Neck Manipulation versus
Anti-Inflammatory Drugs
A Research Abstract
A
risk assessment of cervical manipulation Versus
NSAID's
for the treatment of neck pain
Author:
Dabbs V , Lauretti WJ
Source: J Manipulative Physiol Ther, 18(8): 530-6
1996
OBJECTIVE: We reviewed the literature to evaluate
the risk of serious injury or death resulting from cervical manipulation
and to assess the evidence that cervical manipulation is an effective
treatment for mechanical neck pain. We also reviewed the literature to
assess the risks and effectiveness of nonsteroidal anti-inflammatory drugs
(NSAIDs), which are often used as the "conventional" first-line
treatment for similar musculoskeletal conditions. DATA SOURCES: A series of Medicine literature
searches were performed, and materials were reviewed from 1966-1994. Key
words included: Chiropractic or Orthopedic Manipulation; Non-Steroidal
Anti-Inflammatory Agents; Neck or Back Pain; Randomized Controlled Trials; Adverse Effects. STUDY SELECTION: Studies and literature reviews
that provided a numerical estimate of the risk of serious adverse effects
or death from cervical manipulation or NSAID use were selected. Also,
randomized, controlled studies that evaluated the effectiveness of
manipulation or NSAID use for neck pain were included.
DATA
SYNTHESIS: Although there are a small number of well-performed trials
of cervical manipulation for neck pain, we were unable to locate even a
single randomized, controlled trial examining NSAID use specifically for
neck pain. As for comparative safety, the best available evidence
indicates that NSAID use poses a significantly greater risk of serious
complications and death than the use of cervical manipulation for
comparable conditions.
CONCLUSION: The best evidence indicates that
cervical manipulation for neck pain is much safer than the use of NSAIDs,
by as much as a factor of several hundred times. There is no evidence that
indicates NSAID use is any more effective than cervical manipulation for neck pain. Publication Type: Journal Article
ISSN:
01614754
Country of Publication: UNITED STATES
Sourced from Infotrieve Online - National Library of Medicine and PubMed.
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