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Spinal Manipulation May Reduce Lumbar Spine Reoperations

Reoperations reduced for adults experiencing lumbosacral radiculopathy after lumbar discectomy with SMT versus usual care

Receipt of PT, Chiropractic Care Reportedly Low for Comorbid Chronic LBP, Opioid Use Disorder

Receipt of physical therapy and chiropractic care was low overall and lower across racial, ethnic minorities

Odds of Gabapentin Rx Down for Adults With LBP Receiving Spinal Manipulation

Reduced odds seen for receiving gabapentin prescription in adults receiving chiropractic spinal manipulative therapy

Patients who initially see a physical therapist or chiropractor for low back pain rather than a primary care physician are much less likely to be prescribed opioids

Early Access to Chiropractors, PTs Tied to Decreased Long-Term Opioid Use

Odds of short- or long-term opioid use higher for initial visits with physicians for low back pain
Patients who initially see a physical therapist or chiropractor for low back pain rather than a primary care physician are much less likely to be prescribed opioids

Chiropractors, Physical Therapists Prescribe Fewer Opioids

Odds of short- or long-term opioid use higher for initial visits with physicians for low back pain
The use of yoga and meditation have increased in recent years among children and adults

CDC: Increases in Yoga, Meditation for Children in 2012-2017

Among adults, increases seen in use of yoga, meditation, chiropractor during same time period
For active-duty military personnel

Adding Chiropractic to Usual Care Beneficial for Low Back Pain

Improvements in low back pain intensity and disability among active-duty military personnel
Spinal manipulative therapy is associated with modest improvements in pain and function among patients with acute low back pain

Spinal Manipulation for LBP Tied to Modest Improvements

Review finds moderate-quality evidence that spinal manipulative therapy provides modest pain relief
Real and sham chiropractic spinal manipulative therapy are equally likely to ease patients' migraine pain

Placebo Effect Seen in Chiropractic Tx of Migraine

Study participants who had sham treatment reported pain relief, too
In the past decade there has been a substantial increase in the use of chiropractic services among the Veterans Affairs' service

Considerable Increase in Chiropractic Service Use in VA

From 2004 to 2015 increase in annual number of patients seen in VA chiropractic clinics