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Chiropractors may be no use in treating back pain, study says
www.guardian.co.uk/science ^ | 11/09/2007 | Alok Jha

Posted on 11/09/2007 12:21:14 PM PST by Red Badger

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."

(Excerpt) Read more at guardian.co.uk ...


TOPICS: Health/Medicine
KEYWORDS: bonecracker; chiropractor; notadoctor; pain; quack
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To: The Ghost of FReepers Past
All I know is that my friends and family who use a chiropractor say they feel better for it. Isn’t that the point?

Southern Comfort will work just as well.........

21 posted on 11/09/2007 12:33:52 PM PST by Red Badger ( We don't have science, but we do have consensus.......)
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To: ReformedBeckite
Not big enough!


22 posted on 11/09/2007 12:34:44 PM PST by Petronski ("Willard, you can’t buy South Carolina. You can’t even rent it.”)
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To: editor-surveyor
... chiropractic deals with far more than ‘manipulating’ the back.

You are correct. The manipulate the minds of patients and their wallets...........

23 posted on 11/09/2007 12:34:56 PM PST by Red Badger ( We don't have science, but we do have consensus.......)
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To: Red Badger
IIRC, the Palmer method of chiropractic teaches that 95 % of all human disease arises from spinal misalignment. The tragedy of chiropractic is that many with treatable disease states go to the chiro instead of a doc, and either miss out on a correct dx or lose precious time while a disease progresses.

If I wanted a spinal manipulation, I would go to an osteopath, not a chiro.

24 posted on 11/09/2007 12:36:18 PM PST by Seaplaner (Never give in. Never give in. Never...except to convictions of honour and good sense. W. Churchill)
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To: Carpe Cerevisi
My chiro”crack”ter broke one of my ribs a few weeks ago!

My wife had a rear end collision while sitting at a redlight 11-12-06, almost one year ago exactly. She went to a chiro-quackter upon the advice of a real doctor (later to be found out he's a buddy of said chiroquack). He's not been able to do anything except aggravate the original injury while saying "just a little while longer" every week until the insurance ran out then it's, "Well, you'll haveta see a neuro doctor, because it must be a pinched nerve"..............

25 posted on 11/09/2007 12:39:42 PM PST by Red Badger ( We don't have science, but we do have consensus.......)
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To: Gay State Conservative

I’m not sure about that. This year I had a shoulder problem that didn’t clear up despite doing all the right exercises (karate, swimming, weights) and following doc’s advice to take NSAIDs. The above plus chiropractic has returned normality to it.

I’m sure there’s a wide variance in chiropractors’ skill. Heck, there’s a wide variance in doctors’ skill. Some are brilliant and some are destructive at best.


26 posted on 11/09/2007 12:39:57 PM PST by No.6 (www.fourthfightergroup.com)
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To: Red Badger

I think there is a very narrow range of situations where they can actually do some good, without drugs or surgery. But the ambulance chasers who advertise that you need to go see them after an accident, insist on thousands of dollars worth of xrays and extended “treatment plans” give the good ones a bad name. If a chiropractor actually helps a person feel better, no number of reports by Captain Obvious will change that person’s mind. Each to his own.


27 posted on 11/09/2007 12:41:25 PM PST by 3AngelaD (They screwed up their own countries so bad they had to leave, and now they're here screwing up ours)
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To: Seaplaner
"IIRC, the Palmer method of chiropractic teaches that 95 % of all human disease arises from spinal misalignment."

YDRC! As ancient as Palmer is, it never taught any such thing. Chiropractors were the first to recognize that back pain is due to microbial inflammation. The mainstream has caught up only in the past two or three years.

28 posted on 11/09/2007 12:43:16 PM PST by editor-surveyor (Turning the general election into a second Democrat primary is not a winning strategy.)
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To: Red Badger
Okay, who's got the Master of the Obvious pic?.............

LOL. The author of this article has never had persistent lower back pain. A good chiropractor is worth his weight in gold to those of us who do.

