Everett Chiropractic Center Blog

November 17, 2013

Treatment Choices in Work-Related Back Pain, More Or Less Disability Risk

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We talk until were are blue in the face. We point to the mounting scientific evidence. You choose.

Here a report from a study done last year adds more to the picture.

The punch line from the abstract is:

Conclusions: In work-related nonspecific LBP, the use of health maintenance care provided by physical therapist or physician services was associated with a higher disability recurrence than in chiropractic services or no treatment.

I like the introductory paragraph of the study. It should remind you of dozens of Posts on this Blog. Here it is:

“Low back pain (LBP) continues to be one of the costliest work-related injuries in the United States in terms of disability and treatment costs.1,2 An additional, important component of the human and economic costs is the recurrence of LBP.3 Recurrences of LBP are complex to study because of the difficulty in predicting recurrence and the varying definitions and measurements of recurrence.4–9 So far, there has been little success in preventing recurrent LBP with few studies to investigate this topic. More evidence is needed to understand recurrent LBP and justify interventions to prevent recurrence.”

It’s infinitely interesting to me that by far the most common back pain is still referred to as “mechanical”, “nonspecific” or “simple” back pain, yet (1) the causes baffle the authorities, (2) standard medical treatments are often worse than the problem, and (3) “there has been little success” in preventing back pain or recurrences of back pain.

If you review the Posts here on the subject of disability and natural history you will find that these issues are not mysteries to everyone. There is help. It is effective, safe and affordable. And an once of prevention is worth a pound of cure.

Yet, it isn’t “simple” and it isn’t just “mechanical”. That’s why, in Chiropractic, we refer to areas of spinal dysfunction involving joints, muscles, nerves, etc. as Vertebral Subluxation Complexes, because it’s complex.



  1. […] in the Military, it’s no different that any other workplace injury. When it comes to that, the numbers are revealing as […]

    Pingback by What Is the #1 Disability for Active Military Personnel? | Everett Chiropractic Center Blog — October 22, 2014 @ 12:17 pm

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