Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Oct 2010
Randomized Controlled TrialManipulation or microdiskectomy for sciatica? A prospective randomized clinical study.
The purpose of this study was to compare the clinical efficacy of spinal manipulation against microdiskectomy in patients with sciatica secondary to lumbar disk herniation (LDH). ⋯ Sixty percent of patients with sciatica who had failed other medical management benefited from spinal manipulation to the same degree as if they underwent surgical intervention. Of 40% left unsatisfied, subsequent surgical intervention confers excellent outcome. Patients with symptomatic LDH failing medical management should consider spinal manipulation followed by surgery if warranted.