Chiropractic Often More Effective, Cost Efficient, and Safer Than Back Surgery
May 15th, 2012
More and more research is now validating two facts: Spinal manipulation is often effective at relieving back pain and costs less than back surgery, which is often ineffective at relieving back pain, not to mention the risks. A new study now demonstrates an additional fact: that an extended period of chiropractic treatment may be more effective than a short treatment period.
Chiropractic Effectiveness
Several randomized clinical trials have demonstrated that chiropractic manipulation is one of the most effective treatments for lower back pain. Most of these studies have found that 5 to 10 chiropractic treatments performed over a 2 to 4 week period are effective at relieving most cases of back pain. Other research indicates that chiropractic is the most cost effective treatment for back pain, costing less than most other types of care, other than just taking drugs.
A new study in the Journal of Occupational and Environmental Medicine found that when chiropractors manage work related injuries as compared to medical doctors or physical therapists, patients were less likely to have a recurrence and missed less work. Chiropractically managed patients took fewer medications, had fewer surgeries, their care was less expensive, and they returned to work earlier.
Surgery May Not Work
Recent evidence indicates that spine surgery is often ineffective. Some experts estimate that up to 90% of the 500,000 disc surgeries performed each year in the U.S. are unnecessary. And back surgery is expensive, averaging $100,000 or more when surgical costs, medications, MRIs, rehab and disability are considered. One recent study found that when patients with disc deterioration, disc herniation, and/or radiculopathy were treated with surgical fusion of two vertebrae in the lumbar spine, only 26% of these employees had returned to work by the two year period, versus 67% of employees with back pain who did not have surgery. In addition, there was a much higher use of narcotic pain killers by those who had surgery for two years after the surgery.
Longer Chiropractic Treatment Schedule Better than Short Schedule
And brand new research finds that a longer treatment period of chiropractic care is more effective than a shorter treatment period. A new paper in the prestigous journal Spine found that patients with chronic low back pain (pain for six months or longer) experienced greater improvement after one month of chiropractic manipulation (3 times per week for 4 weeks) followed by treatment once every 2 weeks for 10 months (for a total of 30 treatments) than those that just came for one month of care (12 treatments).
The group that was given 12 chiropractic treatments made progress, whereas a placebo group did not make progress. But after 10 months, this group that got one month of chiropractic treatment had lost some of their improvement. But the group that received the additional 20 treatments made more progress all the way up to the 10 month period.
Does this mean that you have to have 30 chiropractic treatments to feel better? No, of course not. But it does offer valid scientific proof to insurance companies that patients who need 30 treatments should get them. And it also provides evidence that after an initial round of intensive treatment (12 visits in one month) that getting some additional maintenance care (such as every 2 weeks) makes sense medically. And we should not neglect to mention the other benefits of chiropractic care, such as the improved sense of overall well being that many patients experience when their spines are better balanced and aligned.
Conclusion
Does this mean that chiropractic always works and surgery never does? No. Not everybody gets better with chiropractic treatment, though most do. And lots of patients benefit from spinal surgery. But most patients should get at least a trial of chiropractic treatment before surgery and that trial should involve at least 12 treatments—not 2 or 3.
Ben Weitz, DC is a Santa Monica Chiropractor with over 25 years professional experience and is the preferred Chiropractor for athletes and fitness professionals. His office is in Santa Monica.







