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:4/24/2017)... ... April 24, 2017 , ... According to the ... now claim the lives of 62 Americans each day.(1) Yet since 2011, the ... distributors, pharmacies and prescribers by more than half.(2) Novus Medical Detox Center ...
(Date:4/24/2017)... , ... April 24, 2017 , ... ... of individuals with HIV because it is not known to have significant interactions ... favorable effects to both lower cholesterol levels and dampen inflammation in the bloodstream. ...
(Date:4/24/2017)... ... April 24, 2017 , ... Donna Parker, L. Ac. reads all sorts ... any of them to be very practical. She wanted to write a guide/workbook that ... in their health. It prompted her in writing “ A Clear Path to a ...
(Date:4/24/2017)... ... April 24, 2017 , ... “The Saint with Trin, and Omega ... Omega Station” is the creation of published author, Chris Jackson. Chris Jackson grew ... works in the Dallas Independent School District teaching English. He is heavily involved in ...
(Date:4/24/2017)... BARCELONA, Spain (PRWEB) , ... April 24, 2017 ... ... focused on the development of next generation neuro-thrombectomy systems for the treatment of ... test and manufacture its ANCD BRAIN device as the product advances towards regulatory ...
Breaking Medicine News(10 mins):
(Date:4/19/2017)... 2017 /PRNewswire/ - CRH Medical Corporation (TSX: CRH) (NYSE MKT: CRHM) (the "Company"), ... Healthcare Investor Conference 2017 at the Sheraton Hotel in ... Executive Officer of the Company is scheduled to present on Tuesday, ... and the Chairman of the Board, Tony Holler ... ...
(Date:4/19/2017)... Calif. , April 19, 2017  IRIDEX Corporation ... will release financial results for the first quarter 2017 ... 2017.  The Company,s management team will host a corresponding ... p.m. ET. Investors interested in listening to ... 707-0665 for domestic callers or (703) 326-3030 for international ...
(Date:4/19/2017)... NASHVILLE , Tenn. and DALLAS , ... and EndoStim, Inc., announced that the first patients in ... with the EndoStim device in the Lower Esophageal Sphincter ... is a minimally-invasive implantable device designed to provide long-term ... through neurostimulation. GERD affects nearly 65 million ...
Breaking Medicine Technology: