This study determined the risk factors associated with the transition from acute to chronic LBP in patients from 77 primary care practices in 4 geographic regions across the United States between 2016-2018.
In the most definitive study on this topic, authors looked at 818 people in a claims database to determine whether neck extension and rotation during chiropractic care increases the risk of VBA dissection and stroke.
Doctors and patients can be confident in recommending or choosing to receive HVLA-SM for LBP. The body of research supporting its effectiveness relative to other available treatments suggests patients have the choice of several treatment options. Future research would benefit from consistent study designs and pain measurement/reporting.
This is the only study to date that specifically evaluates “dosing” of chiropractic care for patients with low back pain. This study lays a foundation for future research in this arena. Answering questions related to finding the most effective dose for patients with specific conditions has far reaching health policy implications for providers, patients, and payers.
This study is arguably the most definitive to date reporting the cost of chiropractic care for people with spine-related conditions. The large, nationally representative sample strengthens the generalizability of study findings. Also, the statistical methods took into consideration the fact that people who visit a chiropractor are usually healthier than those seeking care from other provider types, a factor not often included in other chiropractic cost analysis studies.
