Spinal Mobilization Most Cost Effective Option for Neck Pain

Spinal Mobilization Most Cost Effective Option for Neck Pain


Spinal Mobilization Most Cost Effective Option for Neck Pain New research showed that chiropractic led to significant improvements for 94% of neck-pain patients, but how do chiropractic techniques compare to other conservative treatments in the management of neck pain?

To answer that question, it's helpful to look back at an important study from 2003 published in the British Medical Journal. The study compared various conservative treatments and concluded that the type of manual therapy routinely used by chiropractors was the most cost-effective option for neck pain.

Researchers from the Netherlands were interested in evaluating not only the costs associated with manual therapy but how efficiently manual therapy delivered relief compared to other treatments.
They randomly assigned 183 patients with acute neck pain to receive care from manual therapists (MT), physiotherapists (PT), or general practitioners (GP). For the purposes of this study, manual therapy consisted of spinal mobilization applied to the neck without spinal adjustments.

Patients receiving manual therapy had the fastest recovery rate. After seven weeks of care, 68% of the MT group had recovered, compared to 51% of the PT group and 36% of the GP group. These differences in recovery rates were still statistically significant after 26 weeks but not after 52 weeks.

To calculate costs of treatments, the researchers considered direct costs such as visits to the healthcare provider and the costs of prescription drugs, in addition to indirect costs like work absenteeism and travel time. The manual therapy group had significantly lower costs, with patients spending only a third of the costs spent by patients in the PT and GP groups. On average manual therapy patients had approximately $611 in costs compared to $1773 in the physiotherapy group and $1885 in the general practitioner group (or €447, €1297, and €1379, respectively). Only nine patients in the MT group reported missed work due to neck pain, compared to 12 in the PT group and 15 in the GP group.

The reduced cost likely stemmed from the fact that MT patients were using significantly less prescription drugs and required fewer treatment interventions due to quicker recovery rates. The authors concluded that manual therapy, specifically spinal mobilization, is less costly and more effective for alleviating neck pain than physiotherapy or care from a general practitioner.

Reference
Korthals-de Bos IB, et al. Cost effectiveness of physiotherapy, manual therapy, and general practitioner. British Medical Journal 2003. doi: http://dx.doi.org/10.1136/bmj.326.7395.911. 

Posted in Chiropractic, Healthy Lifestyle. Tagged as neck pain.

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Why Chiropractic is the Best Solution for Sciatica Pain


Sciatica and chiropracticSciatica and chiropractic
Sciatica pain is often so debilitating that it forces people to miss work and other normal activities.  Of all patients with low-back pain, sciatica patients have the highest level of disability (1).  In fact, patients with sciatica are disabled for an average of 72 days according to Norwegian public-health records.
Fortunately, a recent study offers hope to sciatica patients: chiropractic care can speed the recovery from sciatica flare ups and allow patients to return to work sooner (2).

The study evaluated 44 Norwegian workers after they came to the hospital with severe sciatica pain. Most of those patients had been experiencing pain for three or more weeks prior to their hospital visit.
The hospital chiropractor examined each patient to evaluate his/her posture and gait, range of motion, and palpation of the lumbar spine.

The chiropractic then performed various joint adjustments to the spine and other limbs that had been injured through patients compensating for pain. Ice treatment was also used to relieve soft tissue soreness.Patients were treated daily in the hospital and later three times a week for the first two weeks. Some patients needed additional follow-up treatment but typically did not exceed 14 treatments.

In matter of 21 days, 91% of patients returned to work full-time. Two patients returned to work part time. Researchers concluded this study demonstrates the potent benefits of collaboration between chiropractors and orthopedic surgeons. Chiropractic care can put an end to your sciatica pain so you can begin living your life fully again.

Posted in chiropracticChiropractic NewsSciaticasciatica treatmentUnderstanding Sciatica
  1. Arana E, Marti-Bonmati L, Vega M, et al. Relationship between low back pain, disability, MR imaging findings and health care provider. Skeletal Radiology 2006;35(9):641-7.
  2. Orlin JR, Didriksen A. Results of chiropractic treatment of lumbopelvic fixation in 44 patients admitted to an orthopedic department. Journal of Manipulative and Physiological Therapeutics 2007;30:135-139.