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Lower back problems
Low back pain study by insurance
company favorable to chiropractic
Blue Cross/Blue Shield (BCBS) of Kansas in August 1999, presented a study titled "Lumbago Treatment." The information for this study was gathered from a program called the McKesson Episode Profiler. This data program allowed BCBS to sort the health care statistics of different types of doctors as well as the types of conditions that were listed on the insurance claim forms.  Using this information BCBS could determine the cost and effectiveness for chiropractic with what they termed "Lumbago".

The results showed that 38 percent of the patients chose to seek chiropractic care rather than medical care. This was in contrast to the fact that less than eight percent of the doctors in the study were chiropractors.  This showed that it took fewer chiropractors to care for more people.  

The results showed that chiropractic was more cost-effective than anesthesiology; neurosurgery; neurology; registered physical therapy; orthopedic reconstructive surgery; physical medicine and rehabilitation; and rheumatology.  The study also showed that most of the chiropractic expenses 89%, were related directly to patient care, while only 45 percent of the medical costs were related to treatment of the condition with remainder of the costs being for diagnostic procedures.

Additionally, the study deliberately excluded any costs for hospitalization, surgery, or any fees paid to orthopedists or neurosurgeons for costs associated with surgery. Without these additional costs being included in the study, the costs related to medical care were reported much lower than they actually were, and the savings from chiropractic care was actually much larger.

This study confirmed what many others have in the past.  Patients suffering from back problems are in much better, and cost effective hands with chiropractic care.

Chiropractic more effective than outpatient
hospital care for lower back pain
The British Medical Journal reports that a three-year study proves what most chiropractic patients already know.  Chiropractic care is more effective with higher patient satisfaction than outpatient medical care for these types of problems.  The study reported involved 741 men and women with low back pain.  A 3 year follow up showed that there was 29% higher improvement in those receiving chiropractic care over those receiving out-patient medical care.  In addition more of the patients rated chiropractic more helpful than the hospital management.  The conclusion of the study was that those seen by chiropractors derive more benefits and long-term satisfaction than those treated by hospitals.

Do you think you have lower back problems, or
does lower back problems effect the way you think?
Published in the February 1st 1999 issue of “Spine” research magazine, was a study that showed a link between chronic low back pain and slower reaction times, reduced short term memory, and certain motor tasks.  The study measured subjects with chronic lower back pain using a computer to test their short term memory and reaction time to certain items that appeared on the screen.

The conclusion was that chronic lower back pain hampers short term memory and decreases the patients speed of process of certain information.

In a related note the “Journal of Manipulative and Physiological Therapeutics” July August 1999 issue published a pilot study comparing chiropractic care to acupuncture and medication for patients with chronic low back problems.  The results were that no change took place with the acupuncture and medication group while significant changes occurred in the chiropractic group.  Considering the information above about memory and reaction times we can see the profound positive effect chiropractic can have on these patients.

Patients with long-lasting or recurrent low
back pain helped with chiropractic care
The May 2001 issue of the Journal of Manipulative and Physiological Therapeutics (JMPT) carried a report of a study on the effect of chiropractic care on patients with recurrent or long lasting low back pain.  Numerous studies over past years have shown that chiropractic care was beneficial for patients with acute and short term back pain.  However, due to the difficulty of conducting a large study, research to show what thousands of chiropractors and their patients have known about help with long term back pain was scarce.  

A total of 19 Norwegian chiropractors participated in this study.  In all 158 patients were studied, all of whom fit the criteria of suffering from long lasting or reoccurring lower back pain for at least two weeks duration, with at least one previous occurrence in the previous 6 months.  All subjects could not have had any chiropractic care in the prior 6 months to be eligible to participate in the study.  Participants were questioned each visit to rate their progress as it relates to the pain.  

The results showed that approximately 50% of patients reported that they had “improved” at the 4th visit.  By the 12th visit, approximately 75% of the patients reported that “improvement” had occurred.  The study only recorded data for the first 12 visits so no data on additional benefits after 12 visits was available.  The researchers did conclude, "there seems to be a distinct recovery pattern among chiropractic patients with relatively long-lasting or recurrent lower back pain."

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