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Chiropractic Research

28 October, 2020


A quick snapshot of some chiropractic research

Safety

19,722 Patients Over 50,000 Adjustments 0 Serious Adverse Events 

Back Pain

  • First step care for low back pain, which will be sufficient for many patients, is to provide advice to remain active, education on the benign nature of low back pain and reassurance about the absence of serious pathology. Recommended by all guidelines.1116
  • Second step options for acute low back pain include physical therapies (massage, spinal manipulation, heat-wrap therapy), psychological therapies (psychologically informed physiotherapy) or complementary therapies (acupuncturea). At least one recommended by all guidelines.1116
  • Second step options for chronic low back pain comprise physical therapies (exercise, massage, spinal manipulation), psychological therapies (cognitive behavioural therapy), complementary therapies (mindfulness-based stress reduction, yoga, acupuncture,a tai chi). Recommended by 4 out of 6 guidelines.

“There was a statistically and clinically significant benefit to those patients receiving chiropractic manipulative treatment...”

“73% of participants in the SMC plus CMT group rated their global improvement as pain completely gone, much better, or moderately better, compared with 17% in the SMC group.”

“A systematic review of the literature done the next year concluded that spinal manipulation is a very safe and cost-effective option to treat lumbar disc herniation.”

“Both of the treatment groups had significant decreases in their NRS scores at 1 month with a 60% reduction for the Spinal Manipulative Therapy cohort and a 53% reduction for the Nerve Root Injection group.”

“This is the first time that spinal manipulation was investigated in a double blinded randomized controlled design showing clear superiority compared with placebo and NSAID.”

“HVLA manipulation can be recommended for the therapy of acute nonspecific LBP.”

“Final evaluation showed manipulation being significantly better than NSAID and clinical superior to placebo.”

“Nonspecific LBP represents about 85% of LBP patients seen in primary care. About 10% will go on to develop chronic, disabling LBP.”

“This study confirms previous reports showing the SM is an effective modality in chronic nonspecific LBP especially for short term effects.”

“...as patients did benefit from the maintenance treatments, we believe that periodic patient visits permit proper evaluation, detection, and early treatment of an emerging problem, thus preventing future episodes of LBP.”

Neck Pain

“...the most likely hypotheses for spinal thrust manipulation to act through the stimulation of descending inhibitory mechanisms...”

“...individuals who received thoracic thrust manipulation experienced significantly great reductions in neck pain as measuredly the Numerical Pain Rate Scale at the 1-week follow up.” 




Contributing Authors


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