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Tag Archive for: lumbar disc herniation

Episode

Chiropractic Science

071- Dr. Cesar Hincapie – Chiropractic, Lumbar Disc Herniations, Nerve Root Injections

https://chiropracticscience.com/podcast-player/7947/drcesarhincapie.mp3

Download file | Play in new window | Duration: 1:01:15 | Recorded on September 30, 2025

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Dr. Cesar Hincapie and I discuss his research involving chiropractic, lumbar disc herniations and nerve root injections. He describes the ongoing SALuBRITY trial which is the first-ever chiropractic randomized clinical trial funded by the Swiss National Science Foundation and is also partially funded by the European Centre for Chiropractic Research Excellence.

Dr. Cesar Hincapié completed his clinical training as a Doctor of Chiropractic (DC, 2003) at the Canadian Memorial Chiropractic College, in Toronto, Canada. While maintaining a clinical practice, he earned a MHSc (2008) and a PhD (2015) in epidemiology at the University of
Toronto. During his PhD, he was awarded a Canadian Institutes of Health Research Fellowship in knowledge translation. After several years of research, clinical, and teaching activities, Dr. Hincapié completed postdoctoral training in clinical trials and injury epidemiology at the Li Ka Shing Knowledge Institute of St. Michael’s Hospital (University of Toronto affiliated academic hospital). In 2019, he was recruited to the University of Zurich as an International Chiropractic Research Fellow and served as head of clinical research within the Department of Chiropractic Medicine at Balgrist University Hospital and University of Zurich. As of August 2022, Cesar joined the Epidemiology, Biostatistics and Prevention Institute at the University of Zurich as Senior Scientist and Head of the Musculoskeletal Epidemiology Research Group.

The Musculoskeletal Epidemiology Research Group is an interdisciplinary research team focused on producing high quality and relevant research related to musculoskeletal and spine health and care. Their work applies a clinical epidemiological perspective to the area of musculoskeletal health and care. Dr. Hincapié is the principal investigator of the SALuBRITY randomised clinical trial, which is assessing the comparative effectiveness of spinal manual therapy and corticosteroid nerve root injection for the management of patients with sciatica.

Here is the video of our conversation.

Please see Dr. Hincapie’s researchgate.net profile here.

Here are the articles we discussed in this episode.

1.
Incidence of and risk factors for lumbar disc herniation with radiculopathy in adults: a systematic review.
Hincapié CA, Kroismayr D, Hofstetter L, Kurmann A, Cancelliere C, Raja Rampersaud Y, Boyle E, Tomlinson GA, Jadad AR, Hartvigsen J, Côté P, Cassidy JD.
Eur Spine J. 2025 Jan;34(1):263-294. doi: 10.1007/s00586-024-08528-8. Epub 2024 Oct 25.
PMID: 39453541 Free PMC article.
2.
‘Which treatment do you believe you received?’ A randomised blinding feasibility trial of spinal manual therapy.
Muñoz Laguna J, Kurmann A, Hofstetter L, Nyantakyi E, Braun J, Clack L, Bang H, Farshad M, Foster NE, Puhan MA, Hincapié CA; SALuBRITY Blinding Clinician Group.
Chiropr Man Therap. 2025 Jan 14;33(1):4. doi: 10.1186/s12998-024-00561-0.
PMID: 39810207 Free PMC article. Clinical Trial.
3.
Feasibility of blinding spinal manual therapy interventions among participants and outcome assessors: protocol for a blinding feasibility trial.
Muñoz Laguna J, Kurmann A, Hofstetter L, Nyantakyi E, Clack L, Bang H, Foster NE, Braun J, Puhan MA, Farshad M, Hincapié CA.
Pilot Feasibility Stud. 2024 May 2;10(1):70. doi: 10.1186/s40814-024-01492-6.
PMID: 38698433 Free PMC article.
4.
Swiss chiropractic cohort (Swiss ChiCo) pilot study: feasibility for a musculoskeletal cohort study conducted within a nationwide practice-based research network.
Lalji R, Hofstetter L, Kongsted A, von Wyl V, Braun J, Puhan MA, Hincapié CA; Swiss ChiCo Clinicians Group.
Eur Spine J. 2024 May;33(5):2068-2078. doi: 10.1007/s00586-024-08175-z. Epub 2024 Mar 13.
PMID: 38480624
5.
Involving patients and clinicians in the development of a randomised clinical trial protocol to assess spinal manual therapy versus nerve root injection for patients with lumbar radiculopathy: a patient and public involvement project to inform the SALuBRITY trial design.
Ryf C, Hofstetter L, Clack L, Hincapié CA.
Res Involv Engagem. 2024 Jan 17;10(1):8. doi: 10.1186/s40900-023-00536-0.
PMID: 38229190 Free PMC article.

