Peut-on protocoliser l'ostéopathie ? Doit-on toujours manipuler L5 en cas de sciatalgie type L5 ?

Low 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 here: a study of 48 patients suffering from type L5 low back pain and treated osteopathically. The treatment consisted of a Osteo-pathic 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 improved at one year after treatment with two sessions (89%), and 28 were cured or improved from the first session (61%). In cases of type L5 low back pain, local osteopathic treatments were sometimes aimed at osteopathic manipulation of the L5 vertebra. We believe that this local manipulative treatment is delicate in the first line, as L5 inflammation is often secondary to nearby or distant osteopathic dysfunctions. Conclusion This first study from the PO2S research project suggests that osteopathic proto-colization is possible, osteopathy has a place in the type L5 low back pain treatment, and L5 manipulation is unnecessary in 61% of cases. Randomized studies will have to confirm these hypotheses. [ABSTRACT FROM AUTHOR]