Chiropractic News & Research

To keep you informed about developments in the chiropractic and osteopathic fields, enjoy the following articles!


Does Back Pain Go Away on Its Own?


Eighty percent of people suffer from back pain at some point in their lives. Back pain is the second most common reason for visits to the doctor's office, outnumbered only by upper-respiratory infections. Most cases of back pain are mechanical or non-organic, i.e., not caused by serious conditions, such as inflammatory arthritis, infection, fracture, or cancer.

What Causes Back Pain?
The back is a complicated structure of bones, joints, ligaments, and muscles. You can sprain ligaments, strain muscles, rupture disks, and irritate joints, all of which can lead to back pain. While sports injuries or accidents can cause back pain, sometimes the simplest of movements-for example, picking up a pencil from the floor-can have painful results. In addition, arthritis, poor posture, obesity, and psychological stress can cause or complicate back pain. Back pain can also directly result from disease of the internal organs, such as kidney stones, kidney infections, blood clots, or bone loss.

Back injuries are a part of everyday life, and the spine is quite good at dealing with these often "pulled" muscles. These very minor injuries usually heal within 1 or 2 days. Some pain, however, continues. What makes some pain last longer is not entirely understood, but researchers suspect that the reasons may include stress, mood changes, and the fear of further injury that may prevent patients from being active. In addition, sometimes a painful injury or disease changes the way the pain signals are sent through the body, and, even after the problem has gone away or is inactive, the pain signals still reach the brain. It is as if the pain develops a memory that keeps being replayed.

Will Back Pain Go Away on Its Own?
Until recently, researchers believed that back pain will "heal" on its own. We have learned, however, that this is not true. A recent study showed that when back pain is not treated, it may go away temporarily but will most likely return. The study demonstrated that in more than 33% of the people who experience low-back pain, the pain lasts for more than 30 days. Only 9% of the people who had low-back pain for more than 30 days were pain free 5 years later.1

Another study looked at all of the available research on the natural history of low-back pain. The results showed that when it is ignored, back pain does not go away on its own.2 Those studies demonstrate that low-back pain continues to affect people for long periods after it first begins.

What Can I Do to Prevent Long-Term Back Pain?
If your back pain is not resolving quickly, visit your doctor of chiropractic. Your pain will often result from mechanical problems that your doctor of chiropractic can address. Many chiropractic patients with relatively long-lasting or recurring back pain feel improvement shortly after starting chiropractic treatment.3 The relief they feel after a month of treatment is often greater than after seeing a family physician.4

Chiropractic spinal manipulation is a safe and effective spine pain treatment. It reduces pain, decreases medication, rapidly advances physical therapy, and requires very few passive forms of treatment, such as bed rest.5

How Can I Prevent Back Pain?
  • Don't lift by bending over. Instead, bend your hips and knees and then squat to pick up the object. Keep your back straight, and hold the object close to your body.
  • Don't twist your body while lifting.
  • Push, rather than pull, when you must move heavy objects.
  • If you must sit for long periods, take frequent breaks and stretch.
  • Wear flat shoes or shoes with low heels.
  • Exercise regularly. An inactive lifestyle contributes to lower-back pain.

What Should I Tell My Doctor of Chiropractic?
Before any treatment session, tell your doctor of chiropractic if you experience any of the following:

  • Pain goes down your leg below your knee.
  • Your leg, foot, groin, or rectal area feels numb.
  • You have fever, nausea, vomiting, stomach ache, weakness, or sweating.
  • You lose bowel control.
  • Your pain is caused by an injury.
  • Your pain is so intense you can't move around.
  • Your pain doesn't seem to be getting better quickly.


  1. Hestbaek L, Leboeuf-Yde C, Engberg M, Lauritzen T, Bruun NH, Manniche C. The course of low-back pain in a general population. Results from a 5-year prospective study. J Manipulative Physiol Ther 2003 May;26(4):213-9.
  2. Hestbaek L, Leboeuf-Yde C, Manniche C. Low-back pain: what is the long-term course? A review of studies of general patient populations. Eur Spine J 2003 Apr;12(2):149-65.
  3. Stig LC, Nilsson O, Leboeuf-Yde C. Recovery pattern of patients treated with chiropractic spinal manipulative therapy for long-lasting or recurrent low back pain. J Manipulative Physiol Ther 2001 May;24(4):288-91.
  4. Nyiendo J, Haas M, Goodwin P. Patient characteristics, practice activities, and one-month outcomes for chronic, recurrent low-back pain treated by chiropractors and family medicine physicians: a practice-based feasibility study. J Manipulative Physiol Ther 2000 May;23(4):239-45.
  5. Time to recognize value of chiropractic care? Science and patient satisfaction surveys cite usefulness of spinal manipulation. Orthopedics Today February 2003;23(2):14-15.

This article is from the American Chiropractic Association at

Low-Back Pain and Related Leg Complaints


Chiropractic spinal manipulation is widely used to treat low-back pain and related complaints.

Lawrence DJ, Meeker W, Branson R, Bronfort G, Cates JR, Haas M, Haneline M, Micozzi M, Updyke W, Mootz R, Triano JJ, Hawk C. Chiropractic Management of Low Back Pain and Low Back-Related Leg Complaints: A Literature Synthesis. J Manipulative Physiol Ther 2008 Nov;31(9):659-674.


THE OBJECTIVE of this literature synthesis was to provide a balanced interpretation of the literature to identify safe and effective treatment options for low-back pain and related leg complaints.


THIS STUDY conducted a search of literature on low-back pain through the following major healthcare databases: PubMed, Mantis and the Cochrane Database, yielding 807 source documents, from which guidelines, randomized controlled trials (RCTs), systematic reviews and cohort studies were selected for further review. A total of 12 guidelines documents, 64 RCTs, 20 systematic reviews/meta-analyses and 12 cohort studies were analyzed.


Existing research evidence on chiropractic management of low-back pain and related leg complaints shows the following:


• Spinal manipulation is used to reduce pain and improve function in patients with both chronic low-back pain and acute and sub-acute low-back pain.

• Patients undergoing spinal manipulative treatment for low-back pain often experience improvement in function, in addition to a reduction in their pain levels.

• When used in conjunction with spinal manipulation, exercise is likely to improve the patients’ symptoms, increase the speed of recovery, and reduce the recurrence of pain.

• Exercise coupled with the reassurance of the healthcare provider that the patient will do well has also been shown valuable in patients with chronic low-back pain and low-back problems associated with radicular symptoms.

• There is less evidence for the use of spinal manipulation in the treatment of leg complaints related to low-back pain.

• Patients experiencing severe symptoms may benefit from pain management in collaboration with other healthcare providers, in addition to spinal manipulative treatment.


There is limited evidence to predict patients’ response to care or provide recommendations for frequency and duration of treatment.


LEARN MORE ABOUT chiropractic management of low-back pain at For more information on chiropractic research, go to and


The research described in this column comes from credible, peer-reviewed journals. It is intended to serve as a resource for practitioners and patients to assist them in consideration of various healthcare options and does not replace clinical judgment.


This article is shared from the American Chiropractic Association at We appreciate the ACA for sharing new on low pack pain Logan Utah

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At the Association of Chiropractic Colleges (ACC) annual meeting in Las Vegas, chiropractic educational institutions throughout the United States made an unprecedented financial commitment to the Foundation for Chiropractic Progress (FCP) and its public relations campaign in support of chiropractors.

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