A recent study examined whether chiropractic spinal manipulation could lead to an increased risk of cauda equina syndrome (CES), a rare but serious condition affecting the bundle of spinal nerve roots in the lower back that requires emergency surgery. This retrospective study analyzed medical record data for over 130,000 adult patients from academic medical centers who received either chiropractic spinal manipulation or physical therapy evaluation for low back pain in the United States. The two cohorts were closely matched on demographics and other health factors to make them comparable in terms of baseline risk factors for CES. The study used a follow-up window of 90 days to identify new diagnoses of CES.

The overall CES incidence aligned with prior estimates in people with low back pain, suggesting these patients may have an inherent susceptibility to CES regardless of treatment approach. However, the authors found no meaningful difference in the risk of developing CES between those who received spinal manipulation cohort (0.07%) and those who did not (0.11%).

“This study is the largest and most rigorous investigation regarding the potential association between CES and chiropractic spinal manipulation to date. These findings offer further support for current low back pain guidelines recommending this treatment approach as first-line care for patients with low back pain,” said co-author Dr. Christine Goertz, Professor at Duke University School of Medicine.

“This study is reassuring regarding the safety of chiropractic care for low back pain” added Dr. Françoise Adan, Chief Whole Health and Well-being Officer and Director of UH Connor Whole Health.

Presented as a service to the community by: Union County Chiropractic Clinic, 110 Skyline Drive, Maynardville, TN (865) 992-7000 www.unioncountychiropractic.com