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Hedgehog video cover pic 2

A 65yr-old lady with a funny walk….

Late last autumn, the GF found an injured hedgehog in her garden. It was missing its left back leg.The reason for this wasn’t clear: a rat bite maybe, or injured by a strimmer in someone’s garden, or perhaps it had got tangled in some plastic netting and got its leg trapped? It was never clear what had happened. Anyway the leg was infected, and stinking (yuk)! This hog was not going to last the winter. So she put the hog in the straw and newspaper-filled rabbit run with water and some food with some antibiotic in it. She’s a vet btw. She kept the little hog fed through the winter, and gradually the wound healed. Of course, the leg didn’t regrow…. so now this was a three-legged hedgehog. The other day it was time to release the hog back into the wild. You can see the hog in the video, scuttling off with a very lop-sided gait, thanks to the missing leg.

In the clinic we see all sorts of lop-sidedness, and you can see this when you are out and about in town watching people go about their business. Look at the lady in the above video swaying from side to side as she walks. This is a typical gait of someone who has wear and tear in both of their hips. She probably needs both of her hips replacing, really. The side to side sway put a lot of load onto the spine and pelvis, quite commonly resulting in the low back pain that brings people in to see us in the clinic. It’s great to see how improving flexibility and strength helps people to function with less pain and continue to do the things that they like to do.

Hopefully our hop-along hedgehog will continue to explore the back gardens of the neighbourhood. We haven’t seen him back in the garden yet, but there are regular visits by other hogs. For more information about how to make your garden more hedgehog friendly, visit the British Hedgehog Preservation Society’s website. Our hedgehogs need all the help that they can get!

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Lim, Y.Z., et al., People with low back pain want clear, consistent and personalised information on prognosis, treatment options and self-management strategies: a systematic review. J Physiother, 2019. 65(3): p. 124-135.
Meade, T.W., et al., Low back pain of mechanical origin: randomised comparison of chiropractic and hospital outpatient treatment. BMJ, 1990. 300(6737): p. 1431-7.
Koes, B.W., et al., Clinical guidelines for the management of low back pain in primary care: an international comparison. Spine (Phila Pa 1976), 2001. 26(22): p. 2504-13; discussion 2513-4.
Chou, R., et al., Nonpharmacologic Therapies for Low Back Pain: A Systematic Review for an American College of Physicians Clinical Practice Guideline. Ann Intern Med, 2017. 166(7): p. 493-505.
Pengel, L.H., et al., Acute low back pain: systematic review of its prognosis. BMJ, 2003. 327(7410): p. 323.
Croft, P.R., et al., Outcome of low back pain in general practice: a prospective study. BMJ, 1998. 316(7141): p. 1356-9.
Santilli, V., E. Beghi, and S. Finucci, Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protrusion: a randomized double-blind clinical trial of active and simulated spinal manipulations. Spine J, 2006. 6(2): p. 131-7.
Leemann, S., et al., Outcomes of acute and chronic patients with magnetic resonance imaging-confirmed symptomatic lumbar disc herniations receiving high-velocity, low-amplitude, spinal manipulative therapy: a prospective observational cohort study with one-year follow-up. J Manipulative Physiol Ther, 2014. 37(3): p. 155-63
Morris, C.E., Chiropractic rehabilitation of a patient with S1 radiculopathy associated with a large lumbar disk herniation. J Manipulative Physiol Ther, 1999. 22(1): p. 38-44.
Bergmann, T.F. and B.V. Jongeward, Manipulative therapy in lower back pain with leg pain and neurological deficit. J Manipulative Physiol Ther, 1998. 21(4): p. 288-94.
Runge, N., A. Aina, and S. May, The benefits of adding manual therapy to exercise therapy for improving pain and function in patients with knee or hip osteoarthritis - a systematic review with meta-analysis. J Orthop Sports Phys Ther, 2022: p. 1-36.
Anwer, S., et al., Effects of orthopaedic manual therapy in knee osteoarthritis: a systematic review and meta-analysis.Physiotherapy, 2018. 104(3): p. 264-276.
Zhu, L., X. Wei, and S. Wang, Does cervical spine manipulation reduce pain in people with degenerative cervical radiculopathy? A systematic review of the evidence, and a meta-analysis. Clin Rehabil, 2016. 30(2): p. 145-55.
Wang, Z., et al., Systematic Review and Network Meta-analysis of Acupuncture Combined with Massage in Treating Knee Osteoarthritis. Biomed Res Int, 2022. 2022: p. 4048550.
Tian, H., et al., Acupuncture for Knee Osteoarthritis: A Systematic Review of Randomized Clinical Trials with Meta-Analyses and Trial Sequential Analyses. Biomed Res Int, 2022. 2022: p. 6561633.
Chen, J., et al., Acupuncture for the Treatment of Knee Osteoarthritis: An Overview of Systematic Reviews. Int J Gen Med, 2021. 14: p. 8481-8494.
Araya-Quintanilla, F., I. Cuyúl-Vásquez, and H. Gutiérrez-Espinoza, Does acupuncture provide pain relief in patients with osteoarthritis knee? An overview of systematic reviews. J Bodyw Mov Ther, 2022. 29: p. 117-126.
Katz, J.N., et al., Diagnosis and Management of Lumbar Spinal Stenosis: A Review. JAMA, 2022. 327(17): p. 1688-1699.
Bronfort, G., et al., Efficacy of spinal manipulation for chronic headache: a systematic review. J Manipulative Physiol Ther, 2001. 24(7): p. 457-66.
Vernon, H.T., The effectiveness of chiropractic manipulation in the treatment of headache: an exploration in the literature. J Manipulative Physiol Ther, 1995. 18(9): p. 611-17.
Nilsson, N., H.W. Christensen, and J. Hartvigsen, The effect of spinal manipulation in the treatment of cervicogenic headache.J Manipulative Physiol Ther, 1997. 20(5): p. 326-30.

