Journal of Manipulative and Physiological Therapeutics
Volume 28, Issue 4 , Pages 245-252 , May 2005

Supplemental Care With Medication-Assisted Manipulation Versus Spinal Manipulation Therapy Alone for Patients With Chronic Low Back Pain

  • Frank J. Kohlbeck, DC

      Affiliations

    • PhD Program, Department of Health Services, University of California Los Angeles, School of Public Health, Los Angeles, Calif
    • Research Assistant, Southern California University of Health Sciences, Whittier, Calif
    • Corresponding Author InformationSubmit requests for reprints to: Scott Haldeman, MD, PhD, 1125 East 17th St, Suite West #127, Santa Ana, CA 92701.
    • ,
  • Scott Haldeman, MD, PhD

      Affiliations

    • Research Assistant, Southern California University of Health Sciences, Whittier, Calif
    • Voluntary Clinical Professor, Department of Neurology, University of California, Irvine, Calif
    • Adjunct Professor, Department of Epidemiology, University of California Los Angeles, School of Public Health, Los Angeles, Calif
    • ,
  • Eric L. Hurwitz, DC, PhD

      Affiliations

    • Research Assistant, Southern California University of Health Sciences, Whittier, Calif
    • Associate Professor in Residence, Department of Epidemiology, University of California Los Angeles, School of Public Health, Los Angeles, Calif
    • ,
  • Simon Dagenais, DC, PhD

      Affiliations

    • Research Director, CAM Research Institute, Irvine, Calif

References 

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  3. Herzog J. Use of cervical spine manipulation under anesthesia for management of cervical disk herniation, cervical radiculopathy, and associated cervicogenic headache syndrome. J Manipulative Physiol Ther. 1999;22:166–170
  4. Greenman PE. Manipulation with the patient under anesthesia. J Am Osteopath Assoc 92 (1992) 1159-60, 1167-70.
  5. Beckett RH, Francis R. Spinal manipulation under anesthesia. In:  Lawrence DJ editors. Advances in chiropractic. vol. 1:St. Louis (Mo): Mosby Year Book; 1994;p. 325–340
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  7. Michaelsen MR, Dreyfuss PH. Manipulation under joint anesthesia/analgesia: a proposed interdisciplinary treatment approach for recalcitrant spinal axis pain of synovial joint origin. In:  Lawrence DJ editors. Advances in chiropractic. vol. 4:St. Louis (Mo): Mosby Year Book; 1997;p. 41–68
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  11. Francis RS. Manipulation under anesthesia: postgraduate course notes. Pasadena (Tex): Texas Chiropractic College; 2000;
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  13. Clouse WE. Treatment of low-back pain with the use of caudal anesthesia. J Am Osteopath Assoc. 1949;48:377–378
  14. Ben-David B, Raboy M. Manipulation under anesthesia combined with epidural steroid injection. J Manipulative Physiol Ther. 1994;17:605–609
  15. Nelson L, Aspegren D, Bova C. The use of epidural steroid injection and manipulation on patients with chronic low back pain. J Manipulative Physiol Ther. 1997;20:263–266
  16. Siehl D, Bradford WG. Manipulation of the low back under general anesthesia. J Am Osteopath Assoc. 1952;8:239–242
  17. Warr AC, Wilkinson JA, Burn JM, Langdon L. Chronic lumbosciatic syndrome treated by epidural injection and manipulation. Practitioner. 1972;209:53–59
  18. Mensor MC. Non-operative treatment, including manipulation, for lumbar intervertebral disc syndrome. J Bone Joint Surg. 1955;37-A:925–936
  19. Siehl D. Manipulation of the spine under general anesthesia. J Am Osteopath Assoc. 1963;62:881–887
  20. Chrisman OD, Mittnacht A, Snook GA. A study of the results following rotatory manipulation in the lumbar intervertebral-disc syndrome. J Bone Joint Surg. 1964;46:517–524
  21. Francis R. Spinal manipulation under general anesthesia: a chiropractic approach in a hospital setting. ACA J Chiro. 1989;26:39–41
  22. Morris CE. Manipulation under anesthesia: a case study. California Worker's Compensation Enquirer. 1993;53–56
  23. Alexander GK. Manipulation under anaesthesia of lumbar post-laminectomy syndrome patients with epidural fibrosis and recurrent HNP. ACA J Chiro. 1993;30:79–82
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  25. Davis CG, Fernando CA, da Motta MA. Manipulation of the low back under general anesthesia: case studies and discussion. J Neuromusculoskel Syst. 1993;1:126–134
  26. Kohlbeck FJ, Haldeman S. Technical assessment: medication-assisted spinal manipulation. Spine J. 2002;2:288–302
  27. Wooley J, Kemper C. Hypothesis: is sacrococcygeal hypomobility related to chronic low back pain and stiffness?. J Orthop Med. 1998;20:17–20
  28. American Academy of Orthopaedic Surgeons/Council of Musculoskeletal Specialty Societies/Council of Spine Societies Outcome Data Collection Instrument Version 2.0. March 1998. Available at: http://www3.aaos.org/research/normstdy/main.cfm[Accessed January 2000]
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  30. Hunsaker FG, Cioffi DA, Amadio PC, Wright JG, Caughlin B. The American Academy of Orthopaedic Surgeons Outcomes Instruments: normative values from the general population. J Bone Joint Surg Am. 2002;84-A:208–215
  31. Wilson JN, Ilfeld FW. Manipulation of the herniated intervertebral disc. Am J Surg. 1952;83:173–175
  32. Morey LW. Osteopathic manipulation under general anesthesia. J Am Osteopath Assoc. 1973;73:116–127
  33. Mennell JM. The validation of the diagnosis “joint dysfunction” in the synovial joints of the cervical spine. J Manipulative Physiol Ther. 1990;13:7–12
  34. Hughes BL. Management of cervical disk syndrome utilizing manipulation under anesthesia. J Manipulative Physiol Ther. 1993;16:174–181
  35. Siehl D, Olson DR, Ross HE, Rockwood EE. Manipulation of the lumbar spine with the patient under general anesthesia: evaluation by electromyography and clinical-neurologic examination of its use for lumbar nerve root compression syndrome. J Am Osteopath Assoc. 1971;70:433–440
  36. Palmieri NF, Smoyak S. Chronic low back pain: a study of the effects of manipulation under anesthesia. J Manipulative Physiol Ther. 2002;25:E8–E17

 Sources of support: Funded by a private research gift from Mr Michael Marcus.

PII: S0161-4754(05)00080-1

doi: 10.1016/j.jmpt.2005.03.003

Journal of Manipulative and Physiological Therapeutics
Volume 28, Issue 4 , Pages 245-252 , May 2005

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