Neck Pain and Cervical Disk Herniation
- A study conducted in 2013 by Cinthia Peterson et.al. showed that patients with MRI confirmed cervical disk herniation (CDH), showed significant improvement at 3 months, after start of treatment. This was particularly true of sub acute and chronic patients. Read the full article.
- A recent systematic review published in 2011 by the Journal of Headache Pain addressed the possibility of alternative effective therapeutic approaches for those patients who do not tolerate migraine medications, either due to side effects or other reason. The authors stated that manual therapies such as chiropractic spinal manipulation, are as effective as various migraine medications, i.e. propranolol and topiramate, in the prophylactic management of migraine. Read the full article.
Low Back Pain
- In 2011, a prospective 1-year study of a neurosurgeon's experience was published in the Surgical Neurology International journal that observed patients been scheduled for spinal surgery based on low back pain alone. It was concluded that 17.5% of spinal surgeries performed in one year were defined 'unnecessary'*. Read the full article, including other neurosurgeons colleagues agreeing and sharing their opinions on the topic.
- In 2010, the National Institute for Health and Clinical Excellence (NICE) published new guidelines for the treatment of persistent non-specific low back pain favoring spinal manipulation as an effective therapeutic modality which should be considered when treating patients with non-specific low back pain. Read the document.
- In 2007, the American College of Physicians and the American Pain Society listed a number of recommendations for the diagnosis and treatment of Low Back Pain. it included the following:
for patients who do not improve with self care options, clinicians should consider the addition of non pharmacologic therapy with proven benefits—for acute low back pain, spinal manipulation; for chronic or sub acute low back pain, intensive interdisciplinary rehabilitation, exercise therapy, acupuncture, massage therapy, spinal manipulation.Read the full article.
- In 2004, European Guidelines for the Management of Chronic Non-specific Low Back Pain (CLBP) were released. They recommend spinal manipulation as an effective conservative treatment. They further state that:
Surgery for non-specific CLBP cannot be recommended unless 2 years of all other recommended conservative treatments — including multidisciplinary approaches with combined programs of cognitive intervention and exercises — have failed. Read the full article.
Additionally, these list a series of NOT RECOMMENDED treatment options, which nowadays, seem to be a fairly common medical advise
- Bed rest
- Epidural corticosteroids
- Intradiscal injections
- Intra-articular (facet) steroid injections
- Local facet nerve blocks
- Trigger point injections
- Botulinum toxin
- Radiofrequency facet denervation
- Intradiscal radiofrequency lesioning
- Intradiscal electrothermal therapy
- Radiofrequency lesioning of the dorsal root ganglion
- Spinal cord stimulation
Common Musculoskeletal Conditions
- Bronfort, et.al. also in 2010, published a worldwide report summarizing the scientific evidence regarding the effectiveness of manual treatment for the management of a variety of musculoskeletal and non-musculoskeletal conditions. They found that chiropractic spinal manipulation is effective in adults for: acute, sub acute and chronic low back pain; migraine and cervicogenic headache; cervicogenic dizziness; manipulation/mobilization is effective for several extremity joint conditions; and thoracic manipulation/mobilization is effective for acute/sub acute neck pain.
Chiropractic, nor any form of spinal manipulation, was found effective for a range of conditions such as temporo-mandibular joint disorders, fibromyalgia, premenstrual syndrome and pneumonia in older adults; and otitis media / enuresis, infantile colic and asthma in children. Read the full report.
* unnecessary - something that happened but it should have not happened.