Abstract
In a 30-beds-unit of the Orthopedic University Clinic in Bochum for an example we studied the frequency of combined injection therapy with local anesthesia and chirotherapy in a one year period. There have been done 191 injections into ileosacral joints as well as 28 injections into facett joints of the cervical spine and additionally 315 into facett joints of the lumbar spine. On the other side there have been done 122 chirotherapeutic maneuvers at cervical, thoracic or lumbar spine by senior doctors with education in manual medicine. The injection therapy however was done in mean predilection sites of the patients suffering from cervical spine disorders or low back pain, the chirotherapy was done in other spine areas. The growing number of doctors with an education in manual medicine seems to improve the chirotherapy of the mean pathology as well, but it is not able to reduce the number of local injection therapy.
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