Chiropractic More Effective Than “Usual Care” For Back Pain

A recent article in Lippincott’s Bone and Joint Newsletter published an article on the effectiveness of chiropractic for acute back pain. The article discusses the work of Dr. Paul Bishop, DC, PhD, MD, a professor of orthopedics at the University of British Columbia.

The work presented by Dr. Bishop at the International Society for the Study of the Lumbar Spine in Hong Kong states:

“This is the first randomized controlled trial demonstrating that full clinical practice guidelines care including chiropractic spinal manipulative therapy produces more favorable patient outcomes than family physician-directed care in acute low back pain patients.”

Bishop and his colleagues studied 88 patients with acute back pain. The patients were assigned to either a “guidelines-based” chiropractic group or a “usual care” group by family physicians.

“The guidelines-based care included reassurance, avoidance of passive treatments, acetaminophen for pain control, four weeks of twice-weekly spinal manipulation, and return-to-work within eight weeks.”

The outcome measure used was the Roland Morris Questionnaire, and the authors found that the chiropractic patients experienced a significantly greater improvement (2.52 points on the Roland Morris) compared to the “usual care” group (.25 on the Roland Morris).

The authors reported that “usual care” treatment offered by most primary care physicians was not based on the science of back pain (it was, in Bishop’s words, “highly guideline-discordant).

“Typically, the family physician-based care involved excessive use of passive therapies such as massage and passive physical therapy, excessive bed rest, and excessive use of narcotic analgesics, Bishop added.”

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9 Responses to Chiropractic More Effective Than “Usual Care” For Back Pain

  1. Great proof for an skeptics who doubt the efficacy of chiropractic care.

  2. Nice job! Thanks for compiling this information.

  3. Great study that affirms the effectiveness of chiropractic care.

  4. Another safe and pain-free way to treat chronic back pain, without the dangers of surgery, is SPINAL DECOMPRESSION.

    Over 40 years ago, research began to be pioneered by Dr. James Cox, which today has revolutionized both the Osteopathic and Chiropractic
    disciplines. His painstaking work has demonstrated thousands of successful recoveries from back, neck, leg, and arm pain (in scientific journals) without surgery or drugs.

    I’m proud to have traveled and trained under Dr. Cox myself and, in addition to being certified in all his techniques…ours is the only office in this are offering his newest instruments for decompression of the neck and upper back, in addition to the lumbar spine.

    There are 4 Proven, positive, sustainable, and sometimes life-changing
    effects:

    1. Increasing Disc Height (improving disc circulation)
    2. Decreasing pressure on the disc center (up to 192mmHG)
    3. Increasing space for the exiting spinal nerves
    4. Restoring normal joint motion

    I would look into this method of treatment BEFORE SURGERY. My office uses the newest machine out, the Extentrac Elite (With M3D® technology) to treat our patients. I suggest you look at our website for more information to help you make some decisions.

    All the best,
    Dr. Kate Crews

    http://www.advancedbacksolutions.net
    http://www.drkatecrews.com

  5. Wow 2.52 points for the chiropractors vs. only 0.25 points for the primary care physicians… that’s quite a difference :)

  6. I agree with what you are saying and like what you are doing.

  7. Millions of people around the globe have received chiropractic care and know its value. But the rest of the population dismisses the profession’s growth and patient testimonials as shoddy evidence.
    Regrettably, scientists have only a few studies showing correlations between the quality-of-life changes and chiropractic care. Most scientific clinical studies suggest chiropractic as a treatment for adult low-back pain, thus limiting chiropractic care…

  8. Can you please post what are the differences between a good and bad chiropractor. Currently in some circles chiropractic care is still viewed and alchemy that does not work.

    What should people who are trying chiropractic care for the first time look for in a chiropractor?

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