• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Chronic Disease

Spinal manipulation therapy effective for back-related leg pain

byMoises GallegosandAimme Li, MD
September 16, 2014
in Chronic Disease
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. This study suggests that spinal manipulation therapy (SMT) in addition to home exercise and advice (HEA) for the treatment of sub-acute and chronic back-related leg pain (BRLP) is effective in improving objective as well as patient-reported outcomes.

2. SMT was also associated a reduction in medication use for symptom management.

Evidence Rating Level: 1 (Excellent)

Study Rundown: Compared to lower back pain (LBP) alone, BRLP is associated with poorer prognosis, worse quality of life, and increased cost. Little evidence exists for the effectiveness of medical or surgical approaches for BRLP. Building on research demonstrating that SMT is a low-risk strategy for improving BRLP, the present study sought to determine if SMT added to HEA would be more effective than HEA alone for sub-acute and chronic BRLP. In this trial, 192 patients were randomized to either receive SMT from chiropractic providers in addition to HEA, or HEA alone. Patients receiving both SMA and HEA reported lower patient-rated leg pain at 12 weeks compared to HEA alone. However, the difference was not sustained by 52 weeks. Still, secondary outcomes of global improvement, satisfaction, and medication use remained improved at 52 weeks for the SMT plus HEA group. Overall, these results suggest that SMT in addition to HEA is a viable conservative therapy option for treatment of BRLP. Study limitations include the inability to blind participants to the therapies and the use of non-study therapies by participants. Strengths of the study include the pragmatic design and wide age range of participant.

Click to read the study, published today in the Annals of Internal Medicine

Relevant Reading: Patients with low back pain differ from those who also have leg pain or signs of nerve root involvement – a cross-sectional study

In-Depth [randomized controlled trial]: 192 participants were randomized to receive SMT plus HEA or HEA alone. The HEA group received instruction through four 1-hour, one-on-one visits during the 12-week intervention period. The SMT plus HEA group additionally received as many as 20 SMT visits. Self-reported primary and secondary outcomes were collected at baseline, 3, 12, 26, and 52 weeks via questionnaires. 191 (99%) and 179 (93%) participants provided follow-up data at 12 and 52 weeks, respectively. On the basis of adjusted means for the primary outcome of patient-rated leg pain, patients SMT plus HEA reported significantly less pain (10 percentage points less). This difference was not sustained at 52 weeks. Secondary outcomes at 12 weeks were improved in the SMT plus HEA group compared to HEA alone for LBP, disability, physical component score, global improvement, and satisfaction. By 52 weeks, secondary outcomes remaining significantly improved in the SMT plus HEA group were global improvement and satisfaction. There was no significant difference for mental health component at either 12 or 52 weeks. The odds of the SMT plus HEA group having fewer versus more medication days was 1.8 times that of the HEA group alone at 12 weeks and 2.6 at 52 weeks.

RELATED REPORTS

Upadacitinib is safe and effective for treatment of non-radiographic axial spondyloarthritis

Graded sensorimotor retraining may improve chronic lower back pain compared to sham procedure: The RESOLVE randomized clinical trial

#VisualAbstract: Sensorimotor retraining improves pain intensity in patients with chronic lower back pain

More from this author: Expanded screening and new treatments may reduce hepatitis C burdenShort course rifamycin matches isoniazid for treatment of tuberculosisDiabetes in males on the rise, linked to obesity epidemic

Image: PD

©2012-2014 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT.

Tags: back pain
Previous Post

Thoracic radiotherapy improves survival in small-cell lung cancer patients

Next Post

Improved COPD outcomes with combined long-acting beta-agonist and inhaled steroid therapy

RelatedReports

Chronic Disease

Upadacitinib is safe and effective for treatment of non-radiographic axial spondyloarthritis

August 16, 2022
Patient Basics: Back Pain
Chronic Disease

Graded sensorimotor retraining may improve chronic lower back pain compared to sham procedure: The RESOLVE randomized clinical trial

August 12, 2022
#VisualAbstract: Sensorimotor retraining improves pain intensity in patients with chronic lower back pain
StudyGraphics

#VisualAbstract: Sensorimotor retraining improves pain intensity in patients with chronic lower back pain

August 12, 2022
The ABCD2 score: Risk of stroke after Transient Ischemic Attack (TIA) [Classics Series]
Radiology Classics

MRI reveals lumbar intervertebral disk herniations are common in asymptomatic individuals [Classics Series]

August 3, 2022
Next Post
Dual PDE3/PDE4 inhibitor may be effective treatment for asthma and COPD

Improved COPD outcomes with combined long-acting beta-agonist and inhaled steroid therapy

Pre-operative transcranial magnetic stimulation useful for language mapping

Antenatal magnesium sulfate may not improve pediatric neurodevelopment

Preterm birth associated with cardiovascular risk factors in adolescence

Device-guided breathing not associated with improved blood pressure control

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Higher body mass index may be associated with altered vitamin D levels and metabolism
  • #VisualAbstract: Torsemide does not provide additional decrease in mortality compared to furosemide among patients hospitalized for heart failure
  • Community-based adult vision screening program increases access to eye care
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

Want more physician-written
medical news?

Join over 10 million yearly readers and numerous companies. For healthcare professionals
and the public.

Subscribe for free today!

Subscription options