Chiropractic Care May Reduce Need for Future Back Surgeries: Study

A new study shows that chiropractic treatments may significantly lower the risk of repeat lumbar surgeries post-discectomy.

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Every year, half a million Americans find themselves on the operating table for lumbar discectomies to combat debilitating lower back pain caused by herniated discs. Yet this path to relief isn’t always straightforward—up to 14 percent of patients find themselves needing additional surgery, underscoring the complexities of effectively treating persistent back pain.

However, hope emerges from University Hospitals Cleveland Medical Center, where recent research indicates that chiropractic care could significantly reduce the rates of secondary surgeries. Published in BMC Musculoskeletal Disorders, the study casts a new light on the potential of spinal manipulative therapy (SMT) in the aftercare of lumbar discectomy.

Led by chiropractic physician Robert J. Trager, the research delved into the experiences of adults grappling with ongoing sciatica—a form of pain radiating along the sciatic nerve—post-surgery. Over a two-year observation period, the study compared the outcomes of patients receiving SMT with those under standard medical care. It found chiropractic intervention could significantly reduce the need for further surgical interventions.

Delving Into the Data

Leveraging data from the U.S. health records consortium, TriNetX Inc., the study explored health records spanning two decades, from 2003 to 2023. This expansive dataset encompassed a broad spectrum of patients, averaging 61 years of age, and mirrored the demographic frequently opting for back surgeries.

Using a statistical method known as propensity matching, the researchers effectively created two comparable groups for their analysis. One group had received chiropractic care, while the other underwent usual medical care (without chiropractic SMT). This technique ensured a level playing field by balancing various factors such as age and overall health status between the two groups.

Eye-Opening Results

Patients in the chiropractic group showed a 45 percent less likelihood of needing another lumbar surgery than those in the standard care group. Notably, only 7 percent of patients undergoing chiropractic care required a second operation, compared to 13 percent in the control group.

In a statement, Mr. Trager underlined the importance of the results but also urged prudent interpretation.

“This is the largest study of its kind to date and shows promise for chiropractic spinal manipulation in this population. However, we need to be careful about interpreting the findings, considering it is an observational study.”

The study suggests that chiropractic care may be a valuable addition to post-surgical treatment plans. Its potential to reduce the need for another back surgery could alleviate the physical and emotional burden on patients and imply significant health care cost savings, as alluded to in the study.

Power of Chiropractic for Back Pain

Chiropractic spinal manipulation, a step beyond traditional pain relief, enhances movement and physical function by applying precise force to spinal joints. Unlike standard post-discectomy treatments focusing mainly on pain relief and rehabilitation, SMT adopts a holistic method to improve the body’s natural healing and spinal function.

“Chiropractic is about more than just addressing the immediate pain. It’s about realigning the spine to promote long-term health and prevent future issues,” Michael Sommers, a seasoned chiropractic physician, told The Epoch Times. This contrasts with traditional, pain-focused treatments such as medication and physical therapy.

The potential of SMT in reducing repeat surgeries lies in its ability to improve spinal alignment and mobility, thus addressing the root causes of spinal issues.

“By correcting spinal alignment, we can alleviate conditions that might lead to further surgeries, such as recurrent disc herniation,” Mr. Sommers says.

The personalized nature of chiropractic care is crucial, as practitioners delve into each patient’s specific spinal conditions. “Every spine tells a different story. Our job is to read it correctly and provide tailored care,” he explains.

SMT provides a holistic, patient-oriented alternative to usual post-surgery care, emphasizing comprehensive spinal health. Mr. Sommers concludes, “Through chiropractic care, we’re not just treating symptoms, we’re fostering an environment for the body to heal and function optimally.”

Spinal Surgeons Weigh In

Dr. Antonio Webb, a respected spinal surgeon, discusses the evolving views on chiropractic care with The Epoch Times. Reflecting on his training, Dr. Webb notes, “We send patients to physical therapy, but I can’t think of one time in my training that we sent a patient to a chiropractor.” However, this perspective changed with his professional experience.

“When I got out into practice, I wanted to explore other options for my patients, so I visited a few chiropractors myself. Now, I commonly refer to chiropractors. Just like surgeons, there are some good chiropractors, and some that are too aggressive,” Dr. Webb said.

Yet Dr. Webb advises caution post-surgery, especially during the initial 6–8 weeks of healing, suggesting a gradual approach to chiropractic treatment to allow proper nerve recovery, highlighting the importance of individualized patient care.

“Every patient’s path to recovery is unique, and while chiropractic care shows promise, it’s not a one-size-fits-all solution,” he says.

Dr. Webb emphasizes gentle post-surgery therapy, walking, and gradual advancement, noting, “I worry about chiropractic manipulations too soon after a decompression.”

His concerns underline the delicate balance required in postoperative care, suggesting that while alternative therapies such as chiropractic care can be beneficial, they must be approached judiciously, particularly in the critical initial weeks of healing.

Dr. Webb points out the study’s retrospective nature, cautioning, “It indicates a correlation between chiropractic care and fewer re-operations. Yet, it’s observational and doesn’t establish a direct cause-and-effect.”

The authors agree with the need for additional research.

“Prospective studies are needed to validate our findings and concurrently examine changes in pain, disability, and safety among those receiving SMT after discectomy.”