Neck Herniations: Spinal manipulation vs Injections

Here is a study comparing people with symptomatic MRI confirmed disc herniations and how they did with either spinal manipulative therapy (SMT) / (adjustments) or image guided nerve root injections.

The title and study reference are below if you want to look at it.

Symptomatic, Magnetic Resonance Imaging-Confirmed Cervical

Disk Herniation Patients: A Comparative-Effectiveness

Prospective Observational Study of 2 Age- and Sex-Matched

Cohorts Treated With Either Imaging-Guided Indirect Cervical

Nerve Root Injections or Spinal Manipulative Therapy

J Manipulative Physiol Ther. 2016 (Mar);   39 (3): 210-217 ~ FULL TEXT

Let’s sum it up—–

104 patients in pain with MRI confirmed neck disc herniations.

52 had injections, 52 had SMT.

Pain levels were recorded at the start of treatment and at 3 months out.

Improvement was 86.5% for the SMT group and 49% for the injection group.

Only responses of “ better” or “much better” were considered improved.

Conclusion:  Subacute/chronic patients treated with SMT were significantly more likely to report relevant “improvement” compared with injection  patients. There was no difference in outcomes when comparing acute patients only.

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