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Papers of the Week

Papers: 26 Nov 2022 - 2 Dec 2022

2022 Nov 29

J Osteopath Med

Revisiting chronic low back pain: evidence that it is not non-specific.


Nicodemus CL, Sikorskii A, Epstein J
J Osteopath Med. 2022 Nov 29.
PMID: 36448422.


There is a common symptom pattern with most chronic low back pain (CLBP), suggesting that there is a common underlying etiology, belying the term "nonspecific." Many studies of CLBP and its treatment have been conducted with the assumption of nonspecificity, and as a result, treatment has not been focused, thus there has not been a significant change in CLBP prevalence over the past several decades. It is the thesis of this study to show that there is an underlying, specific cause of CLBP and that the presumption that CLBP is nonspecific is misdirected. The lumbosacropelvic (LSP) region, including the sacroiliac joint (SIJ), is part of a neuromusculoskeletal (NMSK) feedback system, and it is proposed here that CLBP is the result of a change in the feedback (afferent) aspect in that system.