Chiropractic
What Is Chiropractic? Here's YOUR Chance for Input
Written by Editor   
Tuesday, November 28, 2017 07:16 AM

The journal Chiropractic and Manual Therapies is calling for a thematic series to help define chiropractic better to stakeholders inside and outside the profession under the theme What is Chiropractic?  They note that while in some jurisdictions chiropractic is fully integrated in public and insurance funded health care systems, in others it is outside and considered as complementary or alternative health care. 

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On-Site Chiropractic Care as an Employee Benefit: A Single-Location Case Study
Written by Editor   
Thursday, November 09, 2017 08:48 AM

The purpose of this report is to describe the role of on-site chiropractic care in one corporate environment.  Absenteeism for the employee–patients was lower than equivalent national figures in this sample of workers. Though these results may or may not be related to the chiropractic care, these findings prompt further investigation into this relationship.

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Patient Expectations of Benefit from Common Interventions for Low Back Pain and Effects on Outcome
Written by Editor   
Tuesday, November 07, 2017 08:12 AM

The findings of this secondary analysis indicate that patients seeking intervention for LBP expect active interventions and manual therapy to significantly help improve their pain more than interventions like traction, rest, surgery, or medication. Additionally, in patients who meet the clinical prediction rule for good prognosis when managed with thrust techniques, treating with thrust techniques is more important than matching treatment to patient expectation.

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First-line Treatment of Chronic Spinal Pain
Written by Editor   
Friday, October 20, 2017 08:06 AM

Spinal manipulation should be considered as a first-line conservative treatment. It is now suggested as the first-line intervention by current research as not a single study examined in a recent systematic review found spinal manipulation less effective than conventional care.

Decades worth of research outcomes suggests that knowledge and guidelines related to both acute and chronic spinal pain are now available to inform practice.  The implementation of evidence-informed care services for persistent spinal pain have emerged along with published recommendations from recent systematic reviews. For example, exercise, tai chi, yoga, mindfulness-based stress reduction and other psychological therapies, spinal manipulation and massage, acupuncture, nonsteroidal anti-inflammatory drugs (NSAIDs; although less effective than previously reported), duloxetine, tramadol and skeletal muscle relaxants (short-term relief only) seem to have a positive role. 

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The Future and Chronic Spinal Pain Management
Written by Editor   
Wednesday, October 11, 2017 07:52 AM

In discussions with patients from pain management groups, consumers (patients) experiencing chronic, persistent spinal pain each have a unique story, their experiences and perceived causes of their pain differed, yet the quality of life in all these consumers was markedly reduced.  This was the only clear similarity.  It confirms that there may be some similarities in the pain experience, but it is often more unique and individual. These consumers’ criticisms of care services were consistent, however, with dissatisfaction with their access to care, overall management of their pain, and noteworthy variations in the treatment they received.

These criticisms are commonplace. The problems associated with care delivery are confounded by a number of patient/consumer factors, such as lifestyle habits, nutrition, body weight, depression, health literacy, geographical isolation and poor socioeconomic conditions, making the management of persistent pain even more complicated.  In the future, matching the care service and treatment with the individual patient will become an essential component of care services.

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