Research Update
Written by Craig Benton, DC   
Thursday, July 10, 2014 09:09 PM

This is from the New England Journal of Medicine.  Basically it states the steroid injections for lumbar spine stenosis did no better than a lidocaine injection.  ESI have shown to be effective with nerve root inflammation and with stenosis there is not a lot of inflamation but more likely fibrosis and scar tissue.

http://www.nejm.org/doi/full/10.1056/NEJMoa1313265

This one is a systematic review the highest evidence research available.  They took all the studies they could find and then evaluated them for the level of evidence of that particular manual procedure.  This is a really great study for DCs because it shows a moderate to strong level of evidence for the treatment of acute, subacute, and chronic lower back pain.  There are very few therapies that will get strong level of evidence for back pain.

http://www.ncbi.nlm.nih.gov/pubmed/24976749

Once again another study showing that chiropractic spinal manipulation is more cost effective than other treatments for musculoskeletal conditions.

http://www.ncbi.nlm.nih.gov/pubmed/24986566

Another study showing the dangers of opioid therapy for chronic pain.  There seems to be several different reasons that patients overdose on opioid medication.  The study goes on to state that much more research needs to be done in this area.

http://www.ncbi.nlm.nih.gov/pubmed?cmd=historysearch&querykey=5

This is from the University of North Texas using 6 osteopathic manipulations for chronic lower back pain treatment compared to a sham adjustment.  Majority of patients received relief in 4 weeks.

It seems that depression was a contributing factor to relapse of pain.

http://www.manualtherapyjournal.com/article/S1356-689X(14)00114-3/fulltext#sec4