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Pathophysiological Model for Chronic Low Back Pain

Integrating Connective Tissue and Nervous System MechanismsMedical HypothesesVolume 68, Issue 1, January 2007, Pages 74-80Helene M. Langevin and Karen J. ShermanThe primary author is from the Department of Neurology, University of Vermont, College of Medicine.FROM ABSTRACTAlthough chronic low back pain (cLBP) is increasingly recognized as a complex syndrome with multifactorial etiology, the pathogenic mechanisms leading [..]

Long-Term Follow-up of a Randomized Clinical Trial

Assessing the Efficacy of Medication, Acupuncture, and Spinal Manipulation for Chronic Mechanical Spinal Pain SyndromesJournal of Manipulative and Physiological TherapeuticsJanuary 2005, Volume 28, Number 1Reinhold Muller, PhD, Lynton G.F. Giles, DC, PhDThis study is a follow-up to the study in Spine, July 15, 2003, which showed the short-term superiority of chiropractic adjustment over Celebrex, Vioxx, and acupuncture [..]

Chronic Spinal Pain

A Randomized Clinical Trial Comparing Medication, Acupuncture, and Spinal Manipulation SpineJuly 15, 2003; 28(14):1490-1502Lynton G. F. Giles, DC, PhD; Reinhold Muller, PhDFROM THE ABSTRACT:Study Design.A randomized controlled clinical trial was conducted.Objective.To compare medication, needle acupuncture, and spinal manipulation for managing chronic (>13 weeks duration) spinal pain because the value of medicinal and popular forms of [..]

United Kingdom back pain exercise and manipulation (UK BEAM) randomised trial

Cost effectiveness of physical treatments for back pain in primary care UK BEAM Trial Team (Andrea Manca)British Medical Journal329:1381 December 11, 2004FROM ABSTRACTObjectiveTo assess the cost effectiveness of adding spinal manipulation, exercise classes, or manipulation followed by exercise (“combined treatment”) to “best care” in general practice for patients consulting with low back pain.DesignStochastic cost utility [..]

Nonoperative Management of Low Back Pain and Lumbar Disc Degeneration

An Instructional Course Lecture,American Academy of Orthopaedic SurgeonsTHE JOURNAL OF BONE AND JOINT SURGERYVOLUME 86-A · NUMBER 8 · AUGUST 2004BY DARREL S. BRODKE, MD, AND STEPHEN M. RITTER, MDTHESE AUTHORS NOTE:Low back pain is often a difficult problem to solve.“There is a paucity of evidence from the health professional literature regarding its cause, management, and [..]

Comparative Analysis of Individuals With and Without Chiropractic Coverage

Patient Characteristics, Utilization, and CostsArchives of Internal MedicineOctober 11, 2004;164:1985-1992Antonio P. Legorreta, MD, MPH; R. Douglas Metz, DC; Craig F. Nelson, DC, MS; Saurabh Ray, PhD; Helen Oster Chernicoff, MD, MSHS; Nicholas A. DiNubile, MDFROM ABSTRACT:Background: Back pain accounts for more than $100 billion in annual US health care costs and is the second leading [..]

Chiropractors and Low Back Pain

The LancetJuly 28, 1990, p. 220The editors of THE LANCET review the June 2nd 1990 British Medical Journal article by Meade [immediately above], Low back pain of mechanical origin:randomized comparison of chiropractic and hospital outpatient treatment.The study used 741 patients. The editors of THE LANCET note:The article “showed a strong and clear advantage for patients [..]

Low back pain of mechanical origin: Comparison of chiropractic and hospital outpatient treatment

British Medical JournalJune 2, 1990T W Meade, Sandra Dyer, Wendy Browne, Joy Townsend, A 0 FrankFROM ABSTRACTObjectiveTo compare chiropractic and hospital outpatient treatment for managing low back pain of mechanical origin.DesignRandomised controlled trial. Allocation to chiropractic or hospital management by minimization to establish groups for analysis of results according to initial referral clinic, length of [..]

Spinal Manipulation in the Treatment of Low Back Pain

Canadian Family PhysicianMarch 1985, Vol. 31, pp. 535-540H. Kirkaldy-Willis and J. D. CassidyDr. Kirkaldy-Willis is a Professor Emeritus of Orthopedics and director of the Low-Back Pain Clinic at the University Hospital, Saskatoon, Canada.FROM ABSTRACT:Spinal manipulation, one of the oldest forms of therapy for back pain, has mostly been practiced outside of the medical profession.Over the [..]