It is now well known that low back pain (LBP) is the leading cause of disability worldwide and that chiropractors can play a pivotal role in the management of this condition. However, the chiropractic profession can achieve wider acceptance and improved cultural authority, particularly within integrated health care delivery systems, by embracing and integrating current scientific research into our approach to evidence-based health care. It is in this context that this Clinical Practice Guideline (CPG) was developed. The aim of this systematic review was to update and combine three previously published clinical guidelines, while answering this question: “What is the effectiveness of chiropractic care, including spinal manipulation (SMT), for nonspecific low back pain?”
Part of the Evidence in Action series by the Palmer Center for Chiropractic Research
Clinical guidelines for adults with acute, subacute, and chronic low back pain support conservative management with spinal manipulative therapy (SMT). Research shows SMT is comparable to other noninvasive treatments in reducing low back pain and disability with relatively low risk for adverse events. However, the mechanisms leading to pain relief from SMT are poorly understood. Identifying therapeutic mechanisms of SMT can inform treatment strategies and lead to more effective care.
Back pain remains a persistent and debilitating problem for many people in the United States and around the world. News that the opioid crisis in America has been fueled in part by the overprescribing of pain medications for low back pain amplifies the need for the chiropractic profession to continue spreading its message about the value of a conservative approach to back pain treatment. To this end, National Chiropractic Health Month (NCHM) goes “Back to Basics” this year by focusing on overall health and injury prevention as key strategies in maintaining spinal health throughout a lifetime—and highlighting the growing body of research supporting a conservative approach to back pain treatment.
One of the most complex and misinterpreted lines of research in chiropractic and manual medicine is the immuno-physiological-endocrine (I made up that term, but you know what I mean!) effects of spinal manipulation and other manual interventions. The research group out of the Canadian Memorial Chiropractic College (CMCC) in Toronto, Canada has done the bulk of the work in this area. This Research Review discusses their latest publication, which had some very interesting results...enjoy!
Urge Members of Congress to Support Expanded Access to Chiropractic for Veterans
Readers who follow the American Chiropractic Association know full implementation of the chiropractic benefit in the Department of Veterans Affairs (VA) health care system is one of the premier issues ACA is diligently working to address. Recently, the Senate VA Committee held a hearing on pending health and benefits legislation where it considered several bills, including S. 609, "The Chiropractic Care to All Veterans Act of 2017," which received support from numerous veterans service organizations.
My name is Dr. Arlan Fuhr, and my presentation is “Instrument-Assisted Adjusting," which is available under the "Technique" track.