Common forms of chiropractic therapy
Some physiological therapeutic measures that are often utilised in chiropractic care include:
Chiropractic manipulation and therapies
Utilising specific manipulations (chiropractic adjustments) in conjunction with one or a combination of the above, the chiropractor's goal is to remove structural or nervous system irritation that may be a major contributing factor in a patient's lower back pain.
Exercise and chiropractic therapy
Cardiovascular and strengthening exercises combined with chiropractic care are important in the management of low back pain.
If a patient has a history of heart problems, it is important for the patient to consult with not only the doctor of chiropractic but their primary care physician to be certain that they can tolerate cardiovascular fitness-promoting activities. Specific instructions are given by the chiropractor with respect to proper exercise for the patient's condition before beginning any exercise program.
In general, a reasonable amount of exercise that is performed daily and utilises activities that are enjoyed is recommended for patients undergoing chiropractic treatment.
Types of Exercises
There are many applicable back exercises that are available for patients also undergoing chiropractic care for lower back pain. One can classify the chiropractic patient into a flexion or extension biased category to determine the variety that is best for that patient.
1.Bigos S, Bowyer O, Braen G, et al., "Acute low back problems in adults. Clinical practice guideline No. 14. AHCPR Publication No. 95-0642," Rockville, MD; Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services (1994).
2.Chiropractic & Osteopathy, 2010, 18:3
3.Chou R, MD, Qaseem A, MD, PhD, MHA, et al., "Diagnosis & Treatment of LBP: A Joint Clinical Practice Guideline from the American College of Physicians & the American Pain Society," Annals of Internal Med, 2007;147:478-91. (3)
4.Mayer J, DC,PhD. Mooney V, MD, Dagenais S, DC PhD, "Evidence-informed management of CLBP with lumbar extensor strengthening exercises," T Spine J, 2008;8:96-113. (3)
5.Keller, MD, et al., "Trunk Muscle Strength, Cross-sectional Area, and Density in Patients With CLBP Randomized to Lumbar Fusion or Cognitive Intervention and Exercises," Spine, 2004 29(1): 3-8 (3)
6.Bigos S, MD, Holland J, MD, MPH, Holland C P, et al., "High-quality controlled trials on preventing episodes of back problems: systematic literature review in working-age adults," T Spine J, 2009;9:147-68. (4)