Chiropractic and Back Problems
Spinal Manipulation (a method largely used in chiropractic) has been recommended for use in low back pain by NICE (National Institute for Clinical Evidence) the organisation responsible for overseeing all clinical guidelines. (NICE 2009)
“In a Randomised controlled trial, 183 patients with neck pain were randomly allocated to manual therapy (spinal mobilization), physiotherapy (mainly exercise) or general practitioner care (counselling, education and drugs) in a 52-week study. The clinical outcomes measures showed that manual therapy resulted in faster recovery than physiotherapy and general practitioner care. Moreover, total costs of the manual therapy-treated patients were about one-third of the costs of physiotherapy or general practitioner care.” British Medical Journal, Korthals-de Bos et al (2003).
“There is strong evidence that manipulation is more effective than a placebo treatment for chronic low-back pain or than usual care by the general practitioner, bed rest, analgesics and massage.” Spine, Van Tulder and Bouter et al. (1997).
“…improvement in all patients at three years was about 29% more in those treated by chiropractors than in those treated by the hospitals. The beneficial effect of chiropractic on pain was particularly clear.” British Medical Journal, Meade et al. (1995).
“Manipulative therapy and physiotherapy are better than general practitioner and placebo treatment. Furthermore, manipulative therapy is slightly better than physiotherapy after 12 months.” British Medical Journal, Koes et al. (1992).
Chiropractic and Pain relief
“…patients suffering from back and/or neck complaints experience chiropractic care as an effective means of resolving or ameliorating pain and functional impairments, thus reinforcing previous results showing the benefits of chiropractic treatment for back and neck pain.” Journal of Manipulative and Physiological Therapeutics, Verhoef et al. (1997).
“…for the management of low-back pain, chiropractic care is the most effective treatment, and it should be fully integrated into the government’s health care system.” The Manga Report (1993).
Chiropractic and Headache
“Cervical spine manipulation was associated with significant improvement in headache outcomes in trials involving patients with neck pain and/or neck dysfunction and headache.” Duke Evidence Report, McCrory et al. (2001).
“The results of this study show that spinal manipulative therapy is an effective treatment for tension headaches. . . Four weeks after cessation of treatment . . . the patients who received spinal manipulative therapy experienced a sustained therapeutic benefit in all major outcomes in contrast to the patients that received amitriptyline therapy, who reverted to baseline values.”Journal of Manipulative and Physiological Therapeutics, Boline et al. (1995).
Chiropractic and Elderly Care
“[Elderly] chiropractic users were less likely to have been hospitalised, less likely to have used a nursing home, more likely to report a better health status, more likely to exercise vigorously, and more likely to be mobile in the community. In addition, they were less likely to use prescription drugs.” Topics in Clinical Chiropractic, Coulter et al. (1996).
Chiropractic and Reduction in Work Absence
First contact chiropractic care for common low back conditions costs substantially less than traditional medical treatment and “deserves careful consideration” by managed care executives concerned with controlling health care spending. Medical Care, Stano and Smith (1996).
“The overwhelming body of evidence shows that chiropractic management of low-back pain is more cost-effective than medical management, and that “many medical therapies are of questionable validity or are clearly inadequate.” The Manga Report (1993).