Science In Brief

Chiropractic Literature Review

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The Study: Characteristics of Chiropractic Patients Being Treated for Chronic Low Back and Neck Pain

The Facts:

a. The authors looked at patients with chronic neck pain (CNP) and chronic low back pain (CLBP).

b. They looked at 6342 patients from 125 US clinics.

c. A typical patient (with CLBP and/or CNP) was a highly educated female had “been in pain and using chiropractic care for years.”

d. Over 90% of patients reported “high satisfaction with their care”.

e. CNP and CLBP are the most common types of chronic pain.

f. The authors noted that about 30% of the people who have suffered from spinal pain have used chiropractic care.

g. There was a large overlap of patients with both CNP and CLBP.

h. “This group has low use of narcotics and other pain medications and most rate avoiding surgery as the most important reason for choosing chiropractic care.”

Take Home:

Subjects with chronic neck pain and/or chronic low back pain tended to have a high satisfaction rate and demonstrated a low use of pain medications.

Reviewer's Comments:

This is an interesting study and you should read the entire text to get its full flavor. I want to focus on one part of the study. These patients tended to have a low use of narcotics. Since we have a real problem with addiction why wouldn’t the medical profession encourage patients with these types of problems to seek chiropractic care prior to prescribing narcotics? Why wouldn’t insurance companies urge physicians to seek a chiropractic consult prior to receiving a narcotics prescription? Why wouldn’t legislators urge medical providers and chiropractic physicians to work together to help avoid narcotics use? As I always say, “Science should be lived not just learned.” Please forward this to everyone you know and ask them to send it on. You might save a life.

Reviewer:  Roger Coleman DC

 

Editor: Mark R. Payne DC

 

Reference: Herman PM, Kommareddi M, Sorbero ME et al. Characteristics of Chiropractic Patients Being Treated for Chronic Low Back and Neck Pain. J Manipulative Physiol Ther. 2018 Jul - Aug;41(6):445-455. doi: 10.1016/j.jmpt.2018.02.001. Epub 2018 Aug 16.

 

Link to Abstract: https://www.ncbi.nlm.nih.gov/pubmed/30121129

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