Inside the Science

In S3E2 of Inside the Science, I'm joined by Dr. Jerome Fryer. He's a chiropractor in Vancouver, Canada, and the founder and owner of Dynamic Disc Designs. He shares what prompted this work, the historical understanding of where the 'pop' comes from during manipulations, the six different models tested and compared in this study, and the results including its clinical implications and takeaways.  ...

In S3E1 of Inside the Science, we're highlighting the article, "Beliefs, perceptions and practices of chiropractors and patients about mitigation strategies for benign adverse events after spinal manipulation therapy" with the author, Dr. Martha Funabashi. She shares what specifically was shown related to the beliefs, perceptions, and practices of both clinicians and patients of benign adverse eve...

In S2E16 of Inside the Science, we're highlighting the article, "Practice-Based Evidence Research in Rehabilitation: An Alternative to Randomized Controlled Trials and Traditional Observational Studies" with the author, Dr. Daniel Deutcher. He shares a look at the comparisons and contrasts of PBE Research designs versus RCTs and observational studies, where this design came from, how it is conduci...

In S2E15 of Inside the Science, we're highlighting the article, "Physical Therapists' Level of McKenzie Education, Functional Outcomes, and Utilization in Patients With Low Back Pain" with the author, Dr. Daniel Deutcher. He shares a look at how this study was conducted, what specifically was shown between different levels of training, some assumptions of the reasons behind these findings, the cli...

In S2E14 of Inside the Science we're highlighting the article, "Do patients with low back pain remember physiotherapists' advice? A mixed-methods study on patient-therapist communication " with the author, Mr. Georg Supp. He discusses the findings of this study - what existed on this topic prior, what had the greatest impact on whether patients remembered their therapist's advice, an unexpected fi...

In S2E13 of Inside the Science we're highlighting the article, "What doctors Want" with the author, Mr. Georg Supp. He shares a look at what prompted this survey of referring doctors related to what they're looking for in progress reports, how we can better communicate with patient's physicians, how he'd suggest that we model behavior on this topic, what we should include in a progress report, and...

In S2E12 of Inside the Science we're highlighting the study, "Can Large Cervical and Lumbar Disc Herniations Producing Radiculopathies Be Intentionally and Rapidly Improved?" with the author, Dr Ron Donelson. He shares how he'd suggest using this information as an advocate for a mechanical exam when patients present having a large herniation found on advanced imaging, who he'd share this data with...

In S2E11 of Inside the Science, we're highlighting the study, "Influence of Directional Preference on Two Clinical Dichotomies: Acute Versus Chronic Pain and Axial Low Back Pain Versus Sciatica " with the author, Dr. Ron Donelson. He shares a look at the scene of classification and best care for low back and leg pain by the larger medical community at that time, the findings of this study, and how...

In S2E10 of Inside the Science we're highlighting the study, "Meniscal and Mechanical Symptoms Are Associated with Cartilage Damage, Not Meniscal Pathology" with the author, Dr Evan Farina. He shares a look at the findings of this study related to association of patient reported knee symptoms and pathology, how he'd suggest using this information to guide clinical behavior, how he'd educate patien...

In S2E9 of Inside The Science, we're highlighting the study, "Which pain medications are effective for sciatica (radicular leg pain)?" with the author, Dr. Rafael Pinto. He shares a look at the findings of this review related to the effectiveness and safety of common medications prescribed for patients with lumbosacral radicular pain, how he'd use this information to educate patients and the big t...

In S2E8 of Inside the Science, we're highlighting the study, "Epidural corticosteroid injections for lumbosacral radicular pain (review)" with the author, Dr. Rafael Pinto. He shares a look at the findings of this review related to the effectiveness and safety of these procedures, how he'd use this information to educate patients, and the big takeaways.   We hope to deliver this content to the com...

In S2E7 of Inside the Science, we're highlighting the study, "Clinical classification in low back pain: best-evidence diagnostic rules based on systematic reviews" with the author, Dr. Mark Laslett. He shares a look at this case and his view as to why we should classify related to pathoanatomy. He elaborates, tissue by tissue, as to if the literature points toward our being able to classify accord...

