Spinal Joint Manipulation: An evidence-based treatment to relieve pain and improve function
By John R. Mishock, PT, DPT, DC Low back pain (LBP) is a common and costly medical condition associated with significant physical pain, impaired function, and loss of productivity. LBP is the leading cause of disability in the US exceeding $100 billion per year in treatment, reduced productivity and lost wages. Approximately, 70 million adults […]
By Dr. John R. Mishock, PT, DPT, DC Studies show that seeing a physical therapist first through direct access can: improve musculoskeletal pain faster; reduce or remove the need for some types of musculoskeletal surgery; reduce opioid use; improve patient satisfaction; reduce expensive medical testing; and help patients get needed treatment faster. (Physical Therapy, 2017) […]
by Dr. John R. Mishock, PT, DPT, DC Mishock Physical Therapy & Associates uses a wide variety of manual therapy techniques (myofascial release, joint mobilization/manipulation, Active Release Technique, trigger point therapy, acupressure, proprioceptive neuromuscular facilitation, cupping, Maitland, Mulligan, Cox Flexion Distraction, chiropractic, and others), to help relieve pain, enhance soft tissue healing and improve patient […]
Evidence suggests approximately 34 percent of people who experience acute low back pain will suffer recurrent episodes (Journal Pain, 2009). One theory is that patients with an episode of acute low back pain lose motor control (ability to orderly and quickly contract muscles) of the deep muscle fibers of the lumbar spine. A recent research […]
Dr. John Mishock demonstrates how to stretch properly for low back pain using a foam roller. Low Back Pain Stretching Tips
Approximately 75 to 85 percent of adults will be affected by low back pain (LBP) during their lifetime. Americans spend at least $50 billion each year on low back pain, the most common cause of job-related disability and a leading contributor to missed work. Because of this LBP epidemic, it is important to know the […]
Evidence suggests approximately 35 percent of people who experience acute low back pain will suffer a recurrent episode within one year (Journal Pain 2009). One theory is that the acute low back pain episode causes a loss of motor control (ability to orderly and quickly contract muscles) of the deep muscles fibers of the lumbar […]
Spinal manipulation is a hands on treatment performed by health care providers (chiropractors, osteopathic physicians, naturopathic physicians, physical therapists, and some medical doctors) in which a specific controlled force is applied to body tissues with therapeutic intent. The purpose of manipulation is to restore joint mobility by manually applying a controlled force to spinal joints […]
Try these beginner lumbar spine stabilization exercises to increase strength of your core musculature and help decrease lower back pain. This is not a substitute for seeing your physical therapist. A comprehensive exam may be necessary to determine the cause and appropriate treatment for your low back pain.