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Ankle and Foot Trouble

 

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Arthritus

 

 

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Chest and Rib Pain

 

 

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Coccyx Pain

 

 

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Disc Prolapse

 

 

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Headache

Cervicogenic headache

This type of headache is called cervicogenic headache and may affect up to 13% of patients suffering headaches. It has it's cause linked to problems in the muscles, joints and nerve structures of the upper part of the cervical spine. As well as pain of he back, side and front of the head, patients will usually present with neck pain and possible restriction of movement of the neck. Symptoms include episodes of blurred vision. Treatment is aimed at resolving the cervical spine problems and therefore allowing the headache deminish.

  • Bronfort G, Nilsson N, Haas M, Evans R, Goldsmith CH, Assendelft WJJ, Bouter LM. Non-invasive physical treatments for chronic/recurrent headache. The Cochrane Library (ISSN 1464-780X). Cochrane Database of Systematic Reviews 2004, Issue 3. Art. No.: CD001878. DOI: 10.1002/14651858.CD001878.pub2 http://www.cochrane.org/reviews/en/ab001878.html

Summary: Some non-invasive physical treatments may help prevent chronic/recurrent headaches. Various physical treatments are often used instead of, or in addition to, medications to treat headaches. Evidence from controlled trials suggests that several non-invasive physical treatments may help prevent chronic/recurrent headaches. Spinal manipulation may be effective for migraine and chronic tension-type headache. Both spinal manipulation and neck exercises may be effective for cervicogenic headache. Weaker evidence suggests that other treatments may also be effective: pulsating electromagnetic fields and transcutaneous electrical nerve stimulation (TENS) for migraine, and therapeutic touch, cranial electrotherapy, TENS, and a combination of self-massage/TENS/stretching for tension-type headache. Although none of these treatments has conclusive evidence for effectiveness, all appear to be associated with little risk of serious adverse effects.

  • Nilsson N, Christensen HW, Hartvigsen J. The effect of spinal manipulation in the treatment of cervicogenic headache. J Manipulative Physiol Ther.1997; 20:326 -330.[Medline]

  • Jull GA, Stanton WR. Predictors of responsiveness to physiotherapy management of cervicogenic headache. Cephalalgia.2005 :25:101 -108.[Medline]

  • Jull G, Trott P, Potter H, Zito G, Niere K, Shirley D, et al. A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine.2002; 27:1835 -1843.[Medline]

  • Nilsson N, Evidence That Tension-Type Headache and Cervicogenic Headache Are Distinct Disorders. Journal of Manipulative and Physiological Therapeutics, Volume 23 * Number 4 • May 2000. 0161.-475412000/$12.00 + 0 76111106094 © 2000 JMPT http://www.ncbi.nlm.nih.gov/pubmed/10820302

 

 

Hip Pain

 

 

 

Under construction at present sorry

 

Jaw Pain

 

 

Under construction at present sorry

 

Knee Pain

 

 

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Low Back Pain

 

 

German Acupuncture Trials (GERAC) for Chronic Low Back Pain. Randomized, Multicenter, Blinded, Parallel-Group Trial With 3 Groups

Michael Haake, PhD, MD; Hans-Helge Müller, PhD; Carmen Schade-Brittinger; Heinz D. Basler, PhD; Helmut Schäfer, PhD; Christoph Maier, PhD, MD; Heinz G. Endres, MD; Hans J. Trampisch, PhD; Albrecht Molsberger, PhD, MD

Arch Intern Med. 2007;167(17):1892-1898. http://archinte.ama-assn.org/cgi/content/abstract/167/17/1892

Background To our knowledge, verum acupuncture has never been directly compared with sham acupuncture and guideline-based conventional therapy in patients with chronic low back pain.

Methods A patient- and observer-blinded randomized controlled trial conducted in Germany involving 340 outpatient practices, including 1162 patients aged 18 to 86 years (mean ± SD age, 50 ± 15 years) with a history of chronic low back pain for a mean of 8 years. Patients underwent ten 30-minute sessions, generally 2 sessions per week, of verum acupuncture (n = 387) according to principles of traditional Chinese medicine; sham acupuncture (n = 387) consisting of superficial needling at nonacupuncture points; or conventional therapy, a combination of drugs, physical therapy, and exercise (n = 388). Five additional sessions were offered to patients who had a partial response to treatment (10%-50% reduction in pain intensity). Primary outcome was response after 6 months, defined as 33% improvement or better on 3 pain-related items on the Von Korff Chronic Pain Grade Scale questionnaire or 12% improvement or better on the back-specific Hanover Functional Ability Questionnaire. Patients who were unblinded or had recourse to other than permitted concomitant therapies during follow-up were classified as nonresponders regardless of symptom improvement.

