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Dr. Hoang's Chiropractic Clinic Explains the Value of Chiropractic Research

Research makes the healthcare world go ‘round! Research established the role of healthcare’s relief of pain. In chiropractic healthcare, much research revolves around documenting chiropractic’s benefit for painful musculoskeletal conditions like back pain, neck pain, arm pain and sciatic leg pain. Dr. Hoang's Chiropractic Clinic offers just such effective, research-documented care to our Montreal chiropractic patients.

CHALLENGE: DO HIGH QUALITY RESEARCH

One group of back pain researchers challenged fellow researchers to come up with long-term plans to reduce the problem of low back pain on patients and healthcare systems. They explained that developing effective strategies continues to be a daunting task for back pain clinicians, doctors, and researchers. Vexingly, back pain disability levels have not increased despite a larger number of published research reports about back pain care. No consensus on the optimal way to handle low back pain has been achieved. Non-drug and non-invasive options like exercise, manual therapy, massage, and such are general recommendations. Other reviewing researchers pointed to a few issues with back pain research: design and analysis within the treatment clinical trials. (1) Designing research studies is difficult. Designing a “sham” protocol for spinal manipulation that seems like spinal manipulation is really challenging. (Just touching a spine can be relieving some, but that’s a topic for another article!) Observational studies are the next best thing. How so? Researchers observe how patients respond when they go through treatment and describe changes and effects. Fortunately, Cox® Technic research has a blend of biomechanical and clinical observational studies resulting in case reports, case series, as well as retrospective and prospective clinical studies. Dr. Hoang's Chiropractic Clinic feels this mix of research support helps explain to our Montreal chiropractic patients what clinical outcome relief they may expect.

MINIMAL CLINICAL IMPORTANCE

Sometimes, chiropractic physicians and low back pain patients alike are disappointed with the outcomes of treatment for back pain. They should not be! In medicine, the minimal clinically important difference (MCID) is defined as 30% or 20% and even 10% improvement. That’s reported as an “effective” outcome. Cox® Technic has offered 50% improvement in 30 days as the aim…and still does. Often, chiropractic patients find that 50% relief in less than a month and that the 50% relief is closer to 70% or 80% or 90%! Sometimes, a patient’s response may be slower in attaining relief or only reaches 30% or 40%. Some patients want more while others, particularly patients who have already had back surgery or sought non-relieving care from many other providers, are excited. A study of 1232 low back pain subjects discovered a MCID pain intensity of 2 (meaning a 2 point change on a scale of 0 no pain to 10 worst imaginable pain). That is not a big move but is realistic. (2) It is a statistic to share. Compared with medical and surgical outcomes for back pain treatment that are as low as 10% or 30% expected improvement MCID, our Montreal chiropractic clinical outcome objectives are high and often achieved.

THE CHALLENGE OF CHIROPRACTIC RESEARCH – AND HOW CHIROPRACTIC ANSWERS

Chiropractic, like other complementary and integrative healthcare professions, has a little more difficulty in keeping research flowing as many programs are not in large university situations with well-established and well-financed research departments. Global chiropractic researchers are seeking am amswer.  Australia, Canada, and Denmark chiropractic researchers have created a leadership academy (CARL – Chiropractic Academy for Research Leadership) for early-career chiropractic researchers to promote more chiropractic research. US-based researchers are turning to the RAND Corporation’s Center for Collaborative CIH Research to combine research talent and resources to elevate chiropractic’s quality and quantity of research.  (3,4) Solid research continues at chiropractic universities to document the benefits of chiropractic for musculoskeletal-related pain like back pain, neck pain, arm pain and leg pain.

CONTACT Dr. Hoang's Chiropractic Clinic

Listen to this PODCAST with Ram Gudavalli, PhD, principal investigator of many Cox® Technic research studies, on The Back Doctors Podcast with Dr. Michael Johnson as he describes research studies of which he’s been a part.

Make your next Montreal chiropractic appointment now. Bring your questions about the research supporting our chiropractic care with you! Dr. Hoang's Chiropractic Clinic loves to share research! 

 
Dr. Hoang's Chiropractic Clinic shares the importance and value of chiropractic research in healthcare decision-making and relevance. 
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"This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."