Chiropractic Manipulation and Medical Care for Low Back Pain



Status:Completed
Conditions:Back Pain
Therapuetic Areas:Musculoskeletal
Healthy:No
Age Range:18 - Any
Updated:3/30/2013
Start Date:November 2010
End Date:November 2013
Contact:Michael J Schneider, PhD, DC
Email:mjs5@pitt.edu
Phone:412.383.6640

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A Comparison of Chiropractic Manipulation Methods and Standard Medical Care for Low Back Pain


The investigators will be comparing the effectiveness of two types of chiropractic
manipulation and standard medical care for patients with a recent onset of low back pain.
The two types of chiropractic treatments being compared will be hands-on (manual)
manipulation and mechanical-assisted (Activator) manipulation. The standard medical care
will consist of a medical examination and prescription for over-the-counter
anti-inflammatory medication.


Inclusion Criteria:

- Age: ≥ 18 years of age

- Ability to read and write English

- Experiencing a new episode of LBP with onset in the past 3 months

- Oswestry Disability Index score between 20-70 points (0-100 scale)

- Numeric pain rating score between 3-8 points (0-10 scale)

Exclusion Criteria:

- Prior history of lumbar spine surgery

- History of unstable spondylolisthesis, spinal stenosis, or scoliosis > 20°

- Signs or symptoms suggestive of nerve root tension and/or neurological deficit in the
lower extremity

- History of metastatic cancer, osteoporosis, long-term corticosteroid use, or any
other red flags of serious illness including the following: unexplained weight loss
of >10% of body weight, spinal pain associated with fever, and severe night pain
unrelieved by medication

- Receiving any physical therapy, chiropractic therapy, or any other manual therapy for
this episode of LBP (within the past 3 months)

- Receiving any on-going medical care for this episode of LBP

- Current use of opiate or other prescription medications for LBP
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