Orem Chiropractor Compares Chiropractic to Surgery for Sciatica

Surgery or Chiropractic for Chronic Sciatica Sufferers?Pain coming from compression or irritation of the sciatic nerve is called sciatica.

Sciatica – which can include pain, ting1ing, numbness and muscle weakness – is really a symptom indicating an underlying problem, not a diagnosis in and of itself.

This artic1e will explore in detail the findings of a recent controlled study comparing spinal manipulation (chiropractic) and surgery for peop1e whose sciatica did not respond to traditiona1 medical treatment approaches.  The study discussed here was conducted by the National Spine Center in Alberta Canada and published in October of 2010 in the Journal of Manipu1ative and Physiological Therapeutics. The 40 study participants all had sciatica lasting over 3 months which had not responded to treatment with pain medications, lifestyle modifications, physical therapy, massage therapy or acupuncture.

They had all been referred by their primary care physicians to spinal surgeons who had deemed them appropriate surgery candidates.  Instead of having all the patient proceed with surgery, they were split into two groups – one group to undergo a surgical microdiscectomy and the other group to be treated with standardized chiropractic spinal manipulation by a single chiropractor. (If not satisfied with the resu1ts they obtained from their assigned method, the patients were allowed to switch to the other treatment plan after 3 months.)

So what happened? Both groups made significant improvements over baseline scores – meaning that they saw noticeable improvements whereas previous approaches had failed. A full 60% of the study participants benefitted from chiropractic spinal manipulation to the SAME degree as if they underwent surgery. And, after 1 year there was no difference.

That means that a full 60% of peop1e referred for surgery by their primary care physicians and accepted as surgical candidates by the neurosurgeon cou1d actually get similar resu1ts with chiropractic. That is a lot of potlentially unnecessary cutting, anesthesia and ER time.

There is one paragraph in the resu1ts section of this study that is easy to over1ook, but incredibly important. There were originally 120 candidates of which 60 met the study criteria and were asked to participate. Of these 60, 20 refused. Why? Because they had never been offered spinal manipu1ation as an alternative to surgery! They didn’t want to participate in the study and be randomly placed in the surgery group without first trying the spinal manipu1ation! This is incredib1y telling. Not only does it demonstrate that there is still a 1ot of education about chiropractic that needs to happen among the pub1ic and among primary care providers, it also demonstrates that peop1e understand the risks and costs of surgery and want to exhaust other possibilities first.

This was the first study to ever look at people who had failed traditional medical management of sciatica. Currently most patients that fail ‘conservative care’ are referred for a surgical evaluation.   Now we know that 60% of these folks could avoid surgery and get similar long-term outcomes with chiropractic.  Please share this article with anyone considering surgery for sciatica.

Reference: Morland G, Suter E, Casha S, du Plessis SJ, Hurlbert RJ., Manipulation or microdiskectomy for sciatica? A prospective randomized clinical study. J Manipulative Physiol Ther. 2010; Oct;33(8):576-84.