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Gormish Chiropractic & Rehabilitation Explains the Value of Chiropractic Research

Research makes the healthcare world go ‘round! Research solidifies the role of healthcare’s pain relieving ability. In chiropractic healthcare, much research revolves around providing evidence of chiropractic’s benefit for painful musculoskeletal pain issues like neck pain, back pain, arm pain and sciatic leg pain. Gormish Chiropractic & Rehabilitation offers just such effective, research-documented care to our Carrolltown chiropractic patients.

CHALLENGE: DO HIGH QUALITY RESEARCH

One group of back pain researchers challenged fellow researchers to develop long-term plans to reduce the problem of low back pain on sufferers and healthcare systems. They described that developing effective strategies remains a daunting job for back pain clinicians, doctors, and researchers. Frustratingly, back pain disability levels have not increased despite an increased quantity of published research reports regarding back pain care. No consensus on the best way to manage low back pain has been agreed upon. Non-drug and non-invasive options like exercise, manual therapy, massage, and such are typical recommendations. Another group of reviewing researchers indicated a few problems with back pain research: design and analysis within the treatment clinical trials. (1) Designing research studies is difficult. Coming up with a “sham” protocol for spinal manipulation that seems like spinal manipulation is especially challenging. (Just touching a spine can help some, but that’s a topic for another article!) Observational studies are the next in line. How so? Researchers observe what happens to patients when they experience treatment and make note of changes and effects. Fortunately, Cox® Technic research has a mix of biomechanical and clinical observational studies resulting in case reports, case series, as well as retrospective and prospective clinical studies. Gormish Chiropractic & Rehabilitation feels this mix of research support helps outline the expectations our Carrolltown chiropractic patients may anticipate.

MINIMAL CLINICAL IMPORTANCE

Sometimes, chiropractic physicians and low back pain patients alike are disappointed with the outcomes of treatment for back pain. They shouldn’t be! In medicine, the minimal clinically important difference (MCID) is defined as 30% or 20% and even 10% improvement. That is reported to be an “effective” outcome. Cox® Technic has offered 50% improvement in 30 days as the aim…and still does. Often, chiropractic patients find that 50% relief in fewer than a month and that the 50% relief is closer to 70% or 80% or 90%! Sometimes, a patient’s response may be slower in attaining relief or only reaches 30% or 40%. Some patients desire more while others, particularly patients who have previously undergone back surgery or sought non-relieving care from many other providers, are excited. A study of 1232 low back pain subjects discovered a MCID pain intensity of 2 (meaning a 2 point change on a scale of 0 no pain to 10 worst imaginable pain). That is not a big move but is realistic. (2) It is a statistic to consider. Weighed against medical and surgical outcomes for back pain treatment that are as low as 10% or 30% expected improvement MCID, our Carrolltown chiropractic clinical outcome objectives are high and frequently achievable.

THE CHALLENGE OF CHIROPRACTIC RESEARCH – AND HOW CHIROPRACTIC ANSWERS

Chiropractic, like other complementary and integrative healthcare professions, experiences a little more difficulty in maintaining a flow of research as many programs are not in large university settings with well-established and well-financed research departments. Global chiropractic researchers are looking for a solution.  Australia, Canada, and Denmark chiropractic researchers have created a leadership academy (CARL – Chiropractic Academy for Research Leadership) for early-career chiropractic researchers to promote more chiropractic research. US-based researchers are looking to the RAND Corporation’s Center for Collaborative CIH Research to assemble research talent and assets to elevate chiropractic’s quality and quantity of research.  (3,4) Solid research continues at chiropractic universities to document the benefits of chiropractic for musculoskeletal-related pain like back pain, neck pain, arm pain and leg pain.

CONTACT Gormish Chiropractic & Rehabilitation

Listen to this PODCAST with Ram Gudavalli, PhD, principal investigator of many Cox® Technic research studies, on The Back Doctors Podcast with Dr. Michael Johnson as he illustrates research studies of which he’s been a part.

Schedule your next Carrolltown chiropractic appointment now. Bring your questions about the research supporting our chiropractic care with you! Gormish Chiropractic & Rehabilitation is always ready to share research! 

 
Gormish Chiropractic & Rehabilitation shares the importance and value of chiropractic research in healthcare decision-making and relevance. 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."