Spinal Manipulation for Low Back Pain
Thursday, March 2, 2017
The American College of Physicians published an article on February 14th, 2017 in the Annals of Internal Medicine describing spinal manipulation as a first course of treatment for lower back pain.
The article, "Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians" outlines that the initial approach for the treatment of back should include nonpharmacologic treatments such as spinal manipulation, acupuncture, massage and superficial heat.
Recommendations for chronic lower back pain should also use a nonpharmacologic approach treatment approach that includes spinal manipulation, exercise, multi-disciplinary rehabilitation, acupuncture, mindfulness-based stress reduction, tai chi, yoga, motor control exercise, progressive relaxation low-level laser and cognitive behavior therapy.
For patients who have had an inadequate response to nonpharmacologic therapy, they should consider pharmacologic treatments with nonsteroidal anti-inflammatory drugs as a first line therapy.
As the healthcare landscape is transitioning toward more conservative treatments for common conditions it will put the Chiropractic Profession in the right place for managing these conditions. It is time to seize an opportunity and put our profession at the front of these issues.