Imaging and Management Insights for Lumbar Disc Herniation and Radicular Syndrome

Imaging Features and Early Outcomes: Research has shown that the characteristics of lumbar disc herniation on imaging can predict the early outcomes of conservative management. Saal et al. (1990) found that the largest extrusions showed the most resorption, while contained protrusions had the least. Similar findings were reported by Delauche-Cavallier (1992), Maigne (1992), Bush (1992), and Cowan (1992), who noted that young patients often exhibited … Continue reading Imaging and Management Insights for Lumbar Disc Herniation and Radicular Syndrome

Part 4- Evidence behind McKenzie method of mechanical diagnosis and therapy

Directional preference research: Wernecke et al. (2011) define directional preference as either (1) a specific direction of trunk movement or posture observed during the physical examination or (2) a specific aggravating or easing factor reported by the patient during the subjective history that alleviates or decreases the patient’s pain, with or without the pain moving or increasing the patient’s lumbar ROM. It is possible for … Continue reading Part 4- Evidence behind McKenzie method of mechanical diagnosis and therapy

Which method reigns supreme, McKenzie or Back School?

In 1995, Stankovic, et. al., sought to compare the effectiveness of the McKenzie method and patient education through “mini back school” in treating acute low back pain over a 5-year period. Prior to this study, the 1-year results had already been published, prompting further investigation into the durability of treatment outcomes. The study comprised 89 subjects, including 22 women and 67 men, with an average … Continue reading Which method reigns supreme, McKenzie or Back School?