Comments on: New Study Finds Chiropractic Care Superior to Family Physician-directed Usual Care

By: Chiropractor Lynnwood

Chiropractor Lynnwood — Wed, 23 Mar 2011 01:34:32 +0000

It would be great if family physicians referred to chiropractors. Seems like they prefer Physical Therapists for some reason.

By: Dr. Marcella Ziska

Dr. Marcella Ziska — Sat, 18 Dec 2010 04:29:44 +0000

In the spirit of Karl's comment about "killing them with kindness" above, I think the discussion shouldn't so much center on what treatment is superior or not, as what defines superiority is only tightly controlled in clinical trials...but on what's best for the individual--e.g what they want to get out of the clinical experience. I think if informed consent about tx options actually took place on a level playing field, chiropractic care would be the first choice for many. Just from the side effects of pharmaceutical alone!

RESPONSE from Frank Dr. Ziska, I agree that in comparison, spinal adjusting is vastly safer than drugs for symptom management. I believe our biggest challenge will be how to communicate the superiority of chiropractic SMT to PT-provided SMT. At present, most PTs have considerably less hours devoted to SMT than DCs do. I wonder how that will change as doctorate level PTs enter the market. I guess it's time to review their curricula to see how many SMT hours those programs provide.

By: New Study Suggests That Back Surgery Fails 74% of the Time - All Injury Rehab & Chiropractic Wellness

Tue, 16 Nov 2010 16:40:58 +0000

[...] New Study Finds Chiropractic Care Superior to Family Physician-directed Usual Care [...]

By: Denver Chiropractic

Denver Chiropractic — Sun, 14 Nov 2010 07:34:53 +0000

A good read. Nice to know that what I am providing is showing better results in the studies.

By: seattle chiropractor

seattle chiropractor — Tue, 09 Nov 2010 20:23:58 +0000

Good health care professionals are lifetime learners. They want to keep up with the literature and adopt what is best for their patients, families, and themselves. That being said, I agree with Frank. PT’s and MD’s simply don’t have enough training to perform spinal manipulation properly and safely.

By: ChiroOrg Blog « New Study Suggests That Back Surgery Fails 74% of the Time

ChiroOrg Blog « New Study Suggests That Back Surgery Fails 74% of the Time — Mon, 25 Oct 2010 16:43:38 +0000

[...] New Study Finds Chiropractic Care Superior to Family Physician-directed Usual Care Recent CommentsChiropractors Directory on Why Do Spinal Surgery Rates Continue To Rise?karl on New Study Suggests That Back Surgery Fails 74% of the TimeDR.RICH on New Study Suggests That Back Surgery Fails 74% of the TimeJohn on Chiropractic Care – Global Strategic Business ReportCategories [...]

By: Dr. Jeremy Garcia

Dr. Jeremy Garcia — Wed, 20 Oct 2010 18:28:07 +0000

It is a good to see that there is finally some research showing the benefits of our profession are giving the patient what they really need as stated in the summary “first reported randomized controlled trial comparing full CPG-based treatment, including spinal manipulative therapy administered by chiropractors, to family physician-directed UC in the treatment of patients with AM-LBP.” Perhaps some of the politicians will see the importance of having more than one specified system of treatment.

By: Orem Chiropractor - R. Ned McArthur, D.C.

Orem Chiropractor - R. Ned McArthur, D.C. — Mon, 18 Oct 2010 23:03:48 +0000

I read this a week ago and had a hard time pulling out the important data. Thanks for your highlights making it easier (at least for me) to understand.

What a great comment “. . . manipulation alone probably gives better value for money than manipulation followed by exercise.”

All my decisions are about value. Good to know I’m providing it.

By: Frank

Frank — Tue, 12 Oct 2010 21:32:44 +0000

Thanks Karl The major reason I like this article is that it points out very clearly that what we do is evidence-based, while most of what they do isn't. As for PTs, some States have already ruled that manipulation is outside their scope of practice. We do need to emphasize that DCs take 1200 or more hours (and most of it closely supervised) in spinal manipulation, and that PTs (and even osteopaths) don't get even a tiny fraction of those hours. There's a VAST difference between an MD or a PT taking a weekend class in manipulation (as documented in The Back Letter) and being enrolled in a 15-week class, where you are supervised (and get constant feedback) throughout that whole semester-long process. That's how WE learn it. Who would you prefer to have adjust you?

By: karl

karl — Tue, 12 Oct 2010 21:23:48 +0000

Overall, this study is important not only to chiropractic but also family physicians. The familiy physicians/practitioners I have spoken with would prefer that these NMS pts. be seen by physical medicine practitioners.They don’t have the time and usually the best training to deal with these pts. You can bet the physical therapy community has looked at this study to further rationalize their quest to dominate manipulation. We need to embrace this study and consider the pros and the possible cons. Studies like this will give us Best Practice evidence for chirpractic care. I feel our strategy must be a strategy of not bad mouthing but “kill them” with kindness.

By: Chirostudent Denmark

Chirostudent Denmark — Mon, 11 Oct 2010 20:04:50 +0000

Very nice reading!

Greetings from Denmark

By: Rhena Lindsey

Rhena Lindsey — Thu, 07 Oct 2010 23:15:15 +0000

Thanks, Dr. Painter, for sharing.
Looking forward to your Memphis Seminar Nov 13th.

RESPONSE from Frank

Thanks Rhena…I’m looking forwards to it too!