Comparison of Combined Approach to Acute Low Back Pain – 2011

Thursday, August 13th, 2015
This study was held in the UK in 2011 so the information is recent. The study makes mention of “stratified” primary care management which refers to uses of alternative treatment such as manual therapy. So, if one reads through this paper, it would be appropriate to replace the word “stratified” with alternative treatments or manual therapy. 

Why Did They Do It?

The authors were well-aware that back pain remains a significant challenge for primary practitioners to treat and manage. They were also aware of the fact that co-management of back pain among primary practitioners and alternative therapies had yet to tested by them. 

How They Did It.

  • Between combined treatment and non-combined, they compared effectiveness of treatment with the cost of the treatment.
  • They used 1573 adults over the age of 18 with either radiating symptoms or without.
  • They were randomly placed into one of the two groups
  • They used the Roland Morris Disability Questionnaire to assess the condition at the 12 month mark. 

What Did They Find?

  • Overall, the scores were “significantly higher in the intervention group than in the control group” at 4 months and at 12 months. 
  • At the 12 month mark, the combined care model showed an increase in “generic health benefit” AND “cost savings” when compared with the control group.  

Wrap Up
When properly screened and treated, a combined approach to treatment of acute low back pain “will have important implications for the future management of back pain in primary care.”

The research information and citation is:
Hill JC, Whitehurst DG, Lewis M, Bryan S, Dunn KM, Foster NE, et al. Comparison of stratified primary care management for low back pain with current best practice (STarTBack): a randomised controlled trial. Lancet. 2011;378:1560–71

Just another reason to call a chiropractor TODAY

Research and clinical experience shows that, in about 80%-90% of headaches, neck, and back pain, in comparison to the traditional medical model, patients get good or excellent results with Chiropractic. Chiropractic care is safe, more cost-effective, it decreases your chances of having surgery, and it reduces your chances of becoming disabled.  We do this conservatively and non-surgically. In addition, we can do it with minimal time requirements and minimal hassle on the part of the patient. And, if the patient develops a “preventative” mindset going forward from initial recovery, we can likely keep it that way while raising your general, overall level of health!

We have seen time and time again the amazing effectiveness of chiropractic for issues such as neck out of alignment, hips out of alignment, back alignment, lower back alignment hip out of alignment, back out of alignment, etc… We have just about seen it all.

Please feel free to leave a comment and tell me your thoughts. I’d love to hear what you think.

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Till next time……

The Amarillo Chiropractor Blog is written by Dr. Jeff Williams.

Amarillo TX Amarillo Pain & Accident Chiropractic Clinic provides customized chiropractic care to the Amarillo, Canyon, Pampa, Happy, White Deer, Dumas, Groom, Conway, Panhandle, Claude, Clarendon, Borger, Tulia, Hereford, Fritch, Bushland, and Vega communities. Visit our main website at for customized Chiropractic in Amarillo TX.

Choose several options to schedule your appointment: call (806) 355-3000 or click the button below for our contact info.

by Jeff S. Williams, D.C.
Chiropractor in Amarillo
Accident Chiropractic
Creek Stone Integrated Care