Ongoing Spinal Manipulative Care Shown To Be More Beneficial Than Short Course Of Treatment.
It has long been a subject of hot debate between the medical profession and Chiropractors about the efficacy of longer term patient management programs. In a medico-socioeconomic model it has long been thought by the majority of the medical profession researchers that continual care for musculo-skeletal problems is not effective and that ongoing care is based purely on an economic basis for the benefit of the Chiropractor and not the patient.
This has on occasion put the professions at loggerheads when looking at care. It is important when considering this to question what is health?
Are The Chiropractors Right?
Well very recently a study was released pre publication in the prestigious journal spine that seems to confirm the until now unproven view of Chiropractors and for that matter many Osteopaths and a good proportion of Physiotherapists.
The study looked at populations that received sham treatment as a control group, manipulation for a short period and ongoing manipulative care for another population. This is an important study when you consider the facts about low back pain.
The Facts of Life For Back Pain or An Avoidable Situation?
About 85% of LBP patients who seek treatment do so for non-specific pain of a mechanical origin. The condition is known for its lack of an underlying pathology and is considered chronic when it has been present for at least 12 weeks. Most of the healthcare and socioeconomic costs in LBP patients are attributable to the chronic form – roughly 10% of patients end up in this category.
Several reviews have shown spinal manipulation (SM) to be effective in patients with acute non-specific LBP and a few studies have indicated that SM is probably effective in patients with chronic LBP. However, the majority of studies have only looked at the effects of SM for LBP over the short-term and none have considered maintenance care as a way to prevent flare-ups or reoccurrences of the condition.
The purpose of this study was two-fold:
To investigate the effectiveness of spinal manipulation therapy (SMT) for the management of chronic non-specific LBP; and
to determine whether maintenance SMT is effective in reducing pain and disability levels associated with chronic LBP over an extended period of time following an initial phase of treatment.
After the first phase of treatment was completed, patients in both of the SMT groups reported significantly lower pain and disability scores than the control group.
Following the second phase of treatment (i.e. after 10 months), patients who received maintained SMT had significantly lower pain and disability scores than patients in the no maintained SMT group. Although the outcome measures scores for these groups were close to being equal after the first phase of treatment, the scores of the no maintained SMT group gradually returned to nearly pre-treatment levels by the end of the second phase.
Spinal mobility, and patient’s global assessment scores all improved for the SMT groups significantly more than the placebo group. Similar to the treatment response reflected by the pain and disability scores, the spinal mobility, and patient’s global assessment scores also showed greater improvement in the maintained SMT group as compared to the no maintained SMT group at the end of 10 weeks.
Some adverse effects were reported that mostly involved local discomfort and ‘tiredness’, although no serious complications were reported. The adverse effects were mostly transient, occurring within 24 hours after treatment, and were of mild to moderate severity.
The studies authors concluded that “This study showed that chronic LBP patients who received maintenance care over a 10-month period of time following their initial treatment had better results regarding post-treatment pain and disability levels than patients who stopped treatment after 1 month of care. The maintenance care patients also had improved lumbar mobility and better perceptions of their general health than their no maintenance counterparts.”
This study used MD’s and not Chiropractors, considering the vast difference in training and skills of manipulation, it might be even more effective with Chiropractors, this is an area for further study. It also did not combine active rehabilitation exercises. It is widely accepted that the combination of Spinal manipulation and Rehabilitation is more effective that either alone.
What Should You Do In The Light Of This?
Well it has always been my view that true health comes from good function, NOT an absence of symptoms. If you want to have good musculo-skeletal health and stay active and painfree you need to think carefully about having regular manipulative therapy from a professional, combined with a good diet and specific rehabilitation exercises. That way you will be more likely to reach retirement in good form, painfree, active and healthier than you would otherwise be.
Don’t accept pain as a consequence of age, never accept the words “it’s arthritis you’ve got to live with it”. Do something about it, take control of your problem, your health.
This important study is the first step on hopefully many more studies that will confirm the obvious. If you don’t function correctly, you will have more pain and poorer health.
Your health is the most important thing you have, you’re only here once, live life.
All the best.
Steve Oldale BSc, DC
_____________________________________________________________________
Information that we provide to you below,which include (1) back pain and ways to treat back pain (2) Physical therapy for back pain (3) information on senior doctors to treat back pain (4) and various treatments for back pain .therapy for back pain (5) The causes of back pain Tutorials (6) lower back pain pain upper back pain .center of the back .Information we come out of specialists and .senior doctors and prime locations .specialized in the treatment of back pain Put General Information and not any copyrights and mention source on other sites .But all these topics to sing about consulting a doctor continued Disclaimer
All content within (Back pain) Health is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. The (Back pain) is not responsible or liable for any diagnosis made by a user based on the content of the (Back pain) Health website. The (Back pain) is not liable for the contents of any external internet sites listed, nor does it endorse any commercial product or service mentioned or advised on any of the sites.Always consult your own GP if you're in any way concerned about your health.
