When is comes to the manual therapy skill set, Chiropractors are the experts in this field. Now that the science has caught up, it continues to shed light on the merit of lumbar spine manipulation. Below is a paper that suggests you may as well have a trial of Chiropractic Manipulation prior to surgical intervention, if indicated.
The conclusion from this study highlights that sixty percent of patients with
sciatica who had trialled and failed other medical management strategies,
benefited from spinal manipulation to the same degree as if they underwent surgical intervention.
Of the 40% left unsatisfied, subsequent surgical intervention led to excellent outcomes! This may suggest that the treatment may have prepared the patient to handle the post surgical rehabilitation timeline better than those who rely on surgery alone.
If you have radiating, referring, electrical pain down the back, side or
front of your leg (which has happened with or without low back pain) you
should consider manual therapy before surgery, if you are diagnosed with a lumbar disc herniation with sciatica.
In this study, 60% of patients (in the absence of red flags that require urgent medical care) benefited equally as well as surgery and those that went to surgery had very good outcomes from the surgical intervention after receiving the manual therapy. Chiropractic care is a win/win situation here.
If you are a patient with a symptomatic Lumbar Disc Herniation failing medical management, please consider adding spinal manipulation followed by surgery, if warranted.
Kind regards, Waterloo Chiropractic
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