Chiropractic Spinal Manipulation as Good as Surgery for Sciatica
Sciatica is a serious spinal condition that causes pain, numbness, or weakness in one or both legs. Surgery is many times prescribed to alleviate sciatica, but surgery is not without serious risks. A recent study comparing “chiropractic spinal manipulation” found that “sixty percent of patients with sciatica who had failed other medical management benefited from spinal manipulation to the same degree as if they underwent surgical intervention.”
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I wanted to chime in and congratulate Dr. David Boyd-Chiropractor on his candor in his reply noted above…
He said it like it is, and I love it. Good job Dr. Boyd! We need more Chiropractors like you in this profession. Unfortunately, only the Chiro’s whom have had the good fortune of practicing as long as you (and I) truly understand the power of what we harness as doctors of Chiropractic. I too, have had lives turn around overnight with very few Chiropractic Spinal adjustments. There is no substitute for a Chiropractic adjustment, it is really that simple.
For any one who dissagrees, try adjusting someone you love AND getting adjusted yourself weekly, every week, and never missing a week. Then see how you feel about the VSC. If that doesn’t work, try adjusting your attitude, or go to medical school instead.
Dr. Jon Sirota-Chiropractor 22 years
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I want to comment on the DC who said, “We need to give up the subluxation nonsense and start using clinical prediction rules to treat only those patients who would benefit from care.” I’ve been a chiropractor for 23 years and I have never heard of “Prediction rules”. And how do you find only those patients who would benefit from care? Is there some kind of clinical picture of the ideal patient? Let me educate you about something. I have had patients that I truly believed I could not help and any surgeon would have immediately taken them to surgery who completely healed under chiropractic care. The Subluxation is a real thing believe it or not. Any DC who has seen as many patient as I have knows that VS is a real thing and is the basis of our profession. Who in the hell do some of you think you are? Trying to change this beloved profession into what you think it should be so that you can be a medical clone. Chiropractic is what it is. If you want to practice medicine go to medical school. The biggest problem we have in chiropractic is ourselves because so many DC’s suffer from egos and inferiority complexes.
I would like to comment on LoGiudice. Why refer out if the patient doesn’t think that the improvement is fast enough. As long as they are improving keep doing what you are doing, don’t change a thing and do not refer. Educate the patient. These things take time to develop, unless due to acute injury of course, and take time to heal. Referring is not going to increase their healing time. Refer if the patient needs pain control, but short of that the medics have nothing else to offer except surgery and that has a 1% success rate at best. Anytime you refer to allopaths you almost always loose that patient and then they get worse. Many of you are too quick to refer to the medics so that you look like a “real doctor”.
Manipulation, Mobilization, Adjustment, whatever you want to call it will almost always help Sciatica type symptoms. If the true cause of Sciatica is coming from an acute bulging disc, then it should be accompanied with some form of mechanical spinal decompression, and a series of exercises that strengthen the core, increase mobility, and lengthen the chronically tight erector spinae muscles. Manipulation may not be the immediate cure for sciatica, but it keeps a patient from getting cut-on, in the long haul,isn’t that worth it? I pity the patient that doesn’t get a recommendation to start home care exercises, post-SMT, in addition nearly all patients need some form of physical therapy; just try your best to ensure the patient does the therapy, or assure them that they will be back with the same pain. I hope we can all agree that natural methods of treatment are preferred over getting cut open. If the body can make it, the body can destroy it. We practice inside-out medicine, not outside-in, however we need to know when a medical (or surgical) referral is appropriate. Refer your patient out for a second opinion if they think they are not improving as quickly as they’d like. They will respect you in the morning. In my clinical experience, a patient should respond favorably within 5-6 treatments if you are on the right track.
There’s nothing really specific here to chiropractic, just that sciatica patients get some pain relief from manipulation. DCs really need to give up the subluxation nonsense and start using clinical prediction rules to treat only those patients who would benefit from care.