So the new age practice that has repeatedly been show to have no medical benefit is opposes to the one that has been shown to have medical benefit? It's like the person who cures you with incense telling you not to be a vegetarian anymore.Do you have any links for these repeated demonstrations?
After 6 months of follow-up, chiropractic care and medical care for low back pain were comparable in their effectiveness. Physical therapy may be marginally more effective than medical care alone for reducing disability in some patients, but the possible benefit is small.Another study (same authors) over 18 months:
CONCLUSIONS:Chiropractic management of low back pain and low back-related leg complaints: a literature synthesis. -- published in the Annals of internal medicine:
Differences in outcomes between medical and chiropractic care without physical therapy or modalities are not clinically meaningful, although chiropractic may result in a greater likelihood of perceived improvement, perhaps reflecting satisfaction or lack of blinding. Physical therapy may be more effective than medical care alone for some patients, while physical modalities appear to have no benefit in chiropractic care.
As much or more evidence exists for the use of spinal manipulation to reduce symptoms and improve function in patients with chronic LBP as for use in acute and subacute LBP. Use of exercise in conjunction with manipulation is likely to speed and improve outcomes as well as minimize episodic recurrence. There was less evidence for the use of manipulation for patients with LBP and radiating leg pain, sciatica, or radiculopathy.This Cochrane review of 39 registered controlled trials found:
There was little or no difference in pain reduction or the ability to perform everyday activities between people with low-back pain who received spinal manipulation and those who received other advocated therapies.So, what you see is that Chiropractic care isn't necessarily better then other types of medical care, it's also not any worse. There are also medical doctors who do the same types of SMT on patients. (If you're wondering if it's just the placebo effect, the Cochrane review shows it works better then Sham therapy)
Because, (1) as has been discussed here before, the evidence for the benefit spinal manipulation therapy for back pain is "very low quality" (BMJ Clinical Evidence), and (2) because chiropractors often go beyond even this questionable remit.Well, the "Very low quality" link is behind a paywall, so it can't be reviewed. The stuff I linked too was all in main-stream publications by reputable researchers, all published on pubmed (except the Cochran review). In the other thread the argument basically came up was that pubmed "didn't count" or something.
« Older Dog and Deco.... | Welcome to Quartzite, Arizona,... Newer »
This thread has been archived and is closed to new comments
posted by Pararrayos at 7:54 AM on July 12, 2011 [25 favorites]