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Duncan Chiropractic Group Newsletter

Chiropractic for Chronic Spinal Pain

Gary Peters, D. C. - March Issue

Latest Research Shows Chiropractic Is The "Only" Care Providing "Broad-Based, Long-Term Benefit"

In 2003, a randomized clinical trial published in the research journal Spine demonstrated that chiropractic manipulation is superior to needle acupuncture and "medication."1,2 The results of a follow-up study were recently released in the Journal of Manipulative and Physiological Therapeutics (JMPT), generating data on patient improvement over one year after care was initially provided.

The Original Study

Initially, the patients were randomly divided into three groups: acupuncture, chiropractic manipulation, and medication. Those in the acupuncture and chiropractic manipulation groups were given "two treatments per week."

The medication group was given one of three drugs, based upon what other drugs they may have already tried. Patients in the medication group were given Celebrex (200-400 mg/day), unless it had previously been tried. The next drug of choice was Vioxx (12.5-25 mg/day), followed by paracetamol (up to 4 g/day).

The results of the 2003 study found that the "highest proportion of early (asymptomatic status) recovery was found for manipulation (27.3%), followed by acupuncture (9.4%) and medication (5%)." The chiropractic manipulation group achieved the best overall results.

The Follow-Up Study

The follow-up study3 reapplied the same measurement instruments to the patients after more than a year. The results of this follow-up study demonstrated that: "Comparisons of initial and extended follow-up questionnaires to assess absolute efficacy showed that only the application of spinal manipulation revealed broad-based, long-term benefit." "Overall, patients who have chronic mechanical spinal pain syndromes and received spinal manipulation gained significant broad-based beneficial short-term and long-term outcomes. In patients with chronic spinal pain syndromes, spinal manipulation, if not contraindicated, may be the only treatment modality of the assessed regimens that provides broad and significant long-term benefit."

References
  1. Giles LGF, Muller R. Chronic spinal pain: a randomized clinical trial comparing medication, acupuncture, and spinal manipulation. Spine 2003;28:1490-1503.
  2. Chiropractic best for chronic spine pain: new research shows manipulation superior to acupuncture, drugs. Dynamic Chiropractic, Sept. 1, 2003: www.chiroweb.com/archives/21/18/18.html.
  3. Muller R, Giles LGF. Long-term follow-up of a randomized clinical trial assessing the efficacy of medication, acupuncture, and spinal manipulation for chronic mechanical spinal pain syndromes. J Manipulative Physiol Ther 2005;28:3-11.