611 W. Union Street
Benson, AZ 85602
(520) 586-0800

Health Choice Integrated Care crisis Line
1-877-756-4090

NurseWise 24-Hour Crisis Line
1-866-495-6735

NAZCARE Warm Line
1-888-404-5530



SEABHS
611 W. Union Street
Benson, AZ 85602
(520) 586-0800

NurseWise 24-Hr Crisis Line
1-866-495-6735

NAZCARE Warm Line
1-888-404-5530


powered by centersite dot net

Getting Started
Here are some forms to get started. These can be printed and brought with you so that you can pre-fill out some known info ahead of time. More...


Alternative Mental Health Medicine
Resources
Basic Information
OverviewAnxietyDepressionBipolar DisorderSchizophreniaADHDArticle References
More InformationLatest News
Health Tip: Meditation May Help Lower Heart Disease RiskThe Body Benefits of PilatesYour Robot Masseuse Will See You NowTai Chi: A Gentler Way to Exercise for Ailing HeartsBe 'Mindful' of the HypeHealth Tip: Tai Chi May Help Prevent FallsCan You 'Om' Your Way to a Healthy Heart?Tibetan Yoga Improves Sleep Quality During ChemoYoga May Bring Better Sleep to Breast Cancer PatientsMany Parents Don't Tell Doctor About 'Complementary' Therapy Use in KidsMeditation's Soothing EffectsAlternative Medicine Alone as Cancer Treatment Linked to Lowered SurvivalYoga May Boost Aging BrainsYoga May Help Ease DepressionAs Many as 1 in 3 Experience New or Worse Pain With YogaHealth Tip: Yoga Before BedTake A New View of YogaConsider Acupuncture for Incontinence, Not Certain Infertility CasesYoga May Be Able to 'Reverse' Stress-Inducing DNA ReactionsYoga Soothes Back Pain in StudyAcupuncture May Be Effective Painkiller in the ERWhy Yoga, Tai Chi and Meditation Are Good for YouMeds Rooted in Ancient China May Help Heart: ReviewYoga, Meditation May Ease Some Breast Cancer Symptoms10 Minutes of Meditation Can Up Focus for Patients With AnxietyCould Tai Chi Ease Insomnia in Breast Cancer Survivors?Meditation Can Help Improve Focus in People With Anxiety'Mindfulness' Probably Won't Cure Your Back Pain: StudyTreatment Plan From Massage Therapist Alleviates Chronic LBPYoga Helps Ease Side Effects of Prostate Cancer TreatmentHealing Hands: Massage May Ease Chronic Back PainIt's Yoga to the Rescue for Prostate Cancer PatientsChiropractors Not Magicians When It Comes to Chronic Back PainProvider Understanding of CAM Use in Menopause Is KeyAromatherapy Massage Helpful for Female Cancer PatientsHold That Pose: Yoga May Ease Tough DepressionReview Raises Questions About Herbal Meds for Heart ProblemsHealth Tip: Get a MassageLow Back Pain? Relax, Breathe and Try YogaAcupressure Ups Sleep Quality in Nursing Home ResidentsFor a Colicky Baby, You Might Give Acupuncture a TryIncrease Noted in Mindfulness Practices From 2002 to 2012Chair Yoga Helps Older Adults Manage Osteoarthritis PainSerious Yoga Injuries, Though Rare, Are on the RiseYoga Helps Control BP in Patients With PrehypertensionTurning to an Ancient Art to Help Ease PTSD in VeteransYoga Called Good Medicine for High Blood PressureReview Suggests Yoga Beneficial in Irritable Bowel Syndrome
Questions and AnswersLinksBook Reviews
Related Topics

Medical Disorders
Pain Management

Chiropractors Not Magicians When It Comes to Chronic Back Pain

HealthDay News
by By Amy Norton
HealthDay Reporter
Updated: Apr 11th 2017

new article illustration

TUESDAY, April 11, 2017 (HealthDay News) -- Chiropractors can help ease some cases of low back pain, though their treatments may be no better than taking an over-the-counter pain reliever, a new analysis finds.

The review of 26 clinical trials found that manipulating the spine can bring "modest" relief to people with acute low back pain -- pain that has lasted no more than six weeks.

Chiropractors perform spinal manipulation, as do some doctors, physical therapists and other health professionals. Most insurers, Medicare and Medicaid pay for some chiropractic services, according to the American Chiropractic Association.

But spinal manipulation is no magic bullet, the researchers behind the new study said. The benefits appear similar to those of nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen.

It seems that when it comes to low back pain, no one has found a quick fix.

That didn't stop the American College of Physicians (ACP) from releasing new guidelines earlier this year on managing low back pain.

The guidelines advise non-drug options first -- including tactics such as heat wraps, acupuncture, massage, exercise and spinal manipulation.

But while they are recommended, none of those options seems hugely effective. An ACP evidence review found each to have a "small" to "moderate" benefit.

Instead, time may be the best healer, the researchers said.

"Most acute back pain goes away on its own in a few days to weeks," said review author Dr. Paul Shekelle, chief of general internal medicine at the VA Greater Los Angeles Healthcare System.

"Most treatments -- whether they be NSAIDs or muscle relaxants or spinal manipulation therapy -- have, on average, small effects," Shekelle said.

"Some patients have much larger effects," he pointed out. "But, on average, there is no magic bullet for back pain."

One thing that does seem important, Shekelle said, is that people remain active when they have acute back pain. That seems to speed the recovery process.

Back pain is one of the most common health complaints among Americans. It affects around 80 percent of the population at some point, according to the U.S. National Institutes of Health. Usually, the lower back is the problem area.

In some cases, people suffer pain caused by compression of a nerve -- from a herniated spinal disc, for instance. Sciatica, where pain radiates down the leg, is a common example.

But most often, according to Shekelle, people have what's called "nonspecific" back pain, where there's no clear cause.

His team analyzed trials that tested spinal manipulation in patients with acute back pain -- not sciatica or chronic pain (longer than 12 weeks).

Out of 26 trials, the researchers found that 15 reported "moderate-quality" evidence that spinal manipulation brought patients modest pain relief over six weeks. In 12 trials, patients saw some improvements in their daily functioning, on average.

The therapy did appear to be relatively safe. Around half of patients said they developed minor side effects such as headaches or a temporary increase in pain or muscle stiffness.

The review was published April 11 in the Journal of the American Medical Association.

According to Shekelle, many studies in the review compared spinal manipulation against tactics that were not expected to be effective, such as giving patients an educational booklet.

Another issue, he said, was that spinal manipulation was often combined with another therapy, including exercise. That makes it harder to know how effective the spinal manipulation was on its own.

"And then, of course, there are all the things a patient may be doing for their back pain that aren't part of the trial," Shekelle said, "like using heat, or getting home massage, or who knows what else."

The good news is, most people with acute back pain "will almost certainly improve with time," said Dr. Richard Deyo, a professor at Oregon Health and Science University in Portland.

"It's perfectly reasonable for people to self-treat, with things like heat wraps," said Deyo, who wrote an editorial that was published with the study.

For people with more severe pain, the choice of therapy often comes down to what's practical and affordable, according to Deyo.

Why does spinal manipulation help some people with low back pain? "We don't know," Deyo said, "but there are theories."

The therapy might, for instance, ease muscle tension, reposition spinal disc material, or stimulate large nerves in a way that disrupts pain signals.

"Or maybe," Deyo said, "it's partly the hands-on nature, and ongoing relationship with the provider."

More information

The U.S. National Center for Complementary and Integrative Health has more on spinal manipulation for low back pain.