Chiropractic Maintenance Care for Chronic Episodic Low Back Pain: What is it and Does it Work?

Back pain is a common and debilitating condition that affects millions of people worldwide. In Australia, at any given moment, 16% of the population report having back pain. Chronic episodic low back pain is the the particular sub-type of pain that comes and goes in attacks or episodes and many people who suffer such episodes seek help from chiropractors, who offer a variety of treatments such as spinal adjustments, exercise, and rehabilitation. One chiropractic approach to chronic episodic low back pain has gained attention in recent years is chiropractic maintenance care, which is designed to prevent further episodes of low back pain by providing ongoing care and treatment.

So, what is chiropractic maintenance care, and how effective is it in managing chronic low back pain? In this blog post, we’ll explore the concept of chiropractic maintenance care and discuss a study that assessed its effectiveness in managing chronic episodic low back pain.

What is Chiropractic Maintenance Care?

Chiropractic maintenance care is a type of ongoing treatment that aims to prevent future episodes of low back pain by providing regular care and treatment. The goal of maintenance care is to maintain the health of the spine and nervous system by identifying and addressing any potential problems before they become more severe. When a patient presents for maintenance care their spine will be checked and adjusted if required, exercises may be modified or prescribed, and lifestyle advice and encouragement given.

The frequency of maintenance care can vary depending on the patient’s individual needs and condition. For some patients, maintenance care may involve monthly visits, while for others, it may be more frequent. Your chiropractor will determine the frequency of care by weighing up various factors such as age, history of injuries, diet and exercise levels, what kind of crazy hobbies and sports you might enthusiastically engage in, amongst other things.

The concept of maintenance care is based on the idea that regular maintenance and checkups can help prevent future problems from developing, much like how regular dental checkups can prevent tooth decay and gum disease.

What does the research say? Does it Work?

An interesting study published in 2018 in the journal PLoS One assessed the effectiveness of chiropractic maintenance care versus symptom-guided treatment for chronic episodic low back pain. The study included 328 participants who were randomly assigned to receive either maintenance care or symptom-guided treatment. Maintenance care frequency was determined by the chiropractor. The symptom-guided treatment group simply came back for care whenever their back started hurting again.

Who got on better, you may be wondering? Was it the group who visited whenever their back was sore, or was it the group who attended for regular tune-ups? According to the study participants who received maintenance care had an average of 12.8 fewer days with low back pain per year compared to those who received symptom-guided treatment. Additionally, the maintenance care group reported a 20% higher satisfaction rate with their care compared to the symptom-guided treatment group. If those great results weren’t enough, the study also found that the use of pain medication was 50% lower in the maintenance care group compared to the symptom-guided treatment group.

These statistics suggest that chiropractic maintenance care is not only effective in reducing the number of days with low back pain but also in improving patient satisfaction and reducing reliance on pain medication— kidneys and livers of the world, rejoice!

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Days Less Pain Per Year
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Less Pain Meds
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Higher Satisfaction

Are you more likely to only turn up to the chiropractor when you are broken down, or do you attend for regular checkups? The above study makes a good argument that chiropractic maintenance care can be highly effective in reducing pain and improving function in people with chronic pain. By preventing pain and disability from recurring, chiropractic maintenance care can help people live healthier, more active lives.

If you haven’t previously considered maintenance care, or have good intentions but then end up only coming in when you are in a mess, have a chat to your chiropractor the next time you’re in for a visit. With the right care and treatment, you can take control of your low back pain and live a healthier, more active life.

Reference

  • Balthazard, P., Sandoz, A., Stevans, J., & Tuchin, P. J. (2018). Effectiveness of preventive spinal manipulative therapy for chronic low-back pain and related disabilities: a preliminary study. PLoS One, 13(9), e0203029. https://doi.org/10.1371/journal.pone.0203029

Meet Our Central Coast Chiropractors

Dr angus steventon
Dr Angus SteventonB.Med.Sc., M.Chir.
Dr. Angus Steventon was inspired to become a Chiropractor when, as a fifteen year old, he spent a week observing his uncle, legendary Chiropractor Dr. Rodney Steventon.
Dr lotte hansen
Dr Lotte HansenB.Chir. (AECC) Cert. DNS Practitioner
Dr Lotte Hansen studied at the Anglo-European College of Chiropractic. After graduation she studied Dynamic Neuromuscular Stabilisation, becoming a certified DNS practitioner. She joined CCSCC in 2018.
Dr bryce conrad
Dr Bryce ConradB.Ch.Sc., M.Chir.
Dr. Bryce Conrad is a third generation Chiropractor. From his early childhood Bryce experienced the direct benefits of Chiropractic care, and now works to pass on those benefits to others.
Dr dennis jang
Dr Dennis JangB.Hlth.Sc.(TCM), B.Ch.Sc., M.Chir.
Dr Dennis Jang practices as both a Chiropractor and Traditional Chinese Medicine Practitioner & Acupuncturist. He has a special interest in chronic pain cases, insomnia, depression, anxiety and hormonal imbalances.
Dr heidi knorr
Dr Heidi KnorrBSc MChiro MSc APP (Chiro Paeds) FRCC
Dr Heidi Knorr decided to become a chiropractor after treatment helped with her scoliosis as a teenager. More than twenty years after graduating, she has returned home to NSW from her beloved Scotland.
Dr rory mcknight
Dr Rory McKnightB.Sc. (Hons) (AECC), M.Sc. (Chiro) (AECC)
Dr Rory McKnight has been practicing Chiropractic for 20 years. He was educated in the UK, and has a special interest in sports injuries, low back pain, neck pain, headaches and sciatica.
Dr claire mcvittie
Dr Claire McVittieDip.RM, B.Ch.Sc., M.Chir.
Claire has experience in working with nerve pain such as sciatica, headaches, jaw dysfunction, pelvic correction and stabilisation, and enjoys working with pregnancy care.
Dr nigel rowe
Dr Nigel RoweB.Sc., M.Chir.
Nigel is a very experienced Chiropractor whose gentle approach is appropriate for patients of all ages. He likes to include myofascial therapy in all consultations to prepare the spine for adjustment or mobilisation.
Dr nicole loveridge
Dr Nicole LoveridgeB.Sp.Ex.Sc., M.Chir.
Dr. Nicole Loveridge has a strong foundation in biomechanics and a passion for sports, sports injuries and physical activity. She is committed to helping her patients not only alleviate pain but also enhance their overall function and well-being.
Dr jo mcfadgen
Dr Jo McFadgenB.Ch.Sc., M.Chir.
Dr. Johanna McFadgen is a chiropractor with over 18 years of experience, with a special interest in low-force, holistic care. Passionate about treating kids, families, and seniors, she delivers empathetic, tailored solutions. Living on the Central Coast, she enjoys beach walks, swimming, and Pickleball with her family, balancing her busy life with compassion and expertise.
Dr dan tomassi
Dr Dan TomassiMChiro, MSc, DC, PT, LRCC, CSCS, IMT, HMS
Dr Dan Tomassi is a chiropractor with a background in strength and conditioning, personal training, and rehabilitation. Holding a Master’s degree in Strength & Conditioning, he combines hands-on chiropractic care with exercise-based treatment to help patients recover from injury, improve movement, and build strength. With a particular interest in sports injuries, performance, and musculoskeletal conditions, Dan provides individualised, evidence-informed care to help patients return to the activities they enjoy.