International clinical guidelines in both Europe and North America recommend spinal manipulation as a first “line of defence” in treating spinal conditions. Major clinical studies comparing chiropractic care of spinal ailments with other commonly used treatments have been carried out in the UK and published in the British Medical Journal. These studies have proven that chiropractic care provides excellent results and is also cost-effective.
Chiropractic has been demonstrated to be more effective for the management of lower back pain than conventional hospital outpatient care. British Medical Journal, 2004
Spinal manipulation is a cost effective addition to “best care” for back pain”. British Medical Journal, 2004
Patients receiving chiropractic care for lower back pain were more satisfied with their care than patients receiving hospital outpatient care. British Medical Journal, 1995
National Institute of Clinical Excellence (NICE) have produced clinical guidelines in 2009 which now recommend that spinal manipulation together with exercise should be advised to all patients with non-specific back pain.
The Chiropractic profession also commissioned The Bronfort Report which was entitled Effectiveness of manual therapies: the UK evidence report by Gert Bronfort, Mitch Haas, Roni Evans,Brent Leininger and Jay Triano, published in Chiropractic & Osteopathy 2010, 18:3. This recommends spinal manipulation or mobilisation is effective for the following conditions;