Accessibility View Close toolbar

3933 Perkiomen Avenue, Suite 101

Reading, PA 19606 US

610-779-4588

Open mobile navigation

Low Back Pain: Chiropractic vs. Muscle Relaxants

Chiropractic outperforms muscle relaxants by 427%

Low back pain is one of the most common maladies among the general population and the incidence of occurrence was reported by Ghaffari, Alipour, Farshad, Yensen, and Vingard (2006) to be between 15% and 45% yearly. Hoiris et al. (2004) reported it to be between 75% and 85% over an adult lifetime in the United States. Chou (2010) writes that, "Back pain is also the fifth most common reason for office visits in the US, and the second most common symptomatic reason..." (p. 388). Historically and based upon this authors 3+ decades of treating low back pain with treatment options that range from heating pads, ice packs, over-the-counter drugs, prescription drugs, surgery, acupuncture and beyond, the most important questions are, "What works? What's proven and what has the best results with the least side effects allowing the patient to regain a normal lifestyle as quickly as possible."

Muscle relaxers are a common drug that has been prescribed by medical doctors for years for nonspecific low back pain. According to Chou (2010), "The term "skeletal muscle relaxants' refers to a diverse collection of pharmacologically unrelated medications, grouped together because they are approved by regulatory agencies for treatment of spasticity or for musculoskeletal Conditions Such as tension headache or back pain." They are drugs that has been long studied and the effects and side effects have been well documented. Van Tudlar, Touray, Furlan, Solway, and Bouter (2003) concluded that, "Muscle relaxants are effective in the management of nonspecific low back pain, but the adverse effects require that they be used with caution"(p. 1978).

Chou (2010) also stated that, "Skeletal muscle relaxants are an option for acute nonspecific low back pain, although not recommended as first-line therapy because of a high prevalence of adverse effects" (p.397). He reported that muscle relaxants had a moderate success rate defined by a 1-2 decrease in pain scales rated out of 10. Simply put, if a patient had a pain scale of 9, one could expect the muscle relaxers prescribed to bring the painto an 8 or 7 at best and include all of the side effects. According to Drugs.com, side effects of muscle relaxants include:

More common

Blurred or double vision or any change in vision; dizziness or lightheadedness; drowsiness

Less common

Fainting; fast heartbeat; fever; hive-like swellings (large) on face, eyelids, mouth, lips, and/or tongue; mental depression; shortness of breath, troubled breathing, tightness in chest, and/or wheezing, skin rash, hives, itching, or redness; slow heartbeat (methocarbamol injection only); stinging or burning of eyes; stuffy nose and red or bloodshot eyes

Less common or rare

Abdominal or stomach Cramps or pain; clumsiness or unsteadiness; confusion; constipation; diarrhea; excitement, nervousness, restlessness, or irritability; flushing or redness of face; headache; heartburn; hiccups; muscle weakness; nausea or vomiting; pain or peeling of skin at place of injection (methocarbamol only); trembling; trouble in sleeping; uncontrolled movements of eyes (methocarbamol injection only)

Rare

Blood in urine; bloody or black, tarry stools; convulsions (seizures) (methocarbamol injection only); Cough or hoarseness; fast or irregular breathing; lower back or side pain; muscle cramps or pain (not present before treatment or more painful than before treatment); painful or difficulturination; pain, tenderness, heat, redness, or Swelling over a blood vessel (vein) in arm or leg (methocarbamol injection only); pinpoint red spots on skin; puffiness or swelling of the eyelids or around the eyes; sores, ulcers, or white spots on lips or in mouth; Sore throat and fever with or without chills; swollen and/or painful glands; unusual bruising or bleeding; unusualtiredness or weakness; vomiting of blood or material that looks like Coffee grounds; yellow eyes or skin (http://www.drugs.com/cons/skeletal-musclerelaxants.html).

When comparing chiropractic spinal adjustments to muscle relaxants for low back pain, it first must be clarified that we are not discussing physical therapy or osteopathic manipulation. While different Specialists render tremendous benefits to patients specific to various diagnoses, this research review is limited to a chiropractic spinal adjustment.

Wilkey, Gregory, Byfield, & McCarthy (2008) studied randomized clinical trials comparing chiropractic care to medical care in a pain clinic. "The treatment regimens employed by the pain clinic in this study Consisted of standard pharmaceutical therapy (nonsteroidal anti-inflammatory drugs, analgesics, and gabapentin), facet joint injection, and soft-tissue injection. Transcutaneous electrical nervestimulation (TENS) machines were also employed. These modalities were used in isolation or in combination with any of the other treatments. Chiropractic group subjects followed an equally unrestricted and normal clinical treatment regimens for the treatment of chronic low back pain) were followed. All techniques that were employed are recognized within the chiropractic profession as methods used for the treatment of low back pain). Many of the methods used are common to other manual therapy professions" (p. 466-467).

