RRS Education Chiropractic BLOG - Musculoskeletal Research Reviews

How complicated does low back pain care need to be?
Low back pain (LBP) is estimated to affect 40–80% of adults at some point in their lives and can become chronic. LBP frequently leads to disability and, in fact, is a leading cause of disability worldwide.
While the ‘biopsychosocial model’ has been promoted for many years, it remains inadequately applied in both research and clinical settings. Many LBP cases are poorly treated, with a heavy emphasis on a symptom management approach that may not address a patient’s unique needs. Some LBP treatments (ex. injections and drug therapies) have been shown to be minimally effective and possibly even harmful. In conflict with clinical guidelines, complementary LBP treatment modalities that have been scientifically validated, like spinal manipulation, exercise, acupuncture, cognitive behavioral therapy, and selfcare, are often not included in LBP management.
Previous studies have shown that the integration of complementary modalities with conventional care can improve outcomes for LBP patients. By combining various viable treatment options to address the multidimensional causes of pain, a synergistic effect may exceed the therapeutic effect of any one therapy alone. A previous report on such a team-based, integrated model of care included acupuncturists, chiropractors, psychologists, exercise therapists, massage therapists, and primary care physicians, with case managers coordinating care.
The purpose of this study was to compare the primary and secondary clinical outcomes of monodisciplinary chiropractic care (CC) versus multidisciplinary integrative care (IC) for sub-acute and chronic LBP.
THIS WEEK'S RESEARCH REVIEW: “Multidisciplinary Integrative Care vs. Chiropractic Care Alone for LBP – RCT”
This paper was published in Chiropractic & Manual Therapies (2022) and this Review is posted in Recent Reviews, Low Back Pain, Lumbar Spine - Manipulation/Mobilization and the 2022 Archive.
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