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Summary of Research Supporting Chiropractic Effectiveness
1. Journal of the American Medical Association - Patient Education Article
"Many treatments are available for low back pain. Often exercises and physical therapy can help. Some people benefit from chiropractic therapy or acupuncture. Sometimes medications are needed, including analgesics(painkillers) or medications that reduce inflammation. Surgery is not usually needed but may be considered if other therapies have failed.” (emphasis added)
2. Health Maintenance Care in Work-Related Low Back Pain and Its Association with Disability Recurrence Cifuentes et al J Occup Environ Med 2011 Apr;53(4):396-404. doi:10.1097/JOM.0b013e31820f3863
3. Adding Chiropractic Manipulative Therapy to Standard Medical Care for Patients With Acute Low Back Pain: Results of a Pragmatic Randomized Comparative Effectiveness Study Spine:15 April 2013 - Volume 38 - Issue 8 - p 627–634
4. Early predictors of lumbar spine surgery after occupational back injury: Results from a prospective study of workers in Washington State. Keeney BJ, Fulton-Kehoe D, Turner JA, Wickizer TM, Chan KC, Franklin GM. Spine (Phila Pa 1976). 2012 Dec 12. [Epub ahead of print]
Risk of having surgery of you see a surgeon first: 42.7%
Risk of having surgery if you see a chiropractor first: 1.5%
5. Manipulation or microdiskectomy for sciatica? A prospective randomized clinical study. McMorland et al J Manipulative Physiol Ther 2010;33:576-584
Sixty percent of patients with sciatica who had failed other medical management benefited from spinal manipulation to the same degree as if they underwent surgical intervention. Of 40% left unsatisfied, subsequent surgical intervention confers excellent outcome. Patients with symptomatic LDH failing medical management should consider spinal manipulation followed by surgery if warranted.
6. Dose-response for chiropractic care of chronic low back pain.
Haas M, Groupp E, Kraemer DF.Spine J. 2004 Sep-Oct;4(5):574-83.
7. Chiropractic Care: Is It Substitution Care or Add-on Care in Corporate Medical Plans? Metz et al J. Occupational and Environmental Medicine Vol. 46 No. 8, August 2004
8. Spinal high-velocity low amplitude manipulation in acute nonspecific low back pain: a double-blinded randomized controlled trial in comparison with diclofenac and placebo.
Von Heymann WJ, Schloemer P, Timm J, Muehlbauer B. spine(Phila Pa 1976). 2013 Apr 1;38(7):540-8.
9. Spinal manipulation, medication, or home exercise with advice for acute and subacute neck pain: a randomized trial.
Annals of Internal Medicine 3 January 2012, Vol. 156, No. 1_Part_1 Bronfort et al
10. Effects of Inclusion of a chiropractic Benefit on the Utilization of Health Care Resources in Managed Health Care Plan.
Poster presentation at the World Federation of Chiropractic's Congress, Orlando,
Florida, on May 1-3, 2003.
11. Effects of a managed chiropractic benefit on the use of specific diagnostic and therapeutic procedures in the treatment of low back and neck pain.
J Manipulative Physiol Ther. 2005 Oct; 28(8):564-9