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Conservative management of shoulder rotator cuff disease (i.e. chiropractic/physical therapy) as effect as surgical treatment. Call me if you have any questions!
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97% OF LUMBAR DISC HERNIATIONS MANAGED SUCCESSFULLY WITHOUT SURGERY, SAYS STUDY. Results of a retrospective cohort study [1] including almost 280,000 subjects h...ave concluded that prolapsed lumbar intervertebral discs may be successfully managed without the need for surgery in 97% of cases. The study examined the records of adults presenting 2007 to 2017 selected from a large insurance database. Only 3% failed non-operative therapy and underwent microdiscectomy. Of the patients requiring surgery, the majority were male and an association was found with a history of lumbar spinal epidural injection or perioperative opioid use, leading the study to conclude that male gender and a history of prior opioid use were independent predictors of non-operative treatment failure. The study provides yet more evidence supporting treatment and management interventions for lumbar disc herniation commonly provided by chiropractors, including manual therapy, education, exercise prescription and self-management strategies. References: [1] Lilly DT, Eldridge CM, Singh R, Montgomery EY, Bagley C, Adogwa O. An assessment of non-operative management strategies in a herniated lumbar disc population: successes versus failure. Global Spine J. 2020 Jul 7;2192568220936217. doi: 10.1177/2192568220936217. Image courtesy of Dynamic Disc Designs (https://dynamicdiscdesigns.com/)
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