- Chiropractic Resource Organization.     Support Chiropractic Research!

New Oregon LBP Guidelines: Try Chiropractic First

Home/Chiropractic Care, Guidelines, Low Back Pain/New Oregon LBP Guidelines: Try Chiropractic First

New Oregon LBP Guidelines: Try Chiropractic First

The Chiro.Org Blog

SOURCE: Dynamic Chiropractic


Lobbyist, Oregon Chiropractic Association

The new State of Oregon Evidence-Based Clinical Guidelines for the Evaluation and Management of Low Back Pain recommends spinal manipulation as the only nonpharmacological treatment for acute lower back pain. The guidelines, which have been adopted by the Oregon Health Authority, are a collaborative effort between the Center for Evidence-Based Practice, Oregon Corporation for Health Care Quality, Oregon Health and Sciences University’s Center for Evidence-based Policy, and the new Oregon Health Evidence Review Commission.

The Oregon Chiropractic Association (OCA) repeatedly gave written and oral testimony that the original draft guidelines placed too much emphasis on drugs and surgery. A close review of the original algorithm, “Management of Low Back Pain (LBP) (Image 2), relative to “#23 Signs or symptoms of radiculopathy or spinal stenosis,” reveals this. For example, if subsequent special imaging (MRI) revealed concordant nerve root impingement or spinal stenosis (#25), the original draft algorithm led the clinician into a surgical or other invasive procedure “dead end,” meaning there was no contingency for conservative chiropractic treatment (#26).

Image 2 (above)
—> Is Now Discontinued

Oregon LBP Guidelines The OCA responded with this author providing fellow Health Evidence Review Commission members with scientific clinical journal articles validating the efficacy of chiropractic spinal manipulation for lumbar radiculopathy and stenosis, with an emphasis on Dr. James Cox’s flexion-distraction technique research. Our evidence-based input resulted in a much-improved final version (Image 3) now recommending “#25 & #27 … continued conservative management, intensive interdisciplinary approach,” rather than leading medical clinicians down a path which led only to surgery or other invasive procedures.

Read the rest of this Full Text article now!

About the Author:

I was introduced to Chiro.Org in early 1996, where my friend Joe Garolis helped me learn HTML, the "mark-up language" for websites. We have been fortunate that journals like JMPT have given us permission to reproduce some early important articles in Full-Text format. Maintaining the Org website has been, and remains, my favorite hobby.

Leave A Comment