Comparisons

Manual therapy, exercise therapy, or both, in addition to usual care, for osteoarthritis of the hip or knee

In this study, exercise therapy and manual therapy were more cost effective than usual care…

Chronic Spinal Pain: A Randomized Clinical Trial Comparing Medication, Acupuncture, and Spinal Manipulation

Giles, Lynton G. F.; Muller, Reinhold Spine. 28(14):1490-1502, July 15, 2003. Chronic Spinal Pain: A Randomized Clinical Trial Comparing Medication, Acupuncture, and Spinal Manipulation Study Design. A randomized controlled clinical trial was conducted. Study Design. A randomized controlled clinical trial was conducted. Objective. To compare medication, needle acupuncture, and spinal manipulation for managing chronic (>13 […]

Spinal manipulation vs image guided lumbar nerve root injections for lumbar disc herniation

J Manipulative Physiol Ther. 2013 May;36(4):218-25. doi: 10.1016/j.jmpt.2013.04.005. Epub 2013 May 22. Symptomatic magnetic resonance imaging-confirmed lumbar disk herniation patients: a comparative effectiveness prospective observational study of 2 age- and sex-matched cohorts treated with either high-velocity, low-amplitude spinal manipulative therapy or imaging-guided lumbar nerve root injections. Peterson CK, Leemann S, Lechmann M, Pfirrmann CW, Hodler […]

Spinal Manipulation as Effective as Epidural Injections for Lumbar Disc Herniation

Symptomatic magnetic resonance imaging-confirmed lumbar disk herniation patients: a comparative effectiveness prospective observational study of 2 age- and sex-matched cohorts treated with either high-velocity, low-amplitude spinal manipulative therapy or imaging-guided lumbar nerve root injections. Peterson CK, Leemann S, Lechmann M, Pfirrmann CW, Hodler J, Humphreys BK. J Manipulative Physiol Ther. 2013 May;36(4):218-25. doi: 10.1016/j.jmpt.2013.04.005. Epub […]

Early Predictors of Lumbar Spine Surgery After Occupational Back Injury

Results From a Prospective Study of Workers in Washington State Keeney, Benjamin J. PhD Spine: 15 May 2013 – Volume 38 – Issue 11 – p 953–964 doi: 10.1097/BRS.0b013e3182814ed5 Occupational Health/Ergonomics Abstract Study Design. Prospective population-based cohort study. Objective. To identify early predictors of lumbar spine surgery within 3 years after occupational back injury. Summary […]

Symptomatic magnetic resonance imaging-confirmed lumbar disk herniation patients: a comparative effectiveness prospective observational study of 2 age- and sex-matched cohorts treated with either high-velocity, low-amplitude spinal manipulative therapy or imaging-guided lumbar nerve root injections

J Manipulative Physiol Ther. 2013 May;36(4):218-25. doi: 10.1016/j.jmpt.2013.04.005. Epub 2013 May 22. Peterson CK1, Leemann S, Lechmann M, Pfirrmann CW, Hodler J, Humphreys BK. Abstract OBJECTIVES: The purpose of this study was to compare self-reported pain and “improvement” of patients with symptomatic, magnetic resonance imaging-confirmed, lumbar disk herniations treated with either high-velocity, low-amplitude spinal manipulative […]

The Outcomes of Manipulation or Mobilization Therapy Compared with Physical Therapy or Exercise for Neck Pain: A Systematic Review – Full Text

Evid Based Spine Care J. 2013 Apr; 4(1): 30–41. doi: 10.1055/s-0033-1341605 PMCID: PMC3699243 PMID: 24436697 Josh Schroeder Abstract Study Design Systematic review. Study Rationale Neck pain is a prevalent condition. Spinal manipulation and mobilization procedures are becoming an accepted treatment for neck pain. However, data on the effectiveness of these treatments have not been summarized. Objective To compare […]

Chiropractic care helps low back pain in pregnancy more than standard obstetric care

A randomized controlled trial comparing a multimodal intervention and standard obstetrics care for low back and pelvic pain in pregnancy George JW Am J Obstet Gynecol. 2013 Apr;208(4):295.e1-7. doi: 10.1016/j.ajog.2012.10.869. Epub 2012 Oct 23. PubMed Reference Abstract OBJECTIVE: Women commonly experience low back pain during pregnancy. We examined whether a multimodal approach of musculoskeletal and […]

The association of complementary and alternative medicine use and health care expenditures for back and neck problems.

Med Care. 2012 Dec;50(12):1029-36. doi: 10.1097/MLR.0b013e318269e0b2. Martin BI1, Gerkovich MM, Deyo RA, Sherman KJ, Cherkin DC, Lind BK, Goertz CM, Lafferty WE. Abstract BACKGROUND: Health care costs associated with use of complementary and alternative medicine (CAM) by patients with spine problems have not been studied in a national sample. OBJECTIVES: To estimate the total and […]

For Neck Pain, Chiropractic and Exercise Are Better Than Drugs

Seeing a chiropractor and engaging in light exercise relieves neck pain more effectively than relying on pain medication, new research shows.

