Cox Chiropractic Medicine Inc Explains the Value of Chiropractic Research03/30/2021Research makes the healthcare world go ‘round! Research solidifies the role of healthcare’s relief of pain. For chiropractic healthcare, much research entails providing evidence of chiropractic’s benefit for painful musculoskeletal conditions like neck pain, back pain, arm pain and sciatic leg pain. Cox Chiropractic Medicine Inc offers just such research-documented, effective care to our Fort Wayne chiropractic patients. CHALLENGE: DO HIGH QUALITY RESEARCH A set of back pain researchers challenged fellow researchers to come up with long-term plans to decrease the burden of low back pain on sufferers and healthcare systems. They clarified that developing effective strategies remains a daunting task for back pain clinicians, doctors, and researchers. Frustratingly, back pain disability levels have not increased despite a larger number of published research reports regarding back pain care. No consensus on the optimal way to handle low back pain has been achieved. Non-drug and non-invasive approaches like exercise, manual therapy, massage, and such are general recommendations. Another group of reviewing researchers indicated 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 feels like spinal manipulation is really challenging. (Just touching a spine can be relieving some, but that is a topic for a different discussion!) Observational studies are the next in line. How so? Researchers observe what happens to patients when they undergo treatment and describe changes and effects. Fortuitously, 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. Cox Chiropractic Medicine Inc feels this mix of research support helps outline the expectations our Fort Wayne chiropractic patients may anticipate. MINIMAL CLINICAL IMPORTANCE Sometimes, chiropractic physicians and low back pain patients alike find themselves frustrated with the outcomes of treatment for back pain. They should not be! In medicine, the minimal clinically important difference (MCID) is reported 30% or 20% and even 10% improvement. That is reported to be an “effective” outcome. Cox® Technic has offered 50% improvement in 30 days as the aim…and still does. Many times, chiropractic patients realize that 50% relief in less than 30 days and that the 50% relief is closer to 70% or 80% or 90%! Sometimes, a patient’s response may be slower in reaching relief or only reaches 30% or 40%. Some patients want more while others, especially patients who have previously undergone back surgery or sought non-relieving care from many other providers, are quite satisfied. A study of 1232 low back pain subjects discovered a MCID pain intensity of 2 (meaning a 2 point move on a scale of 0 no pain to 10 worst imaginable pain). That is not a huge move but is realistic. (2) It is a statistic to consider. Weighed against medical and surgical outcomes for back pain treatment that are as low as 10% or 30% expected improvement MCID, our Fort Wayne chiropractic clinical outcome goals 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 looking for a solution. 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 looking to the RAND Corporation’s Center for Collaborative CIH Research to pool research talent and assets to elevate chiropractic’s quality and quantity of research. (3,4) Strong research carries on at chiropractic universities to document the benefits of chiropractic for musculoskeletal-related pain like back pain, neck pain, arm pain and leg pain. CONTACT Cox Chiropractic Medicine Inc 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. Schedule your next Fort Wayne chiropractic appointment today. Bring your questions about the research behind our chiropractic care with you! Cox Chiropractic Medicine Inc is always ready to share research! « View All Featured Articles"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."