St. Louis Park Chiropractor Best Practices

Research Commentary;

Chiropractic Treatment for Low Back Pain and Sciatica

A review of

Santilli, V., Beghi, E., & Finucci, S. (2006). 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, 6(2), 131–137. https://doi.org/10.1016/j.spinee.2005.08.001

By Dr. Trenton Yeomans

Chiropractic for Low Back Pain and Sciatica

Summarized Review Conclusions

In this study they took over 102 participants and wanted to see the effect of chiropractic adjustment on treating low back pain and sciatic with a disc bulge. They found that patients receiving active manipulations enjoyed significantly greater relief of local and radiating acute low back pain, spent fewer days with moderate-to-severe pain, and consumed fewer drugs for the control of pain. This study shows again why chiropractic is an excellent option when it comes to treating low back pain and sciatica.

“Acute back pain and sciatica are major sources of disability, with impairment of daily living activities. Many medical interventions are available, but the results are conflicting.”

Santilli, V., Beghi, E., & Finucci, S. (2006). 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, 6(2), 131–137. https://doi.org/10.1016/j.spinee.2005.08.001

“We therefore conducted a randomized double-blind clinical trial to assess the short- and long-term impact of spinal manipulations on acute back pain and sciatica in a cohort of patients with lumbar disc protrusion.”

Santilli, V., Beghi, E., & Finucci, S. (2006). 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, 6(2), 131–137. https://doi.org/10.1016/j.spinee.2005.08.001

“Spinal manipulations are widely used. The rationale for manipulation includes reduction of a bulging disc, correction of disc displacement, release of adhesive fibrosis surrounding prolapsed discs or facet joints and entrapped synovial folds or plicae, inhibition of nociceptive impulses, relaxation of hypertonic muscles, and unbuckling displaced motion segments.”

Santilli, V., Beghi, E., & Finucci, S. (2006). 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, 6(2), 131–137. https://doi.org/10.1016/j.spinee.2005.08.001

Introduction to the Research

This research was done to see the effect of chiropractic manipulation on treatment of low back and sciatica with a disc bulge. This research once again proved that chiropractic is an excellent way to treat disc bulges and get people out of pain. People with a disc bulge who received treatment not only got out of pain faster, but they reported using less prescription medications for pain. Getting people out of pain and keeping them out of pain is what we do everyday as a chiropractor and it involved getting those joints moving, getting the muscles working, focusing on helping patients manage stress and teach healthier eating habits to decrease pain and getting people back to doing what they love to do.

Research Methodology

Randomized double-blind trial comparing active and simulated manipulations in rehabilitation medical centers in Rome and suburbs.

Patient sample

102 ambulatory patients with at least moderate pain on a visual analog scale for local pain (VAS1) and/or radiating pain (VAS2).

Outcome measures

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.

Methods

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 days. At each visit, all indicators of pain relief were used.

Research References

As always with these reviews, these are my takeaways from the article and I encourage you to read the article in its entirety.  The references used in this article by the authors of this article are listed below.

Santilli, V., Beghi, E., & Finucci, S. (2006). 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, 6(2), 131–137. https://doi.org/10.1016/j.spinee.2005.08.001

  1. Bronfort et al. Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence synthesis. Spine J(2004)
  2. Muller et al. Long-term follow-up of a randomized clinical trial assessing the efficacy of medication, acupuncture, and spinal manipulation for chronic mechanical spinal pain syndromes J Manipulative Physiol Ther. (2005)
  3. Scott et al. Graphic representation of pain (1976)

M.W. Van Tulder et al. Conservative treatment of acute and chronic nonspecific low back pain: a systematic review of randomized controlled trials of the most common interventions. Spine(1997)

W.C. Meeker et al. Chiropractic: a profession at the crossroads of mainstream and alternative medicine. Ann Intern Med (2002)

M.I.V. Jayson et al. Mobilization and manipulation for low-back pain. Spine(1981)

P.G. Shekelle Spine update: spinal manipulation. Spine(1994)

  1. van Tulder et al. Low back pain and sciatica (chronic). Clin Evid(2003)

W.J.J. Assendelft et al. Spinal manipulative therapy for low back pain: a meta-analysis of effectiveness relative to other therapies. Ann Intern Med (2003)

L.G.F. Giles et al. Chronic spinal pain: a randomized clinical trial comparing medication, acupuncture, and spinal manipulations. Spine(2003)

Our Message

We love to help our patients in St. Louis Park stay healthy. We are here to relieve back pain, neck pain and headaches while also teaching about how our diet and stress effects our over all health. By improving these areas of our lives we can become healthier, stay out of pain and reduce risk of diseases. Our Chiropractors located in the West End, near the corner of MN-100 S & Lake Rd./Westside Dr., want to help you stay healthy and out of pain!