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Research

Effectiveness of Chiropractic

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Summaries of Research

The Meade Study:
A three-year British comparison of Chiropractic care and standard medical care of low-back pain patients found Chiropractic treatment more effective than hospital outpatient management for patients with chronic or severe back pain. The positive effects of Chiropractic care in this1990 study were even more evident during the follow-up period. Funding of this study was provided by the Medical Research Council, the National Back Pain Association, the
European Chiropractors Union, and the King Edward’s Hospital Fund for London.

The RAND Study:
Preliminary reports published in 1991 by one of the most prestigious centres for research in public policy confirms the appropriateness of spinal manipulation for some low-back pain patients. This study is part of a larger, multi-year project designed by the Consortium for Chiropractic Research to help establish standards of care for the Chiropractic profession. The Foundation for Chiropractic Education and Research (FCER) is assisting in the management of this study.

The Florida Study:
The highlights of this 1988 FCER-funded report support the findings of earlier studies of workers’ compensation claims that Chiropractic care is more cost-effective than standard medical care in the management of work-related back injuries. The results of this study indicated Chiropractic patients suffered shorter periods of total disability, and their cost of care was lower, compared to patients of medical doctors, who were likely to be hospitalised.

The Utah Study:
In another study of worker’s compensation claims, this 1991 study found that patients of Chiropractic care returned to work sooner after injury, reporting an average of two lost work days to twenty under standard medical care in compensation payouts. Funding of this study was provided by the Workers’ Compensation Fund of Utah, the Los Angeles College of Chiropractic, and the Greenawalt Fellowship Fund.

The Koes’ Clinical Trial:
A 1991 Dutch project compared Chiropractic and physiotherapy for the treatment of persistent back and neck complaints. After 12 months, the manipulative therapy groups showed greater improvement in the primary complaint as well as in physical function, with fewer visits. Funding for this trial was provided for the Dutch Ministry of Welfare, Health and Cultural Affairs, and by the Dutch Health Insurance Council.

The Manga Study:
This study researched both the effectiveness and cost-effectiveness of the Chiropractic management of low-back pain, and found “on the evidence, particularly the most scientifically valid clinical studies, spinal manipulations applied by Chiropractors is shown to be more effective than alternative treatment for low-back pain. Many medical therapies are of questionable validity or are clearly inadequate. The study was funded by the Ontario Ministry of Health.

Cost Effectiveness
The Manga Report commissioned by the Canadian government clearly indicates the cost effectiveness of Chiropractic treatment over standard medical treatment:

”The overwhelming body of evidence shows that Chiropractic management of low-back pain is more cost effective than medical management, and that many medical therapies are of questionable validity or are clearly inadequate … Chiropractic manipulation is safer than medical management of low-back pain.”

“There would be highly significant cost savings if more management of low-back pain was transferred from physicians to Chiropractors… Users of Chiropractic care have substantially lower health costs, especially inpatient costs, than those who use medical care only.”

In The Australian Study, 1,996 workers’ compensation cases were evaluated in patients who experienced work-related mechanical low back pain. It was found that those individuals who received Chiropractic care for their back pain returned to work four times faster (6.26 days vs. 25.56 days) and had treatment that cost four times less ($392 vs. $1,569) than those who received treatments from medical doctors. Also, in those patients who received Chiropractic care there was a significantly lower incidence of progression to a chronic low back pain status.

Comparison

Did You Know That Chiropractic Care Is Second To None?
The Meade Study: Chiropractic Offers Long-Term Benefits: This study concluded, “For patients with low-back pain in whom manipulation is not contraindicated, Chiropractic almost certainly confers worthwhile, long-term benefit in comparison to hospital outpatient management. According to a study conducted by Ontario’s Ministry of Health ”…for the management of low-back pain.

