Chiropractic

Chiropractic Care Reduces Opioid Prescriptions for Lower Back Pain by 68 Percent: Study

Recent research highlights how spinal adjustments can significantly reduce dependency on pain medication such as the often prescribed Tramadol. By Sheramy Tsai 6/6/2024 Updated: 6/30/2024 Could spinal adjustments replace pain pills? Recent research suggests that chiropractic adjustments can significantly alleviate lower back pain and reduce the need for tramadol, offering a nondrug option for managing […]

Chiropractic Care And Falls Prevention In Older People

Story at-a-glance This Randomized Controlled Trial showed that chiropractic can help improve function in older people, with a possible impact on their overall health and quality of life. We should encourage older adults to get checked! There was a really big improvement in one of the measures as a result of more than 4 weeks […]

Spinal Manipulation: What You Need To Know

What is spinal manipulation? Spinal manipulation is a technique where practitioners use their hands or a device to apply a controlled thrust to a joint of your spine. The amount of force can vary, but the thrust moves the joint more than it would on its own. Spinal manipulation is different from spinal mobilization, which doesn’t […]

Chiropractic spinal manipulation and likelihood of tramadol prescription in adults with radicular low back pain: a retrospective cohort study using US data

BMJ Open. 2024 May 1;14(5):e078105. doi: 10.1136/bmjopen-2023-078105. Robert James Trager PMID: 38692725 DOI: 10.1136/bmjopen-2023-078105 Abstract Objectives: Patients receiving chiropractic spinal manipulation (CSM) for low back pain (LBP) are less likely to receive any opioid prescription for subsequent pain management. However, the likelihood of specifically being prescribed tramadol, a less potent opioid, has not been explored. […]

Spinal Curvatures — Visceral Disturbances in Relation Thereto*

Cal West Med. 1933 Jun; 38(6): 423–428. PMCID: PMC1658652 PMID: 18742538 Neville T. Ussher Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.7M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected […]

Skinny-Leg Runners Face Higher Rates of Knee Arthritis

— Questions about risks from weight-bearing activities may now be settled by John Gever, Contributing Writer, MedPage Today April 30, 2024 Researchers have long wondered whether activities that put weight stress on the knees, such as walking, running, or ball games, raise risks for osteoarthritis (OA) of the knee. Now a lengthy prospective study provides […]

Internal carotid artery pseudoaneurysm after neck manipulation in a patient with Eagle syndrome

Clin Case Rep. 2024 Apr 29;12(5):e8814. doi: 10.1002/ccr3.8814. eCollection 2024 May. Ahmed Gamal Sayed 1, Hesham Aboloyoun 2, Yasmine Saad Makarem 3, Ashraf Elnaggar 2 PMID: 38686021 PMCID: PMC11056785 DOI: 10.1002/ccr3.8814 Abstract Key clinical message: Contraindications of spinal manipulative therapy (SMT) have been proposed, which mandate rigorous control for its safe practice when manipulating the […]

Dosage of joint mobilization for the management of patients with rotator cuff-related shoulder pain: A scoping review

Musculoskeletal Science and Practice Volume 70, April 2024, 102903 Sizhong Wang Highlights • Passive joint mobilization dosage tested by previous studies was heterogeneous. • Mobilization with movement dosage tested by previous studies was homogeneous. • The rationale for selecting dosage of joint mobilization in previous studies were unclear. Abstract Background Evidence supporting type and dosage […]

Cervical manipulation versus thoracic or cervicothoracic manipulations for the management of neck pain. A systematic review and meta-analysis

Musculoskelet Sci Pract. 2024 Mar 11:71:102927. doi: 10.1016/j.msksp.2024.102927. Online ahead of print. Andoni Carrasco-Uribarren PMID: 38492291 DOI: 10.1016/j.msksp.2024.102927 Abstract Background: Cervical and thoracic thrust or non-thrust manipulations have shown to be effective in patients with neck pain, but there is a lack of studies comparing both interventions in patients with neck pain. Objective: To investigate […]

Cost of chiropractic versus medical management of adults with spine-related musculoskeletal pain: a systematic review

Chiropractic & Manual Therapies Published: 06 March 2024 Ronald Farabaugh Abstract Background The cost of spine-related pain in the United States is estimated at $134.5 billion. Spinal pain patients have multiple options when choosing healthcare providers, resulting in variable costs. Escalation of costs occurs when downstream costs are added to episode costs of care. The […]

Chronic Low Back Pain in Adults: Evaluation and Management

Am Fam Physician. 2024 Mar;109(3):233-244. Chronic Low Back Pain in Adults: Evaluation and Management Donald Clinton Maharty PMID: 38574213 Abstract Chronic low back pain, defined as lumbar pain persisting for 12 weeks or more, occurs in about 13% of U.S. adults. Patients with chronic low back pain should have a history and physical examination to […]

Dosing of lumbar spinal manipulative therapy and its association with escalated spine care: A cohort study of insurance claims

