Chiropractic News
May 2010
Chiropractic featured in low back surgery textbook
BERLIN, 21 April 2010 — A chapter dedicated to chiropractic treatment is included in a newly released textbook, Surgery For Low Back Pain published last month by Springer Science+Business Media. Edited by preeminent spine surgeons from Europe, the inclusion of chiropractic methods in clinical decision making by physicians is testimony to the research strides made over the past few decades and marks another example of the global growth and acceptance of the profession.
The chapter, “The place of chiropractic care in the treatment of low back pain” was written by Christopher J. Colloca, D.C., a Phoenix, Arizona based chiropractor with affiliations in the Department of Kinesiology at Arizona State University. Chiropractic education, training and practice were reviewed followed by a description of the chiropractic patient encounter and a review of the mounting evidence on the subject of spinal manipulation in the text. Manipulative mechanisms and the positive reports for the clinical effectiveness in spinal manipulation for low back pain have recently paved the way for the inclusion of spinal manipulation into well-established clinical guidelines including the American Pain Society/American College of Physicians Clinical Practice Guideline. Dr. Colloca’s chapter is a culmination of the entire profession’s research in addition to his own focusing on the use of chiropractic adjusting instruments and simultaneous dynamic stiffness assessments to improve objectifying chiropractic treatment. He has published more than
50 scientific articles in the field.
Low back pain is one of the most common conditions encountered in clinical practice. The pathologies believed to be its cause are the main indication for spine surgery in most area of the world while true evidence about indications remains elusive and there is much discussion about the very different techniques used. The goal of this book is to shed some light on this complex subject. The indispensable bases of biology and biomechanics of spinal structures are covered as well as the important psychosocial determinants associated with back complaints. Conservative treatment is still the base of low back pain handling, and natural history of the condition as well as the main conservative therapeutic options are described in detail. Medications, rehabilitation, back schools, manipulative therapies, and orthoses are the subject of fully documented chapters by some of the world’s leading authorities. Surgical techniques abound for the treatment of lumbar spine disorders and this book tries to clarify their indications and results. Indications, counter indications, techniques, and complications of those different techniques are presented and lead to discussion about what evidence we have for their effectiveness. This book is intended for clinicians as well as researchers in many fields of spinal disorders. It is of use to orthopedic and neurosurgeons, rheumatologists, neurologists, physiatrists, physical therapists, chiropractors as well as psychologists and third-party payers.
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