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"With Back Pain These should be the Very Last Options!"

What does the science say is best for back pain?

What does the science say is best for back pain?

Anyone suffering with back pain will likely say they have, “Heard it all,” when it comes to the cause of back pain. And it is true, there is not just “ONE” cause for back pain. Some of the different sources include; disc injuries, muscle imbalances, vertebral misalignments, degenerative joint diseases and even emotional stresses. The research over the last 20 years has become very clear- surgery and drugs should be the last resort!

While some people seem to benefit from spinal surgery, many do not! According to a 2011 study published in the journal Spine, “The chances of permanent disability increased over 500% with surgery compared to no surgery. Daily opioid use increased 41% after surgery and 76% of surgical patients continued opioid use after surgery.” Conclusion. “Lumbar fusion for the diagnosis of disc degeneration, disc herniation, and/or radiculopathy in a Workers’ Compensation setting is associated with significant increase in disability, opiate use, prolonged work loss, and poor return to work status.” (1) (emphasis added)

I’m afraid the research isn’t much better for pain medication like paracetamol. It has been considered the gold standard in the treatment for back pain in Australia, Europe and North America with no evidence of its effectiveness. A 2017 study in the Annals of Internal Medicine said, “New evidence suggests that acetaminophen [paracetamol] is ineffective for acute low back pain.” (2)

Surgery can be very risky, costly and of little benefit for many. Drugs like paracetamol offer little help except for temporary relief.  Add to that the recent data and information coming out about the dangers and ineffectiveness of opioids and a back pain sufferer is left wondering what to do. So what does the science say is the best for back pain? The Canadian Government asked that very question commissioning an independent review know as the “Magna Report.” Magna, in one of the most comprehensive government initiated, independent reviews of back pain interventions in history. It concluded way back in 1993, “On the evidence, particularly the most scientifically valid clinical studies, spinal manipulation (adjustments) applied by chiropractors is shown to be more effective than alternative treatments for low back pain. Many medical therapies are of questionable validity or are clearly inadequate. Our reading of the literature suggests that chiropractic care is safer than medical management of low back pain.” (3) (emphasis added)

There are many other studies demonstrating the down side to drugs and surgery as well as the superiority of chiropractic in comparison. (4- 9) Although clearly not perfect or 100%, one must wonder, why is there still such a resistance to accept chiropractic care as the most effective, safest, and best first option for patients with spinal health care issues?

We want to offer the opportunity to experience the many benefits of Chiropractic care first hand. For only $47  receive a complete health history and spinal examination to determine how healthy  or unhealthy the spine may be. If x-rays are deemed necessary, they will be ordered and bulk billed. Also receive a thorough report explaining our findings and how Chiropractic can help. Just phone 3821-3103 today and speak with my super friendly and helpful staff, to organize a day and time. Alternatively click on the link at the top of the page, “Request Appointment” to book on line.





  1. (Nguyen, et al. (2011). Long-term Outcomes of Lumbar Fusion Among Workers’ Compensation Subjects: A Historical Cohort Study. Spine 36(4): 320-331).
  2. (Chou et al. (2017). Systemic Pharmacological Therapies for Low Back Pain: A Systematic Review for an American College of Physicians Clinical Practice Guideline. Annals of Internal Medicine 166: 480-492).
  3. (Manga, et al. (1993). The Manga Report: The effectiveness and cost-effectiveness of chiropractic management of low-back pain. Richmond Hill, Ontario, CANADA. Kenilworth Publishing (an Independent Report Commissioned by the Ontario Provincial Government).
  4. (Cifuentes, et al. (2011). Health Maintenance Care in Work-Related Low Back Pain and its Association With Disability Recurrence. Journal of Occupational and Environmental Medicine 53(4): 396-404).
  5. (Bishop, et al. (2010). The Chiropractic Hospital-based Interventions Research Outcomes (CHIRO) Study: a randomized controlled trial on the effectiveness of clinical practice guidelines in the medical and chiropractic management of patients with acute mechanical low back pain. The Spine Journal 10: 1055-64).
  6. (Don & Caragee. 2008 Evidence-informed management of chronic low back pain with surgery . The Spine Journal 8 (1) 258-265).
  7. (Davies et al. (2008). A systematic review of paracetamol [acetaminophen] for non-specific low back pain. Eur Spine Journal 17(11): 1423-1430)
  8. Book by Orthopaedic Surgeon Ian Harris entitled, ‘Surgery, The Ultimate Placebo: A Surgeon Cuts Through the Evidence’.

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