Chiropractic for low back pain

  title={Chiropractic for low back pain},
  author={Edzard Ernst and Willem Jj Assendelft},
  pages={160 - 160}
Chiropractic includes various techniques used in the hope of correcting vertebral disc displacements, freeing spinal joint adhesion, inhibiting nociceptive impulses, or correcting spinal misalignment. Several national guidelines on the treatment of low back pain recommend spinal manipulation, including chiropractic, as a symptomatic treatment for acute uncomplicated cases where pain fails to resolve spontaneously within the first months.1 How solidly are these recommendations based on evidence… 
Manual Therapies for Pain Control: Chiropractic and Massage
  • E. Ernst
  • Medicine, Psychology
    The Clinical journal of pain
  • 2004
The notion that chiropractic or massage are effective interventions for pain control has not been demonstrated convincingly through rigorous clinical trials.
Adverse effects of spinal manipulation
The adverse reactions, recorded in 53% of respondents, are those to be expected from a treatment that entails initial discomfort, and need to be set against the long-term benefits of spinal manipulation.
Chiropractic: history and overview of theories and methods.
  • S. Homola
  • Medicine
    Clinical orthopaedics and related research
  • 2006
Despite opposition to use of spinal manipulation as a method of treating a broad scope of health problems (as opposed to the generally accepted use of manipulation in the treatment of back pain), chiropractors seek support as primary care providers in alternative medicine.
Chiropractic Spinal Manipulation Treatment for Back Pain? A Systematic Review of Randomised Clinical Trials
The effectiveness of chiropractic spinal manipulation is not supported by compelling evidence from the majority of randomised clinical trials.
Prevention and management of chronic back pain.
Patients were more satisfied with chiropractic than other treatments for low back pain
Whatever interpretation Ernst and Assendelft place on changes in the Oswestry score, they did not place any emphasis on patient satisfaction, which is an important outcome in trials.
The Case for Utilizing Prolotherapy as a Promising Stand-Alone or Adjunctive Treatment for Over-Manipulation
This manual procedure, also known as ‘Grade V Mobilization,’ ‘adjustment,�’ and ‘spinal manipulation therapy’ is performed.
Can Chiropractors and Evidence-Based Manual Therapists Work Together? An Opinion From a Veteran Chiropractor
Only evidence-based chiropractors, who have renounced subluxation dogma, can be part of a team that would research the effects of manipulation without bias, and uniformity based upon the guidelines of science is required.
A Systematic Review of the Evidence for Manipulation in the Treatment of Low Back Pain
There is some evidence for the use of manipulation in treating acute LBP and strong evidence for its use in treating patients with chronic LBP, with stronger evidence for chronic and mixed population LBP than in previous reviews.


Spinal manipulation for back pain.
Overall, there is sufficient evidence supporting spinal manipulative therapy in the short-term management of back pain and further research is required to evaluate its long-term effectiveness.
Low-Back Pain Associated With Leg Length Inequality
The possible association between pelvic obliquity and low- back pain is investigated in low-back pain patients and a control population and an age-related response of the postural scoliosis to shoe-raise is noted.
Congruence between Decisions To Initiate Chiropractic Spinal Manipulation for Low Back Pain and Appropriateness Criteria in North America
An evaluation of the use of chiropractic spinal manipulation at five geographic sites in the United States and one site in Canada and the development of appropriateness criteria for spinal manipulation for low back pain is described.
Cost and Effectiveness Analysis of Chiropractic and Physiotherapy Treatment for Low Back and Neck Pain: Six‐Month Follow‐Up
The effectiveness and total costs of chiropractic or physiotherapy as primary treatment were similar to reach the same result after treatment and after 6 months, and no difference in outcome or direct or indirect costs between the two groups could be seen.
A comparison of physical therapy, chiropractic manipulation, and provision of an educational booklet for the treatment of patients with low back pain.
For patients with low back pain, the McKenzie method of physical therapy and chiropractic manipulation had similar effects and costs, and patients receiving these treatments had only marginally better outcomes than those receiving the minimal intervention of an educational booklet.
The effectiveness of chiropractic for treatment of low back pain: an update and attempt at statistical pooling.
A narrative review did not provide convincing evidence for the effectiveness of chiropractic for acute or chronic low back pain and guidelines for uniform execution and reporting of RCTs should first be established to enable subsequent statistical pooling in systematic reviews of Chiropractic trials.
Side-effects of chiropractic spinal manipulation: types frequency, discomfort and course.
Results from this preliminary study indicate that reactions to spinal manipulation may be relatively common but benign in nature and of short duration.
Misuse of the literature by medical authors in discussing spinal manipulative therapy injury.
The words chiropractic and chiropractor have been incorrectly used in numerous publications dealing with SMT injury by medical authors, respected medical journals and medical organizations.
Randomised comparison of chiropractic and hospital outpatient management for low back pain: results from extended follow up
The results confirm the findings of an earlier report that when chiropractic or hospital therapists treat patients with low back pain as they would in day to day practice those treated by chiropractor derive more benefit and long term satisfaction than those treating by hospitals.