Spinal Manipulation Performs Better than NSAID's for Low Back Pain

In April 2013, SPINE Journal found that spinal manipulation outperforms NSAID's when treating low back pain.  

Even with this research being produced many medical doctors are still prescribing medications instead of making the appropriate referrals.  It is our job to make sure they know about this research.

Interested in more? See the Top 10 Chiropractic Research articles by clicking here.

See the SPINE article here.

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-The Evidence Based Chiropractor is the fastest growing chiropractic outreach group in the profession.  The service is dedicated to increasing chiropractic utilization by showcasing research.  Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals.  Join us.  Lets grow chiropractic together.

Decreasing Intradiscal Pressure in the Cervical and Lumbar Spine through Chiropractic- by The Evidence Based Chiropractor

Traction, as a treatment, has been used for centuries in an attempt to relieve radiculopathy and pain.  Seated, standing, supine, mechanical, manual; there are a vast variety of options when performing traction on a vertebral region.

Nearly every primary care physician and orthopedist refer daily to physical therapy for some form of traction.  They refer for traction because they are attempting to decrease intradiscal pressure.  What many of them don't know is that a chiropractic technique called flexion/distraction is a far superior treatment choice.  It is our responsibility, as chiropractors, to promote and emphasize the effectiveness and safety of this treatment.  

Over 65% of chiropractors report using flexion/distraction in their practice.  Research studies have proven that flexion/distraction of the cervical and lumbar spine decreases intradiscal pressure with clinical significance.  Decreased intradiscal pressure is thought to improve tissue flow gradients, alter nociception, and allow retraction of prolapsed disc material.  We have randomized controlled trials (RCT) which have demonstrated the effectiveness of flexion/distraction for treating radiculopathy.  Additionally, the traction which many physical therapists use is void of any localizing effect!  Essentially, a little bit of the force/traction is applied everywhere; whereas with chiropractic flexion/distraction, we are able to focus at individual vertebral levels with much greater specificity.  

The Evidence Based Chiropractor's February 2014 MD Research Brief is going to focus on a piece of research supports the specificity and effectiveness of chiropractic flexion/distraction.

Intradiscal Pressure Changes During Manual Cervical Distraction: A Cadaveric Study.  Evidence Based Complementary and Alternative Medicine. Volume 2013, Article ID 954134

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Why Do Americans Spend So Much on Pharmaceuticals? by The Evidence Based Chiropractor

PBS recently released a fantastic article on why Americans spend so much on pharmaceuticals.  We, as a nation, make up over 30% of the worldwide market for drugs.  Also, we pay twice as much for the same drugs as many European countries.  Their governments regulate the price of the drug in accordance with its therapeutic benefit.  In the US, the pharmaceutical companies are essentially able to set their own prices.  Additionally, they estimate drug use to RISE as the Affordable Care Act covers the cost of additional prescriptions.  

A substantial amount of these drugs are prescribed for pain.  We, as a profession, must position and place ourselves as the primary conservative care option for those patients suffering from musculoskeletal complaints.  There is no doubt that chiropractic has benefits beyond simply treating "back pain", but we need to start with the primary reasons patients approach our offices.

http://www.pbs.org/newshour/updates/americans-spend-much-pharmaceuticals/

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-The Evidence Based Chiropractor is the fastest growing chiropractic outreach group in the profession.  The service is dedicated to increasing chiropractic utilization by showcasing research.  Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals.  Join us.  Lets grow chiropractic together.

Is Chiropractic Care for Neck Pain Safe? by The Evidence Based Chiropractor

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An on-going topic of discussion, political posturing, and research is the safety of cervical spine manipulation.  Throughout the years this has been a hot button issue filled with pseudo-science, myth, and exaggeration. 

One of the most thorough research articles relating to the safety of cervical spine manipulation came from the esteemed SPINE Journal in 2007.  It obtained data from over 50,000 cervical spine manipulations and showed NO SERIOUS ADVERSE events for up to 7 days post-treatment.  

They found that "the risk of a serious adverse event, immediately or up to 7 days after treatment, was low to very low".  Additionally, they stated "risk rates described in this study compare favorably to those linked to drugs routinely prescribed for musculoskeletal conditions in general practice".  

In essence, they concluded that cervical spine manipulation is at least, if not more, safe than the medication you would receive from your primary care physician for neck pain.  

- Safety of Chiropractic Manipulation of the Cervical Spine.  SPINE Volume 32, Number 21, pp 2375-2378 @2007 

Interested in more?  See the Top 10 Chiropractic Research Articles which every chiropractor should know about HERE.

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-The Evidence Based Chiropractor is the fastest growing chiropractic outreach group in the profession.  The service is dedicated to increasing chiropractic utilization by showcasing research.  Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals.  Join us.  Lets grow chiropractic together.

Back Pain and Narcotics - The Evidence Based Chiropractor

“A recent meta-analysis revealed that narcotics provide little to no benefit in acute back pain, they have no proved efficacy in chronic back pain, and 43% of patients have concurrent substance abuse disorders, with aberrant medication-taking disorders as high as 24% of cases of chronic back pain.” - Martel et al. 2007

So why are so many medications still prescribed for acute back pain?  Well, the truth is that primary care physicians have a limited skill set to deal with musculoskeletal complaints.  Add to this the constant marketing by pharmaceutical companies and the desire to "help" the patient through the acute pain; and you start to see the formula for ill advised treatment.

Evidence based management guidelines continue to support the use of chiropractic care for these patients.  However, the impetus is on us, as chiropractors, to get out and let our local physicians know about the research.  

Martell BA, O’Connor PG, Kerns RD, et al. Systematic review: opioid treatment for chronic back pain: prevalence, efficacy, and association with addiction. Ann Intern Med. 2007;146(2):116-127

-The Evidence Based Chiropractor is the fastest growing chiropractic outreach group in the profession.  The service is dedicated to increasing chiropractic utilization by showcasing research.  Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals.  Join us.  Lets grow chiropractic together