In episode 10 of season 8 of Inside the Science we’re highlighting the study, “What low back pain is and why we need to pay attention” with Dr. Jan Hartvigsen. You’ll hear him describe some of what prompted this study and how it’s part one of three, the burden of back pain and what factors are associated with back pain and disability, the various risk factors of back pain, disability and persisting disability, the clinical implications and big takeaways.
Season 8, Episode 3 with Mark Laslett: Diagnosing painful sacroiliac joints: A validity study of a McKenzie evaluation and sacroiliac provocation tests
In episode 3 of season 8 of Inside the Science we’re highlighting the study, “Diagnosing painful sacroiliac joints: A validity study of a McKenzie evaluation and sacroiliac provocation tests” with Dr. Mark Laslett. You’ll hear him share what was in the literature and why he and his coauthors had the opportunity to conduct this study, specifics on the procedure of clinical examination of the spine and SI joint, the injection process, the results, and what they mean from a clinical utility perspective for SI joint provocation tests, the clinical implications and big takeaways.
Season 7, Episode 16 with Yannick Tousignant-Laflamme: Rehabilitation management of low back pain – it’s time to pull it all together!
In episode 16 of season 7 of Inside the Science we’re highlighting the study, “Improving consultations for persistent musculoskeletal low back pain in orthopaedic spine settings: an intervention development” with Dr. Yannick Tousignant-Laflamme. You’ll hear him share 5 domains of pain and disability, how these drivers of pain and disability of nociceptive pain, nervous system dysfunction, comorbidities, cognitive emotional, and contextual drivers appear, and what is useful to identify and with which to intervene needs of both the patients and the clinicians, what’s still uncertain due to the limitations of this study, the clinical implications and big takeaways.
Season 7, Episode 15 with Kathrin Braenuinger-Weimer: Improving consultations for persistent musculoskeletal low back pain in orthopaedic spine settings: an intervention development
In episode 15 of season 7 of Inside the Science we’re highlighting the study, “Improving consultations for persistent musculoskeletal low back pain in orthopaedic spine settings: an intervention development” with Dr. Kathrin Braeuninger-Weimer. You’ll hear her give the backstory on the genesis of this paper, more clarification of this intervention development, some of the more important needs of both the patients and the clinicians, what’s still uncertain due to the limitations of this study, the clinical implications and big takeaways
Season 7, Episode 14 with Kathrin Braeuninger-Weimer: Reassurance and healthcare seeking in people with persistent musculoskeletal low back pain consulting orthopaedic spine practitioners
In episode 14 of season 7 of Inside the Science we’re highlighting the study, “Reassurance and healthcare seeking in people with persistent musculoskeletal low back pain consulting orthopaedic spine practitioners: A prospective cohort study” with Dr. Kathrin Braeuninger-Weimer. You’ll hear her give specifics to the reassurance data collected, the reassurance elements that predicted more subsequent physician consultations later, the clinical implications, and big takeaways.
Season 7, Episode 3 with Jean-Philippe: Quantitative MRI to Characterize the Nucleus Pulposus Morphological and Biomechanical Variation According to Sagittal Bending Load and Radial Fissure...
In episode 3 of season 7 of Inside the Science we’re highlighting the study, “Quantitative MRI to Characterize the Nucleus Pulposus Morphological and Biomechanical Variation According to Sagittal Bending Load and Radial Fissure, an ex vivo Ovine Specimen Proof-of-Concept Study” with Dr. Jean-Philippe Deneuville. He shares how this and his prior systematic review was part of his doctorate work, more specifics on the method of this lamb specimen model, the loads placed on the model, and the nuclear migration exhibited on both the intact, healthy disc and the disc with the fissure, the clinical implications, and big takeaways.
