A recently released pragmatic, randomized controlled trial from PLoS One has showcased an exciting new
step in our understanding of chronic low back pain and how we can effectively treat it.

Almost twenty percent of people who experience low back pain will be at risk of developing a chronic pain
pattern. Historically, chronic low back pain treatment has been symptom-guided and based upon
exacerbations. However, new research indicates that maintenance care may provide the best long-term
result. Periodic chiropractic care was shown to reduce the average number of days with low back pain over a
twelve month period by nearly two weeks.

This type of care may be best for patients with recurrent, and persistent, low back pain who respond well to
an initial course of chiropractic care.

Jeremy Boethin Sept 18