by Dr. P. Carl Rafey
24. June 2011 09:45
Chiropractic care is an important treatment option in patients with spine pain. One of the most common reasons for these types of complaints is an injury that occurs while at work. Over the years, more attention has been placed on an integrated approach to spine care. These protocols include proper initial diagnosis, spinal manipulation to increase range of motion and progressive rehabilitation to prevent re-occurrence. A recent study, published in 2009, reviewed 100 worker injury cases that received this type of approach.
The authors stated, “The purpose of this study is to report on integrative care for the treatment of injured workers with neck or back pain referred to a doctor of chiropractic from a medical or osteopathic provider” (Aspegren et al., 2009, p. 765).
“The study demonstrated positive effects of including chiropractic services in integrative care when treating compensable neck and/or back pain. Patients recorded improvement in functional scores and subjective response involving work-related spinal injuries. Improvement was noted in all 3 time-based phases of patient status (acute, subacute, and chronic)” (Aspegren et al., 2009, p. 770).
When there are pathological conditions in the spine such as disc herniation, an integrated approach that first focuses on the removal of joint adhesion and restoration of segmental and regional range of motion is critical. Chiropractic care fits extremely well into this model since it is the profession that has the highest level of training in spinal manipulation and training in spinal rehabilitative techniques.
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