Supplemental care with medication-assisted manipulation versus spinal manipulation therapy alone for patients with chronic low back pain.

Objectives: To measure changes in pain and disability for chronic low-back pain patients receiving treatment with medication-assisted manipulation (MAM) and to compare these to changes in a group only receiving spinal manipulation.

Study Design: Prospective cohort study of 68 chronic low-back pain patients.

Methods: Outcomes were measured using the 1998 Version 2.

Medication-assisted spinal manipulation.

Background Context: The acceptance of spinal manipulation as a reasonable method of treating certain patients with spinal pain over the past decade has led to a renewed interest and increased use of these techniques performed in conjunction with commonly used medications and procedures. Manual therapy is increasingly being used in conjunction with anesthetics, sedatives or analgesics as well as local, epidural and intra-articular injections.

Purpose: This report provides a review of the literature and presents a description of current clinical practice methods for the application of the different techniques of medication-assisted spinal manipulation therapy followed by a discussion of the current clinical support and the published indications, contraindications and complications for each of these procedures.

Stroke, cerebral artery dissection, and cervical spine manipulation therapy.

Stroke represents an infrequent adverse reaction associated with cervical spine manipulation therapy. Attempts to identify the patient at risk and the type of manipulation most likely to result in these complications of manipulation have not been successful. A retrospective review of 64 medical legal cases of stroke temporally associated with cervical spine manipulation was performed to evaluate characteristics of the treatment rendered and the presenting complaints in patients reporting these complications.

Unpredictability of cerebrovascular ischemia associated with cervical spine manipulation therapy: a review of sixty-four cases after cervical spine manipulation.

Study Design: A retrospective review of 64 medicolegal records describing cerebrovascular ischemia after cervical spine manipulation was conducted.

Objectives: To describe 64 cases of cerebrovascular accidents temporally associated with cervical spine manipulation therapy in terms of patient characteristics, potential risk factors, nature of complication, and neurologic sequelae.

Summary Of Background Data: Approximately 117 cases of postmanipulation cerebrovascular ischemia have been reported in the English language literature.