As the largest existing analysis of scientific literature on low back pain, the 1993 Ontario Ministry of Health commissioned study drew international attention when it recommended the management of low back pain be moved from medical doctors to chiropractic doctors. They recommended: "Chiropractic manipulation is safer than medical management of low back pain. Chiropractic management is greatly superior to medical management in terms of scientific validity, safety, cost effectiveness and patient satisfaction." (The Effectiveness and Cost Effectiveness of Chiropractic Management of Low Back Pain. Pran Manga and Associates. University of Ottawa, Canada - 1993) |
The Agency for Health Care Policy and Research of the US Department of Health
and Human Services released Clinical Practice Guidelines for the management
of acute low back pain. The guidelines were developed after extensive study.
Their findings included:
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The government of New Zealand published a 377 page report which assessed
the efficacy and safety of chiropractic care. Their findings included:
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