Research: Georgetown Spinal Manipulation Relief of Back and Leg Pain, Neurological Symptoms

July 11, 2023

Researchers keep studying spinal manipulation to more fully describe its contributions to pain relief for sufferers with back pain, related leg pain, and neurological symptoms that disrupt quality of life. Spinal manipulation (SM) eases back pain (acute, chronic), back-related leg pain, quality of life, neurological symptoms, and disability for sufferers. That’s a sentence full of potential which has research support behind its claims. Dr. Butwell individualizes a chiropractic treatment plan incorporating spinal manipulation mantimes the gentle type of Cox® Technic flexion distraction decompression for our Georgetown chiropractic patients after performing a thorough examination. Georgetown pain relief is possible.

NEUROLOGICAL SYMPTOMS

Spinal pain patients as well as patients experiencing neurological disorders like stroke have neurological symptoms that react to spinal manipulation. Suffering with neurological symptoms contributes to worldwide disability statistics as well as personal well-being and quality of life. A narrative review explained that most studies reported the mechanism by which spinal manipulation reduced spinal pain, may improve strength in asymptomatic people, and reportedly altered spasticity, muscle stiffness, motor function, autonomic function, and balance problems. Of course, a call for more studies to support these findings was made. But the beneficial impact of spinal manipulation on the quality of life for spine pain sufferers, those with balance issues, and those with cerebral palsy were described. (1) Such relief reasonably influences back pain treatment guidelines that your Georgetown chiropractor consults to optimize your clinical back pain relief.

CLINICAL GUIDELINES FOR BACK PAIN

Researchers search the published research papers to find the ones with reliability, coherence, etc. A newer guideline for the treatment of low back pain concluded that including spinal manipulation in the care of acute low back pain, chronic low back pain and chronic back-related leg pain was valuable as part of a multimodal approach. Advice, reassurance, education, self-management, usual medical care, home exercises, etc., were listed as helpful in enhancing relief of pain and disability. (2) Guidelines like this for back pain must be based on research that describes how relief is created.

SPINAL MANIPULATION RELIEF FOR BACK PAIN

A present study proposes that how chronic low back pain patients respond to SM comes from mechanisms of centralization (central sensitization) that can be tested using questionnaires, pressure pain threshold tests, inflammatory cytokine tests, and patient expectations of relief. The researchers anticipate being able to forecast patient response. (3) Before this study, a narrative review described that spinal manipulation in part inhibited neck pain and back pain via spinal cord mechanisms of pain relief and wondered what the role of inflammatory responses via peripheral mechanisms played in the relief. (4) Both studies incorporated placebo comparison but also noted that placebo and controls in a spinal manipulation study are difficult to conceal treatment versus no-treatment because of the hands-on nature of the treatment. An improved control/placebo could help clarify the contribution of the effects of SM on pain relief.

THE CHALLENGE OF PLACEBO

Back pain patients don’t often question their pain relief. They don’t often ask “Was it this?” or “Was it that?” that finally got them feeling better, but researchers know that the placebo effect may well play a role based on patient expectations and conditioning. Researchers are now checking to see whether conditioning can enhance patient outcomes by emphasizing the positive expectations of spinal manipulation treatment. (5) What do you think? Dr. Butwell knows our chiropractic patients can feel better knowing that their care is well-researched and supported by clinical trials that documented positive clinical outcomes for back pain relief.

CONTACT Dr. Butwell

Listen to this PODCAST with Dr. Clint Dickason on The Back Doctors Podcast with Dr. Michael Johnson as he illustrates the relief with The Cox® Technic System of Spinal Pain Management for a patient with back-related-leg pain.

Make your Georgetown chiropractic appointment now. Dr. Butwell hopes that you don’t let your quality of life suffer because of your back pain, related leg pain and or neurological sypmatomatology. Trust Dr. Butwell to fully examine your spine and establish a relieving treatment plan for its care.