NSAID's (ibuprofen, naproxen, dicflonac) remain one of the de facto first-line treatment options for people with low back pain, with over 30 billion doses taken each year in the US alone. Over the past few years, most guidelines have recommended an initial course of non-pharmacological (no pills!) care for spinal complaints. Additionally, research showcasing the efficacy and safety of chiropractic spinal adjustments (manipulation) continues to mount.
A few years ago, the esteemed journal SPINE published a randomized, double-blinded, placebo-controlled, parallel trial to compare spinal manipulation against NSAIDs for low back pain. In this landmark study, the group that received spinal manipulation showed both statistical and clinically relevant benefits compared to NSAIDs.
Our practice is focused on providing the best evidence-based care for our patients, including spinal adjustments or manipulation when indicated. We've found that patients with low back pain achieve fantastic results when spinal manipulation is added to their active care plan. Tired of taking pain pills? Maybe it's time to give chiropractic care a try!
References: Spinal High-Velocity Low Amplitude Manipulation in Acute Nonspecific Low Back Pain; SPINE Volume 28, Number 7, pp 540-548 (April 2013)