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There is a vast amount of research into chiropractic and the treatment modalities used by chiropractors. Evidence shows chiropractic to be effective for several neuromusculoskeletal (NMS) disorders.Numerous studies have shown chiropractic treatment, including manipulative therapy and spinal adjustment, is both safe and effective.

Below are a few studies that have been summarised for your perusal in no particular order ( we have tried to attach a link to the original scientific paper where possible):

Eklund, A., Jensen, I., Lohela-Karlsson, M., Hagberg, J., Leboeuf-Yde, C., Kongsted, A., Bodin, L., & Axén, I. (2018). The Nordic Maintenance Care program: Effectiveness of chiropractic maintenance care versus symptom-guided treatment for recurrent and persistent low back pain-A pragmatic randomized controlled trial. PLoS

One, 13(9), e0203029.

This study concluded persistent and recurrent low back pain responds well to an initial course of manual care (as performed by chiropractors in the study). Maintenance care, had on average 12.8 fewer days with bothersome low back pain over 12 months. 

Farabaugh R, Hawk C, Taylor D, Daniels C, Noll C, Schneider M, et al. Cost of chiropractic versus medical management of adults with spine-related musculoskeletal pain: a systematic review. Chiropr Man Therap. 2024 Mar 6;32(1):8. doi: 10.1186/s12998-024-00533-4.

This study was designed to compare costs of chiropractic and medical care in patients with spinal related pain in the USA. After assessing literature looking at many studies, the study concluded "patients with spine-related musculoskeletal pain who consulted a chiropractor as their initial provider incurred substantially decreased downstream healthcare services and associated costs, resulting in lower overall healthcare costs compared with medical management. "

The Bronfort Report

A comprehensive summary of the scientific evidence showing that common chiropractic techniques such as spinal manipulation/ mobilization to be effective for low back pain; migraine and cervicogenic headache; cervicogenic dizziness and several other conditions. The full article can  be viewed here

2009 National Institute of Clinical Excellence (NICE Guidelines)

NICE provides national guidance and medical advice to health professionals in the UK. The recommendations aimed at GP's for non-specific low back pain include:
-consider offering a course of manual therapy including spinal manipulation of up to 9 sessions over up to 12 weeks.
full article

The Manga Report

One of the largest existing analysis of scientific literature on low back pain to date. This unbiased independent study was commissioned by the Ontario Ministry of Health and showed Chiropractic treatment is cost-effective, safe, has a high rate of patient satisfaction and is more effective than medical treatment for low back pain. Manga et al found "an overwhelming case in favour of much greater chiropractic services in the management of low-back pain".
Link to the full article:

CHIRO study (Chiropractic Hospital Based Interventions Research Outcomes)

A study comparing acute low back pain patients. "Compared to family physician directed usual care, full clinical based guidelines including chiropractic spinal manipulative therapy is associated with significantly greater improvement in condition-specific functioning".

RAND study (Research And Development)

A literature review looking at the literature from 1952 to 1991 on the use of spinal manipulation.
full paper link:

UK BEAM trial

Back pain, exercise and manipulation (UK BEAM). A randomised trial: effectiveness of physical treatments for back pain in primary care. British Medical Journal Nov 2004; 329; 1377 (doi: 10.1136 /bmj 38282. 669225.AE)

Medical Research Council

"Low back pain of mechanical origin: randomised comparison of Chiropractic from hospital outpatient treatment"; Meade et al.

Faculty of Occupational medicine
Occupational health guidelines for the management of low back pain at work - principle recommendations. London 2000.
Carter & Birrel 2000

Chiropractic treatment in workers with musculoskeletal complaints

Mark Blokland DC et al: Journal of the Neuromusculoskeletal system vol 8 No 1. Spring 2000

Musculoskeletal Services Framework - Department of health July 2006
The main treatment interventions, as recommended by the current evidence review and that of clinical guidelines is a biopsychological approach: a) guidance on activity, lifestyle, prognosis and prevention. b) Physical treatments drawn from all types of manual therapy, spinal manipulation and rehabilitation exercises. c) Advice about pain control, including non-prescription medication. d) Psychosocial interventions aimed at resolving cognitive barriers to recovery.

Royal College of General Practitioners

Clinical guidelines for the management of Acute low back pain (1996, 1999, 2001).

Non-rigid stabilisation procedures for the treatment of low back pain

National institute for Health and Clinical Excellence June 2006 states that Chiropractic intervention can be used in the treatment of acute low back pain.

European guidelines for the management of acute nonspecific low back pain in primary care.
2005 Recommends the consideration of spinal manipulation for patients failing to return to normal activities.

Whedon, J. M., Toler, A. W. J., Goehl, J. M., & Kazal, L. A. (2018). Association Between Utilization of Chiropractic Services for Treatment of Low Back Pain and Risk of Adverse Drug Events. Journal of Manipulative and Physiological Therapeutics, 41(5), 383–388.

Chiropractic care of low back pain is both safe and effective; a recent systematic review and meta-analysis found that for treatment of acute low back pain, spinal manipulation, as performed by chiropractors, provides a clinical benefit equivalent to that of NSAIDs, with no evidence of serious harms.”

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