Evidence map›Paper›PMID 26500365›Full record

ArticleThe Journal of the Canadian Chiropractic Association2015

What is the pain source? A case report of a patient with low back pain and bilateral hip osteonecrosis.

Amy L Minkalis, Robert D Vining

Registry-linked trialOpen access · greenAbstract readCase Reports
PubMed Full text at PMC
In one paragraph

Article in The Journal of the Canadian Chiropractic Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01670292 (Patient Response to Spinal Manipulation), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01670292 nacompletednot on this map

Patient Response to Spinal Manipulation

TypeinterventionalSponsorPalmer College of ChiropracticRan2012 to 2014Enrolled82ConditionsLow Back PainArmsHVLA-SM
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Amy L MinkalisResearch Clinician, Evidence-Based Clinical Practice Scholar, Graduate Research Fellow, Palmer Center for Chiropractic Research, Palmer College of Chiropractic, Davenport, IA.
Robert D ViningAssociate Professor and Senior Research Clinician, Palmer Center for Chiropractic Research, Palmer College of Chiropractic, Davenport, IA.
Palmer College of Chiropractic · US

Funding

Developmental Center for Clinical and Translational Science in ChiropracticU19AT004663 · NCCIH · PALMER COLLEGE OF CHIROPRACTIC · PI GOERTZ, CHRISTINE MARIE · 2008 to 2013
$3.6M
RENOVATION OF PALMER CENTER FOR CHIROPRACTIC RESEARCHC06RR015433 · NCRR · PALMER COLLEGE OF CHIROPRACTIC · PI MEEKER, WILLIAM C · 2000 to 2000
$1.3M
NCCIH NIH HHS U19 AT004663NCRR NIH HHS C06 RR015433
6 · The paper itself

Abstract

backgroundLow back pain is a common symptom arising from many possible sources and includes the possibility of the contribution of remote pathology. This report describes a patient with bilateral osteonecrosis of the femoral heads presenting with a primary symptom of low back pain. CASE PRESENTATION: A 37-year-old male presented for evaluation of dominant pain that existed for approximately 6-12 months and was located in the right low back. Milder pain was also reported in the right hip. Low back and hip pain were both aggravated by weight-bearing activities. An evidence-based diagnostic evaluation revealed little indication for a primary pain source originating from low back structures. Radiographs revealed bilateral osteonecrosis with evidence of left femoral head collapse.

conclusionHip osteonecrosis may have contributed to an atypical presentation of low back pain due to aberrant localization of pain and/or combined with altered biomechanical loading of musculoskeletal structures.

Indexed as

avascular necrosischiropracticdiagnosiship jointlow back painosteonecrosis

Identifiers

PMID26500365
PMCPMC4593036
OpenAlexW2412769667

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.