• Chiropractic Evidence


A great deal of research exists to support the type of care we provide at Agilaflex. We pride ourselves in aiming to provide up to date evidence based care of your back pain. Here is some of the high quality research published to date.

National Institute for Clinical Excellence (NICE), May 2009

Published guidelines for the early management of persistent low back pain. Included in these guidelines are the use of manual therapy including spinal manipulation, mobilisation and massage, all of which are available and often recommended at Agilaflex.

Medical Research Council

'Low Back pain of mechanical origin: randomised comparison of Chiropractic from hospital outpatient treatment'; Meade et al.

Medical Research Council (Follow-up-study) Trial 'Randomised comparison of Chiropractic and hospital outpatient management for low back pain; results from extended follow up'; Meade et al.

Non-rigid stabilisation procedures for the treatment of low back pain 2006

National Institute for Health and Clinical Excellence states that chiropractic intervention can be used in the treatment of acute low back pain.

Musculoskeletal Services Framework 2006

Department of Health July
The main treatment interventions, as recommended by the current evidence review and that of clinical guidelines is a biopsychosocial approach:

  • Guidance on activity, lifestyle, prognosis and prevention.
  • Physical treatments drawn from all types of manual therapy, spinal manipulation and rehabilitation exercise.
  • Advice about pain control, including non-prescription medication.
  • Psychosocial interventions aimed at resolving cognitive barriers to recovery.

European guidelines for the management of acute nonspecific low back pain in primary care. 2005.

Recommends the consideration of spinal manipulation for patients failing to return to normal activities.

UK Beam Trial 2004

Back pain, exercise and manipulation (UK BEAM) randomised trial: effectiveness of physical treatments for back pain in primary care. British Medical Journal Nov

Royal College of general Practitioners (RCGP) 1996, 1999, 2001

Clinical Guidelines for the Management of Acute Low Back Pain

Chiropractic Treatment in Workers with Musculoskeletal Complaints 2000

Mark P Blokland DC et al;Journal of the Neuromusculoskeletal System vol 8 No 1, Spring

Carter JT, Birrell LN (Editors) 2000. Occupational health guidelines for the management of low back pain at work - principal recommendations 2000

Faculty of Occupational Medicine. London. Occupational health guidelines for the management of low back pain at work - leaflet for practitioners. Faculty of Occupational Medicine London.

Waddell G, Burton AK 2000

Occupational health guidelines for the management of low back pain at work - evidence review. Faculty of Occupational Medicine London.

Clinical Standards Advisory Group 1994

Backpain Report