Boline, P.D., et al., Spinal manipulation vs. medication for the treatment of chronic tension-type headaches: a randomized clinical trial. J Manipulative Physiol Ther, 1995. 18(3): p. 148-54.

Bryans, R., et al., Evidence-based guidelines for the chiropractic treatment of adults with headache. J Manipulative Physiol Ther, 2011. 34(5): p. 274-89.
Varatharajan, S., et al., Are non-invasive interventions effective for the management of headaches associated with neck pain? An update of the Bone and Joint Decade Task Force on Neck Pain and Its Associated Disorders by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Eur Spine J, 2016. 25(7): p. 1971-99.
Côté, P., et al., Non-pharmacological management of persistent headaches associated with neck pain: A clinical practice guideline from the Ontario protocol for traffic injury management (OPTIMa) collaboration. Eur J Pain, 2019. 23(6): p. 1051-1070.
Chu, E.C.P. and M. Ng, Long-term relief from tension-type headache and major depression following chiropractic treatment. J Family Med Prim Care, 2018. 7(3): p. 629-631.
West, J. and R.B. Phillips, Chiropractic management of a patient with persistent headache. J Chiropr Med, 2013. 12(4): p. 281-7.
Haas, M., et al., Dose response for chiropractic care of chronic cervicogenic headache and associated neck pain: a randomized pilot study. J Manipulative Physiol Ther, 2004. 27(9): p. 547-53.
Pribicevic, M. and H. Pollard, Rotator cuff impingement. J Manipulative Physiol Ther, 2004. 27(9): p. 580-90.
Pribicevic, M., H. Pollard, and R. Bonello, An epidemiologic survey of shoulder pain in chiropractic practice in australia. J Manipulative Physiol Ther, 2009. 32(2): p. 107-17.
Liu, M., et al., Effects of massage and acupuncture on the range of motion and daily living ability of patients with frozen shoulder complicated with cervical spondylosis. Am J Transl Res, 2021. 13(4): p. 2804-2812.
Kim, Y.J., Acupuncture management for the acute frozen shoulder: A case report. Clin Case Rep, 2021. 9(11): p. e05055.
Ben-Arie, E., et al., The Effectiveness of Acupuncture in the Treatment of Frozen Shoulder: A Systematic Review and Meta-Analysis. Evid Based Complement Alternat Med, 2020. 2020: p. 9790470.
Rueda Garrido, J.C., J. Vas, and D.R. Lopez, Acupuncture treatment of shoulder impingement syndrome: A randomized controlled trial. Complement Ther Med, 2016. 25: p. 92-7.
Pribicevic, M. and H. Pollard, A multi-modal treatment approach for the shoulder: a 4 patient case series. Chiropr Osteopat, 2005. 13: p. 20.
Russell, S., et al., A blinded, randomized, controlled trial assessing conservative management strategies for frozen shoulder. J Shoulder Elbow Surg, 2014. 23(4): p. 500-7.
Brantingham, J.W., et al., Manipulative therapy for shoulder pain and disorders: expansion of a systematic review. J Manipulative Physiol Ther, 2011. 34(5): p. 314-46.

