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Dr. Lane: This study is a very good opportunity for me to point out that chiropractic spinal manipulation is the best solution to resolving short-term back pain with or without leg pain.
Manipulation and Exercise for Back Related Leg Pain
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The Study: Spinal manipulation and home exercise with advice for subacute and chronic back-related leg pain: a trial with adaptive allocation The Facts: a. The authors indicate there is little research to guide our treatment of back related leg pain. b. The authors wished to compare spinal manipulation combined with home exercise and advice, to care which consisted of only home exercise and c. The subjects in the study were 21 or older. d. The time period in which patients could be treated was 12 weeks. e. Subjects had suffered from back-related leg pains for a minimum of 4 weeks. f. Subjects attended 4 home exercise and e. The group who received spinal manipulation could have up to 20 manipulations in the 12 week period. e. The patients rated their leg pain at 12 and 52 weeks as the primary outcome. f. For secondary outcomes the patients also rated their “low-back pain, disability, global improvement, satisfaction, medication use and general health status” at the 12 and 52 week intervals. g. Subjects that received the spinal manipulation along with the exercise and advice they showed greater improvement at the 12 week time period. h. However, they only sustained better improvement at the 52 week time period in the areas of global improvement, satisfaction and using less medication. Take Home: The addition of spinal manipulation resulted in better short term outcomes |
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