Chiropractic is now firmly established
as a primary health-care profession where, according
to the American Chiropractic Association, approximately
7 to 16 percent of people in the United Stated seek
treatment each year. Our profession has earned recognition
for its remarkable effectiveness and its focus on
natural, drug-free, non-invasive methods of treatment.
This section summarizes the effectiveness of chiropractic
for some of the conditions we treat.
General Lower-Back Pain
~ [top]
Approximately 25% of our patients come to us with
a chief complaint of low-back/pelvic pain or discomfort.
This pain can be brought on by an accident, overuse,
repetitive stress, emotional stress, or just everyday
living.
Several studies have been conducted to determine the
efficacy of spinal manipulation as a treatment for
lower-back pain in general. One of these involved
three chiropractic colleges in California, where researchers
reported that "the trend for spinal manipulation
to produce better results than any form of treatment
to which it was compared was consistent and strong."
For 86% of the outcomes, spinal manipulation was more
effective than any other treatment rendered for lower-back
pain.
Additional studies conducted both in and out of the
United States yielded similar results, where patients
reportedly recovered at a more rapid rate, had fewer
relapses, and gained a new sense of confidence in
their movement. Still more investigations have been
conducted on the effectiveness of chiropractic treatment
for two sub-categories of lower-back pain: acute and
chronic.
Acute Lower-Back Pain ~ [top]
A report published in 1994 by the Agency for Health
Care Policy and Research on acute low-back pain concluded
that spinal adjustment is one of the most effective
treatments for this condition. In another study published
in 1994 by the University of Pittsburgh Medical Center
and the Jefferson County (Missouri) Rehabilitation
Center, it was concluded that greater and more rapid
improvement occurred when treated using exercises
and spinal adjustment for acute low-back pain.
A third study conducted by the Los Angeles College
of Chiropractic and the University of Vermont was
published in 1992. These researchers reported that
spinal adjustment, when compared to other methods
of treatment for acute lower-back pain (massage, corset,
and TMS), proved to be a "superior," more
effective treatment after three weeks of care.
Chronic Lower-Back Pain ~
[top]
In 1997, the Dutch Health Insurance Board funded an
investigation that summarized the results of 48 separate
studies on the effectiveness of chiropractic treatment
for chronic lower-back pain. The investigation determined
that spinal adjustment is more effective than treatments
suggested by general practitioners (bed rest, analgesics,
and massage).
Two similar studies conducted in Canada in 1985 (University
Hospital in Saskatoon) and 1991 (University of Calgary),
plus a third study conducted in Poland in 1986 (Silesian
Medical School), produced results similar to the Dutch
investigation.
Neck Pain ~ [top]
Approximately 19% of our patients come to us with
complaints of neck pain or discomfort. This pain can
be caused by a variety of factors, such as an accident,
injury, overuse, etc. The most common neck condition
we address is whiplash.
The efficacy of chiropractic for neck pain has been
well documented in numerous studies conducted in the
United States, Canada, Wales, and the Netherlands.
In a joint U.S./Canadian study published in 1996,
researchers from UCLA, the West LA Veterans Affairs
Medical Center, and two chiropractic colleges found
that for some patients with sub-acute or chronic neck
pain, spinal adjustment proved to be a more effective
treatment than mobilization or physical therapy.
In a study conducted by the Canadian Memorial Chiropractic
College in Toronto in 1997, researchers found spinal
adjustments to improve neck mobility and decrease
neck pain. An additional Canadian investigation published
in 1997 by the University of Calgary found spinal
adjustments to improve neck mobility and decrease
neck pain in patients having back and/or neck complaints.
General practitioners in private practice at the Welsh
National School of Medicine conducted a study of the
efficacy of spinal adjustment in alleviating neck
and shoulder pain. The results, published in 1983,
indicated that pain and discomfort improved significantly
after adjustment, as well as range of motion and flexibility
of the affected areas.
A 1992 Netherlands study conducted by doctors of medicine
and other professionals investigated different methods
of treatment for patients with chronic back and neck
pain. After 12 weeks of care, manual therapy (which
consisted of adjustment and mobilization of the spine)
had showed a "faster and larger improvement in
physical functioning" relative to the other types
of treatment such as massage, exercises, and physical
therapy.
