The Manga Report

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As the largest existing analysis of scientific literature on low back pain, the 1993 Ontario Ministry of Health commissioned study drew international attention when it recommended the management of low back pain be moved from medical doctors to chiropractic doctors. Their findings showed chiropractic manipulation was the most cost effective and efficacious care for low back pain.

The Canadian Government report concluded with the following findings:

* Spinal manipulation applied by chiropractors is shown to be more effective than alternative treatments for low back pain. Many medical therapies are of questionable validity or are clearly inadequate.

* Chiropractic spinal manipulation is a completely safe treatment of low back pain. Some medical treatments are equally safe, but many others are unsafe and generate iatrogenic (doctor-induced) complications for low back pain patients.

* Spinal manipulations are less safe and less effective when performed by non-chiropractic professionals.

* Overwhelming evidence indicating that chiropractic management of low back pain is more cost-effective than medical management.

* Highly significant cost savings if more management of low back pain was transferred from physicians to chiropractors.

* Workers' compensation studies report that injured workers with the same specific diagnosis of low back pain returned to work much sooner when treated by chiropractors than by medical physicians.

* Patients are very satisfied with chiropractic management of low back pain and considerably less satisfied with medical physician management.

* Use of chiropractic has grown steadily over the years and chiropractors are now accepted as a legitimate healing profession by the public and an increasing number of medical physicians;

* An overwhelming case in favor of much greater use of chiropractic services in the management of low back pain:

The Effectiveness and Cost Effectiveness of Chiropractic Management of Low-Back Pain. Pran Manga and Associates. University of Ottawa, Canada - 1993.