Most doctors learn the names of the bones and muscles. And most doctors learn their high level functions. However, few take the time to study the functional movements and how they interplay with each other in great detail.
We take a very serious approach to biomechanics of the entire human skeleton when assessing back pain. This is probably why chiropractic has been show in multiple studies to have better long term outcomes than traditional medicine, physical therapy, and massage therapy on their own.
A study in Dec 2010 of the SPINE journal summarizes these findings:
Another study worth noting is summarized here. In December 2004, British Medical Research the published 2 papers in the British Medical Journal demonstrating both the efficacy and cost-effectiveness of chiropractic compared with medical management. These two papers found:
Manipulation, with or without exercise, improved symptoms more than medical care did after both 3 and 12 months. The authors concluded: “We believe that this is the first study of physical therapy for low back pain to show convincingly that both manipulation alone and manipulation followed by exercise provide cost effective additions to care in general practice.”
The most publication that the benefits of using chiropractic management for back pain was published in May of 2007 . Clinical and cost utilization based on 70,274 member-months over a 7-year period demonstrated decreases of 60.2% in-hospital admissions, 59.0% less hospital days, 62.0% less outpatient surgeries and procedures, and 83% less pharmaceutical costs when compared with conventional medicine IPA performance.