Neck pain represents a major problem for people throughout the world
with considerable negative impact on individuals, families, communities,
health care systems, and businesses. Up to 70% of the general
population will have neck pain at some point in their life. Recovery
within the year from neck pain ranges between 33% and 65%, AND
relapses are common throughout the life time of the neck pain patient.
Generally, neck pain is more common in women, higher in high-income
countries, and higher in urban regions. The greatest risk of developing
neck pain occurs between 35 and 49 years of age. Since neck pain, very
similar to low back pain, is very common and likely to recur over and
over again, the question is, what is the best course of action regarding treatment?
A recent study on neck pain patients compared the effectiveness
of manual therapy performed by a chiropractor, physical therapy
performed by a physical therapist (PT), and medical care performed by
medical physician (MD). The success rate determined at the seventh week
was TWO TIMES BETTER
for the manual therapy/chiropractic group (68.3%) compared to the
medical care group. Those receiving manual therapy also had fewer
absences from work compared to both the medical and PT treated groups.
Lastly, both the manual therapy and PT groups used less pain relief
medication compared to the medically treated group. Another study looked
at the multiple approaches that chiropractors use for treating patients
with neck pain to determine the “best” approach a chiropractor can use.
They reported 94% had improvement or less neck pain after just one
treatment when the mid-back (thoracic spine) was also adjusted.
Similarly, after receiving two treatments over a one week time frame,
the group receiving midback adjustments (vs. the group who did not)
reported lower pain and disability scores. A similar study concluded
that the best results occurred when the neck, upper back/lower neck, and
mid-back were adjusted. This group, when compared to neck adjustments
alone, reported greater reductions in disability scores. Thus, having
the cervical spine, upper back, and mid-back all adjusted appears to
yield quicker, more satisfying results than neck adjustments alone.
What about the role of exercise in the management of neck pain patients?
In November 2012, a systematic review of manual therapies for
nonspecific neck pain reported that the addition of neck exercises to a
treatment plan provided more benefits than spinal manipulation alone.
Similarly, in September 2012 (The Annals of Internal Medicine),
chiropractic adjustments were compared against exercise and pain
medication treatment groups involving 272 patients tracked over a
one-year time frame after a 12-week treatment. Both the chiropractic and
exercise groups experienced the most significant pain reduction when
compared to the medication treated group with more than double the
likelihood of complete pain relief. The chiropractic and exercise groups
also had the best short and long term results, but ONLY the chiropractic group found the benefits to last a year or more. The authors (Bronfort, et. al) reported the
success of chiropractic treatment stems from its ability to address the
CAUSE of the problem rather than simply addressing the symptoms!
We realize that you have a choice in where you choose your
healthcare services. If you, a friend or family member requires care
for neck pain, we sincerely appreciate the trust and confidence shown by
choosing our services and look forward in serving you and your family
both presently and in the future.
No comments:
Post a Comment