Osteopathy in back trouble.
نویسنده
چکیده
system of medicine and its graduates will usually immerse themselves in this, while medical manipulation is simply one method of treatment among many others. Medical manipulation should be given only a few times-once may be sufficient. The aim is to hasten recovery, usually by a few days, allowing patients to go back to work or normal activity sooner. There is no expectation of"cure" or the prevention ofrecurrences or any alteration in the long term prognosis. The reaction to a session of manipulation may be an immediate and sustained improvement in pain or range of movement, or both, sometimes after a transient increase in soreness due to the treatment. A relapse may occur in a day or two, but this often responds to one or more further sessions of manipulation. Some patients are not helped, and a very few are made temporarily worse. There are risks to manipulation, as with any interventional treatment.'1 Manipulation under general anaesthesia should be avoided,"8 and patients with clear contraindications should be left alone.2' Careful attention to contraindications9 and a high index of diagnostic suspicion with radiography and blood tests where appropriate before treatment will ensure that these simple and effective procedures retain their great safety. Manipulation for backache rests on an established case and provides for back sufferers "a clinically worthwhile hastening of relief' (J A Mathews, MD thesis, 1985, University of Cambridge). I thank Dr John Mathews for lending me a copy of his MD thesis and the late Dr James Cyriax, who taught me to manipulate. Controlled trial of mobilisation and manipultion for patients with low back pain in general practice.
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عنوان ژورنال:
- British medical journal
دوره 293 6560 شماره
صفحات -
تاریخ انتشار 1986