The Effectiveness and Cost Effectiveness of Chiropractic Management of Low-Back Pain (The Manga Report). Pran Manga and Associates (1993) – University of Ottawa, Canada. Low Back Pain of Mechanical Origin: Randomised Comparison of Chiropractic and Hospital Outpatient Treatment. Meade, TW et al British Medical Journal – 1990; 300:1431-1437.

Chiropractic Treatment vs. Outpatient Hospital Treatment by P.T’s and M.D’s
In this study, British medical researchers found Chiropractic treatment significantly more effective than hospital outpatient treatment, especially in patients with chronic and severe back pain. Significantly fewer patients needed to return for further treatments at the end of the first and second year in those who received Chiropractic care (17% compared with 24%). In addition, “two and three years after patients with back pain were treated by Chiropractors, they experienced far less pain than those who were treated by medical doctors.”

The Effectiveness and Cost Effectiveness of Chiropractic Management of Low-Back Pain (The Manga Report). Pran Manga and Associates (1993) – University of Ottawa, Canada.

Chiropractic Treatment vs. Physiotherapy
Spinal manipulation provided greater improvement of symptoms in these suffering from persistent back and neck complaints compared with physical therapy. The patients receiving spinal manipulation also had greater improvements of physical functioning in fewer visits.

Randomised Clinical Trial of Manipulative Therapy and Physiotherapy for Persistent Back and Neck Complaints: Results of One Year Follow Up. Koes, B.W. et al. British Medical Journal – 1992; 304:601-605

Chiropractic Treatment vs. Mobilisation
Those receiving spinal manipulation achieved a 50% reduction in their pain levels more rapidly than those receiving mobilisation (therapy commonly used by Physical Therapists)

A Benefit of Spinal Manipulation as Adjunctive therapy for Acute Low-Back Pain: A Stratified Controlled Trial. Hadler NM et al. Spine – 1987; 12:703-706

Chiropractic Treatment vs. Bed Rest
50% of the individuals in the spinal manipulation group were pain free in one week compared with only 27% of those receiving bed rest.

Low-Back Pain Treated by Manipulation. Coyer AB and Curwin I. British Medical Journal – 1955; 1:705-707

Chiropractic Treatment vs. Codeine
Spinal manipulation provided significant improvement in the subjects overall pain score compared with the commonly prescribed medication, codeine.

Lumbar Spine Manipulation on Trial: Part 1 – Clinical Assessment. Evans DP et al. Rheumatology and Rehabilitation – 1978; 17:46-53

Chiropractic Treatment vs. Deep Heat Applications
Patients receiving spinal manipulation experienced a significantly shorter time to pain relief than those receiving deep heat applications.

Distinct benefit for spinal manipulation vs diathermy (deep heat application used by P.T’s) in return to light work at one month.

Another study found spinal manipulation provided better pain relief for those with less than one week of pain and in patients with their first attack of back pain.

A Benefit of Spinal Manipulation as Adjunctive therapy for Acute Low-Back Pain: A Stratified Controlled Trial. Hadler NM et al. Spine – 1987; 12:703-706

backpain showcase

TESTIMONIALS

“I have been going to see Simon here (chiropractor) only for a few months, however thought I would write a review as a testament to the service and care I have received. I suffer with bad headaches and have done everyday for the past 2 and a half years. When I first met Simon he instantly took me seriously which made me feel valued and listened too. Not only does he physically treat things, he also invests in finding out about you, which makes every time you visit a personal experience. I want to thank the entire team for their continued effort in making me comfortable and in essence, making me well again :)”

– Zoe, Ashford, Kent

“It’s such a relief to be pain free! As a hairdresser I’ve been having neck and arm pain for many years. After seeing Simon for the past month I feel like a different person. The treatment actually feels nice & the adjustments are gentle. I have also been seeing Scott for a deep tissue massage which has relaxed my muscles. I have been given lots of stretches & exercises to help with my posture. All in all a fantastic experience!!!”