Season 7, Episode 1 with Christina Abdel Shaheed: Efficacy, Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low Back Pain
In episode 1 of season 7 of Inside the Science, we’re highlighting the study, “Efficacy, Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low Back Pain” with Dr. Christina Abdel Shaheed. She shares some of what prompted this study, how patterns of prescribing opioids vary across the globe, some specifics on the studies included in this review, and how she would advise the reader who cares for patients with low back pain who are prescribed opioids might use this paper to advocate for their patient, the clinical implications and the big takeaways.
Season 6, Episode 16 with Christina Abdel Shaheed: Transcutaneous electric nerve stimulation (TENS) for acute low back pain: systematic review
In episode 16 of season 6 of Inside the Science we’re highlighting the study, “Transcutaneous electric nerve stimulation (TENS) for acute low back pain: systematic review” with Dr. Christina Abdel Shaheed. She shares what TENS is and its intent, what the evidence says about TENS for chronic low back pain, the interpretations she’d advise in situations like this where there is simply a lack of evidence for an intervention, how TENS may be viewed as an alternative intervention to opioids, the clinical implications and the big takeaways.
Season 6, Episode 12 with Joshua Zadro: Effect of diagnostic labelling on management intentions for non-specific low back pain: A randomized scenario-based experiment
In episode 12 of season 6 of Inside the Science, we’re highlighting the study, “Effect of diagnostic labeling on management intentions for non-specific low back pain: A randomized scenario-based experiment” with Dr. Joshua Zadro. He explains how this paper was similar and different than his label impact on shoulder patients paper highlighted in S6E11, any unexpected results, why the need for imaging was chosen as the primary outcome, and what patient-type might be more influenced baby the labels chosen as their diagnosis, the clinical implications, and the big takeaways.
Season 6, Episode 8 with Mark Hancock: Risk factors for a recurrence of low back pain
In episode 8 of season 6 of Inside the Science we’re highlighting the study, “Risk factors for a recurrence of low back pain” with Dr. Mark Hancock. He explains the context of this topic and what prompted he and his coauthors to conduct and publish it, the criteria required for participants to be included, the history findings and MRI abnormalities associated with those who show a greater likelihood to have low bak pain recurrence, what he feels we should do with this information, the clinical implications and the big takeaways.
Season 6, Episode 5 with Mark Hancock: Association of Lumbar MRI Findings with Current and Future Back Pain in a Population-Based Cohort Study
In episode 5 of season 6 of Inside the Science we’re highlighting the study, “Association of Lumbar MRI Findings with Current and Future Back Pain in a Population-Based Cohort Study” with Dr. Mark Hancock. He explains the context of this topic and what prompted it what the more important data to retain from this study is, some specifics on how MRI findings were or weren’t associated current and future low back pain, some other papers which he’d also recommend on this topic, how he educates his patients on what positive MRI may or may not mean, the clinical implications and the big takeaways.
Season 6, Episode 3 with Mark Hancock: How common is imaging for low back pain in primary and emergency care? Systematic review and meta-analysis of over 4 million imaging requests
In episode 3 of season 6 of Inside the Science we’re highlighting the study, “How common is imaging for low back pain in primary and emergency care? Systematic review and meta-analysis of over 4 million imaging requests across 21 years” with Dr. Mark Hancock. He explains the context of this topic and what prompted it what the more important data to retain from this study is, the challenges with defining what appropriate and inappropriate imaging is, some practical in-clinic considerations, other studies which may be important to read as well, how he educates his patients related to their appropriateness for imaging, the clinical implications and the big takeaways.
Season 6, Episode 1 with Ian Harris: What messages predict intention to self-manage low back pain? A study of attitudes towards patient education
In episode 1 of season 6 of Inside the Science we’re highlighting the study, “What messages predict intention to self-manage low back pain? A study of attitudes towards patient education” with Dr. Ian Harris. He explains the context of this topic and what prompted it including an attempt to demedicalize low back pain, why some patients didn’t like some of the comments and educational statements given even though they may be true and his thoughts on why that might be, some other papers related to labelling from a pathoanatomical perspective and how this may affect a patient’s tendency to self manage, the clinical implications and the big takeaways.
