Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protrusion: a randomized double-blind clinical trial of active and simulated spinal manipulations

The Spine Journal : Official Journal of the North American Spine Society
Valter SantilliStefano Finucci

Abstract

Acute back pain and sciatica are major sources of disability. Many medical interventions are available, including manipulations, with conflicting results. To assess the short- and long-term effects of spinal manipulations on acute back pain and sciatica with disc protrusion. Randomized double-blind trial comparing active and simulated manipulations in rehabilitation medical centers in Rome and suburbs. 102 ambulatory patients with at least moderate pain on a visual analog scale for local pain (VAS1) and/or radiating pain (VAS2). Pain-free patients at end of treatment; treatment failure (proportion of patients stopping the assigned treatment for lack of effect on pain); number of days with no, mild, moderate, or severe pain; quality of life; number of days on nonsteroidal anti-inflammatory drugs; number of drug prescriptions; VAS1 and VAS2 scores; quality of life and psychosocial findings; and reduction of disc protrusion on magnetic resonance imaging. Manipulations or simulated manipulations were done 5 days per week by experienced chiropractors, with a number of sessions which depended on pain relief or up to a maximum of 20, using a rapid thrust technique. Patients were assessed at admission and at 15, 30, 45, 90, and 180 day...Continue Reading

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Citations

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