Researchers keep studying spinal manipulation
to more fully explain how it contributes to pain
relief for sufferers with back pain, related leg pain, and neurological symptoms
that disrupt quality of life. Spinal manipulation (SM) eases
back pain (acute, chronic), back-related leg pain, quality of life,
neurological symptoms, and disability for sufferers. That’s a
sentence full of promise with supporting research behind its claims. Pflugerville Wellness Center personalizes
a chiropractic treatment plan incorporating spinal manipulation oftentimes
the gentle type of Cox® Technic flexion distraction decompression for
our Pflugerville chiropractic patients after doing a detailed
examination. Pflugerville pain relief is possible.
NEUROLOGICAL SYMPTOMS
Spinal pain patients as well as patients experiencing
neurological disorders like stroke have neurological symptoms that react
to spinal manipulation. Suffering with neurological symptoms contributes
to worldwide disability statistics as well as
personal well-being and quality of life. A narrative review explained
that most studies described the mechanism by which spinal
manipulation decreased spinal pain, may improve
strength in asymptomatic people, and reportedly affected
spasticity, muscle stiffness, motor function, autonomic function, and balance problems.
Of course, an invitation for more studies to support
these findings was issued. But the beneficial impact of spinal manipulation
on the quality of life for spine pain sufferers, those with balance issues, and
those with cerebral palsy were described. (1) Such relief reasonably
influences back pain treatment guidelines that your Pflugerville chiropractor consults to optimize
your clinical back pain relief.
CLINICAL GUIDELINES FOR BACK PAIN
Researchers scour the published
research papers to obtain the ones with reliability, coherence, etc.
A recent guideline for the treatment of low back pain concluded
that incorporating spinal manipulation in the treatment plan
of acute low back pain, chronic low back pain and chronic back-related leg pain
was successful as part of a multimodal approach.
Advice, reassurance, education, self-management, usual medical care, home
exercises, etc., were described as helpful
in enhancing relief of pain and disability. (2)
Guidelines like this for back pain must be based on research that describes
how relief is created.
SPINAL MANIPULATION RELIEF FOR BACK PAIN
A present study proposes that how chronic low back
pain patients respond to SM stems from mechanisms
of centralization (central sensitization) that can be tested
via questionnaires, pressure pain threshold tests,
inflammatory cytokine tests, and patient expectations of relief. The researchers
anticipate being able to predict patient
response. (3) Prior to this study, a narrative review found
that spinal manipulation in part inhibited neck pain and back
pain via spinal cord mechanisms of pain relief and queried the role of
peripheral mechanisms regulating inflammatory responses. (4) Both studies incorporated
placebo comparison but also documented that placebo and controls in
a spinal manipulation study are tough to mask
treatment versus no-treatment due to the hands-on nature
of the treatment. An improved control/placebo could help clarify
the contribution of the effects of SM on
pain relief.
THE CHALLENGE OF PLACEBO
Back pain patients don’t often question their
pain relief. They don’t often ask “Was it this?” or “Was it that?” that finally
sealed the deal on getting them out of pain, but
researchers know that the placebo effect may well be influential
based on patient expectations and conditioning. Researchers are now checking
to see whether conditioning can heighten patient
outcomes by sharing the positive expectations of spinal
manipulation treatment. (5) What do you think? Pflugerville Wellness Center knows our chiropractic
patients can feel better understanding that their care is well-researched
and supported by clinical trials that documented positive clinical
outcomes for back pain relief.
CONTACT Pflugerville Wellness Center
Listen to this PODCAST
with Dr. Clint Dickason on The Back Doctors
Podcast with Dr. Michael Johnson as he illustrates the
relief with The Cox® Technic System of Spinal Pain Management for a patient
with back-related-leg pain.
Schedule your Pflugerville chiropractic
appointment now. Pflugerville Wellness Center hopes that you don’t let your quality of life deteriorate due to your back pain, related leg pain and or neurological sypmatomatology.
Trust Pflugerville Wellness Center to fully examine your spine and set
a relieving treatment plan for its care.