A drug increasingly being prescribed for treating sciatica has been revealed to be no better than placebo, in research recently published in the New England Journal of Medicine. The researchers also found that people taking the drug pregabalin reported nearly twice as many adverse effects as those receiving the placebo reported.

The American College of Physicians (ACP) recommends that doctors avoid prescribing drugs, especially narcotics, for patients with acute or subacute low back pain. Patients should be treated first with non-pharmaceutical therapies, such as superficial heat, massage, acupuncture, or spinal manipulation.

Patients with improper back position have movement control impairment. They often have difficulties in controlling the position of their back when sitting down, standing or doing back bending. Impaired movement control is often caused by an earlier episode of back pain and may result in chronic lower back pain. The situation is problematic because patients don’t realize that their incorrect back position is provoking pain.

Many patients live with low back pain that radiates to the buttock, groin, thigh, and even knees. The challenge for patients, and often their doctors, is determining the origin of the pain—the hip, the spine, or both. A new article published in the Journal of the American Academy of Orthopedic Surgeons outlines the identical symptoms associated with hip and spine pain and discusses the diagnostic steps and tests required to treat them appropriately.

New research shows that people with chronic low back pain have better results from yoga and physical therapy compared to reading evidence-based self-help materials. While this finding was consistent across many patient characteristics, a much larger effect was observed among those already taking pain medication to treat their condition and those who did not fear that exercise would make their back pain worse.

Winter recreational activities can pose painful problems for the outdoor enthusiast who is not in the best condition. Preparing your body before participating in winter sports such as snowboarding, skiing or ice-skating decreases the potential for spasms, strains and sprains, according to the American Chiropractic Association (ACA).

The American Chiropractic Association has announced that chiropractors nationwide will focus on helping people become more “Active and Adaptive” as they continue to adjust to lifestyle changes brought on by the COVID-19 pandemic.

Doctors of chiropractic are part of the essential critical infrastructure workforce, according to an advisory memorandum released by the u.S. Cybersecurity and Infrastructure Security Agency. The memo aims to give state, local, tribal and territorial governments guidance as they consider what actions to take in their communities to slow the spread of the novel coronavirus (COVID-19) while still maintaining critical industries and the workers who support them.

Before you dig into that blanket of newly fallen snow, take a few minutes to warm up. Take a brief walk around the house or march in place to get your body ready for the physical strain. Add arm movements and stretch your back to warm up the upper body. Here are a few more tips to help you stay healthy during shoveling season:

If you’re suffering from chronic lower back pain, a new review of existing research finds that spinal manipulation—the kind of hands-on regimen that a chiropractor might perform on you—is just as helpful as other frequently employed treatments, like pain killers. Spinal manipulation is also safe, researchers found.

The risks associated with some of the most common treatments for musculoskeletal pain--over the counter or prescription nonsteroidal anti-inflammatory drugs (NSAIDS) and prescription painkillers—are significantly greater than those of chiropractic manipulation.

Some reports have associated high-velocity upper neck manipulation with a certain rare kind of stroke, or vertebral artery dissection. However, evidence suggests that this type of arterial injury often takes place spontaneously in patients who have pre-existing arterial disease. These dissections have been associated with everyday activities such as turning one’s head while driving, swimming, or getting your hair shampooed in a hair salon.

Chiropractic is widely recognized as one of the safest drug-free, non-invasive therapies available for the treatment of neuromusculoskeletal complaints. Although chiropractic has an excellent safety record, no health treatment is completely free of potential adverse effects. The risks associated with chiropractic, however, are very small. Many patients feel immediate relief following chiropractic treatment, but some may experience mild soreness, stiffness or aching, just as they do after some forms of exercise.

Q: Is chiropractic treatment ongoing?
A: The hands-on nature of the chiropractic treatment is essentially what requires patients to visit the chiropractor a number of times. To be treated by a chiropractor, a patient needs to be in his or her office. In contrast, a course of treatment from medical doctors often involves a pre-established plan that is conducted at home (i.e. taking a course of antibiotics once a day for a couple of weeks).

Q: What type of education and training do chiropractors have?
A: Doctors of chiropractic are educated as primary-contact health care providers, with an emphasis on diagnosis and treatment of conditions related to the musculoskeletal system (the muscles, ligaments and joints of the spine and extremities) and the nerves that supply them. Educational requirements for doctors of chiropractic are among the most stringent of any of the health care professions.

Q: Do insurance plans cover chiropractic?

A: Yes. Chiropractic care is included in most health insurance plans, including major medical plans, workers’ compensation, Medicare, some Medicaid plans, and Blue Cross/Blue Shield plans for federal employees, among others. Chiropractic care is also available to active-duty members of the armed forces at more than 60 military bases and is available to veterans, at more than 60 major veterans medical facilities, but also in offices such as ours that participate directly with the VA to administer care with proper VA authorization..

Q: Does chiropractic treatment require a referral from an MD?
A: A referral is usually not needed to see a doctor of chiropractic (DC); however, your health plan may have specific referral requirements. you may want to contact your employer’s human resources department—or the insurance plan directly—to find out if there are any referral requirements. Most plans allow you to just call and schedule an appointment with a DC.

Q: What conditions do chiropractors treat?
A: Doctors of chiropractic (DCs) care for patients of all ages, with a variety of health conditions. DCs are especially well known for their expertise in caring for patients with back pain, neck pain and headaches, particularly with their highly skilled manipulations or chiropractic adjustments. They also care for patients with a wide range of injuries and disorders of the musculoskeletal system, involving the muscles, ligaments and joints.

Three in four people who saw a chiropractor in the last year (77%) described chiropractic care as “very effective.”

In a consumer survey, chiropractic outperformed all other back pain treatments, including prescription medication, deep-tissue massage, yoga, pilates, and over-the counter medication therapies.

The essential services provided by chiropractors represent a primary approach for the prevention, diagnosis and conservative management of back pain and spinal disorders that can often enable patients to reduce or avoid the need for riskier treatments, such as prescription opioid pain medications and surgery.

In 2017, the American College of Physicians released an update to its low back pain treatment guideline that recommends first using non-drug treatments, such as spinal manipulation (a centerpiece of chiropractic care), for acute and chronic low back pain.