This meta-analysis synthesises evidence from numerous studies to evaluate how structured physical activity alleviates symptoms of depression and anxiety across various demographics. The research concludes that exercise is a highly effective intervention, often matching or surpassing the results of traditional medication and psychotherapy. While all forms of movement are beneficial, aerobic activities and supervised group settings offer the most significant relief for depressive symptoms. Conversely, shorter, low-intensity routines appear particularly efficacious for managing anxiety. The authors specifically highlight emerging adults and postnatal women as groups that experience the greatest mental health improvements from these interventions. Ultimately, the study advocates for health professionals to prescribe tailored exercise programs as a primary, cost-effective treatment for psychological distress.

PHYSIO MOSMAN: https://www.fitasaphysio.com/

Conservatively treated massive prolapsed discs: a 7-year follow-up

This research investigates the natural history and recovery potential of massive lumbar disc herniations treated without surgery. By tracking patients over seven years, the study reveals that non-operative management is highly effective when early clinical progress is noted. Findings indicate that extruded disc material often shrinks significantly over time, with an average volume reduction of 64% seen on follow-up imaging. Most participants achieved a complete and sustained recovery, reporting high levels of long-term satisfaction and minimal recurrences. Ultimately, the authors conclude that conservative treatment is a safe and viable alternative to surgery, even for the largest spinal protrusions.

READ MORE: https://www.fitasaphysio.com/blog/conservatively-treated-massive-prolapsed-discs-a-7-year-follow-up

PHYSIO MOSMAN: https://www.fitasaphysio.com/

Recent highlights in low back pain research, Part I: Diagnosis and Prognosis

This narrative review synthesizes recent research on the diagnosis and prognosis of low back pain, highlighting five core themes to assist clinical decision-making. The authors emphasize that serious spinal pathologies are extremely rare, suggesting that clinicians should evaluate overall patient risk rather than relying on isolated red flags. The text criticizes the continued overuse of diagnostic imaging, noting that most findings are common in healthy individuals and lack significant predictive value. Furthermore, the review suggests that embracing diagnostic uncertainty and focusing on modifiable lifestyle factors is more effective than providing potentially harmful structural labels. Findings indicate that while many patients recover quickly, recurrences are frequent, and traditional terms like "acute" or "chronic" often fail to reflect actual pain trajectories. Finally, the researchers identify psychological and physical prognostic factors for delayed recovery but conclude that current prediction models are not yet ready for practical implementation.

READ MORE: https://www.fitasaphysio.com/blog/beyond-the-mri-5-truths-about-back-pain-that-might-change-how-you-heal