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Cheyham Lodge, 11 Cheam Road, Ewell Village, Epsom, Surrey KT17 1ST

Any army personnel in Epsom & Ewell with back pain ?

Results of a moderately large trial in America was recently published. A summary of findings were as follows;

Adding manipulative treatments to standard medical management of low back pain (LBP) in a military population reduced patient-reported pain and disability and improved satisfaction scores compared with standard treatment alone, new data show.

The findings, reported by Christine M. Goertz and colleagues in in the US & published online May 18 in JAMA Network Open, confirm results from the team’s pilot study.

In addition, the new data align with recent guidelines from the American College of Physicians that recommend inclusion of spinal manipulation, among other nondrug treatments, as first-line therapy for acute and chronic low-back pain.

For the current study, Goertz and colleagues enrolled 750 active-duty US service members aged 18 to 50 years with LBP from three military facilities in a pragmatic comparative effectiveness trial.

Patients were screened between September 28, 2012, and November 20, 2015, and 250 patients from each of the study sites were allocated to receive usual medical care with manipulative care (375 participants) or usual medical care alone (375 participants). Usual/Standard medical care was defined as any care recommended or prescribed by nonchiropractic military clinicians to treat LBP, including self-management advice, drug treatment, physical therapy, or referral to a pain clinic.

Additional therapies, such as rehabilitative exercise, interferential current therapy, ultrasound therapy, cryotherapy, superficial heat, and other manual therapies, could also be included in manipulative care.

The primary outcomes of self-reported pain intensity & disability & associated patient satisfaction, as measured by the Numerical Rating Scale, and disability, showed clear benefitsof manipulative care compared to standard care.

Manipulation-related adverse events included short term muscle or joint stiffness, but no serious treatment-related adverse events were reported.

Mr Katesmark comments; “On reading the research methods in detail I note there were some design ‘flaws’ in the trial including very generalised/non specific definitions of back pain & of couse the patients were not ‘average’- consisting of young, fit army recruits ! However I welcome further evidence showing that manipulative approaches can be of benefit ( although it is worth noting that other therapies were included in treatment – as would be the case here at Epsom & Ewell osteopathic clinic).  ”