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Dr. Tyler Johnson

1502 N. El Camino Real
San Clemente, CA 97672
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Back Pain Article

May 4, 2010 by Dr. Johnson

The Chiropractic Center is pleased to provide education and information from a variety of trusted, professional resources.  Our goal is to increase the knowledge and comfort of our patients across a wide spectrum of interests affecting their health and well being.

If you have specific questions or concerns you’d like to discuss personally with us, please click here .  It would be our pleasure to ensure your complete understanding of the science of chiropractic treatments or other subjects covered in the article below.

The Nordic back pain subpopulation program: Can low back pain patterns be predicted from the first consultation with a chiropractor? A longitudinal pilot study.

Alice Kongsted email and Charlotte Leboeuf-Yde email

Chiropractic & Osteopathy 2010, 18:8doi:10.1186/1746-1340-18-8

Published: 29 April 2010

Abstract (provisional)

Background

It is widely believed that non-specific low back pain (LBP) consists of a number of subgroups which should be identified in order to improve treatment effects. In order to identify subgroups, patient characteristics that relate to different outcomes are searched for. However, LBP is often fluctuating or recurring rather than clearly limited in time. Therefore it would be relevant to consider outcome from a longitudinal perspective (describing ‘course patterns’) instead of defining it from an arbitrarily selected end-point after completed treatment.

Aims

The objectives of this pilot study were to investigate the interobserver reliability of a diagnostic classification system and to evaluate whether diagnostic classes or other baseline characteristics are associated with the LBP course pattern over a period of 18 weeks.

Methods

Patients visiting one of 7 chiropractors because of LBP were classified according to a diagnostic classification system, which includes end-range loading, SI-joint pain provocation tests, neurological examination and tests for muscle tenderness and abnormal nerve tension. In addition, age, gender, duration of pain and presence of leg pain were registered in the patient’s file. By weekly SMS-messages on their mobile phones, patients were asked how many days they had LBP the preceding week, and these answers were transformed into pain course patterns and the total number of LBP days.

Results

A total of 110 patients were included and 76 (69 %) completed follow-up. Thirty-five patients were examined by two chiropractors. The agreement regarding diagnostic classes was 83% (95 % CI: 70 – 96). The diagnostic classes were associated with the pain course patterns and number of LBP days. Patients with disc pain had the highest number of LBP days and patients with muscular pain reported the fewest (35 vs. 12 days, p<0.01). Men had better outcome than women (17 vs. 29 days, p < 0.01) and patients without leg pain tended to have fewer LBP days than those with leg pain (21 vs.31 days, p=0.06). Duration of LBP at the first visit was not associated with outcome.

Conclusions

The study indicated that there is a clinically meaningful relationship between diagnostic classes and the course of LBP. This should be evaluated in more depth.

Filed Under: Education Tagged With: baseline characteristics, chiropractic center, chiropractic treatments, chiropractor, classification system, course patterns, diagnostic classification, interobserver reliability, lbp, leboeuf, longitudinal perspective, neurological examination, osteopathy, pain patterns, patient characteristics, pilot study, professional resources, provocation, subgroups, yde

Chiropractic Center - Dr. R Tyler Johnson
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Katie Errett
Katie Errett
14:25 07 May 20
Dr. Johnson has a gift and has helped my husband and me with acute back pain and will squeeze us in to see us at a... moments notice. In addition, we have gone on and off for maintenance and never feel pressure to come in more than necessary. He is gentle, personable, kind and very talented. Both my husband and I highly recommend him.read more
Wes Rangel
Wes Rangel
00:25 22 Feb 20
I've never been to a chiropractor and after a few visits, life-long pain is starting to go away. Nice clean location.... Friendly staffread more
Michael Williams
Michael Williams
19:08 06 Jan 20
The best chiropractor I've ever been to. Dr Johnson knows where to work on you to help you heal and recover. He's... patient, knowledgeable, and compassionate. He's helped me through some very painful injuries and helped heal some old injuries that I thought where going to be a life long struggle. I appreciate Dr. Johnson and his abilities.read more
Mikaela Nelson
Mikaela Nelson
02:34 05 Jan 20
Physical Therapy wasn’t helping but Dr. Johnson is MAGIC!!! 10/10 recommended!
Ian Jaurigue
Ian Jaurigue
20:32 04 Jan 20
Dr. Johnson and his team are great! Whether it’s just a quick tune up or addressing an injury there’s nowhere else I’d... rather go. Even my wife and kids see him when needed. Visits are quick and to the point without sacrificing bedside manner. They’re also super military friendly!read more
Nathaniel Swanson
Nathaniel Swanson
02:05 04 Jan 20
While in Orange Country on business (from Eastern NC) I developed some pretty significant lower back pain while out on... a run- the type of pain that made moving, or sitting, terrible. The idea of sitting in an airplane seat from one side of the country to another was akin to medieval torture. So I hobbled into Doc Johnson's office, was seen promptly. He helped me work out my lower back issue by the end of the week to where sitting in an airplane was bearable. I was across the country from home and needed some help, and he really came through for me. I really appreciate it!read more
Michael Snyder
Michael Snyder
01:28 04 Jan 20
Thank you Dr. Johnson for taking such great care of our family all year long! Best wishes for a Happy and healthy New... Year to you and your beautiful family. Regards, Mike & Angieread more
John Bledsoe
John Bledsoe
17:23 12 Oct 19
He is an amazing chiropractor. He knows his stuff. He is really helping me with my sciatica.
Thomas Conway
Thomas Conway
22:20 01 Aug 19
Dr. Johnson is a really great chiropractor and and is an excellent resource to the San Clemente community
Wild Bill Wiederhold
Wild Bill Wiederhold
21:00 10 May 19
I've been going to see Dr. Kreutz for 30 years. He has got to be the best chiropractor on the planet. I actually see... him before seeing an M.D. and I don't end up needing to go to a doctor. His staff is friendly and courteous.read more
Caralee Kartchner
Caralee Kartchner
17:20 20 Apr 19
Dr. Johnson is the best.
Esther Donan
Esther Donan
13:19 30 Sep 18
Great service my son was in a very bad injury he barely walk in just 3 treatments he was perfectly healthy again and... playing soccer like nothing happen beforeread more
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