Researchers continually study spinal manipulation
to more fully describe its contributions to pain
relief for sufferers with back pain, related leg pain, and neurological symptoms
that disrupt quality of life. Spinal manipulation (SM) alleviates
back pain (acute, chronic), back-related leg pain, quality of life,
neurological symptoms, and disability for sufferers. That’s a
sentence full of promise which has research
support behind its claims. Paulette Hugulet, DC, LLC individualizes
a chiropractic treatment plan incorporating spinal manipulation oftentimes
the gentle type of Cox® Technic flexion distraction decompression for
our La Grande chiropractic patients after performing a detailed
examination. La Grande pain relief is imaginable.
Spinal pain patients as well as patients experiencing
neurological disorders like stroke have neurological symptoms that respond
to spinal manipulation. Suffering with neurological symptoms impacts worldwide disability statistics and
personal well-being and quality of life. A narrative review noted
that most studies described the mechanism by which spinal
manipulation decreased spinal pain, may increase
strength in asymptomatic people, and reportedly altered
spasticity, muscle stiffness, motor function, autonomic function, and balance issues.
Of course, an invitation for more studies to support
these findings was made. 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 logically
influences back pain treatment guidelines that your La Grande 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 newer 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 valuable as part of a multimodal approach.
Advice, reassurance, education, self-management, usual medical care, home
exercises, etc., were listed as beneficial
in improving pain and disability. (2)
Guidelines like this for back pain must be based on research that explains
how relief is produced.
SPINAL MANIPULATION RELIEF FOR BACK PAIN
A current study intends to see whether
chronic low back pain patients’ response to SM comes from centralization which can be analyzed
via questionnaires, pressure pain threshold tests,
inflammatory cytokine tests, and patient expectations of relief. The researchers
expect to be able to predict patient
response. (3) Before 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 noted that placebo and controls in
a spinal manipulation study are tough to disguise
treatment versus no-treatment because of the hands-on nature
of the treatment. An improved control/placebo could help clarify
the contribution of the effects of SM on
THE CHALLENGE OF PLACEBO
Back pain patients do not 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 play a role
based on patient expectations and conditioning. Researchers are now checking
to see whether conditioning can enhance patient
outcomes by emphasizing the positive expectations of spinal
manipulation treatment. (5) What do you think? Paulette Hugulet, DC, LLC knows our chiropractic
patients can feel better knowing that their care is well-researched
and supported by clinical trials that showed positive clinical
outcomes for back pain relief.
CONTACT Paulette Hugulet, DC, LLC
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 La Grande chiropractic
appointment now. Paulette Hugulet, DC, LLC hopes that you don’t let your quality of life suffer because
of your back pain, related leg pain and or neurological sypmatomatology.
Trust Paulette Hugulet, DC, LLC to fully examine your spine and set
a relieving treatment plan for its care.