Dallas Chiropractor Best Practices

Research Commentary;

Spinal Decompression for Low Back Pain

A review of

Amjad F, Mohseni-Bandpei MA, Gilani SA, Ahmad A, Hanif A. Effects of non-surgical decompression therapy in addition to routine physical therapy on pain, range of motion, endurance, functional disability and quality of life versus routine physical therapy alone in patients with lumbar radiculopathy; a randomized controlled trial. BMC Musculoskelet Disord. 2022 Mar 16;23(1):255. doi: 10.1186/s12891-022-05196-x. PMID: 35296293; PMCID: PMC8924735.

Reviewed by Dr. Erik Waldeland

Decompression for Low Back Pain

Summarized Review Conclusions

According to the research, it was concluded that a combination of non-surgical spinal decompression therapy with routine physical therapy is more effective, statistically and clinically, than routine physical therapy alone in terms of improving pain, lumbar range of motion, back muscle endurance, functional disability, and physical role domain of quality of life, in patients with lumbar radiculopathy, following 4 weeks of treatment.  Decompression therapy is a great tool to utilize for our patients that have confirmed disc herniations as well as radiating pain into the arms or legs.

“Low back pain (LBP) is one of the most common musculoskeletal disorders [1]. Almost 60 to 80% of adults experience LBP at least once during their life span [2]. Nearly 80% of the structures responsible for LBP pain are associated with intervertebral discs [3], which may accompany radicular symptoms.”

“Spinal disc herniation is commonly seen in the lumbar region during 25–55 years of age and occurs specifically at L4-L5 and L5-S1 levels [6, 8]. Nerve root compression is typically caused by degenerative intervertebral disc herniation and less commonly by vascular disease, inflammation, congenital abnormalities, infection, or neoplasm.”

 

Introduction to the Research

Low back pain is one of the most common injuries individuals will experience throughout their life, and there can be a wide variety of causes as well as treatment options.  If there is a disc herniation present, spinal decompression, in addition to chiropractic care, may be one of the best conservative options prior to jumping to the surgical route.

 

Research Methodology

A total of sixty patients with lumbar radiculopathy were randomly allocated into two groups, an experimental (n = 30) and a control (n = 30) group, through a computer-generated random number table. Baseline values were recorded before providing any treatment by using a visual analogue scale (VAS), Urdu version of Oswestry disability index (ODI-U), modified-modified Schober’s test (MMST), prone isometric chest raise test, and Short Form 36-Item Survey (SF-36) for measuring the pain at rest, functional disability, lumbar ROM, BME, and QOL, respectively. All patients received twelve treatment sessions over 4 weeks, and then all outcome measures were again recorded.

 

Research Findings

By using the ANCOVA test, a statistically significant (p < 0.05) between-group improvement was observed in VAS, ODI-U, BME, lumbar ROM, role physical (RP), and bodily pain (BP) domains of SF-36, which was in favor of NSD therapy group. This shows that a combination of non-surgical spinal decompression therapy with routine physical therapy is more effective, statistically and clinically, than routine physical therapy alone in terms of improving pain, lumbar range of motion, back muscle endurance, functional disability, and physical role domain of quality of life, in patients with lumbar radiculopathy, following 4 weeks of treatment.

As always with these reviews, these are my takeaways from the article and I encourage you to read the article in its entirety.  The references used in this article by the authors of this article are listed here.

Our Message

When you are looking for a Chiropractor near you that you can trust, choose one who will not only get rid of your back pain, neck pain, or headaches but who will also guide you to living a healthier lifestyle to keep you out of pain. Our East Dallas Doctors, located in Lakewood near the corner of Mockingbird Ln. and Abrams Rd., are here to teach you that taking care of your mental health and getting the proper nutrients is just as important as the chiropractic adjustment to stay healthy.