Chiro.org - Chiropractic Resource Organization.     Support Chiropractic Research!

Health Promotion

Home/Health Promotion

Chronic Spinal Pain and the Role of Spinal Manipulation

By |April 10, 2012|Chiropractic Care, Chronic Pain, Evidence-based Medicine, Health Promotion, Spinal Manipulation|

Spinal Manipulative Therapy and Its Role in the Prevention, Treatment and Management of Chronic Pain

The Chiro.Org Blog


SOURCE:   J Canadian Chiro Assoc 2012 (Mar); 56 (1): 5-7

Dr. John Srbely DC, PhD

Assistant Professor,
Department of Human Health and Nutritional Sciences,
University of Guelph.
CCRF Professorship in Spine Mechanics and Human Neurophysiology
College of Biological Sciences,
University of Guelph


Chronic pain is a worldwide epidemic. It is characterized as “pain that persists beyond normal tissue healing time” [1] and is physiologically distinct from acute nociceptive pain. The current research estimates the prevalence of chronic pain in the general population to be anywhere from 10–55%, [2] predominantly affecting the adult population. Studies indicate that the prevalence of chronic pain in the over-60 age group is double that for younger adults. [3] Furthermore, over 80% of elderly (over 65) adults suffer from some form of painful chronic joint disease [4] and greater than 85% of the general population will experience some form of chronic myofascial pain during their lifetime. [5]

Chronic pain has substantial impact on sufferers, often citing significant impairments in physical, social and psychological function. [6] Many patients suffer from progressive health and physical deterioration owing to sleep and appetite disturbances, anxiety, depression, decreased physical energy and activity as well as excessive use of medication. [6] Chronic pain often leads to social withdrawal, impaired personal relationships and job loss. [1] Recent estimates suggest that 50–85% of adults report some degree of pain that may interfere with daily activities and quality of life. [7]

You may also enjoy our:

Chronic Neck Pain and Chiropractic Page

Chronic pain sufferers are five times more likely to utilize health care services than non-pain sufferers. [8] Conservative figures estimate that the annual cost of managing chronic pain in the United States currently exceeds $40 billion annually. [9] Of greatest concern is the fact that the ratio of the over-65:under-65 segments of the population is projected to double by 2050, [10] promising to make chronic pain one of healthcare’s foremost challenges in the future.

Aging population (more…)

The Trials of Evidence: Interpreting Research and the Case for Chiropractic

By |February 29, 2012|Evidence-based Medicine, Health Promotion, Research|

The Trials of Evidence:
Interpreting Research and the Case for Chiropractic

The Chiro.Org Blog


SOURCE:   The Chiropractic Report ~ July 2011


A.   Introduction

If you are a clinician at work in a typical chiropractic practice you see many patients with acute and chronic back pain, neck pain and headaches.

If you are making best efforts to keep up with the ongoing flood of research and evidence-informed clinical guidelines you can feel confident that the scientific evidence now supports your clinical experience that spinal manipulation specifically, and chiropractic management incorporating manual care generally, are very helpful for most patients with these complaints. Therefore for example:

  • For the great majority of patients with both acute and chronic low-back pain, namely those without diagnostic red flags, spinal manipulation is recommended by evidence-informed guidelines from many authoritative sources – whether chiropractic (the UK Evidence Report from Bronfort, Haas et al. [1]), medical (the 2007 Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society [2]) or interdisciplinary (the European Back Pain Guidelines [3]).

  • For the great majority of patients with acute and chronic neck pain, and those with cervicogenic headache, spinal manipulation is similarly recommended, most recently and authoritatively by the Bone and Joint Decade Neck Pain Task Force [4]. For headache, including migraine headaches, see evidence reviews and recommendations from the Evidence-Based Practice Center at Duke University [5] and Bryans Descarreaux et al. in Canada [6].


What are we to make, then, of a new systematic review for the Cochrane Collaboration, looking at chronic back pain and published last month in Spine? This is from Rubenstein, van Middelkoop et al., an experienced research team at the VU University, Amsterdam which includes noted epidemiologist Dr. Maurits van Tulder, so will attract attention. It concludes that the evidence suggests “there is no clinically relevant difference between spinal manipulative therapy (SMT) and other interventions for reducing pain and improving function in patients with chronic low-back pain”. [7]. (more…)

“Raise vaccination rates”, Gates says to health leaders

By |May 17, 2011|Health Promotion, Vaccination|

Full Story at CBC News

Bill Gates will have the attention of most of the world’s health ministers on Tuesday, when he plans to share one main message: Get your vaccination rates up. Gates is pushing to get countries to increase vaccination rates as an easy, low-cost way to protect their populations. He is scheduled to give the keynote address at the World Health Assembly in Geneva.

“Every percentage point you increase from where we are now to that goal you’re talking about hundreds of children who don’t die and thousands of children who don’t get sick in a way that prevents their brain from developing fully,” he said.

During Tuesday’s speech, Gates will highlight strong results from a new meningitis vaccine in the West African nation of Burkina Faso, where last year there were 66 cases in the first four months. This year the country has seen only one case. A “meningitis belt” runs through Burkina Faso, Chad, Nigeria and Niger. But the new vaccine, which is being given to infants and adults, has shown strong results so far.

“It’s a success story,” Gates said. “For people who live in the meningitis belt the kind of fear and seeing the kids who are made deaf because of it they see it as a huge breakthrough. People immediately come and get this vaccine because they have such a fear of the disease.”

Health Coaching: A Model That Makes Sense for Chiropractic

By |May 13, 2011|Editorial, Health Promotion|

Health Coaching: A Model That Makes Sense for Chiropractic

The Chiro.Org Blog


SOURCE:   Dynamic Chiropractic

By Guy Riekeman, DC, President, Life University


As anyone who has ever raised a teenager knows all too well, telling someone to do something because it’s “good for them” can feel like so much wasted breath. Chiropractors also can find themselves winded from exhorting (encouraging, cajoling, threatening, nagging, etc.) patients to persist with their programs of care and enhance their overall well-being with more frequent chiropractic visits, better nutrition, more sleep, stress management and exercise.

Recent health care trends and research are supporting what you may have already suspected from years in practice: Simply telling people what to do often does not lead to them actually doing it. Showing them how and leading them through it stands a much better chance of working.

Patient Education vs. Coaching

Traditional patient education – loading people up with facts and figures and sending them home with a stack of brochures to tackle on their own – often doesn’t empower patients with the true understanding and skills they’ll need to persist and succeed with a health care regimen. Health coaching leaves less to chance. A health coaching approach provides a more interactive consultation model whereby the coach and patient work together to map out care plans. The coach proactively monitors progress, provides counseling and new strategies for navigating through rough patches, and holds the patient accountable to agreed-upon goals. (more…)