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On pain questionnaires, SMT followed by SPP was the only group that showed significant improvement in pain between the first and second MRI appointments.
Conclusion: They speculated that paraspinal muscles may have relaxed more with SPP at the first MRI appointment, whereas SMT might have resulted in transient increased muscle tightness, and that the reversal of findings at the second MRI appointment may have been because the muscles were more relaxed after 2 weeks of SMT.
Surgery is not usually needed but may be considered if other therapies have failed.
I don’t think this constitutes a recommendation to try chiropractic before resorting to surgery.
The suggestion of keeping the patient in a side position following SMT is interesting, but this study was not designed to show whether that would improve clinical outcomes.
Since the increased gapping disappears as soon as the neutral position is assumed, its clinical importance is questionable.
This study by Swiss chiropractors, published in the , was a comparative effectiveness observational study using data from two databases, one of patients who received nerve root injections (NRIs) and the other of patients who received spinal manipulation therapy (SMT) at a single chiropractic practice.It would be nice to find out if the hypothesized adhesions are real, but the study didn’t address that. It is a patient information page from the Many treatments are available for low back pain. Some people benefit from chiropractic therapy or acupuncture.Sometimes medications are needed, including analgesics (painkillers) or medications that reduce inflammation.A media report says “study shows chiropractic works for X,” and when I look for the study it turns out to be a single case report or an uncontrolled study.When Simon Singh was sued by the British Chiropractic Association for saying chiropractic treatment for certain childhood ailments was bogus, the BCA responded with a list of 29 studies they said provided evidence for their claims.