What is the role of manual medicine treatment for lumbosacral radiculopathy?

Updated: Jan 25, 2018
  • Author: Gerard A Malanga, MD; Chief Editor: Craig C Young, MD  more...
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Answer

Manual medicine treatment may be incorporated into the initial treatment of acute LBP to facilitate the patient’s active exercise program. Treating practitioners should be aware of the contraindications for manipulation, especially manipulation under anesthesia, which has been demonstrated to be a high-risk practice. Although superior patient satisfaction levels have been demonstrated among those patients who receive manipulation-based care, there is no supporting evidence for maintenance treatment once the acute pain episode has resolved.


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