Pribicevic, M., et al., A systematic review of manipulative therapy for the treatment of shoulder pain. J Manipulative Physiol Ther, 2010. 33(9): p. 679-89.

Page, M.J., et al., Manual therapy and exercise for rotator cuff disease. Cochrane Database Syst Rev, 2016(6): p. CD012224.
Page, M.J., et al., Manual therapy and exercise for adhesive capsulitis (frozen shoulder). Cochrane Database Syst Rev, 2014(8): p. CD011275.
de Sire, A., et al., Non-Surgical and Rehabilitative Interventions in Patients with Frozen Shoulder: Umbrella Review of Systematic Reviews. J Pain Res, 2022. 15: p. 2449-2464.
Murray, C.J., et al., The state of US health, 1990-2010: burden of diseases, injuries, and risk factors. JAMA, 2013. 310(6): p. 591-608.
Croft, P.R., et al., Risk factors for neck pain: a longitudinal study in the general population. Pain, 2001. 93(3): p. 317-325.
Nilsen, T.I., A. Holtermann, and P.J. Mork, Physical exercise, body mass index, and risk of chronic pain in the low back and neck/shoulders: longitudinal data from the Nord-Trondelag Health Study. Am J Epidemiol, 2011. 174(3): p. 267-73.
Kääriä, S., et al., Risk factors of chronic neck pain: a prospective study among middle-aged employees. Eur J Pain, 2012. 16(6): p. 911-20.
Linton, S.J., A review of psychological risk factors in back and neck pain. Spine (Phila Pa 1976), 2000. 25(9): p. 1148-56.
Côté, P., et al., The burden and determinants of neck pain in workers: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. J Manipulative Physiol Ther, 2009. 32(2 Suppl): p. S70-86.
Bryans, R., et al., Evidence-based guidelines for the chiropractic treatment of adults with neck pain. J Manipulative Physiol Ther, 2014. 37(1): p. 42-63.
Zhu, L., X. Wei, and S. Wang, Does cervical spine manipulation reduce pain in people with degenerative cervical radiculopathy? A systematic review of the evidence, and a meta-analysis. Clin Rehabil, 2016. 30(2): p. 145-55.
Gross, A., et al., Manipulation or mobilisation for neck pain: a Cochrane Review. Man Ther, 2010. 15(4): p. 315-33.
Cohen, S.P., Epidemiology, diagnosis, and treatment of neck pain. Mayo Clin Proc, 2015. 90(2): p. 284-99.
Peterson, C., J. Bolton, and B.K. Humphreys, Predictors of outcome in neck pain patients undergoing chiropractic care: comparison of acute and chronic patients. Chiropr Man Therap, 2012. 20(1): p. 27.