Michael Braccio

Subacromial decompression surgery is a common procedure performed for the treatment of subacromial impingement and with rotator cuff repairs. But does the surgery improve treatment outcomes? A narrative review by Luciano Rossi and Maximiliano Ranalletta published in the Journal of Bone and Joint Surgery looked at the outcomes of subacromial decompression surgery. They concluded that subacromial decompression did not provide any clinical or structural benefit in the treatment... of subacromial impingement or after rotator cuff repair. Rossi LA, Ranalletta M. Subacromial decompression is not beneficial for the management of rotator cuff disease. Journal of Bone and Joint Surgery. 2020. https://journals.lww.com//Subacromial_Decompression_Is_Not

In this Instagram Live Q&A: - Should you perform self-myofascial release? - How to perform proximal hamstring tendinopathy exercises at home? - Recommended exercises for chronic groin strains?

Last week I had the privilege of doing an interview with Dr. Steele from ChiroUp.com to discuss rehabilitation approaches to shoulder conditions. Hope you find it useful!

The article categorizes low back pain into three categories: nociceptive, neuropathic, and sensitization. Nociceptive Diagnosis Discogenic Pain: No recommended clinical tests for in office. ... Facet Joint Pain: 3 of the 5 criteria 1. Age over 50, 2. Onset paraspinal, 3. Pain relieved with walking, 4. Pain relieved with sitting. 5. Positive extension-rotation test. SI Joint Pain: 3 of the 5 tests 1. Distraction, 2. Compression, 3. Thigh thrust, 4. Positive Ganslen's test, 5. Positive Patrick's test Myofascial Pain: Pain with palpation which reproduces the complaint. Neuropathic Diagnosis Neurogenic Claudication (Spinal Stenosis): trigger with standing, relieved by sitting, symptoms above the knees, positive shopping cart sign. Radicular/Radiculopathy: No recommended clinical tests for in office. Radiculopathy must have nerve conduction loss for diagnosis. Peripheral Entrapments: No recommended clinical tests for in office. Diagnosis through symptom presentation (piriformis syndrome, thoracolumbar syndrome). Sensitization Diagnosis Central/Peripheral: Questionnaires may be useful but no recommended clinical tests for in office. Source: Vining RD, Shannon ZK, Minkalis AL, Twist EJ. Current Evidence for Diagnosis of Common Conditions Causing Low Back Pain: Systematic Review and Standardized Terminology Recommendations. JMPT 2019. https://pubmed.ncbi.nlm.nih.gov/31870637