Association between chiropractic spinal manipulation and gabapentin prescription in adults with radicular low back pain: retrospective cohort study using US data.

ABSTRACT:

Objectives

Radicular low back pain (rLBP) is often treated off-label with gabapentin or by chiropractors using chiropractic spinal manipulative therapy (CSMT). To date, no studies have examined the association between these interventions. We hypothesised that adults under 50 years of age receiving CSMT for newly diagnosed rLBP would have reduced odds of receiving a gabapentin prescription over 1 year-follow-up.

Design

Retrospective cohort study.

Setting

US network including linked medical records, medical claims and pharmacy claims of >122 million patients attending large healthcare organisations (TriNetX), queried 15 June 2023, yielding data from 2017 to 2023.

Participants

Adults aged 18-49 were included at their first occurrence of rLBP diagnosis. Exclusions

SUBMITTER: Trager RJ 

PROVIDER: S-EPMC10364168 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature