Exploring Chiropractic Care for Low Back Pain: Is It Effective?
An estimated 85% of people experience back pain severe enough to seek medical advice at some point in their lives. However, the precise cause of pain and the most effective treatment for low back pain often remain unclear, leading to varied recommendations from doctors.
Standard Care vs. Chiropractic Approaches
“Standard care” for low back pain typically includes a balance of rest, stretching and exercise, heat, pain relievers, and time. But some doctors also recommend trying chiropractic care. The good news is that most people with a recent onset of back pain improve within weeks, often within a few days.
The Role of Chiropractic Care in Treating Back Pain
While some doctors immediately refer back pain sufferers to a physical therapist, others may suggest acupuncturists, massage therapists, or chiropractors. The effectiveness of chiropractic care in treating back pain is still a topic of debate among experts, with questions surrounding its role as initial care or a reserve option for those unresponsive to other treatments.
Costs and Disability Concerns
Low back pain is not just a health issue; it's a significant economic burden, costing up to $200 billion a year in the US, including healthcare costs and missed work. It's also a leading cause of disability worldwide. In the context of the ongoing opioid crisis, finding effective, safe, and non-opioid alternatives for low back pain treatment is crucial.
Insights from a 2018 Chiropractic Study
A 2018 study published in JAMA Network Open assessed the effectiveness of chiropractic care in treating low back pain. It involved 750 military personnel, with half receiving usual care and the other half receiving up to 12 chiropractic treatments. The findings revealed that those in the chiropractic group reported less pain intensity, less disability, more function improvement, higher treatment satisfaction, and reduced need for pain medicine.
Limitations and Considerations
This study, while promising, had limitations including its short duration and the small differences in improvement between the chiropractic and usual care groups. Additionally, the study's demographic was predominantly young and male, limiting the generalisability of the findings.
Bottom Line
This study supports chiropractic care for low back pain but highlights the importance of understanding its limitations and side effects. Chiropractic treatments are increasingly covered by insurance, but it's essential to consider all available treatment options based on individual needs.
