Study on Diagnostics

The study below was a comprehensive review of the reliability of neurological examination for detecting disc herniation. The conclusion was that neurological examination itself was not very accurate at predicting disc herniation. I found this interesting because I have correctly...

Read More

Traction of any kind is pretty much useless for treating low back pain

My experience indicates that those patients with specific disc herniation and nerve root compression will experience temporary pain relief with traction. However it has no influence on their overall recovery. All other instances of low back pain (95% of all...

Read More

Manual Therapy Versus Corticosteriod Injection

Physiotherapy manual therapy is more effective than Corticosteriod injection (Cortisone shot) for the treatment of shoulder impingement syndrome. While the outcomes were similar after 1 year, the Corticosteriod injection group were using more health resources (doctor’s visits, medications, other treatments)...

Read More

Cost Effectiveness of Trigger Point Dry Needling

Recent article published in the Journal Pain Medicine. Quick summary supports the use of dry needling trigger point therapy (or IMS in Canadian terminology) along with exercises for subacromial pain syndrome (shoulder pain). Supporting that Gunn IMS can facilitate faster...

Read More