The Novelli Wellness Center Explains the Value of Chiropractic Research

Research makes the healthcare world go ‘round! Research established the role of healthcare’s relief of pain. In chiropractic healthcare, much research revolves around documenting chiropractic’s benefit for painful musculoskeletal conditions like neck pain, back pain, arm pain and sciatic leg pain. The Novelli Wellness Center offers just such effective, research-documented care to our Buffalo, NY chiropractic patients.

CHALLENGE: DO HIGH QUALITY RESEARCH

One group of back pain researchers challenged fellow researchers to develop long-term plans to lower the problem of low back pain on sufferers and healthcare systems. They explained that developing effective strategies continues to be a huge job for back pain clinicians, doctors, and researchers. Frustratingly, back pain disability levels have not increased despite an increased quantity of published research papers regarding back pain care. No consensus on the best way to manage low back pain has been achieved. Non-drug and non-invasive options like exercise, manual therapy, massage, and such are general recommendations. Other reviewing researchers pointed to a few issues with back pain research: design and analysis within the treatment clinical trials. (1) Designing research studies is tough. Designing a “sham” protocol for spinal manipulation that seems like spinal manipulation is especially challenging. (Just touching a spine can help some, but that’s a topic for another article!) Observational studies are the next in line. How so? Researchers observe what happens to patients when they experience treatment and note changes and effects. Fortunately, Cox® Technic research has a mix of biomechanical and clinical observational studies resulting in case reports, case series, as well as retrospective and prospective clinical studies. The Novelli Wellness Center feels this mix of research support helps outline the expectations our Buffalo, NY chiropractic patients may expect.

MINIMAL CLINICAL IMPORTANCE

On occasion, chiropractic physicians and low back pain patients alike find themselves disappointed with the outcomes of treatment for back pain. They should not be! In medicine, the minimal clinically important difference (MCID) is reported 30% or 20% and even 10% improvement. That’s reported as an “effective” outcome. Cox® Technic has offered 50% improvement in 30 days as the goal…and still does. Often, chiropractic patients realize that 50% relief in less than a month and that the 50% relief is closer to 70% or 80% or 90%! Sometimes, a patient’s response may be slower in getting relief or only reaches 30% or 40%. Some patients desire more while others, particularly patients who have already gone through back surgery or sought non-relieving care from many other providers, are excited. A study of 1232 low back pain subjects discovered a MCID pain intensity of 2 (meaning a 2 point move on a scale of 0 no pain to 10 worst imaginable pain). That’s not a big move but is realistic. (2) It’s a statistic to consider. Compared with medical and surgical outcomes for back pain treatment that are as low as 10% or 30% expected improvement MCID, our Buffalo, NY chiropractic clinical outcome goals are high and often achieved.

THE CHALLENGE OF CHIROPRACTIC RESEARCH – AND HOW CHIROPRACTIC ANSWERS

Chiropractic, like other complementary and integrative healthcare professions, has a little more effort in keeping research flowing as many programs are not incorporated into large university situations with well-established and well-financed research departments. Global chiropractic researchers are seeking am amswer.  Australia, Canada, and Denmark chiropractic researchers have formed a leadership academy (CARL – Chiropractic Academy for Research Leadership) for early-career chiropractic researchers to promote more chiropractic research. US-based researchers are turning to the RAND Corporation’s Center for Collaborative CIH Research to combine research talent and assets to elevate chiropractic’s quality and quantity of research.  (3,4) Strong research continues at chiropractic universities to record the benefits of chiropractic for musculoskeletal-related pain like back pain, neck pain, arm pain and leg pain.

CONTACT The Novelli Wellness Center

Listen to this PODCAST with Ram Gudavalli, PhD, principal investigator of many Cox® Technic research studies, on The Back Doctors Podcast with Dr. Michael Johnson as he describes research studies of which he’s been a part.

Schedule your next Buffalo, NY chiropractic appointment soon. Bring your questions about the research behind our chiropractic care with you! The Novelli Wellness Center loves to share research! 

 
The Novelli Wellness Center communicates the importance and value of chiropractic research in healthcare decision-making and relevance. 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."