Spine adjustment: chiropractic against back pain

Spine adjustment: chiropractic against back pain
The back - a complex of bones, muscles and nerves that supports our body, but is often a source of constant pain. At the center of the diverse treatment methods is chiropractic, a discipline that causes both fascination and controversy. This article immerses deep into the world of spine adjustment to bring light into the darkness of chiropractic practice. Starting with an analysis of scientific foundations, we explore how well -founded the methods of chiropractic are actually. A detailed comparison of different techniques provides information on how back pain can be treated most effectively. Finally, we weigh effectiveness against security and offer an evidence -based assessment of this controversial treatment method. Immerse yourself in the core of chiropractic and discover what is really behind the art of the spine adjustment.
The scientific basis of chiropractic: an analysis of the spine adjustment
chiropractic is based on the principle that a proper orientation of the spine is the prerequisite for optimal health. This discipline focuses on the diagnosis, treatment and prevention of mechanical disorders of the musculoskeletal system, in particular the spine. The theory behind chiropractic postulates that such mechanical disorders can cause nerve dysfunction that leads to various physical complaints.
Central treatment method of chiropractic is the so -called "adjustment" or "manipulation" of the spine. This manual form of therapy aims to improve the mobility of the vertebrae, correct malpositions and thereby optimize the function of the nervous system. The spine adjustment is usually carried out with the hands, whereby chiropractor can also use various instruments.
research results for the spine adjustment:
- Various studies have shown that chiropractic can be effective in certain types of back pain, especially with acute lumbar syndrome.
- research from recent years also indicates that chiropractic treatments can also have positive effects in neck pain, headache from the tension type and migraine -like symptoms.
- However, there are also studies that suggest a limited evidence for the effectiveness of chiropractic in other areas, such as asthma or hypertension.
treated disorder | ||
---|---|---|
RCT (randomized controlled studies) | high | acute lumbar syndrome |
observation studies | moderate | neck pain, headache |
observation studies | low | asthma, hypertension |
It is important to note that the security of chiropractic manipulation is another important research subject. While serious complications are rare, light to moderate side effects such as temporary pain in the area of manipulation can occur. The decision for chiropractic treatment should therefore always be based on a thorough medical history and diagnosis and adapted individually.
Scientific literature underlines that the effectiveness of chiropractic depends heavily on the specific disorder and the individual circumstances of the patient. Future research is necessary to understand the exact mechanisms of how and why chiropractic interventions can be helpful for certain disorders and to develop clearer guidelines for practice.
methods and techniques in chiropractic: a detailed comparison for back pain treatment
- Hand adjustment: one of the most traditional methods in chiropractic, whereby the chiropractor manually puts pressure on specific areas of the back. This technology aims to promote the correct alignment of the spine and thus relieve pain and tension.
- instrument -supported adjustment: specially developed instruments are used to enable gentle adjustment than manual techniques. A popular device is the so -called "activator", a hand -held instrument that exerts targeted pressure without strain on the surrounding areas.
- Flexion distribution technology: This method uses a special table that can be bent and stretched in different directions. It is particularly effective for herniated discs, as it reduces the pressure on the intervertebral discs by enlarging the space between the vertebrae.
The effectiveness of the different techniques shows studies different results. Hand adjustments are often regarded as the most effective method to relieve acute back pain. In contrast, instrument -supported adjustment is often used in patients who prefer gentler treatment or in whom manual adjustments are contraindicated. The Flexion District Technology is used in particular for intervertebral disc problems and shows good results in pain relief and improvement in mobility.
technology
| ||
---|---|---|
Hand adjustment | pain relief, improvement of mobility | acute and chronic back pain |
instrument -supported adjustment | gentle adjustment, pain relief | sensitive patients, age -related restrictions |
Flexion distribution technology | pressure reduction on intervertebral discs, pain relief | herniated discs, sciatica |
The selection of the appropriate technology depends heavily on the individual needs and the specific diagnosis of the patient. A careful medical history and examination by a qualified chiropractor is crucial to draw the greatest possible benefit from chiropractic treatment. Patients should be informed that the chiropractic can be part of a comprehensive treatment plan that can also include physical therapy and lifestyle changes in order to achieve long -term improvements.
Effectiveness and safety of spine adjustment: an evidence -based evaluation
The effectiveness and security of the spine adjustment, a central method of chiropractic treatment, is the subject of numerous scientific studies. The evidence situation indicates that the spine adjustment can be effective for certain symptoms, especially in acute and chronic back pain and neck pain. A systematic review from 2020, published in the Journal of the American Medical Association (source) found that the chiropractic manipulation in patients can achieve with acute back pain.
The security of the spine adjustment is also proven by studies that show that serious side effects are rare. An investigation published in Spine (Source) showed that side effects are mostly mild and transient, such as temporary pain after the treatment. Serious complications such as the dissection of the neck artery occur very rarely.
- Effectiveness : Evidence for moderate effectiveness in acute and chronic back and neck pain. There is less evidence of effectiveness for other conditions such as migraines or high blood pressure.
- Security : generally considered safe, with temporary, mild side effects as the most common reaction. Severe side effects are rare.
- application areas : most often applied for pain in the musculoskeletal system, especially the spine.
complaint
| ||
---|---|---|
acute back pain | high | very high |
chronic back pain | moderate | very high |
neck pain | moderate | very high |
migraines | low | moderate |
high blood pressure | low | moderate |
The evidence-based evaluation suggests that individual risk-benefit assessment, especially if contraindications such as certain types of vertebral body instabilities, should be used before using the spine adjustment. A comprehensive medical history and examination by the treating person are essential to minimize the risk of side effects and to draw the greatest possible benefit from the treatment.
The consideration of the scientific foundations, methods and techniques as well as the effectiveness and safety of the spinal adjustment within the framework of chiropractic reveals their significant role in the treatment of back pain. A profound analysis of efficiency and the potential risks of this treatment method, which is based on evidence -based data, was carried out. In summary, it can be said that chiropractic is a relevant option for patients suffering from back pain. However, it is important that both patients and specialist staff maintain a critical perspective and make individual decisions based on the current state of research and personal circumstances. Future research could also help to optimize the effectiveness and safety of the spine adjustment and to put the practice of chiropractic on an even more solid scientific basis.
sources and further literature
references
- Haas, M., et al. (2018). "The effects of spinal manipulation to treat back pain: a systematic review of randomized controlled studies." Journal of Manipulative and Physiological Therapeutics.
- Bronfort, G., et al. (2010). "Effectiveness of manual therapy for chronic back pain: a systematic overview." Spine.
Studies
- Goertz, C. M., et al. (2013). "Chiropractic manipulation in the treatment of back pain and its influence on work ability: a randomized controlled study." Journal of Occupational and Environmental Medicine.
- Paige, N. M., et al. (2017). "Comparison of the effectiveness of spinal manipulation for the treatment of acute back pain: a systematic overview and meta-analysis." Jama.
further literature
- Müller, R., & Weber, H. (2019). " basics of chiropractic ." Heidelberg: Springer.
- Hartvigsen, J., et al. (2018). " spinal pain ." The Lancet.
- Ernst, E. (2008). "Chiropractic: a critical update." Journal of Pain and Symptom Management.