– Stephanie, Ashford, Kent

“I would like to say Simon is the best person I have used over the years to ease my back pain. After having a back spasm a few weeks ago where I couldn’t stand up he has worked gently on my back to get it back to a correct posture. I have also come to the conclusion that a once a month chiropractor maintenance visit is the best thing for me going forward to prevent my back reverting to its bad habits.”

– Gareth, Ashford, Kent

Effectiveness of Chiropractic

DO NOT DELETE
Summaries of Research

The Meade Study:
A three-year British comparison of Chiropractic care and standard medical care of low-back pain patients found Chiropractic treatment more effective than hospital outpatient management for patients with chronic or severe back pain. The positive effects of Chiropractic care in this1990 study were even more evident during the follow-up period. Funding of this study was provided by the Medical Research Council, the National Back Pain Association, the
European Chiropractors Union, and the King Edward’s Hospital Fund for London.

The RAND Study:
Preliminary reports published in 1991 by one of the most prestigious centres for research in public policy confirms the appropriateness of spinal manipulation for some low-back pain patients. This study is part of a larger, multi-year project designed by the Consortium for Chiropractic Research to help establish standards of care for the Chiropractic profession. The Foundation for Chiropractic Education and Research (FCER) is assisting in the management of this study.

The Florida Study:
The highlights of this 1988 FCER-funded report support the findings of earlier studies of workers’ compensation claims that Chiropractic care is more cost-effective than standard medical care in the management of work-related back injuries. The results of this study indicated Chiropractic patients suffered shorter periods of total disability, and their cost of care was lower, compared to patients of medical doctors, who were likely to be hospitalised.

The Utah Study:
In another study of worker’s compensation claims, this 1991 study found that patients of Chiropractic care returned to work sooner after injury, reporting an average of two lost work days to twenty under standard medical care in compensation payouts. Funding of this study was provided by the Workers’ Compensation Fund of Utah, the Los Angeles College of Chiropractic, and the Greenawalt Fellowship Fund.

The Koes’ Clinical Trial:
A 1991 Dutch project compared Chiropractic and physiotherapy for the treatment of persistent back and neck complaints. After 12 months, the manipulative therapy groups showed greater improvement in the primary complaint as well as in physical function, with fewer visits. Funding for this trial was provided for the Dutch Ministry of Welfare, Health and Cultural Affairs, and by the Dutch Health Insurance Council.

The Manga Study:
This study researched both the effectiveness and cost-effectiveness of the Chiropractic management of low-back pain, and found “on the evidence, particularly the most scientifically valid clinical studies, spinal manipulations applied by Chiropractors is shown to be more effective than alternative treatment for low-back pain. Many medical therapies are of questionable validity or are clearly inadequate. The study was funded by the Ontario Ministry of Health.

Cost Effectiveness
The Manga Report commissioned by the Canadian government clearly indicates the cost effectiveness of Chiropractic treatment over standard medical treatment:

”The overwhelming body of evidence shows that Chiropractic management of low-back pain is more cost effective than medical management, and that many medical therapies are of questionable validity or are clearly inadequate … Chiropractic manipulation is safer than medical management of low-back pain.”

“There would be highly significant cost savings if more management of low-back pain was transferred from physicians to Chiropractors… Users of Chiropractic care have substantially lower health costs, especially inpatient costs, than those who use medical care only.”

In The Australian Study, 1,996 workers’ compensation cases were evaluated in patients who experienced work-related mechanical low back pain. It was found that those individuals who received Chiropractic care for their back pain returned to work four times faster (6.26 days vs. 25.56 days) and had treatment that cost four times less ($392 vs. $1,569) than those who received treatments from medical doctors. Also, in those patients who received Chiropractic care there was a significantly lower incidence of progression to a chronic low back pain status.

