“There is more evidence-based research to support chiropractic treatment than any other complementary discipline”(British Chiropractic Association 2006).
Please find listed below a selection of research papers and published documents, which support this strong evidence base. This information will be especially of use for GP's.
Effectiveness of manual therapies: the UK evidence report Bronfort, G. Haas, M, Evans, R. Leininger, B, and Triano, J. (2010) Chiropractic & Osteopathy 18:3 “Evidence based healthcare is about doing the right things for the right people at the right time . It does so by promoting the examination of best available clinical research evidence as the preferred process of decision making where higher quality evidence is available… Spinal manipulation/mobilization is effective in adults for: acute, subacute, and chronic low back pain; migraine and cervicogenic headache; cervicogenic dizziness; manipulation/mobilization is effective for several extremity joint conditions; and thoracic manipulation/mobilization is effective for acute/subacute neck pain.”
Commentary on the United Kingdom evidence report about the effectiveness of manual therapies. Haldeman,, S. Haldeman and Underwood, M. (2010) Chiropractic & Osteopathy 18:4 “there is now little dispute amongst knowledgeable scientists that manipulation is of value in the management of back pain, neck pain and headaches that make up 90% or more of all patients who seek chiropractic care”
Koes B W , van Tulder MW, Thomas S (2006) 'Diagnosis and Treatment of Low Back Pain'. British Medical Journal (BMJ), 332:1439-1434 (June). A review article of over 1000 ramdomized controlled trials of all treatments for low back pain. Recommends spinal manipulation for both acute and chronic low back pain.
Department of Health (DOH) 'The Musculoskeletal Framework; A joint responsibility; doing it differently'. Clearly acknowledges chiropractors as being one of the professions that has clear expertise in the delivery of musculoskeletal services, and lays out plans for specialist clinics where chiropractic is available.
Department of Health - Musculoskeletal Framework Policy
Meade TW, Dyer S, Brown W, Frank OA. British Medical Journal. (1995) 311: 349 - 351Randomised comparison of chiropractic and hospital outpatient management for low back pain: results from extended follow up.
'Randomised comparison of chiropractic and hospital outpatient management for low back pain': At three years the results confirm the findings of an earlier report that when chiropractic or hospital therapists treat patients with low back pain as they would in day to day practice those treated by chiropractic derive more benefit and long term satisfaction than those treated by hospitals."
Donald R Murphy, Brian D Justice, Ian C Paskowski, Stephen M Perle and Michael J Schneider 'The Establishment of a Primary Spine Care Practitioner and its Benefits to Health Care Reform in the United States' Chiropractic & Manual Therapies 2011, 19:17 "It is widely recognized that the dramatic increase in health care costs in the United States has not led to a corresponding improvement in the health care experience of patients or the clinical outcomes of medical care. In no area of medicine is this more true than in the area of spine related disorders (SRDs). Costs of medical care for SRDs have skyrocketed in recent years. Despite this, there is no evidence of improvement in the quality of this care. In fact, disability related to SRDs is on the rise. We argue that one of the key solutions to this is for the health care system to have a group of practitioners who are trained to function as primary care practitioners for the spine. We explain the reasons we think a primary spine care practitioner would be beneficial to patients, the health care system and society, some of the obstacles that will need to be overcome in establishing a primary spine care specialty and the ways in which these obstacles can be overcome."