Herniated Discs Respond Best To Chiropractic Care
Once again, Chiropractic is confirmed to be the best treatment method for herniated discs. According to the study published below, patients showed a 90% success rate with acute and chronic lumbar spine herniated discs. Read the study below for yourself.
FROM:
J Manipulative Physiol Ther 2014 (Mar); 37 (3): 155-163
Serafin Leemann, DC, Cynthia K. Peterson, RN, Christof Schmid, DC, Bernard Anklin, DC, B. Kim Humphreys, DC, PhD
Professor, Chiropractic Medicine and Radiology departments, Orthopaedic University Hospital Balgrist, University of Zürich, Zürich, Switzerland. cynthia.peterson@balgrist.ch
Serafin Leemann, DC, Cynthia K. Peterson, RN, Christof Schmid, DC, Bernard Anklin, DC, B. Kim Humphreys, DC, PhD
Professor, Chiropractic Medicine and Radiology departments, Orthopaedic University Hospital Balgrist, University of Zürich, Zürich, Switzerland. cynthia.peterson@balgrist.ch
Objective The purposes of this study were to evaluate
patients with low-back pain (LBP) and leg pain due to magnetic resonance
imaging–confirmed disc herniation who are treated with high-velocity,
low-amplitude spinal manipulation in terms of their short-, medium-, and
long-term outcomes of self-reported global impression of change and
pain levels at various time points up to 1 year and to determine if
outcomes differ between acute and chronic patients using a prospective,
cohort design.
Methods This prospective cohort outcomes study includes 148 patients (between ages of 18 and 65 years) with LBP, leg pain, and physical examination abnormalities with concordant lumbar disc herniations. Baseline numerical rating scale (NRS) data for LBP, leg pain, and the Oswestry questionnaire were obtained. The specific lumbar spinal manipulation was dependent upon whether the disc herniation was intraforaminal or paramedian as seen on the magnetic resonance images and was performed by a doctor of chiropractic. Outcomes included the patient’s global impression of change scale for overall improvement, the NRS for LBP, leg pain, and the Oswestry questionnaire at 2 weeks, 1, 3, and 6 months, and 1 year after the first treatment. The proportion of patients reporting “improvement” on the patient’s global impression of change scale was calculated for all patients and acute vs chronic patients. Pretreatment and posttreatment NRS scores were compared using the paired t test. Baseline and follow-up Oswestry scores were compared using the Wilcoxon test. Numerical rating scale and Oswestry scores for acute vs chronic patients were compared using the unpaired t test for NRS scores and the Mann-Whitney U test for Oswestry scores. Logistic regression analysis compared baseline variables with “improvement.”
Results Significant improvement for all outcomes at all time points was reported (P < .0001). At 3 months, 90.5% of patients were “improved” with 88.0% “improved” at 1 year. Although acute patients improved faster by 3 months, 81.8% of chronic patients reported “improvement” with 89.2% “improved” at 1 year. There were no adverse events reported.
Conclusions A large percentage of acute and importantly chronic lumbar disc herniation patients treated with chiropractic spinal manipulation reported clinically relevant improvement.
Key Indexing Terms: Intervertebral Disc Displacement, Lumbar Vertebrae Manipulation, Spinal, Chiropractic
Methods This prospective cohort outcomes study includes 148 patients (between ages of 18 and 65 years) with LBP, leg pain, and physical examination abnormalities with concordant lumbar disc herniations. Baseline numerical rating scale (NRS) data for LBP, leg pain, and the Oswestry questionnaire were obtained. The specific lumbar spinal manipulation was dependent upon whether the disc herniation was intraforaminal or paramedian as seen on the magnetic resonance images and was performed by a doctor of chiropractic. Outcomes included the patient’s global impression of change scale for overall improvement, the NRS for LBP, leg pain, and the Oswestry questionnaire at 2 weeks, 1, 3, and 6 months, and 1 year after the first treatment. The proportion of patients reporting “improvement” on the patient’s global impression of change scale was calculated for all patients and acute vs chronic patients. Pretreatment and posttreatment NRS scores were compared using the paired t test. Baseline and follow-up Oswestry scores were compared using the Wilcoxon test. Numerical rating scale and Oswestry scores for acute vs chronic patients were compared using the unpaired t test for NRS scores and the Mann-Whitney U test for Oswestry scores. Logistic regression analysis compared baseline variables with “improvement.”
Results Significant improvement for all outcomes at all time points was reported (P < .0001). At 3 months, 90.5% of patients were “improved” with 88.0% “improved” at 1 year. Although acute patients improved faster by 3 months, 81.8% of chronic patients reported “improvement” with 89.2% “improved” at 1 year. There were no adverse events reported.
Conclusions A large percentage of acute and importantly chronic lumbar disc herniation patients treated with chiropractic spinal manipulation reported clinically relevant improvement.
Key Indexing Terms: Intervertebral Disc Displacement, Lumbar Vertebrae Manipulation, Spinal, Chiropractic
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