April 2012



New Research into Wellness/Maintenance Care

This topic has been at the root of Chiropractic Philosophy since the discipline’s inception in the 19th Century. Many patients even have this benefit as a reason for initiating care.

“Once you start Chiropractic, you will have to go the rest of your life”

Although this decision has always been that of our patients in our office we have seen the benefits of wellness care first hand and often wonder why so many patients feel maintenance care is something reserved for their automobiles and teeth only?

A new and exciting study authored by Senna and Machaly, published in Spine 2011 provides some research in this area outside of Chiropractic influence, although upon reading, the outcomes are incredibly supportive of Chiropractic philosophy.

In the study 60 patients with chronic non- specific lower back pain (LBP) ranging in age from 20-60 were chosen from the outpatient clinics of the Rheumatology and Rehabilitation Department of Mansoura University Hospital. These patients were classified as having moderate to high levels of chronic pain and disability with an average of 18 months duration.

Three groups were formed. Spinal Manipulative Therapy (SMT)

Control Group; each test subject received a sham spinal manipulation 3x/wk for 4wks.

Adjusted Group; subjects received SMT 3x/wk for 4wks.

Maintenance Group; subjects received spinal manipulation 3x/wk for 4wks then SMT 1x/2wks for 9mos.

Outcome Measures; A strength of the trial is that it combined both subjective and objective outcome measures quantified by Doctors not involved in the actual treatment. After 1month there was no change in the control group while both the spinal manipulative therapy (SMT) groups showed a 13% improvement. After 10 months the adjusted group lost the benefit to match that of the control group.

The maintenance group not only maintained the 13% improvement but actually improved again to 50% total.

So there it is. A well designed medical trial in essence adopting the Chiropractic model of an initial course of intensive manipulation followed by continued maintenance treatments at a reduced frequency with effective results. In conclusion the authors of the study commented...

“Since patients did benefit from the maintenance treatments we believe that periodic patient visits permit proper evaluation, detection and early treatment of an emerging problem thus preventing future episodes of LBP” Sounds Very Chiropractic !

"What Will You Do When Your

Spine Wears Out?"