Treatment for acute LBP in active military personnel; a journal review

Brandon Masi Parker provides a journal review for the article A randomized, controlled trial of osteopathic manipulative treatment for acute low back pain in active duty military personnel, by

des Anges Cruser, Couglad Maurer, Kendi Hensel, Sarah K Brown, Kathryn White, Scott T Stoll in the Journal of Manual & Manipulative Therapy,  Volume 20, Number 1, 2012 , pp. 5-15(11).

This article is a crucial randomized and controlled study analyzing the effectiveness of Osteopathic Manipulative Treatment (OMT) for acute low back pain (LBP) in active military personnel.  The article analyzes pain, functionality and a few other parameters.  I make the assertion that this unique subset of population may provide a model for other LBP patients that have physically demanding lifestyles with limited possibility for rest.

OMT for acute LBP in military personnel; journal review podcast


Back Pain Etiologies and Pathophysiology interview with Dr. Fossum

We interview Dr. Christian Fossum DO of Norway on several topics relating to back pain.  We cover etiologies, pathophysiolgies, osteopathic treatments as well as an intervational take on Osteopathy.

Back pain interview with Dr Fossum


Clinical Approach to Muscle Function interview with Dr. Danto

We interview Dr. Jay Danto DO while at the American Academy of Osteopathy Convocation on several topics relating to muscle function.  We touch on muscle firing pattern, approach to a patient with musculoskeletal pain, acupuncture and more.

Interview with Dr. Danto on Muscle Function


Prolotherapy

Brandon Parker  interview Dr. Sandhouse DO on prolotherapy (proliferative injection therapy, regenerative injection therapy, sclerotherapy).  We discuss indications, contraindications, mechanism and evidence.  We compare Prolo to PRP and trigger points.  There is a bonus section on Orthokine, the treatment used by Kobe Bryant and Alex Rodriguez.

Prolotherapy Interview Podcast

In the interview we discuss a case where prolotherapy is used on a young male with an ACL tear.  Below are the MRI images from before and after a prolotherapy regimen.

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Effects of Manipulation

Brandon Parker interviews Dr. Peter Sprague PT, DPT, OCS, MTC.  Dr. Sprague is a board certified Orthopedic Clinical Specialist and shares his wealth of knowledge on the physiology of manipulation with us.  We discuss goals of manipulation, evidence for specific manipulative modalities, what exactly is that HVLA “pop,” the anatomy and physiology of the spinal and abdominal musculature in low back pain population, and neural plasticity including long-term potentiation (LTP) and long-term depression (LTD).

Effects of Manipulation Podcast

 


Carpal Tunnel Syndrome

Brandon Masi Parker discusses Carpal Tunnel Syndrome (CTS).  The CTS discussion includes definition, epidemiology, pathophysiology, clinical presentation, diagnosis and treatment.

Carpal Tunnel Syndrome podcast

Video for Provocative Maneuvers in CTS diagnosis

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Knee Pain

Audio Podcast for Knee Pain

The knee is the largest joint in the human body when considering volume and surface area of articular cartilage and the size and complexity of the articulation lend to susceptibility to acute injury, chronic wear and tear and arthritis (inflammatory and septic).  It is important to recognize the various etiologies of knee pain.  This podcast aims to provide an overview of the topic of knee pain and help you develop a differential diagnosis.  We also have a section at the end specifically discussing the somatic dysfunctions of the knee.

Video for Orthopedic Exam of the Knee