Results At 6 months, response rate was 47.6% in the verum acupuncture group, 44.2% in the sham acupuncture group, and 27.4% in the conventional therapy group. Differences among groups were as follows: verum vs sham, 3.4% (95% confidence interval, –3.7% to 10.3%; P = .39); verum vs conventional therapy, 20.2% (95% confidence interval, 13.4% to 26.7%; P < .001); and sham vs conventional therapy, 16.8% (95% confidence interval, 10.1% to 23.4%; P < .001.

Conclusions Low back pain improved after acupuncture treatment for at least 6 months. Effectiveness of acupuncture, either verum or sham, was almost twice that of conventional therapy.

 

 

Muscle Aches

 

 

Under construction at present sorry

 

Neck Pain

Exercises for mechanical neck disorders

Kay TM, Gross A, Goldsmith C, Santaguida PL, Hoving J, Bronfort G, Cervical Overview Group

Summary

Neck pain is common, it limits function and is costly. Exercise therapy is a widely used treatment for neck pain. There appears to be a role for exercises in the treatment of neck pain. There is limited evidence of benefit for strengthening, stretching and strengthening or eye-fixation exercises for neck disorder with headache. There is limited evidence of benefit for active range-of-motion exercises or a home exercise program for acute mechanical neck disorder including whiplash associated disorder. There is limited evidence that an eye-fixation program is beneficial for chronic mechanical neck disorder. There is unclear evidence of benefit for a stretching and strengthening program in chronic mechanical neck disorder. The relative benefit of different exercise approaches is unclear.

This is a Cochrane review abstract and plain language summary, prepared and maintained by The Cochrane Collaboration, currently published in The Cochrane Database of Systematic Reviews 2008 Issue 2, Copyright © 2008 The Cochrane Collaboration. Published by John Wiley and Sons, Ltd.. The full text of the review is available in The Cochrane Library (ISSN 1464-780X).
This record should be cited as: Kay TM, Gross A, Goldsmith C, Santaguida PL, Hoving J, Bronfort G, Cervical Overview Group. Exercises for mechanical neck disorders. Cochrane Database of Systematic Reviews 2005, Issue 3. Art. No.: CD004250. DOI: 10.1002/14651858.CD004250.pub3

Date of last subtantive update: April 30. 2005

Background

Neck disorders are common, limit function, and are costly to individuals and society. Exercise therapy is a commonly used treatment for neck pain. The effectiveness of exercise therapy remains unclear.

Objectives

To assess the effectiveness of exercise therapy to relieve pain, or improve function, disability, patient satisfaction, and global perceived effect in adults with mechanical neck disorders (MND).

Main results

Thirty-one trials were selected, 19% (van Tulder criteria) to 35% (Jadad scale) were rated as high quality. There is limited evidence of benefit for strengthening, stretching and strengthening or eye-fixation exercises for neck disorder with headache. There is limited evidence of benefit for active range-of-motion exercises or a home exercise program for acute mechanical neck disorder including whiplash associated disorder. There is limited evidence that an eye-fixation program is beneficial for chronic mechanical neck disorder in the short term but not in the long term. There is unclear evidence of benefit for a stretching and strengthening program in chronic mechanical neck disorder. There is strong evidence of benefit favouring a multimodal care approach of exercise combined with mobilisations or manipulations for subacute and chronic MND with or with headache in the short and long term.

Authors' conclusions

The evidence summarised in this systematic review indicates that there is a role for exercises in the treatment of acute and chronic mechanical neck disorder and neck disorder plus headache. Exercise for neck disorders with radicular findings is not assessed. The relative benefit of each type of exercise needs extensive research. Phase II trials would help identify the most effective treatment characteristics and dosages.

 

Sciatica

 

 

Under construction at present sorry

 

Shoulder Stiffness

 

 

Under construction at present sorry

 

Sports Injuries

 

 

Under construction at present sorry

 

Tennis Elbow

 

 

Under construction at present sorry

 

Whiplash Injuries

 

 

Under construction at present sorry

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 




 

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