A prospective study of centralization of lumbar and referred pain. A predictor of symptomatic discs and anular competence

Spine
R DonelsonW Grant

Abstract

The presence or absence of rapidly centralizing, peripheralizing, or abolishing low back and radiating pain, as identified during a McKenzie mechanical lumbar assessment of patients with chronic lumbar pain, was compared prospectively with discographic pain provocation and anular competency. To evaluate any relation between the responses of centralization and peripheralization with discographic findings. Centralization of referred pain has been reported as a very common occurrence during McKenzie assessment and treatment. Patients whose pain centralizes have been shown to achieve superior treatment outcomes. A dynamic internal disc model has been hypothesized as an underlying mechanism for centralization that has not been studied previously. Patients with chronically disabling low back pain who were referred for discography underwent preliminary blinded McKenzie clinical assessment and were categorized into three groups by their pain response. Patterns, or lack thereof, of pain response were then compared with blinded discographic pain provocation and anular findings. During the McKenzie assessment, the referred pain of 50% centralized with 74% having positive discograms, of which 91% had an intact anulus. The pain of 25% perip...Continue Reading

References

May 1, 1992·The British Journal of Radiology·C Aprill, N Bogduk
Nov 1, 1985·Physical Therapy·N A Potter, J M Rothstein
Jun 1, 1968·The Journal of Bone and Joint Surgery. American Volume·E P Holt
Jul 14, 1994·The New England Journal of Medicine·M C JensenJ S Ross
Feb 1, 1996·Spine·N Bogduk, M T Modic
May 1, 1952·The Journal of Bone and Joint Surgery. British Volume·P R ERLACHER

❮ Previous
Next ❯

Citations

Nov 2, 2004·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Deed E HarrisonBurt Holland
Feb 14, 2006·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Mark LaslettBirgitta Oberg
Jun 20, 2007·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Evdokia V BillisJacqueline A Oldham
Jun 15, 2007·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·M J HancockN Bogduk
Aug 9, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Mark HancockJustin Pik
Sep 29, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Hanne B AlbertClaus Manniche
Feb 3, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Hanne B Albert
Feb 5, 2004·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Stover H Snook
Feb 19, 2004·Journal of Manipulative and Physiological Therapeutics·Anthony J LisiElaine Morschhauser
May 11, 2005·Journal of Manipulative and Physiological Therapeutics·Michael SchneiderPatrick Farrell
Jun 21, 2005·Journal of Manipulative and Physiological Therapeutics·Peter KentJenny Keating
Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·Tom MayerUNKNOWN Contemporary Concepts Review Committee
Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·Richard D GuyerUNKNOWN NASS
Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·F Todd Wetzel, Ronald Donelson
Nov 12, 2003·The Spine Journal : Official Journal of the North American Spine Society·Sharon YoungMark Laslett
Jan 27, 2005·Photomedicine and Laser Surgery·William BlackDaniel S J Choy
Apr 28, 2006·Spine·Luciana Andrade Carneiro MachadoManuela Loureiro Ferreira
Feb 14, 2009·Spine·Joan P Scannell, Stuart M McGill
Dec 31, 2009·Journal of Cardiopulmonary Rehabilitation and Prevention·Richard SnowTeresa Caulin-Glaser
Sep 28, 2012·Sports Health·Jeffrey J HebertBruce F Walker
Jul 6, 2010·BMC Medical Research Methodology·Peter KentCharlotte Leboeuf-Yde
Aug 13, 2008·Chiropractic & Osteopathy·Donald R MurphyCraig F Nelson
Aug 30, 2011·Chiropractic & Manual Therapies·Donald R Murphy, Eric L Hurwitz
Oct 25, 2011·Chiropractic & Manual Therapies·Donald R Murphy, Eric L Hurwitz
Oct 23, 2009·International Journal of Biological Sciences·Yin-gang ZhangShi-xun Wu
Jun 3, 2008·The Journal of Orthopaedic and Sports Physical Therapy·Elaine Trudelle-JacksonSharon S Wang
Oct 26, 2010·The Journal of Orthopaedic and Sports Physical Therapy·Mark W WernekeJason Ward

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.