TY  - BOOK
AU  - Bœuf,M.
AU  -  Brun,L.
TI  - Could osteopathy be protocolized? Should we always manipulate L5 in cases of L5 sciatica?
PY  - 2024///.
							
N1  - 7
N2  - Lower back pain is a real public health problem. Today’s pain management programs use drug treatments in addition to non-drug therapies. Osteopathic manipulative treatment (OMT) is presented in this study of 48 patients suffering from type L5 lower back pain and treated osteopathically. The treatment consisted of an osteopathic protocol in 2 sessions (OP2S), developed at the Nouméa pain center (New Caledonia), in which L5 manipulation is performed only in the second session. Of the 48 patients included, 46 were treated, 41 were cured or had improved one year after two treatment sessions (89%), and 28 were cured or had improved since the first session (61%). In cases of type L5 lower back pain, local osteopathic treatments were sometimes focused on osteopathic manipulation of the L5 vertebra. We believe that this localized manipulative treatment is challenging as a first-line approach, since L5 inflammation is often secondary to nearby or distant osteopathic dysfunctions. Conclusion: This initial study from the OP2S research project suggests that osteopathic protocolization is possible, that osteopathy has a place in type L5 lower back pain treatment, and that L5 manipulation is unnecessary in 61% of cases. Randomized studies will be needed to confirm these hypotheses
UR  - https://shs.cairn.info/journal-douleur-et-analgesie-2024-1-page-39?lang=en
ER  -