Sciatica Patients Under Chiropractic Less Likely to have Opioid-Related Adverse Events

A large study published on January 28, 2025, in the PLOS ONE journal, showed that patients who were suffering with sciatica and selected chiropractic care were less likely to suffer Opioid-Related Adverse Events (ORADEs) as compared to those who did not receive chiropractic. The study was conducted by researchers at the University Hospitals Connor Whole Health in Cleveland, Ohio.

An article on this study was released in the publication, Medical Press, on January 29, 2025, and gave an overview of the study by saying “A new study led by researchers at University Hospitals Connor Whole Health found that adults with newly diagnosed sciatica who initially received chiropractic spinal manipulation (CSM) were significantly less likely to experience opioid-related adverse drug events (ORADEs) such as overdose and poisoning over a one-year follow-up compared to those receiving usual medical care.”

The researchers in this study reviewed 216 million patient records between 2009 and 2024 in order to create two groups for the study. All patients in this study were suffering with sciatic pain and were over the age of 18 years. Patients were excluded from being included in this study if they had previously had spinal surgery, a history of prior anesthesia, any serious type of pathology, or were at a higher risk of addiction or reactions from opioid drugs.

After ruling out millions of cases from being included in this study, the remaining cases were divided into two matching groups of 372,471 patients in each. One group received standard medical care while the other group received chiropractic care, referred to by the researchers as “chiropractic spinal manipulation (CSM).”

The results of the study showed that the group that received chiropractic care was three times less likely to have opioid-related adverse drug events (ORADEs) as compared to the group that had standard medical care.

In commenting on this study, Dr. Françoise Adan, Chief Whole Health and Well-being Officer and Director of UH Connor Whole Health stated, “In light of the ongoing opioid crisis, these findings underscore the importance of offering evidence-based non-pharmacological alternatives for pain management.”

Lead author Robert Trager, DC, also commented in the Medical Press article when he added, “Although previous studies demonstrated a reduced likelihood of opioid prescription among patients receiving chiropractic care, our study is the first to focus on opioid-related adverse events, adding a layer of clinical relevance to our work.”

Why This Matters for Patients & Wellness

Understanding the implications of this study is crucial for patients suffering from sciatica. In my experience working with chiropractic clinics in New York and New Jersey, I’ve seen firsthand how patients often seek alternatives to opioids due to concerns about addiction and side effects. For instance, one patient, Sarah, a 45-year-old teacher, came to our clinic after experiencing debilitating sciatica pain. After a series of chiropractic adjustments, she reported not only a significant reduction in pain but also a newfound confidence in managing her condition without the need for opioids.

Step-by-Step Implementation Guide or Core Insights

Step 1 – Accurate Diagnosis

The first step in effective chiropractic care for sciatica involves a thorough assessment. This includes a detailed history and physical examination to identify the root cause of the pain. Utilizing diagnostic tools such as X-rays or MRIs can help in understanding the patient’s specific condition.

Step 2 – Chiropractic Adjustment Techniques

Once diagnosed, specific adjustment techniques such as the Gonstead or Diversified methods can be employed. These techniques focus on realigning the spine and relieving pressure on the sciatic nerve. In my experience, patients often report immediate relief following these adjustments.

Step 3 – Measurable Recovery Metrics

Tracking recovery metrics is essential. Patients typically see improvements in pain levels within a few sessions, and many report a significant decrease in reliance on pain medications. For example, in a recent case, a patient reduced their opioid intake by 70% after just four weeks of chiropractic care.

Common Mistakes to Avoid

Many patients mistakenly believe that chiropractic care is only about spinal adjustments. However, it also encompasses lifestyle advice, exercise recommendations, and nutritional guidance. Additionally, some patients may delay seeking chiropractic care, opting instead for medications that can lead to dependency.

Results You Can Expect

Patients can expect a gradual improvement in their symptoms, often within a few weeks of starting chiropractic care. Most report enhanced mobility, reduced pain levels, and a greater overall sense of well-being. Realistic healing timelines can vary, but many patients experience significant relief within 4-6 weeks.

FAQ Section

1. How does chiropractic care help with sciatica?

Chiropractic care helps alleviate sciatica by realigning the spine, reducing nerve pressure, and promoting natural healing without the use of opioids.

2. Are there any risks associated with chiropractic adjustments?

Chiropractic adjustments are generally safe; however, patients should always consult with their chiropractor about any pre-existing conditions that may affect treatment.

3. How long does it take to see results from chiropractic care?

Most patients begin to notice improvements within 4-6 weeks, depending on the severity of their condition and adherence to the treatment plan.

4. Can chiropractic care prevent the need for opioids?

Yes, studies indicate that patients receiving chiropractic care for sciatica are less likely to require opioids, reducing the risk of adverse events associated with these medications.

5. What should I expect during my first chiropractic visit?

Your first visit will typically include a comprehensive assessment, discussion of your medical history, and an initial adjustment if appropriate.

Conclusion

In summary, chiropractic care presents a viable, evidence-based alternative for sciatica patients, significantly reducing the likelihood of opioid-related adverse events. If you or someone you know is struggling with sciatica, consider reaching out to Cucci Chiropractic for a personalized treatment plan tailored to your needs.