After 8 weeks of treatment, the 95% confidence intervals based on the raw scores showed improvement was 1.99 for medicine and 9.03 for the chiropractic group. This research indicates that chiropractic is 457% more effective than medicine for chronic low back pain.

Within that group of 457% falls patients cared for by muscle relaxants.

Hoiris et al. (2004) reported in their raw data that the chiropractic groups responded 24% better in reducing pain and concluded that, "Statistically, the chiropractic group responded significantly better than the control group with respect to a decrease in pain scores" (p. 396). This was done in "blinded, randomized clinical trials which are considered the gold standard of experimental design" (Hoiris et al., 2004, p. 396).

References

Ghaffari, M., Alipour, A., Farshad, A. A., Yensen, I., & Vingard, E. (2006). Incidence and recurrence of disabling low back pain and neck-shoulder pain. Spine, 31(21), 2500-2506.

Hoiris, K.T., Pfleger, B., McDuffie, F. C., Cotsonis, G., Elsangak, O., Hinson, R., & Verzosa, G. T. (2004). A randomized clinical trial comparing chiropractic adjustments to muscle relaxants for subacute low back pain. Journal of Manipulative and Physiological Therapeutics, 27(6), 388-398.

Chou, R. (2010). Pharmacological management of low back pain. Drugs, 70(4) 387-402.

van Tudlar, M. W., Touray, T., Furlan, A. D., Solway, S., & Bouter, L. M. (2003). Muscle relaxants for nonspecific low back pain: A Systematic review within the framework of the Cochrane collaboration. Spine, 28(17), 1978-1992.

Drugs.com, (2004). Skeletal muscle relaxants (systemic). Retrieved from http://www.drugs.com/cons/skel...

Wilkey, A., Gregory M., Byfield, D., & McCarthy, P. W. (2008). A comparison between chiropractic management and pain clinic management for chronic low-back pain in a national health Service outpatient clinic. The Journal of Alternative and Complementary Medicine, 14(5), 465-473.

Welcome to The Spine and Wellness Center!

No form settings found. Please configure it.

Office Hours

Our Regular Schedule

Monday:

9:00 am

8:30 pm

Tuesday:

9:00 am

7:30 pm

Wednesday:

7:00 am

7:30 pm

Thursday:

9:00 am

8:00 pm

Friday:

9:00 am

7:00 pm

Saturday:

8:00 am

2:00 pm

Sunday:

**8:30 am

4:00 pm

Location

Find us on the map

Testimonial

  • "Testimonials coming soon..."

Featured Articles

Read about interesting topics

  • Chiropractic Care For Pets

    You know how chiropractic can help you, but what about your pets? ...

    Read More
  • Should I Use Heat or Ice for Pain?

    When you're feeling pain, sometimes it's difficult to determine if heat or ice will treat that pain best. This article will help you learn which is best for different types of injuries and pain. ...

    Read More
  • Should I Use Ice or Heat for Pain?

    Did you hurt your knee during an intense game of pick-up basketball this weekend? Or do you deal with chronic pain? Learn whether you should apply heat or ice for particular kinds of pain. ...

    Read More
  • Relationship with Self

    The relationship you have with yourself and the journey to self-understanding is an important part of your overall wellness. ...

    Read More
  • Indoor Activities and Exercises

    Are you preparing for the winter months or looking for exercises to do when you can't make it to the gym? Follow these exercises to maintain a healthy fitness routine. ...

    Read More
  • Holiday Stress - Take a Deep Breath

    Most of us pay little attention, if any, to the daily functioning of our many physiological systems. Our hearts beat, our digestive systems digest, and our various hormones, such as those deriving from the thyroid gland, adrenal gland, and pancreas, do what they do. It's all good... until it's not. ...

    Read More
  • Proper Overindulgence Over the Holidays

    Proper Overindulgence Over The Holidays The term "overindulgence" is probably best assessed as a red flag, especially with respect to consistent overconsumption of high-calorie comfort food and desserts during the holiday season. An overall healthier perspective could be described as "indulgence" regarding ...

    Read More
  • The 5 Senses

    The 5 Senses The five senses, that is, the sense of sight, touch, hearing, taste, and smell, provide us with necessary information regarding the world around us.1 These precious capabilities enable us to navigate our environment with seemingly instantaneous feedback with reference to our actions and ...

    Read More
  • The Benefits of Sleep for Adults

    Obtaining sufficient restful sleep is an essential requirement for optimal human productivity. Such a practice is a key component of a healthy lifestyle, which includes a nutritious diet, regular vigorous exercise, and a positive mental attitude. How much sleep one needs varies from person to person. ...

    Read More
  • Back to School and Mental Wellness

    Summer is a subjectively fleeting season and school days are upon us once again. For children, this bittersweet time marks the completion of a period of relative freedom and the beginning of a new set of responsibilities. For adults, the onset of late summer and early fall signals yet another turn of ...

    Read More

NEWSLETTER SIGNUP

Sign up for more articles