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Handbook of Spine Technology pp 37–65Cite as

Back Pain: Chiropractor’s View

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Abstract

In educating engineering students about geology, the advice given to the geology tutors is your job is to convince the engineers that when they need a geologist they should send for one. That might also be a good advice now to those in the medical professions treating patients with non-specific back pain: when you need a chiropractor, send for one or at least talk to one. In the face of the escalating opioid deaths from prescription drugs, there is a compelling, and ethical, obligation for health providers to consider non-pharmacological therapies for treating pain. These therapies have evidence for efficacy and safety, are not addictive, and are associated with a very low rate of adverse events. Chiropractic falls squarely within the framework of these therapies. In most jurisdictions chiropractic is defined as the treatment of musculoskeletal conditions without the use of drugs or surgery. As with all the complementary and alternative medicine (CAM) professions, pain is the number one condition that drives patients to CAM providers and specifically low back pain in the case of chiropractors. It is estimated that one in five of all adults in the United States and Canada will use chiropractic care at some time in their life. The purpose of this chapter is to provide information that can help medical practitioners in deciding when to refer to chiropractors. This requires some knowledge about chiropractic education and training, the thinking and practice behind chiropractic care, the different views about back pain and health generally, and the different types of management of back pain arising from that point of view.

Keywords

  • Chiropractic
  • Non-pharmacological
  • Complementary and alternative medicine
  • Spinal manipulation
  • Primary spine care

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Author information

Authors and Affiliations

  1. RAND Corporation, Santa Monica, CA, USA

    I. D. Coulter

  2. School of Health and Rehabilitation Sciences, Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, PA, USA

    M. J. Schneider

  3. Southern California University of Health Sciences, Whittier, CA, USA

    J. Egan & G. Jacob

  4. Department of Family Medicine, Alpert Medical School of Brown University, Providence, RI, USA

    D. R. Murphy

  5. Department of Physical Therapy, University of Pittsburgh, Cranston, RI, USA

    D. R. Murphy

  6. Department of Research, Canadian Memorial Chiropractic College, Toronto, ON, Canada

    Silvano A. Mior

  7. Centre for Disability Prevention and Rehabilitation, Ontario Tech University and Canadian Memorial Chiropractic College, Toronto, ON, USA

    Silvano A. Mior

Authors
  1. I. D. Coulter
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  2. M. J. Schneider
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  3. J. Egan
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  4. D. R. Murphy
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  5. Silvano A. Mior
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  6. G. Jacob
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Corresponding author

Correspondence to I. D. Coulter .

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Editors and Affiliations

  1. Neuroscience Institute, Allegheny Health Network, Drexel University, Allegheny General Hospital Campus, Pittsburgh, PA, USA

    Boyle C. Cheng

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Coulter, I.D., Schneider, M.J., Egan, J., Murphy, D.R., Mior, S.A., Jacob, G. (2021). Back Pain: Chiropractor’s View. In: Cheng, B.C. (eds) Handbook of Spine Technology. Springer, Cham. https://doi.org/10.1007/978-3-319-44424-6_141

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