In a randomized, clinical trial Long reported that 74% of those presenting with acute, sub‐acute and chronic back pain were found during their baseline assessment to have a directional preference to which there pain lessened, and in 95% of those assigned to exercises that matched their directional preference improved or fully recovered in just two weeks. Donelson, Long, (2004) Spine
A large number of studies report that most non‐specific low back pain can be centralized and abolished using directional exercises. Long, Delitto, Spine.
A key randomized clinical trial demonstrated that a significant majority of patients improved when assigned the specific direction of exercise that matched their directional preference, whereas a majority of those who exercised in a direction opposite to their directional preference were either unimproved or were even worse. Donelson.
The study designed to test 200 women throughout pregnancy with repeated measurements of back pain and possible determinants by questionnaires and physical examinations. The results showed that seventy‐six percent reported back pain at some time during pregnancy. Sixty‐one percent reported onset during the present pregnancy. In this group, the rate of pain increased until the 24th week, and then remained stable until delivery, with decline in pain by 10% after delivery. In conclusion, back pain during pregnancy is a common complaint. Patients with the highest pain ratings reported great difficulties with normal activities. The back pain started early in pregnancy and increased over time. Kristiansson, Per MD (1996). Back Pain during Pregnancy: A Prospective Study. Spine, 21.
A group of 123 women were questioned and examined with Sacroiliac joint laxity being measure by Doppler imaging at 36 weeks gestation and at 8 weeks postpartum. In 77% of the subjects with moderate to severe pregnancy‐related pelvic pain during pregnancy, asymmetric sacroiliac laxity was found to be a factor. The study also showed that patients with sacroiliac laxity during pregnancy had a threefold higher risk of pain postpartum. In conclusion, this data indicates that in women with moderate to severe complaints of pelvic pain during pregnancy, sacroiliac joint laxity is predicted to be the factor in persistent pain, moving into the postpartum period. Damen, Leon (2002). The Prognostic Value of Asymmetric Laxity of the Sacroiliac Joints in Pregnancy‐Related Pelvic Pain. Spine 27.
This study looked into six previous studies, showing that chiropractic care is associated with improved outcomes in pregnancy‐related low back pain. Studies show that between 50‐80 percent of pregnant women suffer from low back pain during their pregnancy, with the 5th through the 7th months as the most common period that the pain begins. Stuber (2008). Chiropractic Treatment of Pregnancy‐Related Low Back Pain: A Systematic Review of the Evidence
In one of the studies, 120 pregnant women with LBP underwent an average of 15 chiropractic treatments, 25% had complete remission of their back pain, 50% reported feeling very well, and 15% were feeling better, with 10% noting no change in condition. Mantero and Crispini.
Speed of Recovery:
In a randomized controlled trial, 183 patients with neck pain were randomly allocated to manual therapy (spinal mobilization), physiotherapy (mainly exercise) or general practitioner care (counseling, education and drugs) in a 52 week study. The clinical outcomes measured showed that manual therapy resulted in the fastest recovery, and the total costs being cut down to one‐third comparably. Korthals‐de Bos et al (2003). British Medical Journal.
Back Pain Statistics:
“In general, an estimated 60‐80% of the population will suffer from low back pain at some point during their lives, with 20‐30% suffering from it at any given time.” Waddell (1996).
“From 1955 to 1995, the number of days of work missed due to chronic low back disability has increased exponentially.” Waddell (1996).
The Manga Report, 1993, stated “That the treatment of low back pain, spinal manipulation is more effective than any other treatments.”
“Studies have shown chiropractic care to be cost‐effective and a safe method of care for back pain, with satisfaction rating the highest among patients who went to chiropractors.” Carey (1995).
Hormone Replacement Therapy (HRT) provides no benefit against cardiovascular disease and actually increases the risk of breast cancer, and cardiovascular disease in postmenopausal women. JAMA (1/7/04)
Patient surveys show that chiropractors are used more often than any other alternative provider group and patient satisfaction is very high. Meeker, Haldman (2002).
Chiropractic is the largest, most regulated, and best recognized of the non‐allopathic health care professions.
CMT produces a short lasting (100‐300 milliseconds), high velocity impulse into the body Herzog (1996). Triano (1992).
There is evidence that patients with chronic neck pain show clinically important short and long term improvements from a course of spinal manipulation or mobilization. Vernon H, Humphreys K, Hagino C. (2007). Journal of Manipulative Physiological Therapeutics, 30:215‐27
There is no evidence of excess risk of vertebrobasilar stroke associated with chiropractic care when compared to primary care. David Cassidy, DC, PhD. Risk of VBA Stroke and Chiropractic Care J. Spine 33;4S:S176‐S183.