Manipulating the Pain: Chiropractic and Other “Alternative” Treatments for Back Pain
Air date: Monday, April 14, 2014, 10:00:00 AM
Category: NCCAM Lectures
Runtime: 00:57:33
Description: The National Center for Complementary and Alternative Medicine (NCCAM) presents the Integrative Medicine Research Lecture series. The series provides overviews of the current state of research and practice involving complementary health therapies, and explores perspectives on the emerging discipline of integrative medicine. Richard A. Deyo, M.D., M.P.H, is the Kaiser Permanente Professor of Evidenced-Based Family Medicine in the Department of Family Medicine at Oregon Health and Science University. Dr. Deyo will discuss the results of his research, which suggest that complementary health approaches, such as spinal manipulation, acupuncture, and massage, have benefits at least equal to conventional care for back pain, but perhaps with different mechanisms and for different patients. For more information go to: http://nccam.nih.gov/news/events/IMlectures
For more information go to http://nccam.nih.gov/news/events/IMlectures
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In this video which is about an hour long and by one of the leading researchers in back pain speaking to the National Institutes of Health on complementary medicine.
Briefly here are some facts
100 million Americans suffer from chronic pain (this is more people than heart disease, cancer, and diabetes combined)
Accounts for over $635 Billion/year in treatment and lost productivity.
Consumer report in 2013 report on tx of lower back pain and % of patients who were complete or very satisfied with their care
Chiro 59%
PT 55%
Acupuncture 53%
MD specialist 44%
PCP 34%
Lower back pain rates of complications from spinal manipulation 1 in 100 million. He wishes his NSAID, muscle relaxants, or opiods were that safe.
Opinion: chiropractic is low tech, labor intensive (requiring many visits), but much safer than usual medical care.
They also found that CAM users were healthier, better educated, and had better insurance than those that did not use CAM.
His conclusions on treatment of uncomplicated LBP
No worse than usual care and maybe better response
Much safer treatment
“healing power of touch” may be useful
Growing acceptance by medical profession
Reasonable choice for lower back pain patients
More durable effects may require long term exercises and cognitive behavior therapy.