_______________________________________________________________________________
It has long been a subject of hot debate between the medical profession and Chiropractors about the efficacy of longer term patient management programs. In a medico-socioeconomic model it has long been thought by the majority of the medical profession researchers that continual care for musculo-skeletal problems is not effective and that ongoing care is based purely on an economic basis for the benefit of the Chiropractor and not the patient.
This has on occasion put the professions at loggerheads when looking at care. It is important when considering this to question what is health?
Are The Chiropractors Right?
Well very recently a study was released pre publication in the prestigious journal spine that seems to confirm the until now unproven view of Chiropractors and for that matter many Osteopaths and a good proportion of Physiotherapists.
The study looked at populations that received sham treatment as a control group, manipulation for a short period and ongoing manipulative care for another population. This is an important study when you consider the facts about low back pain.
The Facts of Life For Back Pain or An Avoidable Situation?
About 85% of LBP patients who seek treatment do so for non-specific pain of a mechanical origin. The condition is known for its lack of an underlying pathology and is considered chronic when it has been present for at least 12 weeks. Most of the healthcare and socioeconomic costs in LBP patients are attributable to the chronic form – roughly 10% of patients end up in this category.
Several reviews have shown spinal manipulation (SM) to be effective in patients with acute non-specific LBP and a few studies have indicated that SM is probably effective in patients with chronic LBP. However, the majority of studies have only looked at the effects of SM for LBP over the short-term and none have considered maintenance care as a way to prevent flare-ups or reoccurrences of the condition.
The purpose of this study was two-fold:
To investigate the effectiveness of spinal manipulation therapy (SMT) for the management of chronic non-specific LBP; and
to determine whether maintenance SMT is effective in reducing pain and disability levels associated with chronic LBP over an extended period of time following an initial phase of treatment.
After the first phase of treatment was completed, patients in both of the SMT groups reported significantly lower pain and disability scores than the control group.
Following the second phase of treatment (i.e. after 10 months), patients who received maintained SMT had significantly lower pain and disability scores than patients in the no maintained SMT group. Although the outcome measures scores for these groups were close to being equal after the first phase of treatment, the scores of the no maintained SMT group gradually returned to nearly pre-treatment levels by the end of the second phase.
Spinal mobility, and patient’s global assessment scores all improved for the SMT groups significantly more than the placebo group. Similar to the treatment response reflected by the pain and disability scores, the spinal mobility, and patient’s global assessment scores also showed greater improvement in the maintained SMT group as compared to the no maintained SMT group at the end of 10 weeks.
Some adverse effects were reported that mostly involved local discomfort and ‘tiredness’, although no serious complications were reported. The adverse effects were mostly transient, occurring within 24 hours after treatment, and were of mild to moderate severity.
The studies authors concluded that “This study showed that chronic LBP patients who received maintenance care over a 10-month period of time following their initial treatment had better results regarding post-treatment pain and disability levels than patients who stopped treatment after 1 month of care. The maintenance care patients also had improved lumbar mobility and better perceptions of their general health than their no maintenance counterparts.”
This study used MD’s and not Chiropractors, considering the vast difference in training and skills of manipulation, it might be even more effective with Chiropractors, this is an area for further study. It also did not combine active rehabilitation exercises. It is widely accepted that the combination of Spinal manipulation and Rehabilitation is more effective that either alone.
What Should You Do In The Light Of This?
Well it has always been my view that true health comes from good function, NOT an absence of symptoms. If you want to have good musculo-skeletal health and stay active and painfree you need to think carefully about having regular manipulative therapy from a professional, combined with a good diet and specific rehabilitation exercises. That way you will be more likely to reach retirement in good form, painfree, active and healthier than you would otherwise be.
Don’t accept pain as a consequence of age, never accept the words “it’s arthritis you’ve got to live with it”. Do something about it, take control of your problem, your health.
This important study is the first step on hopefully many more studies that will confirm the obvious. If you don’t function correctly, you will have more pain and poorer health.
Your health is the most important thing you have, you’re only here once, live life.
All the best.
Steve Oldale BSc, DC
_____________________________________________________________________
Information that we provide to you below,which include (1) back pain and ways to treat back pain (2) Physical therapy for back pain (3) information on senior doctors to treat back pain (4) and various treatments for back pain .therapy for back pain (5) The causes of back pain Tutorials (6) lower back pain pain upper back pain .center of the back .Information we come out of specialists and .senior doctors and prime locations .specialized in the treatment of back pain Put General Information and not any copyrights and mention source on other sites .But all these topics to sing about consulting a doctor continued Disclaimer
All content within (Back pain) Health is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. The (Back pain) is not responsible or liable for any diagnosis made by a user based on the content of the (Back pain) Health website. The (Back pain) is not liable for the contents of any external internet sites listed, nor does it endorse any commercial product or service mentioned or advised on any of the sites.Always consult your own GP if you're in any way concerned about your health.
_______________________________________________________________________________
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