Spinal Manipulation for Sciatica
11 July 2013 | Admin
Spinal Manipulation for sciatica
Written By email@example.com, On July 11, 2013
Spinal Manipulation Proves Equally Beneficial As Surgery In Sciatica Treatment
In a recent study, “Manipulation or Microdiscetomy for Sciatica? A Prospective Randomized Clinical Study,” (Journal of Manipulative and Physiological Therapeutics, October 2010, Vol. 33 Iss. 8, p: 576-584), researchers concluded that spinal manipulation was just as effective as microdiscectomy for patients struggling with sciatica secondary to lumbar disc herniation (LDH). The patient population studied included people experiencing chronic sciatica (symptoms greater than six months) that had failed traditional, medical management. Overall, 60 percent of patients who received spinal manipulation benefited to the same degree as those who underwent surgery.
“To our knowledge, this is the first, randomized trial that directly compared spinal manipulation, which in this study was delivered by a doctor of chiropractic, and back surgery, two popular treatment choices for this prevalent health condition,” says Dr. Gordon McMorland, who co-authored the paper with neurosurgeons Steve Casha, MD, PhD, FRCSC, Stephan J. du Plessis, MD, and R. John Hubert, MD, PhD, FRCSC, FACS.
“Sciatica is a serious spinal condition that causes pain, numbness, or weakness in one or both legs. Many times when symptoms become debilitating and without further help, surgery is prescribed to alleviate discomfort. But surgery is not without financial and physical drawbacks.”
According to the study, “Outpatient Lumbar Microdiscectomy: A Prospective Study in 122 Patients”, more than 200,000 microdiscectomies are performed annually in the United States, at a direct cost of $5 billion, or $25,000 per procedure. In this year-long study, consenting participants were chosen randomly to receive either an average of 21 chiropractic sessions over a year or a single microdiscectomy, both with the additional integration of six supervised active rehabilitation sessions and a patient education program. If cost is assumed at $100 per chiropractic visit, there is a direct, total savings of $22,900 per manipulation patient. System-wide, this could save $2.75 billion dollars annually.
“After a year, no significant complications were seen in either treatment group, and the 60 percent patients who benefitted from spinal manipulation improved to the same degree as their surgical counterparts,” says Dr. McMorland, who also points out that, “The 40 percent of patients who were not helped by manipulation did receive subsequent surgical intervention.
These patients benefitted to the same degree as those that underwent surgery initially, suggesting there was no detrimental effect caused by delaying their surgical treatment.”
“Our research supports spinal manipulation performed by a doctor of chiropractic is a valuable and safe treatment option for those experiencing symptomatic LDH, failing traditional medical management. These individuals should consider spinal manipulation as a primary treatment, followed by surgery if unsuccessful.”
All too often it is assumed that surgery is the only option with disc injuries but as this study demonstrates that is not the case. Obviously not every disc patient will benefit from manipulation but every opportunity to avoid surgery should be explored first.
If you would like to have a consultation with a registered chiropractic expert please call either the Chiropractic Clinic in Market Harborough or The Melton Mowbray Chiropractic Clinic on the following numbers
Chiropractic Clinic in Market Harborough 01858 414841
Chiropractic Clinic in Melton Mowbray 01664 561199