The Chiropractic Hospital-based Interventions Research Outcomes (CHIRO) study

Spine J. 2010 Dec;10(12):1055-64. doi: 10.1016/j.spinee.2010.08.019. The Chiropractic Hospital-based Interventions Research Outcomes (CHIRO) study: a randomized controlled trial on the effectiveness of clinical practice guidelines in the medical and chiropractic management of patients with acute mechanical low back pain. Bishop PB, Quon JA, Fisher CG, Dvorak MF. Abstract BACKGROUND CONTEXT: Evidence-based clinical practice guidelines (CPGs) […]

Cost of care for common back pain conditions initiated with chiropractic doctor vs medical doctor/doctor of osteopathy as first physician

J Manipulative Physiol Ther. 2010 Nov-Dec;33(9):640-3. doi: 10.1016/j.jmpt.2010.08.018. Epub 2010 Oct 18. Cost of care for common back pain conditions initiated with chiropractic doctor vs medical doctor/doctor of osteopathy as first physician: experience of one Tennessee-based general health insurer. Liliedahl RL1, Finch MD, Axene DV, Goertz CM. Author information Abstract OBJECTIVE: The primary aim of this study was to […]

Exercise Prescription for Chronic Back or Neck Pain: Who Prescribes It? Who Gets It? What Is Prescribed?

Arthritis Care Research News Alerts. 2009;61(2):192-200. Exercise is commonly used to improve physical function, decrease symptoms and minimize disability caused by chronic low back or neck pain. Numerous randomized trials and clinical practice guidelines have supported this practice, and studies suggest that individually tailored, supervised exercise programs are associated with the best outcomes. Nevertheless, there […]

How Safe Is Chiropractic Care?

Angela Kargus J Amer Chiropr Assoc 2006 July;43(5):26-27 Chiropractic is widely recognized as one of the safest drug-free, non-invasive therapies available for the treatment of back pain, neck pain, joint pain of the arms or legs, headaches, and other neuromusculoskeletal complaints. Although chiropractic has an excellent safety record, no health treatment is completely free of potential adverse effects. The […]

Cost-effectiveness of medical and chiropractic care for acute and chronic low back pain

J Manipulative Physiol Ther. 2005 Oct;28(8):555-63. Haas M, Sharma R, Stano M. Abstract OBJECTIVES: To identify relative provider costs, clinical outcomes, and patient satisfaction for the treatment of low back pain (LBP). METHODS: This was a practice-based, nonrandomized, comparative study of patients self-referring to 60 doctors of chiropractic and 111 medical doctors in 51 chiropractic […]

Comparison of human lumbar facet joint capsule strains during simulated HVLA spinal manipulation versus physiological motions

Allyson Ianuzzi, MS The Spine Journal Volume 5, Issue 3, May–June 2005, Pages 277–290 Abstract Background context Spinal manipulation (SM) is an effective treatment for low back pain (LBP), and it has been theorized that SM induces a beneficial neurophysiological effect by stimulating mechanically sensitive neurons in the lumbar facet joint capsule (FJC). Purpose The […]

The efficacy of spinal manipulation, amitriptyline and the combination of both therapies for the prophylaxis of migraine headache

Nelson CF, Bronfort G, Evans R, Boline P, Goldsmith C, Anderson AV. J Manipulative Physiol Ther. 1998 Oct;21(8):511-9. Center for Clinical Studies, Northwestern College of Chiropractic, Bloomington, MN 55431, USA. cnelson@nwchiro.edu BACKGROUND: Migraine headache affects approximately 11 million adults in the United States. Spinal manipulation is a common alternative therapy for headaches, but its efficacy […]

A risk assessment of cervical manipulation vs. NSAIDs for the treatment of neck pain

Dabbs V, Lauretti WJ. J Manipulative Physiol Ther. 1995 Oct;18(8):530-6. Abstract OBJECTIVE: We reviewed the literature to evaluate the risk of serious injury or death resulting from cervical manipulation and to assess the evidence that cervical manipulation is an effective treatment for mechanical neck pain. We also reviewed the literature to assess the risks and […]

A risk assessment of cervical manipulation vs. NSAIDs for the treatment of neck pain

J Manipulative Physiol Ther. 1995 Oct;18(8):530-6. Dabbs V, Lauretti WJ. Abstract OBJECTIVE: We reviewed the literature to evaluate the risk of serious injury or death resulting from cervical manipulation and to assess the evidence that cervical manipulation is an effective treatment for mechanical neck pain. We also reviewed the literature to assess the risks and […]

Randomised comparison of chiropractic and hospital outpatient management for low back pain

BMJ. 1995 Aug 5;311(7001):349-51. Randomised comparison of chiropractic and hospital outpatient management for low back pain: results from extended follow up. Meade TW, Dyer S, Browne W, Frank AO. Abstract OBJECTIVE: To compare the effectiveness over three years of chiropractic and hospital outpatient management for low back pain. DESIGN: Randomised allocation of patients to chiropractic […]