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Outcome & Case
Data -
Osteopathic Manipulative Treatment
LOW
BACK PAIN
 Legge D
A critical appraisal of an article comparing the effectiveness of osteopathic
manipulation and chemonucleolysis in the management of symptomatic lumbar disc
herniation. Journal of Osteopathic Medicine (Australia) 2002
Oct;5(2):81-82
This study compared osteopathic manipulative treatment (OMT)
with chemonucleolysis (used as a control of known efficacy) for symptomatic
lumbar disc herniation. Leg pain, back pain and self-reported disability were
measured at 2 weeks, 6 weeks and 12 months. There was improvement in all
symptoms in both groups, but OMT produced a greater improvement for back pain
and disability in the first few weeks.
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Andersson
GBJ , Lucente T , Davis AM , Kappler RE , Lipton JA , and Leurgans S
A comparison of osteopathic spinal manipulation with standard care for patients
with low back pain
New England Journal of Medicine 1999 Nov 4;341(19):1426-1431
We
performed a randomized, controlled trial that involved 178 patients who had had
back pain for at least three weeks but less than six months. The patients were
treated either with one or more standard medical therapies (72 patients) or with
osteopathic manual therapy (83 patients).
RESULTS:
Patients in both groups improved during the 12 weeks. The osteopathic-treatment
group required significantly less medication (analgesics, antinflammatory
agents, and muscle relaxants) and used less physical therapy (0.2 percent vs.
2.6 percent).
CONCLUSIONS:
Osteopathic manual care and standard medical care had similar clinical results
in patients with subacute low back pain. However, the use of medication was
greater with standard care.
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