Comparison

Did You Know That Chiropractic Care Is Second To None?
The Meade Study: Chiropractic Offers Long-Term Benefits: This study concluded, “For patients with low-back pain in whom manipulation is not contraindicated, Chiropractic almost certainly confers worthwhile, long-term benefit in comparison to hospital outpatient management. According to a study conducted by Ontario’s Ministry of Health ”…for the management of low-back pain.

The Effectiveness and Cost Effectiveness of Chiropractic Management of Low-Back Pain (The Manga Report). Pran Manga and Associates (1993) – University of Ottawa, Canada. Low Back Pain of Mechanical Origin: Randomised Comparison of Chiropractic and Hospital Outpatient Treatment. Meade, TW et al British Medical Journal – 1990; 300:1431-1437.

Chiropractic Treatment vs. Outpatient Hospital Treatment by P.T’s and M.D’s
In this study, British medical researchers found Chiropractic treatment significantly more effective than hospital outpatient treatment, especially in patients with chronic and severe back pain. Significantly fewer patients needed to return for further treatments at the end of the first and second year in those who received Chiropractic care (17% compared with 24%). In addition, “two and three years after patients with back pain were treated by Chiropractors, they experienced far less pain than those who were treated by medical doctors.”

The Effectiveness and Cost Effectiveness of Chiropractic Management of Low-Back Pain (The Manga Report). Pran Manga and Associates (1993) – University of Ottawa, Canada.

Chiropractic Treatment vs. Physiotherapy
Spinal manipulation provided greater improvement of symptoms in these suffering from persistent back and neck complaints compared with physical therapy. The patients receiving spinal manipulation also had greater improvements of physical functioning in fewer visits.

Randomised Clinical Trial of Manipulative Therapy and Physiotherapy for Persistent Back and Neck Complaints: Results of One Year Follow Up. Koes, B.W. et al. British Medical Journal – 1992; 304:601-605

Chiropractic Treatment vs. Mobilisation
Those receiving spinal manipulation achieved a 50% reduction in their pain levels more rapidly than those receiving mobilisation (therapy commonly used by Physical Therapists)

A Benefit of Spinal Manipulation as Adjunctive therapy for Acute Low-Back Pain: A Stratified Controlled Trial. Hadler NM et al. Spine – 1987; 12:703-706

Chiropractic Treatment vs. Bed Rest
50% of the individuals in the spinal manipulation group were pain free in one week compared with only 27% of those receiving bed rest.

Low-Back Pain Treated by Manipulation. Coyer AB and Curwin I. British Medical Journal – 1955; 1:705-707

Chiropractic Treatment vs. Codeine
Spinal manipulation provided significant improvement in the subjects overall pain score compared with the commonly prescribed medication, codeine.

Lumbar Spine Manipulation on Trial: Part 1 – Clinical Assessment. Evans DP et al. Rheumatology and Rehabilitation – 1978; 17:46-53

Chiropractic Treatment vs. Deep Heat Applications
Patients receiving spinal manipulation experienced a significantly shorter time to pain relief than those receiving deep heat applications.

Distinct benefit for spinal manipulation vs diathermy (deep heat application used by P.T’s) in return to light work at one month.

Another study found spinal manipulation provided better pain relief for those with less than one week of pain and in patients with their first attack of back pain.

A Benefit of Spinal Manipulation as Adjunctive therapy for Acute Low-Back Pain: A Stratified Controlled Trial. Hadler NM et al. Spine – 1987; 12:703-706

TESTIMONIALS

“I have been going to see Simon here (chiropractor) only for a few months, however thought I would write a review as a testament to the service and care I have received. I suffer with bad headaches and have done everyday for the past 2 and a half years. When I first met Simon he instantly took me seriously which made me feel valued and listened too. Not only does he physically treat things, he also invests in finding out about you, which makes every time you visit a personal experience. I want to thank the entire team for their continued effort in making me comfortable and in essence, making me well again :)”

– Zoe, Ashford, Kent

“It’s such a relief to be pain free! As a hairdresser I’ve been having neck and arm pain for many years. After seeing Simon for the past month I feel like a different person. The treatment actually feels nice & the adjustments are gentle. I have also been seeing Scott for a deep tissue massage which has relaxed my muscles. I have been given lots of stretches & exercises to help with my posture. All in all a fantastic experience!!!”

