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
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.