Abstract
Objective: The objective of this study was to describe the potential therapeutic benefit of joint mobilization and manipulation on acute back pain and sciatica with disc protrusion on MRI. in the conservative management of patients with low back pain waiting to see spinal surgeon.
Methods: A prospective review of outcomes of 102 [19–58 years] patients undergone spinal manipulation. Each patient had exhibited suboptimal improvement with at least a 4 weeks of NSAIDs. Manipulations were done 5 days per week by experienced chiropractors, with a number of sessions which depended on pain relief.
Results: Manipulations appeared effective on the basis of the percentage of pain-free cases number of days with pain and number of days with moderate or severe pain. Patients had low mean VAS scores. There were only three treatment failures. Transient pain migration over the back was noted in some patients.
Conclusions: It offers an additional perspective for considering the integration of spinal manipulation into healthcare policy.
It may cause preexisting asymptomatic disc herniations to become symptomatic. Due to the inconsistencies in manual force application during PA spinal mobilization, clinical standardization of manual force application is necessary. Documentation of mobilization should include detailed descriptions of force parameters and measurement methods. This Information on the care patients routinely receive from complementary and alternative medicine providers will help physicians better understand these increasingly popular forms of care.
Perceived satisfaction levels of patients with acute back pain with chiropractic treatment and reported reductions in associated pain levels and activity restrictions support the clinical rationale for patient treatment.
Correspondence should be addressed to: Mr John O’ Dowd, SBPR, c/o BOA, The Royal College of Surgeons, 35–43 Lincoln’s Inn Fields, London WC2A 3PE.
