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Maria T. Gentile, D.O.

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Treatment of Pain and Injury

Outcome & Case Data - Osteopathic Manipulative Treatment


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.


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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