 

 

 

September 30, 2025/by Dean Smith, DC, PhD
https://chiropracticscience.com/wp-content/uploads/2025/09/CesarHincapiesmall.jpg 437 350 Dean Smith, DC, PhD https://chiropracticscience.com/wp-content/uploads/2017/01/chiroscience-logo-website-title-300x167.jpg Dean Smith, DC, PhD2025-09-30 23:11:182025-09-30 23:30:31071- Dr. Cesar Hincapie – Chiropractic, Lumbar Disc Herniations, Nerve Root Injections
Chiropractic Science

047- Drs. Cindy Peterson and Kim Humphreys Discuss Disc Herniations, Neck Pain, Dizziness and Chronic Low Back Pain

https://chiropracticscience.com/podcast-player/2370/drs-cindy-peterson-and-kim-humphreys.mp3

Download file | Play in new window | Duration: 56:49

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Drs. Cindy Peterson and Kim Humphreys

Drs. Cindy Peterson and Kim Humphreys join me to talk about cervical and lumbar disc herniation comparative effectiveness studies involving spinal manipulation compared to nerve root injections. We also discuss spinal manipulation for neck pain with and without dizziness as well as for chronic low back pain.

Cynthia Peterson, RN, DC, DACBR, M.Med.Ed. has worked as a chiropractic radiologist, researcher and educator in 4 countries.  She retired from her positions as Professor and researcher, Radiology Department, Orthopaedic University hospital Balgrist and Professor, Chiropractic Medicine Programme, University of Zürich in 2017. Dr. Peterson has published numerous research studies in many journals including ‘Spine’, European Spine Journal, ‘American Journal of Roentgenology’, ‘JMPT’ and ‘Skeletal Radiology’.  She is currently a Visiting Professor for the Chiropractic Department in the Faculty of Health at the University of Johannesburg, South Africa and is the Quality Assurance Consultant for the European Council on Chiropractic Education.

Barry Kim Humphreys, BSc, DC, PhD, is Professor Emeritus, Faculty of Medicine, University of Zurich. He retired in July 2017, after 9 years as the first Professor for Chiropractic Medicine in Switzerland. During this time, Professor Humphreys was responsible for the development and accreditations of the chiropractic education program, research portfolio and teaching clinic within the university, medical faculty and teaching hospital. Professor Humphreys is a graduate of the University of British Columbia (BSc), Canadian Memorial Chiropractic College (DC), and the University of Southampton, UK (PhD). He has been Academic Dean, Anglo-European College of Chiropractic, Dean of Graduate Education and Research, CMCC and Professor, Chiropractic Medicine, University of Zurich. He has been active in research including chiropractic clinical outcome studies for back and neck pain, functional MRI studies of chronic pain patients and back pain in various gravitational environments (parabolic flight).

Please view Drs. Cindy Peterson and Kim Humphreys research at researchgate.net (Peterson) as well as at researchgate.net (Humphreys).

View all of the podcast episodes at chiropracticscience.com

Here are the articles we discuss in this episode:

1. Symptomatic, Magnetic Resonance Imaging-Confirmed Cervical Disk Herniation Patients: A Comparative-Effectiveness Prospective Observational Study of 2 Age- and Sex-Matched Cohorts Treated With Either Imaging-Guided Indirect Cervical Nerve Root Injections or Spinal Manipulative Therapy.
  Peterson CK, Pfirrmann CW, Hodler J, Leemann S, Schmid C, Anklin B, Humphreys BK.
  J Manipulative Physiol Ther. 2016 Mar-Apr;39(3):210-7. doi: 10.1016/j.jmpt.2016.02.004. Epub 2016 Mar 31.
  PMID: 27040033 [PubMed – indexed for MEDLINE]
  Similar articles
2. Symptomatic magnetic resonance imaging-confirmed lumbar disk herniation patients: a comparative effectiveness prospective observational study of 2 age- and sex-matched cohorts treated with either high-velocity, low-amplitude spinal manipulative therapy or imaging-guided lumbar nerve root injections.
  Peterson CK, Leemann S, Lechmann M, Pfirrmann CW, Hodler J, Humphreys BK.
  J Manipulative Physiol Ther. 2013 May;36(4):218-25. doi: 10.1016/j.jmpt.2013.04.005. Epub 2013 May 22.
  PMID: 23706678 [PubMed – indexed for MEDLINE]
  Similar articles
3. Comparison of outcomes in neck pain patients with and without dizziness undergoing chiropractic treatment: a prospective cohort study with 6 month follow-up.
  Humphreys BK, Peterson C.
  Chiropr Man Therap. 2013 Jan 7;21(1):3. doi: 10.1186/2045-709X-21-3.
  PMID: 23295018 [PubMed] Free PMC Article
  Similar articles
4. An observational study on trajectories and outcomes of chronic low back pain patients referred from a spine surgery division for chiropractic treatment.
  Wirth B, Riner F, Peterson C, Humphreys BK, Farshad M, Becker S, Schweinhardt P.
  Chiropr Man Therap. 2019 Feb 5;27:6. doi: 10.1186/s12998-018-0225-8. eCollection 2019.
  PMID: 30766664 [PubMed – indexed for MEDLINE] Free PMC Article
  Similar articles
August 10, 2019/0 Comments/by Dean Smith, DC, PhD
https://chiropracticscience.com/wp-content/uploads/2019/07/DrsCindyKim.jpg 400 400 Dean Smith, DC, PhD https://chiropracticscience.com/wp-content/uploads/2017/01/chiroscience-logo-website-title-300x167.jpg Dean Smith, DC, PhD2019-08-10 13:43:572019-08-10 13:48:20047- Drs. Cindy Peterson and Kim Humphreys Discuss Disc Herniations, Neck Pain, Dizziness and Chronic Low Back Pain
Chiropractic Science

