----- Original Message -----
Sent: Sunday, February 17, 2002 9:27
PM
Subject: Re: Orthotic abuse
rephrased
Graham,
I have also found similar results, as have
collegues, to what you and Howard have both stated. Interestingly
adjustments by chiro's are less frequent after the implementation of some
forms of orthotic therapy, as the patient feels less of a need for the
adjustment or pain relief. Even better, in some cases patients respond
extremely well to the combined use of manipulation, orthotic therapy and long
term rehabilitation programs. I know Daryl Phillips has an interest in
this area and would like to hear his take on the topic.
Regards
Paul
----- Original Message -----
Sent: Monday, February 18, 2002 12:01
PM
Subject: Re: Orthotic abuse
rephrased
Paul,
>That there is NO research from chiro's on
CLBP?<
When I did my FHL research back in 96/97 I
looked at the most recent chiropractic literature on treatment of lower back
pain. Most indicated a satisfactory short term effect. NONE was able to
demonstrate a significant effect on long term symptoms. In other words they
felt better after the treatments but eventually the majority of patients
seeking chiropractic treatment for LBP had their symptoms
return.
Perhaps here is an indication that the Chiro's
are treating the site of compensation and tissue stress but not the cause.
Howard's work suggests that in many of these cases using "appropriately"
prescribed foot orthoses can have a significant effect on resolution
and duration of symptom relief.
Personally I have found good results using foot
orthoses when presented with a client from my PTs, with chronic postural
symptoms, who have also seen Chiro's. The only thing we have altered in
there previous regime, which has often been on and off for many years, has
been the addition of a foot orthoses, usually SPF type. Empirical I know,
but suggestive :-)!
Graham
