Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Chiropractic & Manual Therapies
Published in: Chiropractic & Manual Therapies 1/2018

Open Access 01-12-2018 | Commentary

Low back pain: a major global problem for which the chiropractic profession needs to take more care

Authors: Simon D. French, Aron S. Downie, Bruce F. Walker

Published in: Chiropractic & Manual Therapies | Issue 1/2018

Login to get access

Abstract

An important series of papers have been published in the Lancet. These papers provide a comprehensive update for the major global problem of low back pain, and the challenges that low back pain presents to healthcare practitioners and policy makers. Chiropractors are well placed to reduce the burden of low back pain, but not all that chiropractors do is supported by robust, contemporary evidence. This commentary summarises the Lancet articles. We also make suggestions for how the chiropractic profession should most effectively help people with low back pain by implementing practices supported by high quality evidence.
Literature
1.
Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2012;380(9859):2163–96.CrossRefPubMed
2.
Buchbinder R, van Tulder M, Oberg B, Costa LM, Woolf A, Schoene M, et al. Low back pain: a call for action. Lancet. 2018;391(10137):2384–88.CrossRefPubMed
3.
Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al. What low back pain is and why we need to pay attention. Lancet. 2018;391(10137):2356–67.CrossRefPubMed
4.
Foster NE, Anema JR, Cherkin D, Chou R, Cohen SP, Gross DP, et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet. 2018;391(10137):2368–83.CrossRefPubMed
5.
Beliveau PJH, Wong JJ, Sutton DA, Simon NB, Bussieres AE, Mior SA, et al. The chiropractic profession: a scoping review of utilization rates, reasons for seeking care, patient profiles, and care provided. Chiropr Man Therap. 2017;25:35.CrossRefPubMedPubMedCentral
6.
NICE. Low back pain and sciatica in over 16s: assessment and management. National Institute for Health and Care Excellence (NICE) Clinical Guidelines, 2016. London: National Institute for Health and Care Excellence (UK); 2016.
7.
Stochkendahl MJ, Kjaer P, Hartvigsen J, Kongsted A, Aaboe J, Andersen M, et al. National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy. Eur Spine J. 2018;27(1):60–75.CrossRefPubMed
8.
Qaseem A, Wilt TJ, McLean RM, Forciea MA. Clinical guidelines Committee of the American College of P. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2017;166(7):514–30.CrossRefPubMed
9.
Walker BF, French SD, Page MJ, O'Connor DA, McKenzie JE, Beringer K, et al. Management of people with acute low-back pain: a survey of Australian chiropractors. Chiropr Man Therap. 2011;19(1):29.CrossRefPubMedPubMedCentral
10.
Bussieres AE, Sales AE, Ramsay T, Hilles S, Grimshaw JM. Practice patterns in spine radiograph utilization among doctors of chiropractic enrolled in a provider network offering complementary care in the United States. J Manip Physiol Ther. 2013;36(3):127–42.CrossRef
11.
Ammendolia C, Cote P, Hogg-Johnson S, Bombardier C. Do chiropractors adhere to guidelines for back radiographs? A study of chiropractic teaching clinics in Canada. Spine. 2007;32(22):2509–14.CrossRefPubMed
12.
13.
14.
Heath I. Role of fear in overdiagnosis and overtreatment--an essay by Iona heath. BMJ. 2014;349:g6123.CrossRefPubMed
15.
French SD, Beliveau PJH, Bruno P, Passmore SR, Hayden JA, Srbely J, et al. Research priorities of the Canadian chiropractic profession: a consensus study using a modified Delphi technique. Chiropr Man Therap. 2017;25:38.
16.
17.
Stuber K, Kawchuk G, Bussieres A. Research resource environment in Canada. Gathering knowledge in advance to inform chiropractic research priorities. J Can Chiropr Assoc. 2017;61(3):178–83.PubMedPubMedCentral
18.
Adams J, Kawchuk G, Breen A, De Carvalho D, Eklund A, Fernandez M, et al. Leadership and capacity building in international chiropractic research: introducing the chiropractic academy for research leadership (CARL). Chiropr Man Therap. 2018;26:5.CrossRefPubMedPubMedCentral
19.
20.
Bussieres AE, Al Zoubi F, Stuber K, French SD, Boruff J, Corrigan J, et al. Evidence-based practice, research utilization, and knowledge translation in chiropractic: a scoping review. BMC Complement Altern Med. 2016;16:216.CrossRefPubMedPubMedCentral
Metadata
Title
Low back pain: a major global problem for which the chiropractic profession needs to take more care
Authors
Simon D. French
Aron S. Downie
Bruce F. Walker
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Chiropractic & Manual Therapies / Issue 1/2018
Electronic ISSN: 2045-709X
DOI
https://doi.org/10.1186/s12998-018-0199-6

Other articles of this Issue 1/2018

Chiropractic & Manual Therapies 1/2018 Go to the issue

Research

Complaints about chiropractors, osteopaths, and physiotherapists: a retrospective cohort study of health, performance, and conduct concerns

Commentary

Leadership and capacity building in international chiropractic research: introducing the chiropractic academy for research leadership (CARL)

Research

Biased online media coverage: chiropractic and stroke in google news

Review

The schism in chiropractic through the eyes of a 1st year chiropractic student

Short report

Are frequent measurements in back pain research harmful? Two comparisons of back pain in groups with or without frequent follow-up

Research

A Mokken scale analysis of the peer physical examination questionnaire