PLoS One. 2024 Jan 5;19(1):e0283252. doi: 10.1371/journal.pone.0283252. eCollection 2024. Brian R Anderson 1, James M Whedon 2, Patricia M Herman 3 PMID: 38181030 PMCID: PMC10769084 DOI: 10.1371/journal.pone.0283252 Abstract Objective: The objective of this study was to evaluate the relationship between three distinct spinal manipulative therapy dose groups and escalated spine care by analyzing insurance claims […]

Effects of Cervical Mobilization on Balance and Gait Parameters in Individuals With Stroke: A Randomized Controlled Trial

Percept Mot Skills. 2024 Jan 3:315125231226039. doi: 10.1177/00315125231226039. Online ahead of print. Aziz Dengiz Abstract Stroke is a significant health problem that may result in long-term functional deficits. Balance and walking problems are among the most common post-stroke deficits, and they may negatively affect quality of life. Our aim in this study was to investigate […]

Spinal manipulation and electrical dry needling as an adjunct to conventional physical therapy in patients with lumbar spinal stenosis: a multi-center randomized clinical trial

Spine J. 2023 Dec 14:S1529-9430(23)03563-5. doi: 10.1016/j.spinee.2023.12.002. Online ahead of print. Ian Young Abstract Background context: Nonoperative management of lumbar spinal stenosis (LSS) includes activity modification, medication, injections, and physical therapy. Conventional physical therapy includes a multimodal approach of exercise, manual therapy, and electro-thermal modalities. There is a paucity of evidence supporting the use of […]

Management of chronic pain associated with temporomandibular disorders: a clinical practice guideline

BMJ. 2023 Dec 15:383:e076227. doi: 10.1136/bmj-2023-076227. Jason W Busse Abstract Clinical question: What is the comparative effectiveness of available therapies for chronic pain associated with temporomandibular disorders (TMD)? Current practice: TMD are the second most common musculoskeletal chronic pain disorder after low back pain, affecting 6-9% of adults globally. TMD are associated with pain affecting […]

Spinal manipulation combined with exercise therapy could be more effective than exercise therapy alone for shoulder pain and disability: A systematic review and meta-analysis

International Journal of Osteopathic Medicine Volume 50, December 2023, 100688 International Journal of Osteopathic Medicine Francisco Fleury Uchoa Santos-Júnior Highlights • For pain intensity, spinal manipulation combined with shoulder exercises may be beneficial in two to six weeks. • The association of spinal manipulation and shoulder exercises could also improve disability within 6 weeks of […]

Comparison of Manual Therapy Technique to Therapeutic Exercise in the Treatment of Patients With Subacromial Impingement Syndrome: A Randomized Clinical Trial

Journal of Manipulative & Physiological Therapeutics Zeynab Azin, MSc Fahimeh Kamali, PhD Nasrin Salehi Dehno, PhD Sara Abolahrari-Shirazi, PhD Published: September 29, 2023DOI:https://doi.org/10.1016/j.jmpt.2023.06.002 Abstract Objective The purpose of this study was to compare the effects of manual therapy to therapeutic exercise on shoulder pain, disability, and range of motion (ROM) in patients with subacromial impingement […]

Benefits and harms of Spinal Manipulative Therapy for treating recent and persistent nonspecific neck pain: a systematic review with meta-analysis

Journal of Orthopaedic & Sports Physical Therapy Published Online: August 10, 2023Volume0IssuejaPages1-53 https://www.jospt.org/doi/10.2519/jospt.2023.11708 Abstract OBJECTIVE: To estimate the benefits and harms of cervical spinal manipulative therapy (SMT) for treating neck pain. DESIGN: Intervention systematic review with meta-analysis of randomized controlled trials (RCTs). LITERATURE SEARCH: We searched the MEDLINE, Cochrane CENTRAL, EMBASE, CINAHL, PEDro, Chiropractic Literature […]

Spinal Manipulative Therapy for Non-Specific Low Back Pain – Does Targeting a Specific Vertebral Level Make a Difference?: A Systematic Review With Meta-Analysis

Journal of Orthopaedic & Sports Physical TherapyPublished Online: July 28, 2023 AbstractOBJECTIVE: To examine whether targeting spinal manipulative therapy (SMT), by applying the intervention to a specific vertebral level, produces superior clinical outcomes than a non-targeted approach in patients with non-specific low back pain. DESIGN: Systematic review with meta-analysis. LITERATURE SEARCH: MEDLINE, EMBASE, CENTRAL, CINAHL, […]

A systematic review and meta-analysis of randomized controlled trials of manipulative therapy for patients with chronic neck pain

Complementary Therapies in Clinical Practice Volume 52, August 2023, 101751 Zhen Liu Abstract Background An increasing number of people suffer from chronic neck pain due to increased telecommuting. Manual therapy is considered a safe and less painful method and has been increasingly used to alleviate chronic neck pain. However, there is controversy about the effectiveness […]