular discomfort is … Continue reading Understanding Radicular Pain: Pathophysiology and Potential Treatments

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Back, Home, Lower Back Pain, Lumbar, Research Summaries

Management of Sciatic Scoliotic List in Lumbar Disc Herniation: Physical Therapy Approaches and Considerations

Sciatic scoliotic list (SSL) [Matsui H, et al. 1998; Krishnan KM, and Newey ML. 2001], also referred to as sciatic scoliosis [Krishnan KM, Newey ML. 2001; Kim R, et al. 2015; Zhang Y, et al. 2019], trunk list [Gillan MG, et al. 1998], or trunk shift [Wu W, et al. 2019], is observed in 13.2-17.7% of adults with lumbar disc herniation (LDH) [Kim R, et … Continue reading Management of Sciatic Scoliotic List in Lumbar Disc Herniation: Physical Therapy Approaches and Considerations

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