Chiropractic care and risk for acute lumbar disc herniation: a population-based self-controlled case series study.
Cesar A HincapiéGeorge A TomlinsonPierre CôtéY Raja RampersaudAlejandro R JadadJ David CassidyPublished in: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society (2017)
Both chiropractic and primary medical care were associated with an increased risk for acute LDH requiring ED visit and early surgery. Our analysis suggests that patients with prodromal back pain from a developing disc herniation likely seek healthcare from both chiropractors and PCPs before full clinical expression of acute LDH. We found no evidence of excess risk for acute LDH with early surgery associated with chiropractic compared with primary medical care.