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post #1 of 11 (permalink) Old 11-09-2007, 06:55 PM Thread Starter
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From the NO $#!T Files...
Going to a chiropractor to treat back pain could be a waste of time, according to a new study which found that having your spine manipulated does nothing to speed up recovery.

Current treatment guidelines for acute back pain recommend that, in the first instance, GPs advise patients to remain active and avoid bed rest and take paracetamol for the pain. If that does not work, patients are referred for spinal manipulative therapy and given non-steroidal anti-inflammatory (NSAID) drugs such as ibuprofen and diclofenac to treat the pain.

Mark Hancock, of the back pain research group at the University of Sydney, studied 240 patients with short-term lower back pain who had already been given both advice and paracetamol. The patients were randomly allocated to four groups and given different treatments: NSAIDs with placebo manipulative therapy; manipulative therapy with placebo drugs; drugs with therapy; or double placebo.

"Neither diclofenac nor spinal manipulative therapy gave clinically useful effects on the primary outcome of time to recovery," the researchers wrote in the Lancet today. "If patients have high rates of recovery with baseline care, and no clinically worthwhile benefit from the addition of diclofenac or spinal manipulative therapy, then GPs can manage patients confidently without exposing them to increased risks and costs associated with NSAIDs or spinal manipulative therapy."

In an accompanying article in the Lancet, Bart Koes of Erasmus University medical centre in Rotterdam wrote: "The limited or absent beneficial effect of diclofenac for acute lower back pain after adequate first-line treatment may have wide implications. NSAIDs are widely prescribed for a range of acute musculoskeletal disorders. The important message is that the management of acute low back pain in primary care (advice and prescription of paracetamol) is sufficient for most patients."

Tony Metcalfe, president of the British Chiropractic Association, said that because the study had only looked at 15 Australian physiotherapists, direct comparisons could not be made with UK practitioners of spinal manipulative therapy.

"The study did not address chiropractic-only spinal mobilisation carried out by physiotherapists. The majority of participants had low velocity mobilisation techniques and only 5% experienced high velocity techniques. Chiropractic manipulation is based predominantly on high velocity techniques, so the results are therefore not comparable with chiropractic treatment."
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post #2 of 11 (permalink) Old 11-09-2007, 06:59 PM
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What a pain in the...
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post #3 of 11 (permalink) Old 11-09-2007, 07:08 PM
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I think it depends on the Chiro. Medical Docs don't like them because they tend to offer a differing path of treatment than MDs.

I have found two that do very good for what I went for and two that were not worth the time.

One diagnosed and fixed a problem that two Neurologists, one Neurosurgeon and a dozen white coats from the Cleveland Clinic could not find in three years. It took him 1 hour for the diagnosis and 4 20 minute visits. Problem FIXED. One Neurologist was so impressed he actually got with the Chiro and figured out a diagnosis method for the Neurologist to implement [Neurologist had been Professor at Columbia for a decade].

It is all according to who you get.


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post #4 of 11 (permalink) Old 11-09-2007, 08:35 PM
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As mcbear pointed out, it depends on the doctor. There are just as many bad chiropractors as there are M.D.'s. I dislocated a hip many years ago. Very painful injury. I went to one chiropractor and he had me so jacked up, it was a year and a half before I would trust another. I knew no relief from the pain in that year and a half. I finally went to another chiropractor that was well recommended and I allowed him to xray and adjust. Immediate relief after the first adjustment. It took about 16 adjustments spanning over a couple of months before the pain relief became permanent. I now go about twice a year for maintenance adjustments. And to think people actually have surgery for a dislocated hip.

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post #5 of 11 (permalink) Old 11-09-2007, 08:47 PM
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I am just finishing a series of manipulations after being "stuck" in a position of serious pain. I also had relief after the first manipulation and after about 8, the pain and numbness in my right leg went away too. I have had less successful experiences as well, so, just like selecting a mechanic for working on your car, be selective about who you let work on your body. Jim
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post #6 of 11 (permalink) Old 11-10-2007, 08:28 PM
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post #7 of 11 (permalink) Old 11-11-2007, 04:04 AM
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I 'had' back pain that started 25 years ago.

If it's a herniated disc, this and 'SOME' other Yoga poses will fix it GUARANTEED !

Ask if you need more info.
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post #8 of 11 (permalink) Old 11-11-2007, 05:27 AM
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post #9 of 11 (permalink) Old 11-11-2007, 05:56 AM
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If it is a "doctor" who manipulates the vertebrae in the spine to get them back into alignment, then, yes. I've had very good results with chiropractors, and bad results. The good results come from those who work there way up the spine twisting and cracking it like knuckles, before or after heat treatment on one of those massage tables that roll up your spine or the electronic muscle stimulators. The bad results come from those who like to thump you around on their drop tables or find those packets of "pain" (allegedly spots of concentrated acids or something which cause pain) and dig their thumbs into them and hold until it is excruciating.

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post #10 of 11 (permalink) Old 11-11-2007, 06:17 AM
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I get spinal manipulation from the 'main-man' Torben, and deep sports massage from a lady called Nusrat who is part of the British athletics team. She is the one who can make me yelp!

I've collected so many injuries over the years (broken just about every bone in my body, some twice) that I don't expect a 'cure', but generally a few sessions at the clinic and I'm mostly pain-free.
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