Season 5, Episode 12 with Chad Cook: High Impact Chronic Pain Transition in Lumbar Surgery Recipients
In episode 12 of season 5 of Inside the Science we’re highlighting the study, “High Impact Chronic Pain Transition in Lumbar Surgery Recipients” with Dr Chad Cook. He explains more about this label of high impact chronic pain as it pertains to lumbar pain populations, more in-depth clarification of the methods of this study, who this data may be most meaningful to and with whom we may be wise to share it, the clinical presentation of these lumbar patients, the clinical implications and the big takeaways.
Season 5, Episode 7 with Italo Lemes: Association of sedentary behavior and early engagement in physical activity with low back pain in adolescents: a cross‐sectional epidemiological study
In episode 7 of season 5 of Inside the Science we’re highlighting the study, “Association of sedentary behavior and early engagement in physical activity with low back pain in adolescents: a cross‐sectional epidemiological study” with Dr. Italo Lemes. He explains the methods and what qualified as physical activity and sedentary behavior, the most important finding, who the most relevant audience is and why policy makers are included, the clinical implications and the big takeaways.
Season 5, Episode 2 with Monica Chan: Inter-rater Reliability of MDT for the Provisional Classification of LBP in Adolescents and Young Adults
In episode 2 of season 5 we’re highlighting the study, “Inter-rater Reliability of the McKenzie Method of Mechanical Diagnosis and Therapy for the Provisional Classification of Low Back Pain in Adolescents and Young Adults ” with Ms. Monica Chan. In the full discussion you’ll hear Ms. Chan further explain the limitations of this study, the most important data to draw from this paper including the agreement between the examiners, possible reasons why younger subjects were classified less reliably, the specific implications and the big takeaways.
Season 4, Episode 16 with Kory Zimney: Evaluation is treatment for low back pain
In episode 16 of season 4, we’re highlighting the study, “Evaluation is a treatment for low back pain” with Dr. Korey Zimney. In the full discussion, you’ll hear Dr. Zimney further elaborate on the importance of the clinician-patient relationship commonly referred to as therapeutic alliance, specifics on the methods, which aspects of pain, beliefs and function were impacted and which weren’t, why he believes that may have occurred, the specific implications and the big takeaways.
Season 3, Episode 6 with Diana De Carvalho: Does objectively measured prolonged standing for desk work result in lower ratings of perceived low back pain than sitting?
In episode 6 of season 3 of Inside the Science we’re highlighting the study, “Does objectively measured prolonged standing for desk work result in lower ratings of perceived low back pain than sitting? A systematic review and meta-analysis” with Dr. Diana De Carvalho. She shares the association of prolonged standing, the comparison in the included studies of how subjects responded to standing versus sitting versus a mixture of the two, the clinical implications including how she’d use this to educate patients, and the big takeaways.
Season 3, Episode 5 with Diana De Carvalho: Association of Seated Postures with Immediate Increased in Back Pain; A Systematic Review
In episode 5 of season 3 of Inside the Science we’re highlighting the study, “Association of Exposures to Seated Postures With Immediate Increases in Back Pain: A Systematic Review of Studies With Objectively Measured Sitting Time” with Dr. Diana De Carvalho. She shares the association of prolonged sitting and immediate report of low back pain, other studies which would reveal more information on this topic, the clinical implications, and the big takeaways.
Season 2, Episode 15 with Daniel Deutcher: PTs Level of Education, Functional Outcomes and Utilization in Patients with LBP
In episode 15 of season 2 of Inside the Science, we’re highlighting the article, “Physical Therapists’ Level of McKenzie Education, Functional Outcomes, and Utilization in Patients With Low Back Pain” with the author, Dr. Daniel Deutcher. He shares a look at how this study was conducted, what specifically was shown between different levels of training, some assumptions of the reasons behind these findings, the clinical implications, and the big takeaways.