Table 3.
Expectations for medical and chiropractic treatment of low back pain
|
MD clinic (n = 8) |
DC clinic (n = 6) |
Senior center (n = 12) |
Senior housing (n = 22) |
||||||
---|---|---|---|---|---|---|---|---|---|---|
Medical treatments for LBP |
M |
M |
D1 |
D |
C |
C |
C |
H |
H |
H |
1 | 2 | 1 | 2 | 1 | 2 | 3 | 1 | 2 | 3 | |
Pain relief expected |
✓ |
✓ |
✓ |
|
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
Prescription medicine suggested |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
X-ray or diagnostic tests performed |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
Self-care/exercise recommendations |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
|
✓ |
✓ |
Referral to specialist or pain clinic |
✓ |
|
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
Surgery or injection recommendation |
✓ |
|
|
|
✓ |
✓ |
✓ |
✓ |
✓ |
✓ |
Referral to doctor of chiropractic |
✓ |
✓ |
|
✓ |
|
|
✓ |
✓ |
✓ |
|
Chiropractic treatments for LBP |
M |
M |
D |
D |
C |
C |
C |
H |
H |
H |
|
1 |
2 |
1 |
2 |
1 |
2 |
3 |
1 |
2 |
3 |
Pain relief expected |
✓ |
✓ |
✓ |
✓ |
|
✓ |
✓ |
✓ |
✓ |
✓ |
Hands-on treatment/adjustment given |
✓ |
✓ |
✓ |
✓ |
|
✓ |
✓ |
✓ |
✓ |
✓ |
Treatment of the cause of LBP problem |
✓ |
✓ |
✓ |
✓ |
|
✓ |
✓ |
✓ |
✓ |
✓ |
Loosen up joints/maintain mobility |
✓ |
✓ |
✓ |
✓ |
|
✓ |
✓ |
✓ |
|
|
Other modalities (TENS, instruments) |
✓ |
✓ |
✓ |
✓ |
✓ |
|
✓ |
✓ |
✓ |
✓ |
X-ray or diagnostic tests performed |
|
|
|
✓ |
|
✓ |
✓ |
✓ |
✓ |
✓ |
Chiropractic maintenance care helps |
✓ |
✓ |
✓ |
✓ |
|
✓ |
✓ |
✓ |
✓ |
✓ |
Adjustment provides short-term relief |
✓ |
✓ |
|
✓ |
|
✓ |
✓ |
✓ |
✓ |
|
Treatment approaches vary by DC |
✓ |
✓ |
✓ |
|
|
✓ |
|
✓ |
✓ |
✓ |
Referral to medical doctor |
✓ |
✓ |
|
|
|
|
|
✓ |
✓ |
✓ |
Self-care/exercise recommendations | ✓ | ✓ | ✓ | ✓ |
MD = Medical Doctor.
DC = Doctor of Chiropractic.
LBP = Low back pain.
M# = Medical clinic focus group 1 or 2.
D# = Chiropractic clinic focus group 1 or 2.
C# = Senior center focus group 1, 2 or 3.
H# = Senior housing focus group 1, 2 or 3.
TENS = Transcutaneous electrical nerve stimulation.