La Grande Back Pain Patients Favorite Question: Why? Research Answers

April 29, 2025

Our La Grande chiropractic clients want to know “why”! Why do I suffer with back pain? Why do I keep getting back pain? Understandable questions that can often be answered with examination findings aligned with research-documented findings. Research can help explain that, and Dr. Paulette Hugulet, DC, LLC works to keep abreast of the newest (with a healthy gratitude of the past!) research to communicate with you! Let Dr. Paulette Hugulet, DC, LLC work with you to get some understanding as to why you experience spine-related pain…and how we can help you get some relief of chronic back pain.

RESEARCHERS CALL FOR “WHY” MANUAL THERAPY WORKS

Today’s medical literature and researchers are asking for more information on ‘why” manual therapy succeeds beyond current studies supporting the peripheral, segmental spinal, and supraspinal mechanisms which can be measured. A group of researchers studied published reviews of other studies regarding the mechanism of how manual therapy affects a body. They found support for neurovascular, neurological, and neuropeptide/neuroimmune modifications as well as the value of pain decrease with manual therapy. (1) All of these discoveries are amazing! They want to understand more.

RESEARCH ON THE “WHY” OF COX® TECHNIC OUTCOMES

Dr. Paulette Hugulet, DC, LLC values the efforts of a group of researchers who have been looking at the “why” of Cox® Technic treatment protocols and positive results. At the ACC-RAC chiropractic research meeting this past March 2025, two platform abstracts were delivered about Cox® Technic. One showed the ability to calculate lumbar spinous process movement with ultrasound throughout the delivery of flexion distraction manipulation. The researchers noted separation of the spinous process at L3L4, L4L5, L5S1 levels. (2) The second one discussed how they are able to assess the forces delivered during the Cox® Technic FDD spinal manipulation in a patient whose low back pain and leg pain were alleviated. (3) The more measurements possible, the more knowledge of “why” something works will come! We can’t wait to share with our La Grande chiropractic patients!

FOLLOWING GUIDELINES

Another group of researchers plan to test how implementing guidelines from the American College of Physicians for Low Back Pain may enhance the care of low back pain. The guideline has been around for a long time, but it has not been put into action. A study has been approved by multiple Institutional Review Boards: Duke, Dartmouth, University of Iowa, and Advarra. The first line treatment endorsed is non-pharmacological interventions like spinal manipulation and exercise. (4) Dr. Paulette Hugulet, DC, LLC excitedly awaits this study’s outcomes! It’s time!

CONTACT Dr. Paulette Hugulet, DC, LLC

Listen to this PODCAST with Dr. James Cox, developer of Cox® Technic protocols, on The Back Doctors Podcast with Dr. Michael Johnson as he describes the Cox® Technic System of Spinal Pain Management, its development, its foundational research, its current research, and its futuristic studies using ultrasound measurement, force application observing, and more.

Make your La Grande chiropractic appointment soon.

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