Friday, July 21, 2023

how effective are non-surgical treatments for spine-related problems?

 The effectiveness of non-surgical treatments for spine-related problems varies depending on the specific condition and the individual patient. Here are some findings from recent studies:

  • A study comparing surgery versus bracing and exercise found no differences in pain
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  • A study found that a combination of manual therapy and individualized exercise provides greater short-term improvement in symptoms and walking capacity for patients with lumbar spinal stenosis
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  • Research has shown non-surgical spinal decompression to yield positive results in 71% to 89% of patients
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    13
    16
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  • A study found that all groups (medical care, group exercise, and manual therapy/individualized exercise) showed improvement in self-reported pain/function and walking capacity at 2 months and 6 months for patients with lumbar spinal stenosis
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  • A study found that MIS-TLIF (minimally invasive transforaminal lumbar interbody fusion) is a highly effective procedure for the relief of post-discectomy pain that is resistant to non-surgical treatment options
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  • A community-based prospective cohort study found that some patients did not improve: approximately 25% of non-surgical and 15% of surgical patients reported worse function and increased pain at 12 months
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  • A Cochrane review found that it is difficult to conclude whether surgical or non-surgical treatment is better for individuals with lumbar spinal stenosis
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  • A randomized clinical trial found that all groups (medical care, group exercise, and chiropractic plus physical therapy) showed improvement in self-reported pain/function and walking capacity at 2 months and 6 months for patients with lumbar spinal stenosis
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  • A study comparing surgical and non-surgical treatment in patients with chronic low back pain found that the CI for the treatment effects were within 10 points on the Oswestry disability index that the trial was designed to detect. This indicates that lack of power is unlikely to explain the observed results
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It's important to note that the best treatment option for you will depend on your specific condition and medical history. It's recommended to see a spine specialist to develop an appropriate treatment program. In addition to non-surgical treatments, there are also surgical options available for more severe cases.

Citations:
[1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1887522/
[2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6669253/
[3] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6046348/
[4] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4699569/
[5] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2219937/
[6] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324321/
[7] https://bodyofbeverlyhillswellness.com/pros-and-cons-and-risk-factors-of-spinal-decompression-therapy/
[8] https://www.cochrane.org/CD010264/BACK_surgical-versus-non-surgical-treatment-lumbar-spinal-stenosis
[9] https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2720073
[10] https://www.nbcnews.com/news/us-news/patients-pay-thousands-back-pain-treatment-little-scientific-evidence-it-n1247993
[11] https://www.nejm.org/doi/full/10.1056/nejmoa070302
[12] https://www.pcori.org/research-results/2012/comparing-effectiveness-nonsurgical-treatments-lumbar-spinal-stenosis-reducing-pain-and-increasing-walking-ability
[13] https://www.dublin-chiropractic.com/treatments/spinal-decompression/success-rate/
[14] https://www.nejm.org/doi/full/10.1056/nejmoa0707136
[15] https://ard.bmj.com/content/69/9/1643
[16] https://www.anssiwellness.com/non-surgical-spinal-decompression/
[17] https://chiromt.biomedcentral.com/articles/10.1186/2045-709X-22-19
[18] https://www.mayoclinic.org/medical-professionals/physical-medicine-rehabilitation/news/nonsurgical-treatment-options-for-lumbar-spinal-stenosis/mac-20533117
[19] https://arenachiropracticclinic.com/research.php
[20] https://www.sciencedirect.com/science/article/pii/S0031940612000272
[21] https://www.acpjournals.org/doi/10.7326/m14-1420

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