Head Pain ~ [top]
Headaches, both tension and migraine, are the chief
complaint for approximately 13% of our patients. Before
you reach for your pain-reliever of choice the next
time a headache or migraine sneaks up on you, consider
the following information on the efficacy of chiropractic
care for head pain.
In a 1995 study conducted in Minnesota, the effectiveness
of spinal adjustment relative to the administration
of an antidepressant drug (amitriptyline) for patients
with chronic tension-type headaches was investigated.
The researchers included doctors of chiropractic,
a doctor of medicine, and another professionals from
Northwestern College of Chiropractic and the Pain
Assessment and Rehabilitation Center, Ltd. They determined
that, after four weeks of treatment, patients receiving
spinal adjustment therapy experienced a continued
lack of symptoms, whereas patients taking the medication
returned to original, baseline conditions.
Another study, published in 1997 by doctors of medicine
and doctors of chiropractic at the University of Odense
and the Nordic Institute of Chiropractic and Clinical
Biomechanics in Denmark, compared spinal adjustment
and soft tissue therapy for the treatment of benign,
chronic headaches. They found that both methods of
therapy allowed for significant improvement, and there
were no side effects or signs of worsening associated
with either method.
Carpal Tunnel Syndrome (CTS) ~
[top]
With a large percentage of the population using keyboards
either at work or at home, CTS is becoming increasingly
common. CTS is a condition where there is a disturbance
of nerve function in the wrist. Because it is a neurological
issue, we are treating more and more patients of all
ages suffering from this malady.
One study, published in 1998 and conducted by researchers
from the Northwestern College of Chiropractic in Minnesota,
compared chiropractic treatment of CTS to conservative
medical treatment. The chiropractic treatment included
manipulation, ultrasound treatment, and wrist supports,
while the medical group received an anti-inflammatory
drug (ibuprofen) and wore wrist supports. They found
that both methods of treatment proved to be equally
effective and recommended that patients with CTS who
are sensitive to medical side effects pursue chiropractic
for treatment.
Fibromyalgia ~ [top]
Fibromyalgia is a syndrome characterized by chronic
pain in the muscles and soft tissues surrounding joints,
fatigue, and tenderness at specific sites in the body.
While the cause is unknown, an estimated 3 million
people are affected in the United States. Because
we offer a conservative, hands-on approach to health
care, some patients suffering from fibromyalgia are
supplementing their medical care with chiropractic
care.
In 1997, a study was conducted by three Canadian chiropractors
on the effectiveness of chiropractic care for patients
with fibromyalgia. They reported significant improvement
in flexibility and reduction of pain levels and recommended
that this type of treatment be included along with
medical treatments for this condition.
Infantile Colic ~ [top]
Colic is a condition that occurs in early infancy
and is characterized by episodes of loud crying, apparent
abdominal pain, and irritability. Unfortunately, it
is a common condition that affects approximately 10%
of babies in the United States and lasts from about
2-3 weeks of age until 3-4 months. While the causes
of colic are not always known or understood, parents
of children exhibiting symptoms of colic are seeking
help from chiropractors because of its effectiveness
in reducing the severity of the symptoms.
One study that documents the efficacy of chiropractic
for treating infantile colic was conducted in 1989
by a doctor of medicine and doctors of chiropractic
at the Anglo-European College of Chiropractic in Great
Britain. Researchers reported that 94% of infants
with colic appeared to be helped by spinal manipulation
within 14 days of the start of treatment. The babies
tended to have both fewer episodes of crying and shorter
crying spells.
Another study, this one conducted in 1999 in Denmark,
investigated two infant groups: one that was treated
with spinal manipulation, and another that was treated
with an over-the-counter antacid medication (dimethicone).
After two weeks, the group treated with spinal manipulation
exhibited a 67% drop in daily hours of crying, while
the dimethicone group experienced a 38% drop.
Just a sampling ~
[top]
In summary, the above-referenced studies indicate
chiropractic is effective for head, neck, and back
pain, as well as carpal tunnel syndrome, fibromyalgia,
and infantile colic. It is important to note that
the conditions discussed in this section are not the
only conditions we treat— this has simply been
a sampling of studies that have been conducted to
determine the efficacy of chiropractic. Our scope
of practice extends well beyond the above maladies,
and we will help you determine if chiropractic care
will be an effective means of treating your particular
condition. Chiropractic care will be an effective
means of treating your particular condition.
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