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Study Shows Maintenance Care Helpful in Chronic Low Back Pain Treatment
I know what you want. You want to get adjusted once. You do not want it to hurt. You want the pain to immediatlly go away. And you want it to be free..... Me too. Unfortunatley that is not how life works. Often patients present to our office with a problem that has been there for more than 10 - 15 years. Often that neglect has led to permenant damage in their spine and nervous system. I can adjust the spine, remove the pressure off the nerve, but in the end your body is the one that does the healing. NOT ME!
Researchers at the Rheumatology and Rehabilitation Department at the Faculty of Medicine at Mansoura University in Egypt conducted a prospective single blinded placebo controlled study to assess the effectiveness of spinal manipulation therapy (SMT) for the management of chronic non-specific low back pain (LBP) and to determine the effectiveness of maintenance SMT in long-term reduction of pain and disability levels associated with chronic low-back conditions after an initial phase of treatments.
Sixty patients with chronic, nonspecific LBP lasting at least 6 months were randomized to receive either (1) 12 treatments of sham SMT over a one-month period, (2) 12 treatments, consisting of SMT over a one-month period, but no treatments for the subsequent nine months, or (3) 12 treatments over a one-month period, along with "maintenance spinal manipulation" every two weeks for the following nine months.
Subjects and Methods: 60 patients with chronic, nonspecific LBP lasting at least 6 months were randomized to receive either:
(1) 12 treatments of sham SMT over a one-month period,
(2) 12 treatments, consisting of SMT over a one-month period, but no treatments for the subsequent nine months, or
(3) 12 treatments over a one-month period, along with "maintenance spinal manipulation" every two weeks for the following nine months.
To determine any difference among therapies, we measured pain and disability scores, generic health status, and back-specific patient satisfaction at baseline and at 1-month, 4-month, 7-month and 10-month intervals.
Results: Patients in second and third groups experienced significantly lower pain and disability scores than first group at the end of 1-month period (P = 0.0027 and 0.0029 respectively). However, only the third group that was given spinal manipulations during the follow-up period showed more improvement in pain and disability scores at the 10-month evaluation. In the no maintained SMT group, however, the mean pain and disability scores returned back near to their pretreatment level.
Conclusion SMT is effective for the treatment of chronic non specific LBP. To obtain long-term benefit, this study suggests maintenance spinal manipulations after the initial intensive manipulative therapy.
If you or someone you love has been suffering with low back pain, we can help. We Listen, We Care, We Get Results!
Click Barton Chiropractic in Concord or call 685-2002 to schedule your free consultation today!