Best Practices in Chiropractic Care for Chronic Musculoskeletal Pain

By Cheryl Hawk, DC, PhD, Wayne Whalen, DC, BSN, Ronald J. Farabaugh, DC, Clinton J. Daniels, DC, MS, Amy L. Minkalis, DC, MS, and others

Introduction
Chronic musculoskeletal pain (MSK pain) is a widespread issue affecting millions of people worldwide, prompting an urgent need for effective, nonpharmacological treatment options. In response, a panel of chiropractic experts convened to create a consensus-based guideline outlining evidence-based best practices for chiropractors managing chronic MSK pain. This guideline emphasizes a comprehensive, holistic approach to pain management, prioritizing patient safety and collaboration with other healthcare providers.

Key Findings

  • Nonpharmacological Interventions: Recommended treatments include spinal manipulation, exercise, acupuncture, mindfulness meditation, and dietary and lifestyle modifications.

  • Multidisciplinary Approach: Chiropractors are encouraged to use a biopsychosocial model, addressing physical, emotional, and social factors in chronic pain management.

  • Patient-Centered Care: The guidelines advocate for informed consent, clear communication, and tailored care plans based on each patient's unique needs.

Detailed Summary
The guideline supports chiropractic care as a primary, non-invasive approach to managing MSK pain, addressing conditions like low back pain, neck pain, tension headaches, osteoarthritis, and fibromyalgia. With a focus on non-drug treatments, it provides chiropractors with a roadmap to improve patient outcomes while minimizing the risks associated with medication dependency.

For Healthcare Providers and Patients
These guidelines aim to foster collaboration among chiropractors and other healthcare providers, creating a more integrated approach to chronic pain. Chiropractors are encouraged to actively engage patients in their care, utilizing evidence-based interventions while considering patients' preferences and lifestyle.

Full Article
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Citation
Hawk, C., Whalen, W., Farabaugh, R. J., Daniels, C. J., Minkalis, A. L., & Taylor, D. N. (2020). Best practices for chiropractic management of patients with chronic musculoskeletal pain: A clinical practice guideline. Journal of Alternative and Complementary Medicine, 26(10), 884-901. http://doi.org/10.1089/acm.2020.0181

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