Osteopathic manipulative treatment boost low back pain and avoid surgery, Journal of the American Osteopathic Association

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Osteopathic manipulative treatment boost low back pain and avoid surgery, Journal of the American Osteopathic Association

As per studies in the Journal of the American Osteopathic Association, osteopathic manipulative treatment (OMT) reduced pain and improved function in patients suffering from chronic, nonspecific low back pain. Further, patients reporting the worst pain and higher degrees of disability received the most substantial benefit from the treatments.

To determine the effectiveness of six osteopathic manipulative treatment sessions over an eight week period, two studies reported from a randomized double-blind, sham-controlled trial by investigators from the University of North Texas Health Science Center in Fort Worth.

The first study was planned to evaluate whether osteopathic manipulative treatment assisted in the recovery and the second study was attempted to identify the patient's characteristics. However, large positive effects were reported i.e.baseline disability scores of 17 or greater, on a scale of 24 and medium effects were experienced in those with initial scores of 7 or greater.

Substantial benefit is the improvement of 50% or more from the baseline pain and assessment of disability. Owing to these positive findings, researchers recommended OMT treatment prior to surgery. According to John C. Licciardone, DO, MS, MBA, "Subgrouping patients according to chronic low back pain intensity and function appears to be a simple strategy for identifying patients who can attain substantial improvement with OMT. From a cost and safety perspective, OMT should be considered before progressing to more costly or invasive interventions".

However, researchers not found OMT to be an advantageous treatment in patients with clinical depression.

MNT

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