Fusion versus Physical Therapy in Patients with Chronic Low Back Pain

My wife Amy sent me the following press release even before I came across the published papers in the most recent issue of the BMJ (and I am fairly astute at accessing information quickly). This reminds me that the information gap is quickly closing, empowering patients with timely information that may help them make informed decisions about possible treatment options…

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Manipulation and Stabilizing Exercise for Chronic Low Back Pain

Attached is a recently published paper by Niemisto and colleagues reporting a 2-year follow-up regarding the cost-effectiveness of manipulation, stabilizing exercises, and physician consultation versus physician consultation alone for patients with chronic LBP. Although clinical outcomes favored the combined manipulation and stabilizing exercise group (both pain and satisfaction), the one-point VAS improvement came at a cost…

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Washington State Practice Act

Washington state must truly have an arcane practice act. APTA has posted a press release regarding the recent signing of a modernized practice act. It is couched as a "victory", saying that the updated definition of physical therapy "reflects the actual treatment techniques practiced by physical therapists on a daily basis". Perhaps there are some small…

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What about a therapist’s voice?

Interesting article on the fact that women are better at communicating with physician’s and more likely to visit physician’s more frequently.  In addition, the study reported that Doctor’s use 3 voices:  ‘doctor voice’ (seeking information), ‘educator voice’ – when
seeking to inform and educate the patient about their condition, and
the ‘fellow human voice’ – when trying…

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Prediction of Hip OA progression

Attached is a paper just published in the BMJ that atempted to identify factors that predicted the progression of hip OA. The study found that the Kellgren and Lawrence score at baseline was by far the strongest predictor of progression, particularly in patients with existing hip pain at baseline.
John

Download radiography_and_hip_oa_bmj_2005.pdf…

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Response to Dr Deyo

See the attachment for John, Julie, and Tim’s response to Dr Deyo’s concerns regarding their trial (Childs JD, Fritz JM, Flynn TW, Irrgang JJ, Johnson KK, Majkowski GR, et al. A clinical prediction rule to identify patients with low back pain most likely to benefit from spinal manipulation: a validation study. Ann Intern Med. 2004;141:920-8…

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