Spinal manipulation and back pain go hand in hand. Into
whose hands? Chiropractors’, most commonly! A recent report drew
the attention of Paulette Hugulet, DC, LLC as it details the
current state of spinal manipulation delivery. Your
La Grande chiropractor endeavors to be your
spinal manipulation healthcare provider, your back pain specialist, in
La Grande.
PROVIDERS OF SPINAL MANIPULATION
Medicare patients are older.
They encounter conditions like back
pain and neck pain due to spinal stenosis. What is
the first line of treatment recommended? Spinal manipulation.
Which profession historically provides the majority of
spinal manipulation (SMT) care? Chiropractic. Osteopathy did so more heavily in its beginning professional years. Some massage therapists and
physical therapists do now. Chiropractors are
still most commonly recognized for their delivery
of spinal manipulation. Medicare recognizes
it as well. A recent study of the clinicians who give
spinal manipulation tried to find out more about this since spinal
manipulation was a suggested first-line treatment for low
back pain. They uncovered that 97% to 98% of the spinal
manipulation providers were chiropractors. They served anywhere
from 20 back pain sufferers out of 100,000 population in one state to
260 out of 100,000 in another state. Not every location has that
many chiropractors. Other spinal manipulation providers take care of 1 in 100,000 to 8 in 100,000. Spinal manipulation clinicians are used.
Sadly, the number of Medicare-active chiropractors declined
from 47,102 in 2007 to 45,543 in 2015. Other kinds of clinicians
who provide spinal manipulation grew from 700 to
1441. Even though chiropractors are the largest group of
spinal manipulation providers to Medicare beneficiaries, the overall
supply of them is falling while the supply of
non-chiropractors providing spinal manipulation is rising.
(1) Developer of Cox® Technic, Dr. James Cox remembers Dr. Joseph
Janse, president of the National College of Chiropractic for 38 years and founder
of the Council for Chiropractic Education that set up
federal accreditation for chiropractic, always quoted to
the “young doctors” - as he called the chiropractic students
he mentored - “never stop delivering the chiropractic spinal adjustment.”
SPINAL MANIPULATION TECHNIQUES TAUGHT IN CHIROPRACTIC
SCHOOLS
Chiropractic schools strive to include
evidence-based treatment techniques into the teaching curriculum of chiropractors
of the future. A recent survey of faculty at
a chiropractic school found that 81% of them were skilled
in diversified technique and 52% in Cox® Technic. Most of the faculty concurred
that diversified (93%), Cox (89%), Thompson (74%), SOT (54%) and Activator
(52%) techniques would be valuable techniques for their future chiropractors to
be educated via elective courses. Nearly all, 96%, of
the survey responders considered preclinical technique
courses were a good idea. 81% felt elective technique courses were valuable. (2) Certainly,
exposure to well-documented and researched techniques in chiropractic school is
important to establish a future chiropractor’s
foundation for a productive clinical practice in terms of easing
the pain of spine pain patients. Basing the choice of which
techniques to incorporate into the curriculum on those that have
the best evidence behind them is key. Paulette Hugulet, DC, LLC appreciates
all the research documentation – biomechanical and clinical – behind the Cox®
Technic used in this La Grande chiropractic clinic.
CONTACT Paulette Hugulet, DC, LLC
Listen to this PODCAST with Dr. Katrina Wieland on The Back Doctors Podcast with Dr.
Michael Johnson as she describes how the Cox®
Technic System of Spinal Pain Management helped relieve low back pain for this military veteran.
Set up your next La Grande
chiropractic appointment with Paulette Hugulet, DC, LLC today. Entrust
your back pain and neck pain into the hands of your chiropractor at
Paulette Hugulet, DC, LLC who delivers spinal manipulation every day, keeps
track of the research and protocols for safe, gentle, and pain alleviating
treatment based on research evidence. See you
soon!