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Research Review: Spinal Manipulation vs. NSAID (Diclofenac) for Acute Low Back Pain

The purpose of this randomized, double-blinded, placebo-controlled, parallel trial was to compare high-velocity low-amplitude spinal manipulation with chemical treatment. In this case, the chemical treatment was diclofenac, a nonsteroidal anti-inflammatory. The trial also included comparison with placebo. Considering the staggering impact of low back pain, the authors of this trial felt there were too few studies comparing spinal manipulation to nonsteroidal anti-inflammatory drugs or placebo. They aimed to test patient satisfaction and function, time off from work, and rescue medication, specifically.

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Evidence-based Diagnosis for Low Back Pain

Health professionals from different disciplines use diverse diagnostic methods to inform clinical management for patients with low back pain. One person may diagnose someone as suffering from sacroiliac joint pain while another might classify the same patient with a movement disorder caused by poor muscle coordination. In a given circumstance, either or both individuals could be right or wrong. However, we can’t realistically discern this until we understand the underlying strength of the diagnostic tests we use.

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Research Review: Clinical Practice Guideline: Chiropractic Care for Low Back Pain

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?” 

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Does Spinal Manipulation Affect Central Nervous System Pain Mechanisms?

Part of the Evidence in Action series by Palmer College of Chiropractic

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. 

Author: Zac Shannon
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Go “Back to Basics” During National Chiropractic Health Month: Here’s How!

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.

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Research Review: Biological Mechanisms May Provide Insight into Effectiveness of Spinal Manipulation

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!
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Research Review: Association of SMT with Clinical Benefit and Harm for Acute LBP: Systematic Review and Meta-analysis

*Member-Exclusive Content* A number of systematic reviews have been performed on spinal manipulative therapy (SMT), although their findings have been conflicting. The current review was initiated with the purpose of addressing the divergent conclusions among studies and to include new trials that have been published since the previous reviews. The review’s objectives were to provide updated estimates of the effectiveness and harms associated with SMT compared with other nonmanipulative therapies for adults with acute low back pain. 

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Veterans Groups Salute Chiropractic

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. 

Author: Jack Dusik
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DC2017: 7 Questions for Dr. Arlan Fuhr

My name is Dr. Arlan Fuhr, and my presentation is “Instrument-Assisted Adjusting," which is available under the "Technique" track.
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