SPORTS MEDICINE :
MEDICAL: BACK PAIN:
Working through Back Pain
Working through Back Pain
Published: 01 May 2015 10:29 PM
Updated: 01 May 2015 10:29 PM
Pittsburgh Post Gazette
Dallas Morning News
A shorter URL for the above link:
After he had battled lower back pain for three months with hot showers,
analgesic heat rubs and heating pads, it finally happened. Chris Roth
awoke one morning barely able to move.
This was a huge problem for Roth. As owner of Steel City Ballroom in a
Pittsburgh suburb, he teaches the trademark hip-shaking and body-twisting
steps of ballroom dancing. I canceled my lessons, said Roth, 44. Id had
back pain but not like that. This was the most extreme pain. Thats when I
couldnt push through it.
Fortunately for Roth, Anthony Delitto was a student. The chairman of the
University of Pittsburgh department of physical therapy in the School of
Health and Rehabilitation Sciences offered to help.
In his office, Delitto analyzed Roths posture and how he walked to figure
out the potential source of his pain. Then he had him lie down on his back
and cross his legs in a figure-four position. Then he pounced on him and
rocked him back and forth a few times. They heard a pop. The pain
vanished. The hip was realigned. Back to the ballroom.
Roths effort to continue dancing throughout the pain actually represents a
new approach to treating lower back pain. Dont shut down. Remain active.
Push through the pain so it doesnt become chronic.
To study that concept, Patient-Centered Outcomes Research Institute has
awarded the University of Pittsburgh $14 million over five years to lead a
national trial to test whether a more aggressive European treatment can
better prevent acute lower back pain from becoming a chronic condition in
which the level of pain magnifies and is more difficult and expensive to
Certain patients are more inclined to worry that when their back hurts
they are further harming it, causing them to become inactive, he said.
That can seriously impede recovery and cause further damage, leading to
chronic back pain.
The complete article may be read at the URL above.
Selected Publication Citations of Anthony Delitto
Childs, J. D., Fritz, J. M., Flynn, T. W., Irrgang, J. J., Johnson, K. K.,
Majkowski, G. R., & Delitto, A.
A clinical prediction rule to identify patients with low back pain most
likely to benefit from spinal manipulation: a validation study.
Annals of internal medicine, 141(12), 920-928.
Fritz, J. M., George, S. Z., & Delitto, A.
The role of fear-avoidance beliefs in acute low back pain: relationships
with current and future disability and work status.
Pain, 94(1), 7-15.
Hicks, G. E., Fritz, J. M., Delitto, A., & McGill, S. M.
Preliminary development of a clinical prediction rule for determining
which patients with low back pain will respond to a stabilization exercise
Archives of physical medicine and rehabilitation, 86(9), 1753-1762.
Brennan, G. P., Fritz, J. M., Hunter, S. J., Thackeray, A., Delitto, A., &
Erhard, R. E.
Identifying subgroups of patients with acute/subacute nonspecific low back
pain: results of a randomized clinical trial.
Spine, 31(6), 623-631.
Fritz, J. M., Delitto, A., & Erhard, R. E.
Comparison of classification-based physical therapy with therapy based on
clinical practice guidelines for patients with acute low back pain: a
randomized clinical trial.
Spine, 28(13), 1363-1371.
Wainner, R. S., Fritz, J. M., Irrgang, J. J., Boninger, M. L., Delitto,
A., & Allison, S.
Reliability and diagnostic accuracy of the clinical examination and
patient self-report measures for cervical radiculopathy.
Spine, 28(1), 52-62.
Delitto, A., Cibulka, M. T., Erhard, R. E., Bowling, R. W., & Tenhula, J.
Evidence for use of an extension-mobilization category in acute
low back syndrome: a prescriptive validation pilot study.
Physical Therapy, 73(4), 216-222.
Erhard, R. E., Delitto, A., & Cibulka, M. T.
Relative effectiveness of an extension program and a combined program of
manipulation and flexion and extension exercises in patients with acute
low back syndrome.
Physical Therapy, 74(12), 1093-1100.
Mueller, M. J., Diamond, J. E., Delitto, A., & Sinacore, D. R.
Insensitivity, limited joint mobility, and plantar ulcers in patients with
Physical Therapy, 69(6), 453-459.
Delitto, A., Rose, S. J., McKowen, J. M., Lehman, R. C., Thomas, J. A., &
Shively, R. A.
Electrical stimulation versus voluntary exercise in strengthening thigh
musculature after anterior cruciate ligament surgery.
Physical therapy, 68(5), 660-663
Hicks, G. E., Fritz, J. M., Delitto, A., & Mishock, J. (2003).
Interrater reliability of clinical examination measures for identification
of lumbar segmental instability.
Archives of physical medicine and rehabilitation, 84(12), 1858-1864.
Fritz, J. M., Delitto, A., Welch, W. C., & Erhard, R. E.
Lumbar spinal stenosis: a review of current concepts in evaluation,
management, and outcome measurements.
Archives of physical medicine and rehabilitation, 79(6), 700-708.
Jette, A. M., & Delitto, A.
Physical therapy treatment choices for musculoskeletal impairments.
Physical therapy, 77(2), 145-154.
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