Navigation Links
Study Questions Chiropractic's Impact on Back Pain
Date:7/7/2011

By Maureen Salamon
HealthDay Reporter

WEDNESDAY, July 6 (HealthDay News) -- For the millions of Americans with chronic low back pain, a silver bullet to alleviate the condition has yet to be identified, a new study suggests.

Reviewing 26 studies comparing spinal manipulative therapy (SMT) to other treatments such as medication, exercise or physical therapy, researchers from the Netherlands found that SMT appears to be no better or worse than other options at relieving back pain long-term.

The analyses indicated that SMT -- which involves manual manipulation of the spine and surrounding muscles -- has only a short-term impact on pain relief, although it eases pain faster than other treatments.

"In short, no single therapy is better than another, although some individuals are likely to have more success with one therapy than another," said study author Sidney Rubinstein, a research fellow at VU University Medical Center in Amsterdam.

"Current studies are focusing on which subjects are more likely to benefit from spinal manipulation, exercise, or other therapies," he added. "Spinal manipulation should be considered a viable treatment option for those with non-specific, chronic low back pain."

The study was recently published in the journal Spine.

More than 6,000 patients were included in the compilation of results, which the study authors said were sparse in data indicating participants' overall recovery, quality of life and ability to return to work. The studies also varied in quality, with only nine of 26 considered "low [in] bias," according to background information accompanying the study.

In all evaluations, patients were randomly assigned to SMT or another comparison treatment, including active treatments such as exercise or inactive placebo treatments.

About two-thirds of the studies were not included in a previous review published in 2004, and all patients had suffered from lower back pain for 12 weeks or longer.

While chiropractors often perform SMT on patients, it is also administered by physical therapists and osteopaths. But which treatment is right for any patient depends not only on their specific pain, but their doctor's recommendations and their own comfort level with various options, said Stephen Perle, a spokesman for the American Chiropractic Association.

The cost of SMT sessions varies widely depending on the region, Perle said.

"Nobody has the answer at this time," Perle said. "I guess people in almost every profession like to say, 'We have a compelling treatment and it will work almost every time,' but that's just not the case."

"With low back pain, there are many reasons people don't get better," added Perle, also a professor of clinical sciences in the College of Chiropractic at the University of Bridgeport in Connecticut. "So the finding was not unexpected."

An unrelated study of 401 patients with low back pain, published July 5 in Annals of Internal Medicine, suggested that massage may be better than medication or exercise for short-term pain relief.

Seattle researchers found that those who received either relaxation massage or structural massage, which involved manipulation of muscles and ligaments, had less pain and better functioning for up to a year compared to those getting "usual medical care," which included medication and physical therapy.

More information

The U.S. National Institute of Neurological Disorders and Stroke has more information about low back pain.

SOURCES: Sidney Rubinstein, D.C., Ph.D., research fellow, Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, the Netherlands; Stephen M. Perle, D.C., spokesman, American Chiropractic Association, and professor, clinical sciences, College of Chiropractic, University of Bridgeport, Conn.; June 1, 2011, Spine


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Medicaid Coverage Substantially Improves Access to Care: Study
2. Previous cancer history increases chances of clotting disorders after knee surgery, study suggests
3. Endosonography followed by surgical staging improves quality of life, according to ASTER study
4. Study Finds Heart Failure Drug Ineffective
5. New study: Women less likely than men to fake soccer injuries
6. Long Commutes for Pilots May Hamper Flying Performance: Study
7. Study Finds Most Urgent Angioplasties Warranted
8. Mammogram Schedule Should Be Customized, Study Finds
9. Small, Rural Hospitals Provide a Lower Quality of Care: Study
10. Infants learn to transfer knowledge by 16 months, study finds
11. Massage Beats Meds for Lower Back Pain, Study Says
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Study Questions Chiropractic's Impact on Back Pain
(Date:6/25/2016)... ... , ... On Friday, June 10, Van Mitchell, Secretary of the Maryland Department ... in recognition of their exemplary accomplishments in worksite health promotion. , The Wellness at ... Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire was one of 42 ...
(Date:6/24/2016)... ... ... June 19, 2016 is World Sickle Cell Observance Day. In an effort to ... treatments, Serenity Recovery Center of Marne, Michigan, has issued a pain management ... (SCD) is a disorder of the red blood cells, which can cause episodes of ...
(Date:6/24/2016)... San Francisco, CA (PRWEB) , ... June 24, ... ... at CitiDent, is now offering micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has ... , self-ligating Damon brackets , AcceleDent, and accelerated osteogenic orthodontics. , ...
(Date:6/24/2016)... ... June 24, 2016 , ... EB Medicine presented its first-ever ... Medicine conference in Ponte Vedra Beach, FL. The awards honor the outstanding work ... Practice and Pediatric Emergency Medicine Practice. , “With this award, we recognize ...
(Date:6/24/2016)... ... ... National recruitment firm Slone Partners is pleased to announce the ... as Vice President of North American Capital Sales at HTG Molecular . ... team in the commercialization of the HTG EdgeSeq system and associated reagents in North ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016 ... Market by Type (Standard Pen Needles, Safety Pen Needles), ... (Insulin, GLP-1, Growth Hormone), Mode of Purchase (Retail, Non-Retail) ... MarketsandMarkets, This report studies the market for the forecast ... to reach USD 2.81 Billion by 2021 from USD ...
(Date:6/24/2016)... , Belgium , June 24, ... VNRX), today announced the appointment of Dr. ... Directors as a Non-Executive Director, effective June 23, ... Audit, Compensation and Nominations and Governance Committees.  As ... Futcher will provide independent expertise and strategic counsel ...
(Date:6/23/2016)...  MedSource announced today that it has selected ... of choice.  This latest decision demonstrates MedSource,s commitment ... clients by offering a state-of-the-art electronic data capture ... as the EDC platform of choice in exchange ... has long been a preferred EDC platform by ...
Breaking Medicine Technology: