Neck Pain Commentaries: Part 4
We conclude this series by reviewing a brilliant group of 3 consecutive studies comparing popular forms of treatment for chronic spinal pain (NSAID use, acupuncture, and spinal adjusting).
Lynton G.F. Giles, DC, PhD, a researcher at the National Unit for Multidisciplinary Studies of Spinal Pain at the University of Queensland, published the first of 3 studies in 1999. This pilot study involved 77 patients who reported to the Townsville General Hospital, Queensland, Australia with complaints of chronic spinal pain (either neck, mid back or low back). These patients were randomized to receive either NSAIDs, acupuncture, or spinal adjusting as the active form of treatment. 
Care was provided for 4 weeks, followed by assessment of improvement. The outcome measures included:
(2) Neck Disability Index, and
(3) three visual analogue scales of local pain intensity.
After the period of 30 days, the spinal manipulation group was the only intervention that achieved statistically significant improvements. (more…)