Research: Richmond Spinal Manipulation Relief of Back and Leg Pain, Neurological Symptoms

July 11, 2023

Researchers continually study spinal manipulation to more fully explain how it contributes to pain relief for sufferers with back pain, related leg pain, and neurological symptoms that disrupt quality of life. Spinal manipulation (SM) alleviates back pain (acute, chronic), back-related leg pain, quality of life, neurological symptoms, and disability for sufferers. That’s a sentence full of promise with supporting research behind its claims. Johnson Chiropractic individualizes a chiropractic treatment plan incorporating spinal manipulation mantimes the gentle type of Cox® Technic flexion distraction decompression for our Richmond chiropractic patients after doing a thorough examination. Richmond pain relief is imaginable.

NEUROLOGICAL SYMPTOMS

Spinal pain patients as well as patients experiencing neurological disorders like stroke have neurological symptoms that respond to spinal manipulation. Experiencing neurological symptoms impacts worldwide disability statistics and personal well-being and quality of life. A narrative review explained that most studies reported how spinal manipulation decreased spinal pain, may increase strength in asymptomatic people, and reportedly impacted spasticity, muscle stiffness, motor function, autonomic function, and balance issues. Of course, a call for more studies to support these findings was issued. But the beneficial impact of spinal manipulation on the quality of life for spine pain sufferers, those with balance issues, and those with cerebral palsy were described. (1) Such relief reasonably influences back pain treatment guidelines with which your Richmond chiropractor confers to boost your clinical back pain relief.

CLINICAL GUIDELINES FOR BACK PAIN

Researchers scour the published research papers to find the ones with reliability, coherence, etc. A recent guideline for the treatment of low back pain resolved that incorporating spinal manipulation in the treatment plan of acute low back pain, chronic low back pain and chronic back-related leg pain was valuable as part of a multimodal approach. Advice, reassurance, education, self-management, usual medical care, home exercises, etc., were reported as helpful in improving pain and disability. (2) Guidelines like this for back pain must be based on research that explains how relief is created.

SPINAL MANIPULATION RELIEF FOR BACK PAIN

A present study intends to see whether chronic low back pain patients’ response to SM comes from mechanisms of centralization (central sensitization) that can be assessed via questionnaires, pressure pain threshold tests, inflammatory cytokine tests, and patient expectations of relief. The researchers anticipate being able to predict patient response. (3) Prior to this study, a narrative review found that spinal manipulation in part inhibited neck pain and back pain via spinal cord mechanisms of pain relief and wondered what the role of inflammatory responses via peripheral mechanisms played in the relief. (4) Both studies incorporated placebo comparison but also documented that placebo and controls in a spinal manipulation study are difficult to mask treatment versus no-treatment because of the hands-on character of the treatment. An improved control/placebo could help define the contribution of the effects of SM on pain relief.

THE CHALLENGE OF PLACEBO

Back pain patients do not often question their pain relief. They don’t often ask “Was it this?” or “Was it that?” that finally got them feeling better, but researchers know that the placebo effect may well be influential based on patient expectations and conditioning. Researchers are now testing whether conditioning can heighten patient outcomes by sharing the positive expectations of spinal manipulation treatment. (5) What do you think? Johnson Chiropractic knows our chiropractic patients can feel better knowing that their care is well-researched and supported by clinical trials that showed positive clinical outcomes for back pain relief.

CONTACT Johnson Chiropractic

Listen to this PODCAST with Dr. Clint Dickason on The Back Doctors Podcast with Dr. Michael Johnson as he describes the relief with The Cox® Technic System of Spinal Pain Management for a patient with back-related-leg pain.

Schedule your Richmond chiropractic appointment now. Do not let your quality of life deteriorate due to your back pain, related leg pain and or neurological sypmatomatology. Trust Johnson Chiropractic to fully examine your spine and establish a relieving treatment plan for its care.