Chiropractic Care Reduces Radicular Back Pain- by The Evidence Based Chiropractor

Earlier today MedPage Today released an article which highlighted a piece of new research from the Annals of Internal Medicine.  This research showed that chiropractic care (with exercise and advice) reduced back-related leg pain (radicular pain) more than exercise and advice alone at 12 weeks.  At 1 year the patients experienced more global improvement, higher satisfaction, and lower medication use.  

According to the report from MedPage, "Prior to this study, SMT was considered a viable treatment option of what is known as 'uncomplicated low back pain,' which is low back pain without radiating pain to the leg," authors Bronfort and Roni Evans, DC, PhD, at the University of Minnesota in Minneapolis, wrote in an email toMedPage Today.

"This study shows that for patients without progressive neurological deficits and serious identifiable causes (e.g., spinal fracture, etc.) SMT, coupled with home exercise and advice, may be helpful, and should be considered," they added."

The Evidence Based Chiropractor will be fast-tracking this research study to be included in an upcoming Monthly MD Research Brief. 

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-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world.  Our 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.

Spine Fusion For Low Back Pain Remains Controversial- by The Evidence Based Chiropractor

"Overall, limited evidence suggests that spinal fusion compared with physical therapy improves pain and function for adults undergoing fusion for low back pain due to disc degeneration.  The evidence was insufficient to draw evidence-based conclusions for the benefits and harms of spinal fusion for patients with degenerative stenosis." - John Bartleson, MD

This quote was taken from a talk at the American Academy of Neurology Annual Meeting in late April 2014 in Philadelphia.  Later, he cited a 10% - 20% complication rate in the surgical candidates for these surgeries.  It is important to note that he links low back pain with degenerative stenosis and does not singularly identify the claudication associated stenosis.  Research regarding chiropractic flexion-distraction and stenosis has proven to be fruitful, however, many MD's are still unaware at how much of an impact flexion-distraction technique can have on patients suffering from stenosis. Additionally,  I have no seen a chiropractic complication rate (for flexion-distraction) even approach 1%; which is far superior for a surgical complication rate of 10 -20%.  

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-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world.  Our 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.

Adjacent Segment Disease Stands at 15% for Lumbar Fusion- by The Evidence Based Chiropractor

New research from SPINE shows a 15% cumulative adjacent segment disease rate for patients undergoing posterior lumbar spinal fusions.  Adjacent segment disease is the accelerated degenerative patter often found in the "healthy" vertebrae either above or below a fusion site.   This process and diagnosis can often lead to more surgery. 

Fusions which have an "anchor" site at L5-S1 (the lowest segments of the low back) tend to have slightly less adjacent segment disease than "floating" fusions without the anchor site.  Also, it is important to note that they found over 40% of patients experienced continued or recurrent back pain, and over 28% experienced continued or recurrent radiculopathy.  These are just a few reasons why it is imperative to exhaust every conservative care option prior to surgical intervention.  

J Neurosurg Spine. 2014; doi: 10.3171/2013.12.SPINE13789

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-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world.  Our 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.

SPINE JOURNAL regarding chiropractic, "a statistically and clinically significant benefit..."

In 2013, SPINE Journal produced the research article, "Adding Chiropractic Manipulative Therapy to Standard Medical Care for Patients with Acute Low Back Pain: The Results of a Pragmatic Randomized Comparative Effectiveness Study."  

In it, the authors came to the following conclusions-

“The results of this trial suggest that Chiropractic Manipulative Therapy in conjunction with standard medial care offer a significant advantage for decreasing pain and improving physical functioning when compared to standard care alone, for men and women between the ages of 18-35 with acute low back pain.”

“There was a statistically and clinically significant benefit to those patients receiving chiropractic manipulative treatment...”

“The majority of systematic reviews find that chiropractic manipulative therapy appears to reduce pain and disability at least moderately for many low back pain patients.”

“73% of participants in the SMC plus CMT group rated their global improvement as pain completely gone, much better, or moderately better, compared with 17% in the SMC group.” 

This is further proof that working together and promoting multidisciplinary care will yield superior outcomes for our patients.  

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-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world.  Our 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.

Chiropractic Care of Muscle Relaxers?

Muscle relaxers for back pain?

A great randomized controlled trial comparing chiropractic to muscle relaxants for low back pain. "Statistically, the chiropractic group responded significantly better.."

http://www.ncbi.nlm.nih.gov/pubmed/?term=a+randomized+clinical+trial+comparing+chiropractic+adjustments+to+muscle+relaxants