A new study finds that low back pain care initiated with a doctor of chiropractic (DC) saves 40 percent on health care costs when compared with care initiated through a medical doctor (MD), the American Chiropractic Association (ACA) announced today. The study, featuring data from 85,000 Blue Cross Blue Shield beneficiaries, concludes that insurance companies that restrict access to chiropractic care for low back pain treatment may inadvertently pay more for care than they would if they removed such restrictions. Low back pain is a significant public health problem. Up to 85 percent of Americans have back pain at some point in their lives. In addition to its negative effects on employee productivity, back pain treatment accounts for about $50 billion annually in health care costs—making it one of the top 10 most costly conditions treated in the United States. The study, “Cost of Care for Common Back Pain Conditions Initiated With Chiropractic Doctor vs. Medical Doctor/Doctor of Osteopathy as First Physician: Experience of One Tennessee-Based General Health Insurer,” which is available online and will also be published in the December 2010 issue of the Journal of Manipulative and Physiological Therapeutics, looked at Blue Cross Blue Shield of Tennessee’s intermediate and large group fully insured population over a two-year span. The insured study population had open access to MDs and DCs through self-referral, and there were no limits applied to the number of MD/DC visits allowed and no differences in co-pays. Results show that paid costs for episodes of care initiated by a DC were almost 40 percent less than care initiated through an MD. After risk-adjusting each patient’s costs, researchers still found significant savings in the chiropractic group. They estimated that allowing DC-initiated episodes of care would have led to an annual cost savings of $2.3 million for BCBS of Tennessee. “As doctors of chiropractic, we know firsthand that our care often helps patients avoid or reduce more costly interventions such as drugs and surgery. This study supports what we see in our practices every day,” said ACA President Rick McMichael, DC. “It also demonstrates the value of chiropractic care at a critical time, when our nation is attempting to reform its health care system and contain runaway costs.”
A new study comparing chiropractic spinal manipulation versus microdiskectomy in patients with sciatica (pain running down the leg) as a result of lower back disk herniation was published recently indicating the effectiveness of chiropractic care. Patients included in this study had already failed to respond positively to at least 3 months of non-operative management including treatment with analgesics, lifestyle modification, physiotherapy, massage therapy, and/or acupuncture. Patients were randomly assigned to either the chiropractic spinal manipulation group (the most common specialized procedure used by doctors of chiropractic) or the microdiskectomy group where patients received microdiskectomy surgery. The results indicated that 60 percent of patients with sciatica (NOTE: they had already failed other medical management) benefited from spinal manipulation to the same degree as if they underwent surgical intervention. Thus, it makes sense for those suffering from lower back (lumbar) disk herniation even with sciatica to strongly consider chiropractic care even if other forms of care have been unsuccessful – at least prior to going under the knife, so to speak.