Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Oct 2010
Randomized Controlled TrialManipulation or microdiskectomy for sciatica? A prospective randomized clinical study.
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 (LDH). ⋯ Sixty percent 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 LDH failing medical management should consider spinal manipulation followed by surgery if warranted.
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J Manipulative Physiol Ther · Oct 2010
Medicare part B claims for chiropractic spinal manipulation, 1998 to 2004.
The objective of this study was to examine the volume and rate of Medicare Part B claims for chiropractic spinal manipulation longitudinally from 1998 to 2004. ⋯ Medicare Part B claims for chiropractic spinal manipulation increased significantly from 1998 to 2003 and then abruptly declined from 2003 to 2004. Estimates for 2004 are at variance with earlier published estimates.
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J Manipulative Physiol Ther · Oct 2010
Validity of weekly recall ratings of average pain intensity in neck pain patients.
Ratings of usual pain over a period of 1 week are commonly used to rate a patient's usual level of pain intensity. This study investigated the validity of weekly recall pain ratings and biasing effects of pain levels on these ratings. ⋯ These results suggest that recall ratings of pain intensity may be valid for use in clinical research and practice on patients with nonspecific neck pain.