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San Jose Chiropractics Role in Back Pain Guidelines

Guidelines and recommendations for so many things from how to correctly replace a light bulb to appropriately decide on whether to do back surgery pervade our world. Guidelines are appreciated by people confronting a new task or a new pain for the first time. Guidelines for the care of back pain have been circulated for years, many citing non-surgical care including spinal manipulation as first line treatment. Just how well are those guidelines followed by relevant healthcare practitioners, by back pain patients? Chiropractic Solutions found these recent reports attention-getting and thought our San Jose chiropractic patients would, also. We can all use them to create and follow a guideline-based treatment plan.


Your San Jose chiropractor is aware of the current guidelines to best assist you, our San Jose back pain patient. Back in 2009, the American College of Physicians listed spinal manipulation in its guidelines’ recommendations of appropriate spinal pain care choices. (1) Chiropractic Solutions utilizes the well-documented Cox® Technic System of Spinal Pain Management which has a published algorithm of decision-making for patients who have pain below the knee and patients with pain that doesn’t go below the knee with a goal of 50% improvement in 30 days or so of care. These guidelines were released in 1996 and have been tested in clinic-based data collections in the years since. (2) Such guidelines with research support and proper clinical application soothe our San Jose chiropractic patients!


We hope so! Nearly 64% of chiropractors say they use (Cox®) flexion distraction with their spine pain patients and have the algorithm/guideline available to them. Chiropractic Solutions is one of those chiropractors. Beyond chiropractic, broad guidelines for back pain care are available. Are they followed? A newly completed review of chiropractic and OT/PT use among 146,087 adults with low back pain in the past 3 months found that chiropractic care or OT/PT care for low back pain increased after clinical guidelines recommending their care were announced in 2016. Between 2002 and 2018, a bit less than a third of said adults with low back pain reported going through chiropractic and/or PT/OT with a rise to a third after the 2016 clinical guidelines were released. (3) This does demonstrate that guidelines assist with treatment direction but are not always followed. In Denmark where guidelines for low back pain care are documented for primary care before being referred found that 33% of patients had not undergone an adequate course of treatment in primary care before referral. The patients were on average 53 years old with nearly 50% of them saying that they’d had pain for over a year, and 75% saying that they had pain below the knee. (4) Struggles in the healthcare system to abide by guidelines are seemingly global.


A group of chiropractic leaders compiled their thoughts on the role of the chiropractor in his/her own practice, with his/her own patients, within the healthcare community, and within society for healthcare. Very interesting! Individually, chiropractors reported themselves as capable and well-educated spine and musculoskeletal care experts who offered evidence-based care based on the latest research, clinical expertise, and patient values. They provided patient-centered care that extends to cooperating with other healthcare providers in the best interests of the patient. (5) Using guidelines, chiropractors are sure that they can assist their back pain patients with those patient’s best interests in mind.

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Listen to this PODCAST with Dr. Ted Siciliano on The Back Doctors Podcast with Dr. Michael Johnson as he describes his use of The Cox® Technic System of Spinal Pain Management to relieve a patient dealing with back pain and foot drop.

Make your San Jose chiropractic appointment now. Facing a serious bout of back pain is certainly not equivalent to changing a light bulb for the first time, but it’s comforting to know that there are available to best manage each task! 

San Jose chiropractic guidelines to manage back pain today and tomorrow 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."