Easley Chiropractics Role in Back Pain Guidelines

November 14, 2023

Guidelines and recommendations for everything from how to correctly replace a light bulb to when to do back surgery pervade our daily lives. Guidelines are valued by people confronting a new challenge or a new health condition for the first time. Guidelines for the care of back pain have been available for years, many recommending non-surgical care including spinal manipulation as first line treatment. Just how well are those guidelines followed by relevant healthcare practitioners, by back pain sufferers? Young Chiropractic found these newly published reports interesting and thought our Easley chiropractic patients would, too. We can all use them to design and follow a guideline-based treatment plan.


Your Easley chiropractor is aware of the current guidelines to best help you, our Easley back pain patient. Back in 2009, the American College of Physicians added spinal manipulation to its guidelines’ recommendations of suitable spinal pain care options. (1) Young Chiropractic utilizes the well-documented Cox® Technic System of Spinal Pain Management which has a published algorithm of decision-making for patients who have pain below the knee and patients who experience pain that does not go below the knee with a goal of 50% improvement in 30 days or so of care. These guidelines were released in 1996 and have been tested in clinic-based data collections in the years since. (2) Such guidelines with research support and proper clinical application soothe our Easley chiropractic patients!


We hope so! Nearly 64% of chiropractors say they use (Cox®) flexion distraction with their spine pain patients and have the algorithm/guideline available to them. Young Chiropractic is one of those chiropractors. Beyond chiropractic, general guidelines for back pain care are also accessible. Are they followed? A recent review of chiropractic and OT/PT use among 146,087 adults with low back pain in the past 3 months found that chiropractic care or OT/PT care for low back pain rose after clinical guidelines recommending their care were announced in 2016. Between 2002 and 2018, a bit less than a third of those adults with low back pain reported getting chiropractic and/or PT/OT with an increase to a third after the 2016 clinical guidelines were released. (3) This does demonstrate that guidelines assist with treatment direction but are not always followed. In Denmark where guidelines for low back pain care are documented for primary care before being referred found that 33% of patients had not undergone an adequate course of treatment in primary care before referral. The patients were on average 53 years old with nearly 50% of them reporting that they had pain for over a year, and 75% saying that they experienced pain below the knee. (4) Struggles in the healthcare system to abide by guidelines are seemingly global.


A group of chiropractic leaders assembled their thoughts on the role of the chiropractor in his/her own practice, with his/her own patients, within the healthcare community, and within society for healthcare. Very interesting! Individually, chiropractors described themselves as competent and well-educated spine and musculoskeletal care experts who offered evidence-based care based on the current research, clinical expertise, and patient values. They provided patient-centered care that spreads to cooperating with other healthcare providers in the best interests of the patient. (5) Using guidelines, chiropractors are sure that they can assist their back pain patients with their best interests in mind.

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Listen to this PODCAST with Dr. Ted Siciliano on The Back Doctors Podcast with Dr. Michael Johnson as he illustrates how he used The Cox® Technic System of Spinal Pain Management to relieve a patient dealing with back pain and foot drop.

Make your Easley chiropractic appointment now. Facing a serious episode of back pain is certainly not comparable to changing a light bulb for the first time, but it’s comforting to know that there are available to navigate the way through the task! 

Easley chiropractic guidelines to manage back pain today and tomorrow