Researchers keep studying spinal manipulation
to more fully describe its contributions to pain
relief for sufferers with back pain, related leg pain, and neurological symptoms
that disrupt quality of life. Spinal manipulation (SM) eases
back pain (acute, chronic), back-related leg pain, quality of life,
neurological symptoms, and disability for sufferers. That’s a
sentence full of potential which has research
support behind its claims. Chiropractic Care personalizes
a chiropractic treatment plan incorporating spinal manipulation oftentimes
the gentle type of Cox® Technic flexion distraction decompression for
our West Palm Beach chiropractic patients after performing a detailed
examination. West Palm Beach pain relief is possible.
Spinal pain patients as well as patients experiencing
neurological disorders like stroke have neurological symptoms that respond
to spinal manipulation. Suffering with neurological symptoms impacts worldwide disability statistics and
personal well-being and quality of life. A narrative review explained
that most studies reported how spinal
manipulation decreased spinal pain, may increase
strength in asymptomatic people, and reportedly altered
spasticity, muscle stiffness, motor function, autonomic function, and balance problems.
Of course, a call for more studies to support
these findings was made. But the beneficial impact of spinal manipulation
on the quality of life for spine pain sufferers, those with balance issues, and
those with cerebral palsy were noted. (1) Such relief logically
influences back pain treatment guidelines that your West Palm Beach chiropractor consults to optimize
your clinical back pain relief.
CLINICAL GUIDELINES FOR BACK PAIN
Researchers search the published
research papers to find the ones with reliability, coherence, etc.
A recent guideline for the treatment of low back pain concluded
that including spinal manipulation in the care
of acute low back pain, chronic low back pain and chronic back-related leg pain
was effective as part of a multimodal approach.
Advice, reassurance, education, self-management, usual medical care, home
exercises, etc., were reported as beneficial
to improve pain and disability. (2)
Guidelines like this for back pain must be based on research that explains
how relief is created.
SPINAL MANIPULATION RELIEF FOR BACK PAIN
A current study intends to see whether
chronic low back pain patients’ response to SM stems from mechanisms
of centralization (central sensitization) that can be analyzed
using questionnaires, pressure pain threshold tests,
inflammatory cytokine tests, and patient expectations of relief. The researchers
expect to be able to forecast patient
response. (3) Before this study, a narrative review found
that spinal manipulation in part inhibited neck pain and back
pain via spinal cord mechanisms of pain relief and wondered what the role of inflammatory
responses via peripheral mechanisms played in the relief. (4) Both studies included
placebo comparison but also documented that placebo and controls in
a spinal manipulation study are difficult to mask
treatment versus no-treatment due to the hands-on nature
of the treatment. An improved control/placebo could help define
the contribution of the effects of SM on
THE CHALLENGE OF PLACEBO
Back pain patients do not often question their
pain relief. They don’t often ask “Was it this?” or “Was it that?” that finally
sealed the deal on getting them out of pain, but
researchers know that the placebo effect may well be influential
based on patient expectations and conditioning. Researchers are now testing whether conditioning can enhance patient
outcomes by sharing the positive expectations of spinal
manipulation treatment. (5) What do you think? Chiropractic Care knows our chiropractic
patients can feel better understanding that their care is well-researched
and supported by clinical trials that showed positive clinical
outcomes for back pain relief.
CONTACT Chiropractic Care
Listen to this PODCAST
with Dr. Clint Dickason on The Back Doctors
Podcast with Dr. Michael Johnson as he illustrates the
relief with The Cox® Technic System of Spinal Pain Management for a patient
with back pain and sciatica.
Schedule your West Palm Beach chiropractic
appointment soon. Chiropractic Care hopes that you don’t let your quality of life suffer because
of your back pain, related leg pain and or neurological sypmatomatology.
Trust Chiropractic Care to fully examine your spine and set
a relieving treatment plan for its care.