29 posted on 11/09/2007 12:43:54 PM PST by ModelBreaker
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To: Gay State Conservative

Ditto!


30 posted on 11/09/2007 12:45:00 PM PST by PA Engineer (Liberate America from the occupation media.)
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To: 3AngelaD

chiropractor not required to have a license from the DEA?

All your MD’s and DO’s are required to pay the DEA tax to practice medicine. The federal Government is in control of the doctors and if you think otherwise you are not informed


31 posted on 11/09/2007 12:46:18 PM PST by Mojohemi (5)
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To: Red Badger

Many doctors go to Chiropractors themselves, and send their families.

Chiropractic is like any other profession, there are good, bad, and outstanding.

A good Chiropractor works hand in hand with your physician, and can be extremely effective in dealing with many health issues.


32 posted on 11/09/2007 12:46:48 PM PST by Cincinna (HILLARY & HER HINO :: Keep the Arkansas Grifters out of the White house.)
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To: ModelBreaker

Yeah, but there’s a big difference between a chiro who can treat a bad back and the quacks who claim they can cure any disease if you just keep coming back often enough. Some chiros can help, but some prey on the gullible.


33 posted on 11/09/2007 12:48:15 PM PST by ozzymandus
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To: Red Badger

This is the Socialist Guardian in Great Britain, the home of Socialized, National Health Care.

Elect a Democrat who wants Nationalized Health Care, and you will no longer to make your own choices for treatment.


34 posted on 11/09/2007 12:48:38 PM PST by Cincinna (HILLARY & HER HINO :: Keep the Arkansas Grifters out of the White house.)
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To: Red Badger
Those who get no benefit from chiropractors should not use them. But you cannot tell someone who has pain and gets relief from a chiropractor that his relief is not real. How would you know?

BTW, I have never been to a chiropractor in my life. I just know many people who benefit from them.

35 posted on 11/09/2007 12:49:01 PM PST by The Ghost of FReepers Past (Woe unto them that call evil good, and good evil; that put darkness for light..... Isaiah 5:20)
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To: Red Badger

It seems this is just another non-scientific study conducted with a political agenda.

My chiro stopped me from having an extremely risky and invasive neurosurgery that the surgeons professed was absolutely necessary to correct a spinal injury and who laughed at the idea of a chiropractor taking a look. The chiro took x-rays and determined all that I had was a rotation of the spine that was prevented by inflamed tissue from rotating itself back into place. A simple and non-painful manual adjustment to the spine by manipulation of the hip joint rotated the spine back into place. That was 10 years ago and with no ill effects since; strong as ever and no pain or lasting injury.

To try to convince the populace that chiropractors have no positive and alternative treatments versus surgery or drug therapies is to ignore the facts for the purposes of an agenda of financial gain. These “doctors” ought to lose their medical licenses.


36 posted on 11/09/2007 12:49:32 PM PST by CodeToad
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To: AppyPappy

I had a friend who was a quackopractor. I had serious neck, shoulder and arm pain. He diagnosed it as a pinched nerve in the neck, slammed me around a few times, and voila! Pain instantly gone.


37 posted on 11/09/2007 12:51:55 PM PST by Scotsman will be Free (11C - Indirect fire, infantry - High angle hell - We will bring you, FIRE)
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To: 3AngelaD

Well, when our insurance ran out, as well as the other driver’s who was at fault, the chiropractor suddenly decided that there was no more he could do, and referred us to a neuro doc...............


38 posted on 11/09/2007 12:52:16 PM PST by Red Badger ( We don't have science, but we do have consensus.......)
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To: theDentist

“Before they go there, who paid for the study?”

The Oriental Massage lobby.


39 posted on 11/09/2007 12:52:18 PM PST by ansel12 (Proud father of a 10th Mountain veteran. Proud son of a WWII vet. Proud brother of vets, Airborne)
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To: CodeToad

Well, that at least proves that second opinions are important.


40 posted on 11/09/2007 12:53:27 PM PST by E-Mat (Duncan Hunter Understands : Made in China = Arms for Tyrants)
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