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Sciatica
Published in Charles Theisler, Adjuvant Medical Care, 2023
Spinal manipulation: Apart from surgery and epidural injections, manipulative treatment offers a more conservative and noninvasive approach» The American College of Physicians recommends spinal manipulation as a first line treatment for back pain with or without sciatic (radicular) pain.11
Complementary and Alternative Medicine Use in Rheumatic Disease
Published in Jason Liebowitz, Philip Seo, David Hellmann, Michael Zeide, Clinical Innovation in Rheumatology, 2023
Chiropractic manipulation originated in the late 1800s and is a technique that involves spinal manipulation to improve pain and mobility.29 Chiropractic techniques and approaches vary widely.30 The use of chiropractic care has risen in the United States in recent decades especially among individuals aged forty-five to sixty-four years old for various pain syndromes.31 However, very little quality evidence exists regarding use for people living with rheumatic disease.
The back
Published in Ashley W. Blom, David Warwick, Michael R. Whitehouse, Apley and Solomon’s System of Orthopaedics and Trauma, 2017
Physical therapy Conventional physiotherapy and spinal manipulation for patients may be of benefit. In the longer term, weight control and strengthening of the vertebral and abdominal muscles (core muscles) may prevent recurrences.
Rehabilitation and return to sport of a high-level track & field athlete with low back pain - a case report
Published in Physiotherapy Theory and Practice, 2022
Brian Østergaard Sørensen, Christian Lund Straszek
The patient was a 22-year-old male university student who participated in the track and field subdisciplines shot put and hammer throw at an elite level. He had three to four weekly training sessions supplemented with two weekly weightlifting sessions. These sessions consisted mainly of exercises such as deadlift, squat, clean and hang clean. While weightlifting, the patient focused on rapid force development with few repetitions and high loads, which met the demands of the disciplines he competed in. He had been very consistent with his training over a period of 3 months. The patient reported a history of recurrent low back pain which was initiated by a heavy squat exercise 3 years prior. At that time, the patient consulted a chiropractor and he responded well to spinal manipulation and was free of symptoms after eight consultations. The patient was now experiencing a new episode of symptoms which arose 7 weeks prior to his initial physical therapy consultation. Although the patient initially consulted a chiropractor for relieve of the current symptoms, the patient found that he did not respond to spinal manipulation. As such, the patient discontinued his course with the chiropractor and decided to consult a physiotherapist to explore new management strategies.
Exploring the teaching and learning of clinical reasoning, risks, and benefits of cervical spine manipulation
Published in Physiotherapy Theory and Practice, 2018
Katie Yamamoto, Luca Condotta, Chloe Haldane, Sahar Jaffrani, Victoria Johnstone, Patrick Jachyra, Barbara E. Gibson, Euson Yeung
Across the accounts, study participants discussed the potential for serious patient harm that could be incurred as a result of CSM. As noted by Brenda (mentor, all names are pseudonyms), this increased level of risk is unique to CSM in physiotherapy, and has led to a greater focus on risk during assessment and teaching practices. There’s certainly more time spent [on]…the cervical safety stuff because the stakes are higher. There are risks with spinal manipulation and other peripheral manipulations as well, but there aren’t any other places where the risk of stroke and death are really on the table, so for that reason there is so much more discussion around it.
The immediate and 1-week effects of mid-thoracic thrust manipulation on lower extremity passive range of motion
Published in Physiotherapy Theory and Practice, 2020
Derrick Sueki, Shaun Almaria, Michael Bender, Brian McConnell
Spinal manipulation is a common intervention utilized in the treatment and rehabilitation of spinal pain with increased use over the past several decades (Hurwitz, 2012). In 1984, it was estimated that 4% of people in the United States (US) had received spinal manipulation (Mugge, 1984). These percentages increased to 7% in the 1990s (Barnes, Powell-Griner, McFann, and Nahin, 2004; Ni, Simile, and Hardy, 2002; Tindle, Davis, Phillips, and Eisenberg, 2005) and these estimates increased to 12% of the US population by 2007 (Lawrence and Meeker, 2007). Review of literature has found moderate levels of evidence that spinal manipulation can have a significant effect on pain relief (Scholten-Peeters et al., 2013).