This article by Roy et. al provides a very interesting viewpoint on the management of musculoskeletal disorders that traditionally focus on the structural dysfunctions found within the musculoskeletal system, mainly around the affected joint or as we call it a symptomatic point. While a structural-dysfunction approach maybe effective for musculoskeletal conditions, especially in acute presentations, its effectiveness remains limited in patients with recurrent or chronic musculoskeletal pain. This relates directly to a neurological treatment model to address the 3 S’s (symptomatic, segmental and systemic) and the 3I’s (inflammation, irritation, inhibition) of neuromusculoskeletal dysfunction. Enjoy!
Comparison of the effects of dry needling and spinal manipulative therapy versus spinal manipulative therapy alone on functional disability and endurance in patients with nonspecific chronic low back pain: An experimental study
Medicine (Baltimore). 2024 Sep 20;103(38):e39734. doi: 10.1097/MD.0000000000039734. ABSTRACT BACKGROUND: Low back pain (LBP) is a global musculoskeletal ailment. Over the past few