Article Index
Research: Chiropractic Care & Low Back Pain, Disc and Sciatica
Chiro and Chronic Low back Pain
Bedrest with Low Back Pain?
Chiropractic better than medicine for Low Back Pain
Chiropractic as Effective as Steroid Injection for Disc Herniation
SI Joint Pain: Chiropractic Beats out the Competition for Relief
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Chiropractic Care in Long-Term Low Back Pain Cases

   Bed Rest With Low Back Pain?  Research Says...

Objective:  To discuss the results of chiropractic care for chronic low back sufferers


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Objective:  See what is best for low back pain recovery

 


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Chiropractic Care Superior to Medication in Low Back Pain Cases

  Study Show:  Chiropractic as Effective as Steroid Injections for Disc Herniation

Objective:  A double-blind study shows patients receiving manipulation get better results than patients taking medication!


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  A new study compared the efficacy of epidural injections to chiropractic adjustments in 102 patients with lumbar disc herniation. Of the chiropractic patients, 76% reported feeling “better” or “much better” after treatment

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Medical vs. Chiropractic Care for Sacroiliac Joint Low Back Pain

 

A 2013 study on patients with SacroIliac low back pain showed chiropractic stomped other healthcare approaches with a 72% success rate, compared to only a 20% success rate for physical therapy and a 50% success rate for corticosteroids injections.


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Chiropractic Care in Long Term Low Back Pain Cases

Cifuentes, Willets and Wasiak (2011) compared the treatment of recurrent or chronic low back pain. They considered any condition recurrent or chronic if there was a recurrent disability after a 15 day absence and return to disability. Anyone with less than a 15 day absence was excluded from the study.

The study concluded that chiropractic care during the health maintenance care period resulted in:

  • 16% decrease in disability duration of first episode compared to physical therapy
  • 6.6% decrease in opioid (narcotic) use during maintenance care compared to physical therapy care
  • 32% decrease in average weekly cost of medical expenses during disability episode compared to physical therapy care

The study concluded that chiropractic care during the disability episode resulted in:

  • 24% decrease in disability duration of first episode compared to physical therapy
  • 5.9% decrease in opioid (narcotic) use during maintenance care compared to physical therapy care
  • 19% decrease in average weekly cost of medical expenses during disability episode compared to physical therapy care

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Cifuentes, M., Willetts, J., & Wasiak, R. (2011). Health maintenance care in work-related low back pain and its association with disability recurrence. Journal of Occupational and Environmental Medicine, 53(4), 396-404.

 


 

 Bed Rest With Low Back Pain?  Research Says...

Your Low back is killing you, and you're scared to be active.  Should you go to bed or spend your day sitting?  Research says- no, no , no.   Staying Active (within reason) can actually help reduce the pain and shorten recovery time in most cases of noncomplicated back pain. This study found: 1) bed rest is contraindicated in subacute and chronic cases of low back pain; in acute cases, bed rest should neither be enforced nor prescribed; and if authorized (based on pain indication), bed rest should be for the shortest duration possible.  Prolonged sitting, standing, or laying all seem to slow recovery, while patients who stayed mobile saw a quicker turn-around.

Abenhaim L, Rossignol M, Valat JP, et al. The role of activity in the therapeutic management of back pain: Report of the International Paris Task Force on Back Pain. Spine, Feb. 15, 2000 (supplement): Vol. 25, No. 4S, pp1-25.

 


 

Spinal manipulation clinically superior to medication or placebo for Relieving Low Back Pain

 

Key Findings

  • "There was a clear difference between the treatment groups: the subjects [receiving] spinal manipulation showed a faster and quantitatively more distinct reduction in the RMS" compared to subjects receiving medication. (RMS is a scale measuring disability or function)
  • "Subjects [also] noticed a faster and quantitatively more distinct reduction in [their] subjective estimation of pain after manipulation. ... A similar observation was made when comparing the somatic part of the SF-12 inventory ... indicating that the subjects experienced better quality of life after the spinal manipulation compared to diclofenac."
  • "The rescue medication was calculated both for the mean cumulative dose (numbers of 500 mg paracetamol tablets) and for the number of days on which rescue medication was taken. ... In the diclofenac arm, the patients on average took almost 3 times as many tablets and the number of days [taking the tablets] was almost twice as high" compared to patients in the manipulation group. Though more study is warranted, these result suggest that spinal manipulation is more effective vs. drug therapy (because even if both patient groups had taken the same amount of rescue medication for the same number of days, it wouldn't discount the fact that patients in the manipulation group showed significant improvement on outcome variables compared to patients in the medication group)

Reference: von Heymann WJ, Schloemer P, Timm J, Muehlbauer B. Spinal high-velocity low-amplitude manipulation in acute nonspecific low back pain: a double-blinded, randomized controlled trial in comparison with diclofenac and placebo. Spine, April 2013;38(7):540-48.

 

 


 Chiropractic or Injection for Herniated Disc?  Research Says...

A new study compared the efficacy of epidural injections to chiropractic adjustments in 102 patients with lumbar disc herniation. Of the chiropractic patients, 76% reported feeling “better” or “much better” after treatment, compared to 62.5% of the injection patients. Chiropractic patients also had better improvements in pain; 60% of chiropractic patients had significant reductions in pain, compared to 53% of injection patients.

To see a video and original article text, click HERE.

 

Reference: Peterson, CK, et al. 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. Journal of Manipulative and Physiological Therapeutics 2013; doi: 10.1016/j.jmpt.2013.04.005.


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In the highest level of clinical study performed- the randomized-controlled trial- the European Spine Journal found that #Chiropractic Care easily trumped other healthcare interventions when it came to giving patients relief.  Chiropractic manual therapy came in with a 72% success rate , compared to only a 20% success rate for physical therapy and a 50% success rate for corticosteroids injections.

References
Hansen H, Manchikanti L, Simopoulos TT, et al. A systematic evaluation of the therapeutic effectiveness of sacroiliac joint interventions. Pain Physician 2012;15(3):E247-78.
Visser L, Woudenberg N, et al. Treatment of the sacroiliac joint in patients with leg pain: a randomized-controlled trial. European Spine Journal 2013 [online]. doi: 10.1007/s00586-013-2833-2.

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