Functional Wellness Chiropractic Center
BOOK AN APPOINTMENT BY PHONE
CALL: 608-203-9272

7818 Big Sky Drive, Suite 215
Madison, Wisconsin 53719
  • HOME
  • SERVICES
    • FUNCTIONAL MEDICINE
    • NUTRITION
    • CHIROPRACTIC
    • FULL SERVICES
  • ABOUT US
  • STORE
  • RESOURCES
    • FUNCTIONAL NEWS
    • SCIENTIFIC ARTICLES
    • FORMS
  • CONTACT US
INTAKE FORM(PDF)

Usual Medical Care Plus Chiropractic Care vs Usual Medical Care Alone

by Eric / Monday, December 31, 2018 / Published in Scientific Article
military person with hand over heart

Summary

Chiropractic care in conjunction with traditional medical care resulted in improvement of low back pain in active-duty military personnel. Chiropractic care included in resolution of low back pain through multiple disciplines is recommended.

Abstract

Importance: It is critically important to evaluate the effect of nonpharmacological treatments on low back pain and associated disability.

Objective: To determine whether the addition of chiropractic care to usual medical care results in better pain relief and pain-related function when compared with usual medical care alone.

Design, Setting, and Participants: A 3-site pragmatic comparative effectiveness clinical trial using adaptive allocation was conducted from September 28, 2012, to February 13, 2016, at 2 large military medical centers in major metropolitan areas and 1 smaller hospital at a military training site. Eligible participants were active-duty US service members aged 18 to 50 years with low back pain from a musculoskeletal source.

Interventions: The intervention period was 6 weeks. Usual medical care included self-care, medications, physical therapy, and pain clinic referral. Chiropractic care included spinal manipulative therapy in the low back and adjacent regions and additional therapeutic procedures such as rehabilitative exercise, cryotherapy, superficial heat, and other manual therapies.

Main Outcomes and Measures: Coprimary outcomes were low back pain intensity (Numerical Rating Scale; scores ranging from 0 [no low back pain] to 10 [worst possible low back pain]) and disability (Roland Morris Disability Questionnaire; scores ranging from 0-24, with higher scores indicating greater disability) at 6 weeks. Secondary outcomes included perceived improvement, satisfaction (Numerical Rating Scale; scores ranging from 0 [not at all satisfied] to 10 [extremely satisfied]), and medication use. The coprimary outcomes were modeled with linear mixed-effects regression over baseline and weeks 2, 4, 6, and 12.

Results: Of the 806 screened patients who were recruited through either clinician referrals or self-referrals, 750 were enrolled (250 at each site). The mean (SD) participant age was 30.9 (8.7) years, 175 participants (23.3%) were female, and 243 participants (32.4%) were nonwhite. Statistically significant site × time × group interactions were found in all models. Adjusted mean differences in scores at week 6 were statistically significant in favor of usual medical care plus chiropractic care compared with usual medical care alone overall for low back pain intensity (mean difference, −1.1; 95% CI, −1.4 to −0.7), disability (mean difference, −2.2; 95% CI, −3.1 to −1.2), and satisfaction (mean difference, 2.5; 95% CI, 2.1 to 2.8) as well as at each site. Adjusted odd ratios at week 6 were also statistically significant in favor of usual medical care plus chiropractic care overall for perceived improvement (odds ratio = 0.18; 95% CI, 0.13-0.25) and self-reported pain medication use (odds ratio = 0.73; 95% CI, 0.54-0.97). No serious related adverse events were reported.

Conclusions and Relevance: Chiropractic care, when added to usual medical care, resulted in moderate short-term improvements in low back pain intensity and disability in active-duty military personnel. This trial provides additional support for the inclusion of chiropractic care as a component of multidisciplinary health care for low back pain, as currently recommended in existing guidelines. However, study limitations illustrate that further research is needed to understand longer-term outcomes as well as how patient heterogeneity and intervention variations affect patient responses to chiropractic care.

Source:

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2680417

  • Tweet
Tagged under: Chiropractic, Integrative Medicine, Low Back Pain, Nonpharmacological

What you can read next

Drawing Blood for Platelet Rich Plasma
Young Plasma Attenuates Age-Dependent Liver Ischemia Reperfusion Injury.
Man doing yoga on his desk
Power Posing: Brief Nonverbal Displays Affect Neuroendocrine Levels and Risk Tolerance
Stethescope in shape of a heart
Sunlight, Cholesterol and Coronary Heart Disease

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Form may take a few seconds to load - to download directly, click the download link in the bottom left corner.

Loader Loading...
EAD Logo Taking too long?

Reload Reload document
| Open Open in new tab

Download [1.95 MB]

Testimonials

  • "...Our son is a high functioning autistic child with various sensory issues as well. Dr. Eric has helped us find solutions for some of our son's behavior issues through natural supplements and diet control..."

    David Wells

  • "...was told by other chiropractors that I would need to see them 3 times a week for two months to help fix my upper neck pain. I had two appointments with Dr. Eric and I have been pain free ever since..."

    Preslee Steiner

  • "...It's refreshing to have a Chiropractor that is interested in helping me solve my problems instead of getting me back in the office in a few days so they can charge me another fee for 5 minutes of treatment."

    Randy Schmidt

  • "...He [Dr. Eric] is very competent and caring and I feel he is on the cutting edge of wellness and all of its components. I consider myself fortunate to have found him."

    Robert Holmes

  • "...Dr. Johnson was able to address the structural and muscular issues that have contributed to the pain, and with chiropractic adjustments, specific stretches and exercises along with myofascial release therapy by someone recommended by Dr. Johnson, I feel my pain has been reduced by almost 90 percent...."

    Lois Neis

  • "...I felt very comfortable and only saw him 3 times before almost all my pain was gone..."

    Katie Steele

  • "...He really knows what it takes to help feel better and live life to the fullest!"

    Annamaria Bliven

  • "...I was referred to Dr. Eric and after my first visit I had full motion back in my shoulder, after the 2nd visit I had no pain and could throw a golf ball. I highly recommend Dr. Eric..."

    Paul Brooks

  • "...My experience has been nothing short of amazing as I have begun to roll back the effects of 10+ years with a connective tissue autoimmune disorder..."

    Kathleen Harwood

  • "...Just after a few adjustments, I had noticed a huge difference from the way I was feeling. He is truly a caring man and is all about getting the patient better..."

    Lilly Blumer

  • "...He helped me get through a hip injury during my Ironman training and also gave me a list of stretches and exercises to do to prevent it from happening again..."

    Kenny Haferkorn

  • "...I have recommended Dr. Eric to family and friends. I can't thank him enough for his compassion and desire to see that I have the quality of life that I have always wanted."

    Karie Nafzger

Address

7818 Big Sky Dr
Suite 215
Madison, WI 53719

PHONE

608-203-9272

Hours

Monday - Saturday: 9am - 6pm
Other Hours Available by Appointment

Follow Us

© 2019 All rights reserved | Powered by DIGITAL FITNESS | Sitemap |

TOP Cleantalk Pixel