epidural injection, sciatica, systematic review
jason ward
Season 8, Episode 8 with Eduard Verheijen: ...

In episode 8 of season 8 of Inside the Science we’re highlighting the study, “Epidural steroid compared to placebo injection in sciatica: a systematic review and meta‑analysis” with Dr. Eduard Verheijen. You’ll hear him describe why he and his coauthors wanted to pursue another systematic review on this topic, specific differences or lack of differences found in epidural steroid injections compared with placebos, the quality of evidence in these 17 studies, including the clinical implications and big takeaways.

MDT

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Season 1, Episode 6 with Audrey Long: A Case Series on Specific Directional Exercise on Low Back Pain

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Season 1, Episode 6 with Audrey Long: A Case Series on Specific Directional Exercise on Low Back Pain

In Season 1 Episode 6 of Inside the Science I’m joined by Ms. Audrey Long, to discuss her paper Specific Directional exercise for Low Back Pain; A Case Series which was published in Physiotherapy Canada in 2008. Audrey gives the back story of this case series and how it was born out of the previous RCT “Does it Matter Which Exercise” from 2004. She explains what prompted her to conduct it, how it was originally intended to be performed, some limitations and criticisms, what the big takeaways are and how she uses this for patient and prospective patient education. This study gives important implications to those patients who’ve “tried therapy or exercise before” and haven’t found relief - another super-important study!

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Season 1, Episode 5 with Audrey Long: An RCT of exercise for LBP

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In Season 1 Episode 5 of Inside the Science I’m joined by Ms. Audrey Long, author of Does it matter which exercise? A randomized controlled trial of exercise for low back pain which was published in Spine in 2004. Although it’s over 15 years old it is a fundamental study for any clinician who evaluates and treats patients with low back pain. Being how common comparative effectiveness studies which show results where all the groups are improved but none more than the others, this study shows a different result. Comparing groups with a matched program to their directional preference, a non-matched program and a control group who received “evidence based” nondirectionally-specific exercises this trial revealed stark differences in patient responses. Hear Audrey acknowledge its limitations, how she uses this study with her patient education and how she’d encourage clinicians to be careful to not exaggerate its findings.

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Season 1, Episode 4 with Ron Donelson: Predicting Annular Competence Based on Pain Response

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In Season 1 Episode 4 of Inside the Science we summarize and discuss with the author, Dr. Ron Donelson, the study, A Prospective Study of Centralization of Lumbar and Referred Pain: A Predictor of Symptomatic Discs and Annular Competence. This paper hypothesized that the morphology and image findings of lumbar discs could be predicted by MDT therapists based on their symptom response. Dr. Donelson gives some background to the study, the limitations, big takeaways and an additional paper the avid clinician will want to read.

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Season 1, Episode 1 with Ron Donelson - The cost impact of mechanical assessment in primary care.

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S1E1 includes a review of the JMMT 2019 study, The Cost Impact of Quality-Assured Mechanical Assessment in Primary Low Back Pain Care. Subscribers of Inside the Science premium will hear Dr. Donelson share the motivation behind conducting and publishing this study, limitations, the implications, additional studies and the big takeaways for those clinicians treating patients with low back pain. A high definition infographic of the study specifics and insights from the author (like the image below) is made available.

(A high definition version of the image below is available for all premium subscribers)

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