Spinal manipulation postepidural injection for lumbar and cervical radiculopathy: a retrospective case series

Journal of Manipulative and Physiological Therapeutics
Paul DoughertyJ Donald Dishman

Abstract

To describe the safety and potential therapeutic benefit of spinal manipulation postepidural injection in the nonsurgical treatment of patients with cervical and lumbar radiculopathy. The study design was a retrospective review of outcomes of 20 cervical and 60 lumbar radiculopathy patients who underwent spinal manipulation postepidural injection in a hospital setting. Patients received either fluoroscopically guided or computed tomography (CT)-guided epidural injection of a combination of lidocaine and Depo-Medrol. The manual therapy consisted of an immediate postepidural application of flexion distraction mobilization and then high-velocity, low-amplitude spinal manipulation to the affected spinal regions. Outcome criteria were empirically defined as significant improvement, temporary improvement, or no change. The minimum follow-up time for all patients was 1 year. There were no complications associated with spinal manipulation, whereas 3 complications associated with the epidural injection procedure were noted. Of lumbar spine patients, 36.67% (n = 22) noted significant improvement, 41.67% (n = 25) experienced temporary improvement, and 21.67% (n = 13) reported no change. Of the patients undergoing spinal manipulation after...Continue Reading

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Citations

May 11, 2005·Journal of Manipulative and Physiological Therapeutics·Ralph E GayRoni L Evans
May 16, 2013·Chiropractic & Manual Therapies·Dennis Digiorgi
Apr 9, 2014·Journal of Chiropractic Medicine·Douglas J TaberAlain Jacon
Jan 1, 2008·The Spine Journal : Official Journal of the North American Spine Society·Simon DagenaisScott Haldeman
Mar 1, 2008·Journal of Manipulative and Physiological Therapeutics·André E BussièresCynthia Peterson
Mar 1, 2008·Journal of Chiropractic Medicine·Wayne M Whalen
Sep 12, 2013·Evidence-based Complementary and Alternative Medicine : ECAM·M R GudavalliC Goertz
May 11, 2018·Oxford Medical Case Reports·Vinicius Tieppo FrancioTony Brown
Dec 12, 2020·Curēus·Ryan C McCoyMark Friedrich Hurdle

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