May 16 2024University Hospitals Cleveland Medical Center A new study led by researchers at University Hospitals Connor Whole Health found that adults initially receiving chiropractic spinal manipulation for newly diagnosed radicular low back pain were significantly less likely to be prescribed tramadol over the following year compared to those receiving usual medical care.
"While previous studies found a reduced likelihood of opioid prescription among those receiving chiropractic care, our study is the first to focus specifically on tramadol," said Robert Trager, DC, lead author of the study. The authors describe extensive efforts to account for differences between the chiropractic and non-chiropractic cohorts. For example, the cohorts were similar with respect to age, sex, and several other factors. The researchers found that 1.3% of the chiropractic patients received a tramadol prescription over 1-year follow-up, compared to 4.0% of the patients receiving usual medical care.
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