The Relationship between Dorsal Spine Dysfunction and Gastrointestinal Pain and the Efficacy of Manipulation on Them
Background: The goal of this study was to check the exact relationship between gastrointestinal (GI) pain and dorsal spine dysfunction.
Methods: This was a case-control study. 62 patients without underlying GI problems were divided into two groups. The first group included patients with minor intervertebral dysfunction (MID+) and the second group had no MID. Spinal manipulation was performed for patients with MID and for the MID- group. The rate of recovery of GI symptoms was compared before and after the manipulation between the two groups.
Results: After the first session of manipulation, the decrease in pain intensity in the MID+ group was more than the MID- group (P < 0.001). After the second session, the pain intensity in the MID+ group decreased sharply, while no significant decrease was recorded in the MID- group one and three months after the manipulation. However, after the third manipulation session, the pain increased in the MID+ group; this was also observed one and three months after manipulation (P = 0.048).
Conclusion: The results indicate that treatment with manipulation has a temporary effect; it can improve the quality of life along with pain alleviation for at least three months.
2. Ofman JJ. The economic and quality-of-life impact of symptomatic gastroesophageal reflux disease. Am J Gastroenterol 2003; 98(3 Suppl): S8-S14.
3. Grainger SL, Klass HJ, Rake MO, Williams JG. Prevalence of dyspepsia: The epidemiology of overlapping symptoms. Postgrad Med J 1994; 70(821): 154-61.
4. Locke GR 3rd, Talley NJ, Fett SL, Zinsmeister AR, Melton LJ 3rd. Prevalence and clinical spectrum of gastroesophageal reflux: A population-based study in Olmsted County, Minnesota. Gastroenterology 1997; 112(5): 1448-56.
5. Haque M, Wyeth JW, Stace NH, Talley NJ, Green R. Prevalence, severity and associated features of gastro-oesophageal reflux and dyspepsia: A population-based study. N Z Med J 2000; 113(1110): 178-81.
6. Gray DW, Collin J. Non-specific abdominal pain as a cause of acute admission to hospital. Br J Surg 1987; 74(4): 239-42.
7. Sharpstone D, Colin-Jones DG. Chronic, non-visceral abdominal pain. Gut 1994; 35(6): 833-6.
8. Longstreth GF. Diabetic thoracic polyradiculopathy: Ten patients with abdominal pain. Am J Gastroenterol 1997; 92(3): 502-5.
9. Eisenberg E, Carr DB, Chalmers TC. Neurolytic celiac plexus block for treatment of cancer pain: A meta-analysis. Anesth Analg 1995; 80(2): 290-5.
10. Hogan WJ. Endoscopic therapy for gastroesophageal reflux disease. Curr Gastroenterol Rep 2003; 5(3): 206-12.
11. Madan A, Minocha A. Despite high satisfaction, majority of gastro-oesophageal reflux disease patients continue to use proton pump inhibitors after antireflux surgery. Aliment Pharmacol Ther 2006; 23(5): 601-5.
12. Palmer DD. The Chiropractor's adjuster: The science art and philosophy of chiropractic. Portland, OR: Portland Printing House; 1910. p. 571-90.
13. Harris JD. History and development of manipulation and mobilization. In: Basmajian JV, editor. Manipulation, tractions and massage. Baltimore, MD: Williams and Wilkins; 1985. p. 172-201.
14. Haldman S. Spinal manipulative therapy in the management of low back pain. In: Finneson BE, editors. Low back pain. Philadelphia, PA: Lippincott; 1980. p. 245-75.
15. Parkinson WL, Kumbhare DA, Annis RS. Functional dyspepsia: Can chiropractic help? J Am Chiropr Assoc 2001; 38(4): 34-6.
16. Jayadevappa R, Chhatre S, Weiner M. Gastro-oesophageal acid-related disease, co-morbidity and medical care cost. Chronic Illn 2008; 4(3): 209-18.
17. Lundell L, Dalenback J, Janatuinen E, Hattlebakk J, Levander K, Miettinen P, et al. Comprehensive 1-year cost analysis of open antireflux surgery in Nordic countries. Nordic GORD Study Group. Gastro-oesophageal reflux disease. Br J Surg 1998; 85(7): 1002-5.
18. Pickar JG, Bolton PS. Spinal manipulative therapy and somatosensory activation. J Electromyogr Kinesiol 2012; 22(5): 785-94.
19. Peters D, Thompson C, McGarrity S, McGarrity T. Treatment of chronic abdominal pain of obscure etiology: Effectiveness of chronic pain management center referral. Gastroenterology 1998; 114(Suppl 1): A33.
20. Alcantara J, Mayer DM. The successful chiropractic care of pediatric patients with chronic constipation: A case series and selective review of the literature. Clinical Chiropractic 2008; 11(3): 138-47.
21. Young MF, McCarthy PW, King S. Chiropractic manual intervention in chronic adult dyspepsia. Eur J Gastroenterol Hepatol 2009; 21(4): 482-3.
22. Herzog W, Nigg BM, Robinson RO, Read LJ. Quantifying the effects of spinal manipulations on gait, using patients with low back pain: A pilot study. J Manipulative Physiol Ther 1987; 10(6): 295-9.
Copyright (c) 2020 Physical Medicine, Rehabilitation, and Electrodiagnosis
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.