Growing Evidence Offers Proof Chiropractic Works

Some people ask is chiropractic effective? A growing body of evidence-based research offers proof chiropractic care works. It does this by demonstrating the value of chiropractic care in addressing conditions affecting your spine, muscles, joints or nervous system. Some key evidence-based highlights are cited below.

Is Chiropractic Effective? Research and Outcome Highlights

Pain Relief and Management

Reduced Medication and Opioid Use

  • Patients with noncancer spinal pain who received chiropractic care were 52% less likely to obtain a prescription for opioids than patients who did not receive chiropractic care (and 71% less if patients received chiropractic care within 30 days of their initial visit.)
  • After a course of chiropractic care at a publicly funded multidisciplinary inner-city facility, 59% of the patients no longer required opioids.
  • A 2019 U.S. study found that 64 per cent of patients who saw a chiropractor were less likely to use opioids than people who didn’t, as reported in the journal Pain Medicine.3
  • 83 per cent of patients surveyed now rely less on medication, including opioids, to help manage their low back pain, after receiving care from a musculoskeletal (spine, muscle or joint) expert, such as a chiropractor, at one of Ontario’s government-funded Primary Care Low Back Pain program sites. 4
  • 2017 Canadian Guideline for Opioid Therapy and Chronic Non-Cancer Pain recommends therapies without medication, such as spinal or joint manipulation and therapeutic exercise, for treating back pain, as well as neck pain, knee osteoarthritis, fibromyalgia and severe headaches or migraines.5
  • Health Quality Ontario (HQO) suggests making better use of non-medical treatments to manage acute and chronic pain will reduce the number of people who use opioids for the long-term. Its Quality Standard onOpioid Prescribing for Chronic Pain also recommends spinal manipulation in conjunction with an active physical therapy or exercise program.
[1] Qaseem, A., Wilt, T. J., McLean, R. M., & Forciea, M. A. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline. American College of Physicians Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain. Annals of Internal Medicine, 166(7), 514-530. April 2017.
[2] Blanchette, M., Rivard, M., Dionne, C.E., Hogg-Johnson, S., & Steenstra, I. Association between the type of first healthcare provider and the duration of financial compensation for occupational back pain. Journal of Occupational Rehabilitation, 2016.
[3] “Association Between Chiropractic Use and Opioid Receipt Among Patients with Spinal Pain: A Systematic Review and Meta-analysis”, Pain Medicine, September 2019.
[4] Primary Care Low Back Pain Pilot Evaluation: Final Report. Centre for Effective Practice. Toronto: Ontario. March 2017.
[5] Busse, J. W., Craigie, S., Juurlink, D.N., Buckley, D. N., Wang L., Couban R.J., Agoritsas, T., Akl, E.A., Carrasco-Labra, A., Cooper, L., Cull, C., da Costa B.R., Frank, J.W., Grant G., Iorio, A., Persaud, N., Stern, S., Tugwell, P., Vandvik P.O. and Guyatt G.H., Canadian Guideline for Opioid Therapy and Chronic Non-Cancer Pain, CMAJ, 189 (18), May 2017.

Is Chiropractic Effective? 
Patient Experiences Show Chiropractic Works

  • Chris Drake standing on the golf course and swinging a club after therapeutic exercise

How Chris curbed the back pain diabetes can bring

Chris Drake, 39, knows about diabetes and back pain. Diagnosed with type 1 diabetes at the age of nine, he first started having back issues in his late twenties. It sidelined his much-loved golf habit, [...]

  • Lisa Morris making jewellery now that she's quit opioids

How chiropractic care helped Lisa quit opioids

In the past, Lisa Morris self-medicated to help numb her pain. With help from Belleville’s Primary Care Low Back Pain program, Lisa’s life has done a 180: she’s self-employed as an artist, sleeping well and [...]