Benefits of Chiropractic
Low Back Pain
Spinal manipulative therapy is an effective treatment for both acute and chronic back pain.1, 2, 3 For acute back pain up to six weeks persistency, spinal manipulative therapy, both as an independent treatment and in conjunction with standard medical care, can help decrease pain and improve functioning. 2, 3 For chronic back pain, spinal manipulative therapy has a modest effect on chronic back pain, with 12 treatments yielding the most favourable results in terms of improving functioning and reducing pain.3
Clinical evidence demonstrates that spinal manipulative therapy, mobilization and clinical massage are the most effective treatments for neck associated disorders (NAD I/II), and are deemed more effective than medication for acute/subacute neck pain in the short and long term. 4, 5
Manual therapy (joint/soft tissue mobilization) in conjunction with stretching and strengthening for patients with plantar fasciitis improved function and sensitivity to pain from 4 to 6 weeks in comparison to other treatments. 6
Chiropractic care, including spinal manipulation therapy, improves migraines and cervicogenic headaches.7
1 Goertz, C., Long, C., Hondras, M., Petri, R., Delgado, R., Lawrence, D., Owens, E., & Meeker, W. (2013). Adding chiropractic manipulative therapy to standard medical care for patients with acute low back pain. Spine, 38(8), 627-634.
2 Paige, N. M., Miake-Lye, I. M., Booth, M. S., Beroes, J. M., Mardian, A. S., Dougherty, P., … & Shekelle, P. G. (2017). Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain: Systematic Review and Meta-analysis. Jama, 317(14), 1451-1460.
3 Haas, M., Vavrek, D., Peterson, D., Polissar, N., & Neradilek, M. B. (2014). Dose-response and efficacy of spinal manipulation for care of chronic low back pain: a randomized controlled trial. The Spine Journal, 14(7), 1106-1116.rr prospective, two-arm randomized control trial (RCT) concluded that chiropractic manipulative therapy in conjunction with standard medical care “offers a significant advantage for decreasing pain and improving physical functioning when compared with only standard care, for men and women between 18 and 35 years of age with acute LBP.”
4 Bronfort, G., Evans, R., Anderson, A. V., Svendsen, K. H., Bracha, Y., & Grimm, R. H. (2012). Spinal Manipulation, Medication, or Home Exercise With Advice for Acute and Subacute Neck Pain A Randomized Trial. Annals of internal medicine, 156(1_Part_1), 1-10.
5 Wong, J. J., Shearer, H. M., Mior, S., Jacobs, C., Côté, P., Randhawa, K., … & van der Velde, G. (2016). Are manual therapies, passive physical modalities, or acupuncture effective for the management of patients with whiplash-associated disorders or neck pain and associated disorders? An update of the Bone and Joint Decade Task Force on Neck Pain and Its Associated Disorders by the OPTIMa collaboration. The Spine Journal, 16(12), 1598-1630.
6 Fraser, J. J., Corbett, R., Donner, C., & Hertel, J. (2017). Does manual therapy improve pain and function in patients with plantar fasciitis? A systematic review. Journal of Manual & Manipulative Therapy, 1-11.
7 Bryans, R., Descarreaux, M., Duranleau, M., Marcoux, H., Potter, B., Reugg, R., White, E., & , (2011). Evidence-based guidelines for the chiropractic treatment of adults with headache. Journal of Manipulative and Physiological Therapeutics, 34(5), 274-289.