Chiropractic 2

Chiropractic Care

Chiropractic 1

Relieve Pain & Reduce Muscle Spasm

Chiropractic 3

Manipulation for Joint Realignment

Chiropractic 4

Reduce Joint Stiffness

Chiropractic 5

Correct Muscle Function

How they treat

chiropractic-1Spinal Manipulation or 'adjustment' is the most common treatment used in Chiropractic. It is a manual technique during which spinal facet joints are taken a short way past the normal range of movement, but not far enough to dislocate or damage the joint. There is a short sudden thrust that can cause an audible click, that is associated with an increase in range of motion.

These techniques have physiological effects on body tissues. The practitioner also employs techniques where the hands are used to manipulate, massage, mobilise, adjust, stimulate, apply traction or otherwise influence the spine and related tissues.

The 'Sacro-Occipital Technique' (which models the spine as a torsion bar) is also popular.

Many other procedures are used by Chiropractors for treating the spine, joints and tissues, along with general health issues. Therapeutic exercise, ergonomic advice, postural advice, self-care strategies, nutritional advice, trigger point therapy and preventative screening are also frequently employed by our Chiropractors.

Recent Research into Chiropractic Treatments

Numerous studies throughout the world have shown that chiropractic treatment, including manipulative therapy and spinal adjustment, is both safe and effective. Below is a summary of some of the most recent and prominent studies into chiropractic care and its effectiveness.

In February 2010, The Effectiveness of Manual Therapies: The UK Evidence Report was commissioned by the General Chiropractic Council in order to provide a summary of the scientific evidence for the effectiveness of manual treatments for musculoskeletal and non-musculoskeletal conditions. This included joint manipulation, mobilisation, massage and soft-tissue techniques.

The report concluded that moderate to high quality evidence was found to support chiropractic management of the following:

  • Joint pains including hip and knee pain from osteoarthritis as an adjunct to core OA treatments and exercise
  • General aches and pains including those of joints, muscle spasms and cramp
  • General, acute and chronic backache, back pain (not arising from injury or accident), including Lumbago
  • Uncomplicated mechanical neck pain (as opposed to neck pain following injury e.g. whiplash)
  • Headache arising from the neck (i.e. cervicogenic)
  • Frozen shoulder, shoulder or elbow pain, or tennis elbow arising from associated musculoskeletal conditions of the back and neck, but not isolated occurrences
  • Prevention of migraine
  • Tension and inability to relax

In May 2009, The National Institute for Health and Clinical Excellence (NICE) published new guidelines to improve the early management of persistent non-specific low back pain. The guidelines recommend what care and advice the NHS should offer to people affected by low back pain.

NICE assessed the effectiveness, safety and cost-effectiveness of available treatments for low back pain and one recommendation is to offer a course of manual therapy, including spinal manipulation, spinal mobilisation and massage. This treatment may be provided by a range of health professionals, including Chiropractors, as spinal manipulation is part of the package of care that Chiropractors can offer.

In February 2009, The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders represents the most recent and comprehensive systematic review of the literature for non-invasive interventions, including manual treatment, for neck pain. For whiplash associated disorders, they concluded that mobilization and exercises appear more beneficial than usual care or physical modalities. For uncomplicated, mechanical neck pain, they concluded that the evidence suggests that manual treatment, including manipulation, mobilization, and exercise interventions, low-level laser therapy and perhaps acupuncture are more effective than no treatment, sham or alternative interventions.

Compiled by Shelley Doole, Chiropractor

References:
Bronfort G, Haas M, Evans R, Leininger B, Triano J: Effectiveness of manual therapies: the UK evidence report. Chiropr Osteopat 2010, 18:3.
NICE clinical guideline 88 – Low back pain (Issued: May 2009).
Hurwitz EL, Carragee EJ, Velde G, Carroll LJ, Nordin M, Guzman J, et al.: Treatment of neck pain: noninvasive interventions: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. J Manipulative Physiol Ther 2009, 32:S141-S175.