– Stephanie, Ashford, Kent

“I would like to say Simon is the best person I have used over the years to ease my back pain. After having a back spasm a few weeks ago where I couldn’t stand up he has worked gently on my back to get it back to a correct posture. I have also come to the conclusion that a once a month chiropractor maintenance visit is the best thing for me going forward to prevent my back reverting to its bad habits.”

– Gareth, Ashford, Kent

How We Can Help

Frequently Asked Questions

Answers to our most commonly asked questions can be found by clicking on the questions, if you need to ask about something that isn't already covered, click on ask a question below to email us!

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Whats wrong with me?

Accurately identifying the cause of spinal pain or other discomfort almost always requires a thorough consultation and examination. Individuals should not assume their pain stems from the same problem, for example, their neighbour had, and thus what has helped their neighbour will help them. Just as every individual is unique and different from the next, so too are the health conditions they suffer and the treatments they require.

Chiropractors are highly trained in the diagnosis and treatment of soft tissue injuries and abnormalities common to the spine, extremities and rest of body. Rest assured that if you are suffering from back or neck problems, extremity problems or other health related ailments Chiropractic could provide you with the effective professional relief you demand. If your condition is out of the Chiropractic scope or would be more appropriately managed by another health care specialist, we will gladly and promptly make the necessary referral.

Can Chiropractic help me?

Chiropractic has helped millions of people worldwide suffering from all types of problems and not just back and neck ailments. Chiropractic works with the spinal column and it's intimate relationship with the nervous system - the major controller of all bodily functions. By optimising spinal column structure and biomechanics, irritation and stress are removed and health can once again be achieved.

You may be surprised to learn that research studies have provided scientific evidence showing Chiropractic care is not only effective in the treatment of back and neck ailments, but can also provide effective relief with children suffering from ear infections, women suffering from dysmenorrhoea (painful menses), and a number of other seemingly "non-spinal" conditions. While it's not prudent to guarantee relief from such conditions or claim to "treat" these conditions, Chiropractic has successfully helped millions of individuals with all sorts of health conditions by positively affecting the nervous system.

Of course, Chiropractors are best known for their success in treating back and neck problems. Through the use of Chiropractic spinal adjustments and other highly specialised Chiropractic techniques, Chiropractors have established themselves as the back and neck injury specialists. Many medical experts are now coming to understand the true effectiveness of Chiropractic care and are recommending major changes in the way our health care system manages many common spinal problems. According to a recent Ontario Ministry of Health commissioned study on low-back pain, “A very good case can be made for making Chiropractors the gatekeepers for management of low-back pain..."

I thought my pain was muscular?

More often than not it is an underlying joint that is causing the problem. A painful joint will trigger a muscle spasm around it, and since a muscle receives it's nerve supply from a branch of the spinal nerve, muscular pain may be part of the problem.

I have Arthritis, can i be adjusted?

There are many different types of arthritis, but the most common, osteoarthritis, often responds extremely well to Chiropractic care. Although Chiropractic certainly is not a cure for arthritis, some individuals find that regular Chiropractic care helps to reduce their pain and stiffness and increase mobility. Osteoarthritis is often treated with anti-inflammatory medication and nothing else. This is a mistake. Using anti-inflammatory medication in the long term has been shown to impair the healing rate of cartilage and can also cause damage to the lining of the stomach and result in fatal stomach bleeds, particularly in the elderly. Fortunately there are better ways to manage osteoarthritis.

Can I prevent Arthritis?

