Neurology

Neurophysiologic Effects of Spinal Manipulationin Patients With Chronic Low Back Pain

By Frank M. Painter|September 22, 2011|Chiropractic Care, Low Back Pain, Neurology|

Neurophysiologic Effects of Spinal Manipulation in Patients With Chronic Low Back Pain

SOURCE: Musculoskelet Disord. 2011 (Jul 22); 12: 170

Brian C Clark, David A Goss Jr,
Stevan Walkowski, Richard L Hoffman,
Andrew Ross, and James S Thomas

Ohio Musculoskeletal and Neurological Institute (OMNI),
Ohio University,
236 Irvine Hall,
Athens, OH 45701, USA.

Background

Low back pain (LBP) is one of the most common reasons for seeking medical care and accounts for over 3.7 million physician visits per year in the United States alone. Ninety percent of adults will experience LBP in their lifetime, 50% will experience recurrent back pain, and 10% will develop chronic pain and related disability [1-4]. According to the most recent national survey more than 18 million Americans over the age of 18 years received manipulative therapies in 2007 at a total annual out of pocket cost of $3.9 billion with back pain being the most common clinical complaint of these individuals [5].

Over the past decade there has been growing scientific evidence supporting the clinical efficacy [6-10] and effectiveness [11,12] of manual therapies in treating LBP. While clinical evidence supporting the efficacy and effectiveness of manual therapies has emerged, less scientific evidence has been offered to explain the effects and mechanisms underlying these treatments. The lack of a mechanistic underpinning hinders acceptance by the wider scientific and health-care communities, and it also limits the development of rational strategies for using manipulative therapies.

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Sidney Crosby Press Conference with Dr Ted Carrick

Sidney Crosby, probably the best player in the NHL, and one who is certainly marketed as the face of the NHL along with Alexander Ovechkin, has been unable to play hockey since last year due to a serious concussion. Recently he has been treated by Dr Ted Carrick, a chiropractor and founder of the Carrick Institute for Graduate Studies in Cape Canaveral, Florida. Sid has made dramatic progress since starting treatment with Dr Carrick.

Here is the press conference. Dr Carrick’s remarks start at 7:40 into the clip.