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Chiropractic Solutions Explains the Value of Chiropractic Research

Research makes the healthcare world go ‘round! Research solidifies the role of healthcare’s pain relieving ability. For chiropractic healthcare, much research entails documenting chiropractic’s benefit for painful musculoskeletal conditions like back pain, neck pain, arm pain and sciatic leg pain. Chiropractic Solutions offers just such research-documented, effective care to our San Jose chiropractic patients.

CHALLENGE: DO HIGH QUALITY RESEARCH

A group of back pain researchers challenged fellow researchers to develop long-term plans to decrease the problem of low back pain on sufferers and healthcare systems. They described that developing effective strategies remains a daunting task for back pain clinicians, doctors, and researchers. Vexingly, back pain disability levels have not increased despite a larger number of published research papers about back pain care. No consensus on the best way to handle low back pain has been agreed upon. Non-drug and non-invasive methods like exercise, manual therapy, massage, and such are typical recommendations. Other reviewing researchers indicated a few issues with back pain research: design and analysis within the treatment clinical trials. (1) Designing research studies is difficult. Coming up with a “sham” protocol for spinal manipulation that feels like spinal manipulation is especially challenging. (Just touching a spine can be relieving some, but that is a topic for another article!) Observational studies are the next best thing. How so? Researchers observe what happens to patients when they undergo treatment and describe changes and effects. Fortunately, Cox® Technic research has a blend of biomechanical and clinical observational studies resulting in case reports, case series, as well as retrospective and prospective clinical studies. Chiropractic Solutions feels this mix of research support helps outline the expectations our San Jose chiropractic patients may anticipate.

MINIMAL CLINICAL IMPORTANCE

Sometimes, chiropractic physicians and low back pain patients alike are frustrated with the outcomes of treatment for back pain. They shouldn’t be! In medicine, the minimal clinically important difference (MCID) is defined as 30% or 20% and even 10% improvement. That is reported as an “effective” outcome. Cox® Technic has offered 50% improvement in 30 days as the goal…and still does. Many times, chiropractic patients find that 50% relief in less than 30 days and that the 50% relief is closer to 70% or 80% or 90%! Sometimes, a patient’s response may be slower in getting relief or only reaches 30% or 40%. Some patients want more while others, particularly patients who have already gone through back surgery or sought non-relieving care from many other providers, are quite satisfied. A study of 1232 low back pain subjects discovered a MCID pain intensity of 2 (meaning a 2 point change on a scale of 0 no pain to 10 worst imaginable pain). That’s not a huge move but is realistic. (2) It’s a statistic to consider. Compared with medical and surgical outcomes for back pain treatment that are as low as 10% or 30% expected improvement MCID, our San Jose chiropractic clinical outcome targets are high and frequently achievable.

THE CHALLENGE OF CHIROPRACTIC RESEARCH – AND HOW CHIROPRACTIC ANSWERS

Chiropractic, like other complementary and integrative healthcare professions, has a little more difficulty in maintaining a flow of research as many programs are not incorporated into large university situations with well-established and well-funded research departments. Global chiropractic researchers are looking for am amswer.  Australia, Canada, and Denmark chiropractic researchers have created a leadership academy (CARL – Chiropractic Academy for Research Leadership) for early-career chiropractic researchers to promote more chiropractic research. US-based researchers are looking to the RAND Corporation’s Center for Collaborative CIH Research to assemble research talent and assets to advance chiropractic’s quality and quantity of research.  (3,4) Solid research carries on at chiropractic universities to document the benefits of chiropractic for musculoskeletal-related pain like back pain, neck pain, arm pain and leg pain.

CONTACT Chiropractic Solutions

Listen to this PODCAST with Ram Gudavalli, PhD, principal investigator of many Cox® Technic research studies, on The Back Doctors Podcast with Dr. Michael Johnson as he describes research studies of which he’s been a part.

Make your next San Jose chiropractic appointment today. Bring your questions about the research behind our chiropractic care with you! Chiropractic Solutions is always ready to share research! 

 
Chiropractic Solutions communicates the importance and value of chiropractic research in healthcare decision-making and relevance. 
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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."