Factors Associated With Pain Medication Use and the Relationship to Chiropractic Treatment Outcomes for Patients With Low Back and Neck Pain: A Cross-Sectional Study.

Objective: The study objectives were to identify baseline factors associated with pain medication use and determine any differences in chiropractic treatment outcomes in patients with low back pain (LBP) and neck pain (NP) depending on their use of pain medication.

Methods: This cross-sectional, prospective outcomes study included 1077 adults with acute or chronic LBP and 845 adults with acute or chronic NP recruited from Swiss chiropractors in their offices within 4 years. Demographic data and the responses to the Patient's Global Impression of Change scale collected at 1 week, 1 month, 3 months, 6 months, and 1 year were analyzed with the χ test.

[When to Manipulate a Patient with Low Back Pain?].

When to Manipulate a Patient with Low Back Pain? The roots of manual treatment date back to well before the birth of Christ. Today, various professions are engaged in manual therapy, which is an established, accepted and evidence-based treatment for various musculoskeletal complaints. Elemental to the success of manual therapy are the mechanical, neuro-reflective and psychological effects.

Therapeutic efficacy of facet joint blocks.

Objective: The objective of our study was to investigate outcome predictors of short- and medium-term therapeutic efficacy of facet joint blocks.

Materials And Methods: Forty-two patients with chronic lower back pain who were undergoing facet joint blocks at one (n = 29) or two (n = 13) levels were analyzed. All patients underwent MRI or CT of the lumbar spine within 5 months before the facet joint blocks.