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New Roads Chiropractic Center 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 entails providing evidence of chiropractic’s benefit for painful musculoskeletal conditions like neck pain, back pain, arm pain and sciatic leg pain. New Roads Chiropractic Center delivers just such effective, research-documented care to our New Roads chiropractic patients.

CHALLENGE: DO HIGH QUALITY RESEARCH

A group of back pain researchers challenged fellow researchers to create long-term plans to reduce the burden of low back pain on sufferers and healthcare systems. They explained that developing effective strategies remains a daunting job for back pain clinicians, doctors, and researchers. Vexingly, back pain disability levels have not increased despite a larger number of published research papers about back pain care. No consensus on the best way to manage low back pain has been agreed upon. Non-drug and non-invasive methods like exercise, manual therapy, massage, and such are typical recommendations. Other reviewing researchers pointed to a few problems with back pain research: design and analysis within the treatment clinical trials. (1) Designing research studies is difficult. Designing a “sham” protocol for spinal manipulation that seems like spinal manipulation is really challenging. (Just touching a spine can help some, but that is a topic for another article!) Observational studies are the next best thing. How so? Researchers observe how patients respond when they go through treatment and describe changes and effects. Fortuitously, Cox® Technic research has a blend of biomechanical and clinical observational studies resulting in case reports, case series, as well as retrospective and prospective clinical studies. New Roads Chiropractic Center feels this mix of research support helps explain to our New Roads chiropractic patients what clinical outcome relief they may expect.

MINIMAL CLINICAL IMPORTANCE

Occasionally, chiropractic physicians and low back pain patients alike are frustrated 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’s reported to be an “effective” outcome. Cox® Technic has proposed 50% improvement in 30 days as the goal…and still does. Often, chiropractic patients find that 50% relief in less than a month and that the 50% relief is more like 70% or 80% or 90%! Sometimes, a patient’s response may be slower in getting relief or only reaches 30% or 40%. Some patients want more while others, especially patients who have already had back surgery or sought non-relieving care from many other providers, are thrilled. 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’s not a huge move but is reasonable. (2) It’s 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 New Roads 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, has a little more effort in maintaining a flow of research as many programs are not incorporated into large university settings with well-established and well-financed research departments. Global chiropractic researchers are looking for am amswer.  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 turning to the RAND Corporation’s Center for Collaborative CIH Research to combine research talent and resources to elevate chiropractic’s quality and quantity of research.  (3,4) Solid research carries on at chiropractic universities to document the benefits of chiropractic for musculoskeletal-related pain like back pain, neck pain, arm pain and leg pain.

CONTACT New Roads Chiropractic Center

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 describes research studies of which he’s been a part.

Schedule your next New Roads chiropractic appointment today. Bring your questions about the research supporting our chiropractic care with you! New Roads Chiropractic Center is always ready to share research! 

 
New Roads Chiropractic Center 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."