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The American Chiropractic Association adopts, but is not limited to, the Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline from the American College of Physicians as current best practices for the treatment and management of low back pain.
Evidence-Based Guidelines for the Chiropractic Treatment of Adults With Headache J Manipulative Physiol Ther. 2011 (Jun); 34 (5): 274–289 ~ FULL TEXT Evidence suggests that chiropractic care, including spinal manipulation, improves migraine and cervicogenic headaches.
Condition-specific diagnosis and treatment recommendations. This guideline includes recommendations for best practices for chiropractic management of some of the most common chronic MSK pain conditions. These are (1) LBP, (2) neck pain, (3) tension headache, (4) knee and hip OA, and (5) fibromyalgia. 6.
Clinical Practice Guideline: Chiropractic Care for Low Back Pain. Algorithms for the chiropractic management of acute and chronic spine-related pain. Top Integrative Health Care.
The Role of Chiropractic Care in Providing Health Promotion and Clinical Preventive Services for Adult Patients with Musculoskeletal Pain: A Clinical Practice Guideline
Acute LBP is best initially treated with directional stretching, progressive aerobic exercise, management of kinesiophobia, and NSAIDs. Work limitations may be needed especially for those with occupational demands exceeding the patient’s abilities; limitations should be gradually eliminated.
Chiropractic treatment guidelines provide structured programs for effective care, emphasizing individualized plans tailored to patient needs.
The 62-member Delphi panel reached consensus on chiropractic management of five common chronic MSK pain conditions: low-back pain (LBP), neck pain, tension headache, osteoarthritis (knee and hip), and fibromyalgia.
The updated guideline provides recommendations throughout the continuum of care from acute to chronic and offers the chiropractic profession an up-to-date evidence- and clinical practice experience-informed resource outlining best practice approaches for the treatment of patients with LBP.
Chiropractic-directed care, including patient education, and passive and active care therapy, is a safe and effective form of health care for low back disorders. As stated in the previous section, there are certain clinical situations where HVLA manipulation or other manual therapies may be contraindicated.