Osteoarthritis is not just a problem in older people, younger people can have the disease too. We know from research that abnormally functioning joints can lead to osteoarthritic changes. In fact irreversible changes can occur after only two weeks of complete immobilisation! Chiropractic adjustments can help to restore joint movement and keep your spine from underperforming.

How much will it cost?

Costs vary and generally depend on the number of treatments required to effectively treat your condition. A number of studies have shown that Chiropractic care is extremely cost effective when compared to other "medical" forms of care for similar conditions. According to the 1993 Manga Report, ”There would be highly significant cost savings if more management of low-back pain was transferred from physicians to Chiropractors. Users of Chiropractic care have substantially lower health care costs, especially inpatient costs, than those who use medical care only."

Are Chiropractic treatments safe?

Chiropractic treatments are extremely safe for individuals of all ages - from infants to 100 year olds. Our treatments are safe because we only use natural and non-invasive methods of care. Research consistently shows that care from Chiropractors is among the safest care available and is literally light years ahead of traditional medical care in terms of "safeness". Chiropractic care is "...remarkably safe", in the words of the New Zealand government's inquiry. It is safer than back surgery, muscle relaxants, and even aspirin. All ages from babies to the elderly enjoy safe, effective care around the world.

The treatments themselves are generally not painful. In fact, most patients look forward to their treatments as many experience instantaneous relief immediately afterwards. Individuals who present with moderate to severe pain may experience some minor discomfort for obvious reasons; however, care is always gentle, safe and non-invasive.

Do I need a referral?

No. A Doctor of Chiropractic is a primary contact provider, meaning you do not need a referral. Doctors of Chiropractic are regulated by law, and provide a package of care that can work independently, or alongside treatment prescribed by NHS medical doctors and other health care professionals. If yours is not a Chiropractic case, a responsible Chiropractor will refer you to the appropriate health care provider.

My Dr. says it won't work for me?

We have seen literally thousands of peoples’ lives change for the better after receiving Chiropractic care. Many of these were told that they would never be able to do anything about their pain. We can’t guarantee results but Chiropractic care shou

Will I be sore afterwards?

The overall goal is to optimise your spinal alignment and weight bearing curve and associated joint function and overall optimal nervous system health - not just pain relief. Most people experience some relief of symptoms in the first few weeks and some in even a shorter period of time. However a good Chiropractor will tell you in advance that some post-adjustment soreness is normal, especially at first. In regards to post-adjustment soreness, it is common for Chiropractic adjustments, and soft tissue work to result in a temporary increase in soreness in the treatment area(s). This is nearly always a temporary symptom that occurs while your body is undergoing therapeutic change.

Is the 'popping' sound bad for me?

No! Did your mother ever warn you that "cracking" your knuckles would give you arthritis? If she did, we're sorry to say that she was wrong! Research has actually shown that individuals who habitually "crack" their knuckles over their lifetime actually lower the incidence of arthritis in their knuckles compared with those who do not. The “cracking” or “popping” sound is simply the release of gas from within the joints. It’s a bit like when you open a fizzy drink - the “fizzing” sound is the release of pressure from the bottle - it’s the same with your body when the pressure is taken off the joints.

Are Chiropractic & Osteopathy the same?

The types of conditions that Osteopaths and Chiropractors treat are very similar. However, the focus of Chiropractic is on the proper functioning of the nervous system. This is because the nervous system controls everything in the body. In fact, Chiropractors don’t claim to ‘treat’ anything, rather they help the body to function at is optimum, by removing nerve interference. Once the nerve interference is removed the body very often responds. Chiropractors are trained to take X-rays, whereas Osteopaths are not. X-rays can be a very useful tool in visualising the spine to reveal any potential contraindication to spinal adjustments (manipulation) and provide a more accurate prognosis.

Chiropractors do not just focus on the spine by using adjustments (manipulation) alone as some think. Rather they also utilise soft tissue therapy, therapeutic stretches, rehabilitation, mobilisation and therapeutic modalities.