029- Dr. Pierre Côté Discusses Neck Pain, Stroke and Lumbar Disc Herniation

https://chiropracticscience.com/podcast-player/1185/drpierrecote.mp3

Download file | Play in new window | Duration: 1:01:48

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Dr. Pierre Côté Listen as Dr. Pierre Côté and I discuss his involvement in hugely impactful research on stroke, lumbar disc herniations and neck pain.  He provides chiropractors with key information that helps de-mystify these topics. Pierre Côté DC, PhD is an epidemiologist. In 2013, he was awarded the prestigious Canada Research Chair in Disability Prevention and Rehabilitation from the Canadian Government. He is currently an Associate Professor in the Faculty of Health Sciences at the University of Ontario Institute of Technology, director of the UOIT-CMCC Centre for the Study of Disability Prevention and Rehabilitation and an Associate Professor in the Dalla Lana School of Public Health at the University of Toronto. Dr. Côté graduated from the Canadian Memorial Chiropractic College in 1989. In 1996, he obtained a Master’s Degree in Surgery from the University of Saskatchewan. He completed his PhD in epidemiology at the University of Toronto in 2002. In 2003, he received a New Investigator Award from the Canadian Institutes of Health Research.

Dr. Côté was a member of the scientific secretariat of the 2000-2010 Bone and Joint Task Force on Neck Pain and its Associated Disorders; a large international collaboration aimed at synthesizing the scientific evidence on the problem of neck pain. In 2010, he reviewed and proposed modifications to the definition of catastrophic impairment related to traffic collision for the Financial Services Commission of Ontario. More recently in 2012, he was mandated by the Government of Ontario to develop evidence- based Clinical Practice Guidelines for the management of traffic injuries. He submitted his report on the management of Common Traffic injuries to the Ontario Government in 2015. Dr. Côté’s research focuses on understanding the etiology, prognosis and evidence-based management of musculoskeletal pain and disability and mental health. Dr. Côté has published more than 200 scientific papers in prestigious peer-reviewed journals such as the New England Journal of Medicine, the Annals of Internal Medicine, Pain and the American Journal of Epidemiology. His 2017 Google Scholar h-index is 56 and it is 48 according to Scopus.

Website: www.cdpr-research.org

You can find a listing of Dr. Côté’s research at researchgate.

Below are the articles we discuss in this interview:

1. Chiropractic care and risk for acute lumbar disc herniation: a population-based self-controlled case series study.
Hincapié CA, Tomlinson GA, Côté P, Rampersaud YR, Jadad AR, Cassidy JD.
Eur Spine J. 2017 Oct 16. doi: 10.1007/s00586-017-5325-y. [Epub ahead of print]
PMID: 29038870 [PubMed – as supplied by publisher]
Similar articles
2. Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-crossover study.
Cassidy JD, Boyle E, Côté P, He Y, Hogg-Johnson S, Silver FL, Bondy SJ.
Spine (Phila Pa 1976). 2008 Feb 15;33(4 Suppl):S176-83. doi: 10.1097/BRS.0b013e3181644600. Erratum in: Spine (Phila Pa 1976). 2010 Mar 1;35(5):595.
PMID: 18204390 [PubMed – indexed for MEDLINE]
Similar articles
3. Management of neck pain and associated disorders: A clinical practice guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration.
Côté P, Wong JJ, Sutton D, Shearer HM, Mior S, Randhawa K, Ameis A, Carroll LJ, Nordin M, Yu H, Lindsay GM, Southerst D, Varatharajan S, Jacobs C, Stupar M, Taylor-Vaisey A, van der Velde G, Gross DP, Brison RJ, Paulden M, Ammendolia C, David Cassidy J, Loisel P, Marshall S, Bohay RN, Stapleton J, Lacerte M, Krahn M, Salhany R.
Eur Spine J. 2016 Jul;25(7):2000-22. doi: 10.1007/s00586-016-4467-7. Epub 2016 Mar 16. Review.
PMID: 26984876 [PubMed – in process]
Similar articles
4. The annual incidence and course of neck pain in the general population: a population-based cohort study.
Côté P, Cassidy JD, Carroll LJ, Kristman V.
Pain. 2004 Dec;112(3):267-73.
PMID: 15561381 [PubMed – indexed for MEDLINE]
Similar articles
November 15, 2017/0 Comments/by Dean Smith, DC, PhD
https://chiropracticscience.com/wp-content/uploads/2017/10/DrPierreCote.jpg 378 300 Dean Smith, DC, PhD https://chiropracticscience.com/wp-content/uploads/2017/01/chiroscience-logo-website-title-300x167.jpg Dean Smith, DC, PhD2017-11-15 20:17:002017-12-10 13:13:10029- Dr. Pierre Côté Discusses Neck Pain, Stroke and Lumbar Disc Herniation

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