In S2E6 of Inside the Science we're highlighting the study, Reliability of Mckenzie classification of patients with cervical or lumbar pain and discussing it with the author Dr. Helen Clare. She shares what was happening in research reliability studies at that time which influenced the design, a criticism of some of the results, another paper on this topic and what it showed, how this should influ...

In S2E5 of Inside the Science, we're highlighting the study, "The Influence of Centralization and Directional Preference on Spinal Control in Patients With Nonspecific Low Back Pain" with Mr. Hans van Helvoirt. He shares a bit of the reason why he thought this topic was important to study, how he uses the results to influence his clinical reasoning with spinal control tests whether directional pre...

In S2E4 of Inside the Science, we're highlighting the study, Telerehabilitation booster sessions, and remote patient monitoring in the management of chronic low back pain: A case series, and discussing it with the author Seth Petersen. He shares specifics on this case series and the means of remote contact used, his views on how this might be effectively implemented and with which kinds of patient...

In S2E3 of Inside the Science, we're highlighting the study, "Manual correction of an acute lumbar lateral shift: maintenance of correction and rehabilitation; A case report " with the author, Dr Mark Laslett. He shares a look at this case and some behind the scenes details of the case and why it was deemed important to publish. He explains its clinical implications, how he'd suggest using it to i...

In S2E2 of Inside the Science, we're highlighting the study, Alternating lumbar lateral shift: a case report, and discussing it with the author Seth Petersen. He shares specifics on this patient case, both his MDT and impairment-based classifications, the primary intervention which resulted in a successful outcome, and the big takeaways.   We hope to deliver this content to the committed professio...

In S2E1 of Inside the Science we're highlighting the study, Reliability of detection of lumbar lateral shift and discussing it with the author Helen Clare. She shares a look at this study and some behind the scenes explanation of how it was conducted and some unpublished data. She explains its clinical implications, how she'd suggest using it to impact our detection of lumbar lateral shifts, and t...

In S1E16 of Inside the Science, we're highlighting the study, Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis and discussing it with one of the authors Daniel Belavy. He shares a look at this meta-analysis on exercise and what has shown effectiveness for low back pain. He explains what prompted this work, its clinical implications, how...

In episode 15 of season 1 of Inside the Science we're highlighting the study, No consensus on causality of spine postures or physical exposure and low back pain: a systematic review of systematic reviews and discussing it with the author Daniel Belavy. He shares a look at this systematic review of systematic reviews on what causes low back pain. He explains what prompted this work, its clinical im...

In S1E14 of Inside the Science, we're highlighting the study, Inter-rater reliability of a modified version of Delitto et al.'s classification-based system for low back pain: a pilot study and discussing it with one of its authors Hans van Helvoirt. He shares a look at this paper looking at the reliability of a popular classification system within physical therapy. He explains the appropriate inte...

In S1E13 of Inside the Science, we're highlighting the study, Transforaminal Epidural Steroid Injections Followed by Mechanical Diagnosis and Therapy to Prevent Surgery for Lumbar Disc Herniation and discussing it with one of its authors Hans van Helvoirt. He shares a look at this popular paper analyzing the effects of epidural steroid injections on non-responders per MDT assessment. He explains w...

In S1E12 of Inside the Science we're highlighting the study, Cervicogenic headache: an assessment of the evidence on clinical diagnosis, invasive tests, and treatment and discussing it with one of its authors Dr. Nikolai Bogduk. He shares a look at the paper analyzing whether the cervical spine structures are responsible for headache and if so, in what scenarios. He explains his analysis, how the...

In S1E11 of Inside the Science, we're highlighting the study, Cervical Discs as a Source of Neck Pain. An Analysis of the Evidence and discussing it with one of its authors Dr. Nikolai Bogduk. He shares a look at the paper analyzing whether the cervical disc can be the source of neck pain and if so, in what scenarios. He explains his analysis, how the determination was made, the reason common trea...

In S1E10 of Inside the Science, we're summarizing the study, A study of exploring the prevalence of Extremity Pain of Spinal Source and discussing it with its primary author Mr. Richard Rosedale. He shares a look at what in clinical practice prompted him and his colleagues to conduct the study, some of the results which surprised him, how he uses this study to educate his patients and referral sou...