Manipulation or Microdiskectomy for Sciatica? (also spelled Microdiscectomy)
A PROSPECTIVE RANDOMIZED CLINICAL STUDY-Journal of Manipulative Physiol Ther 2010;33:576-584
Gordon McMorland, DC,a Esther Suter, PhD,b Steve Casha, MD, PhD, FRCSC,c Stephan J. du Plessis, MD,c and R. John Hurlbert, MD, PhD, FRCSC, FACSc
Pub Med. Gov: http://www.ncbi.nlm.nih.gov/pubmed/21036279
60% of patients with sciatica who had failed other medical management benefited from spinal manipulation to the same degree as if they underwent surgical intervention.
Of 40% left unsatisfied, subsequent surgical intervention confers excellent outcome.
Patients with symptomatic Lumbar Disc Herniation failing medical management should consider spinal manipulation followed by surgery if warranted.
Objective: The purpose of this study was to compare the clinical efficacy of spinal manipulation against microdiskectomy in patients with sciatica secondary to lumbar disk herniation.
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