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Related Concept Videos

Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...

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Related Experiment Video

Updated: Jun 5, 2026

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
06:28

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation

Published on: December 13, 2024

Spinal manipulation for low-back pain: an office procedure.

G R Hollingworth, W E Wood

    Canadian Family Physician Medecin De Famille Canadien
    |January 26, 2011
    PubMed
    Summary

    Spinal manipulation offers an alternative for low-back pain patients when properly selected. This approach prioritizes thorough patient assessment, including history, physical exam, and diagnosis, before applying manipulative techniques.

    Area of Science:

    • Orthopedics
    • Neurology
    • Physical Medicine

    Background:

    • Low-back pain is a common condition with various treatment options.
    • Standard conservative care is often the first line of treatment.
    • Spinal manipulation presents a viable alternative for specific patient profiles.

    Purpose of the Study:

    • To outline an evidence-based approach for utilizing spinal manipulation in managing low-back pain.
    • To detail patient selection criteria, including indications and contraindications.
    • To describe practical manipulative techniques for family physicians.

    Main Methods:

    • Emphasis on comprehensive patient history and physical examination.
    • Systematic diagnosis prior to initiating treatment.

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  • Patient selection based on pain levels and range of motion assessments.
  • Description of two easily learnable manipulative techniques.

    • Main Results:

    • Proper patient selection is crucial for successful spinal manipulation outcomes.
    • Clear indications and contraindications guide treatment decisions.
    • Two accessible manipulative techniques are presented for clinical application.

    Conclusions:

    • Spinal manipulation is an effective alternative for carefully selected low-back pain patients.
    • A structured approach involving thorough assessment ensures safe and appropriate application.
    • Family physicians can integrate these techniques into primary care settings.