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Posted on 04-18-2012

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To cut or not to cut, that is the question……
Surgery or Chiropractic For Sciatica?

If you have compression of the sciatic nerve, located in the base of the lumbar spine, congratulations. You have Sciatica. Sciatica - which can include pain, tingling, numbness and muscle weakness - is really a symptom indicating an underlying problem, not a diagnosis in and of itself. This article will let you know about a  controlled study comparing spinal manipulation (chiropractic) and surgery for people whose sciatica did not respond to traditional 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 Manipulative and Physiological Therapeutics . The great thing about Canadian studies is that they have socialized medicine, and the data as a result is more accurate. 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 results 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 benefited from chiropractic spinal manipulation to the SAME degree as if they underwent surgery. And, after 1 year there was no difference in outcome success based on the treatment method. That means that a full 60% of people referred for surgery by their primary care physicians and accepted as surgical candidates by the neurosurgeon could actually get similar results with chiropractic. That is a lot of potentially unnecessary cutting, anesthesia and ER time, not to mention the risks involved with any kind of surgery, much less spinal surgery.    
There is one paragraph in the results section of this study that is easy to overlook, 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 manipulation 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 manipulation! This is incredibly telling. Not only does it demonstrate that there is still a lot of education about chiropractic that needs to happen among the public and among primary care providers, it also demonstrates that people understand the risks and costs of surgery and want to exhaust other possibilities first. 

If you know of someone suffering from Sciatica, please be a good Samaritan and tell them about chiropractic so that they can do their own research, and hopefully avoid surgery!


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