Reframing Chronic Back Pain Care: A Holistic Perspective

A recent article in JAMA titled "Expert Panel Advises Against Common Spine Treatments for Chronic Back Pain" highlights the need for a shift in how we approach chronic back pain management.  The article discusses the limitations of conventional treatments and underscores the importance of individualized, patient-centered care.​Jama Network

The Limitations of Conventional Treatments

The JAMA article points out that many standard interventions for chronic back pain, such as opioids and certain surgical procedures, often provide limited relief and carry significant risks. This has led to a growing recognition of the need for alternative approaches that address the root causes of pain rather than merely masking symptoms.​

The Role of Chiropractic Care in Holistic Pain Management

At Performance and Recovery Clinic, we embrace a holistic, evidence-informed approach to musculoskeletal health. Our chiropractic care focuses on manual adjustments, exercise rehabilitation, and specialized therapies to address the underlying causes of pain.​

Research supports the effectiveness of spinal manipulation and other chiropractic interventions in managing chronic low back pain. For instance, a study published in The Spine Journal found that spinal manipulative therapy is associated with significant improvements in pain and function for patients with chronic low back pain. ​Jama Network

Integrating Chiropractic Care into Comprehensive Treatment Plans

Chiropractic care can be a valuable component of a multidisciplinary approach to chronic back pain. By collaborating with other healthcare providers, chiropractors can help develop comprehensive treatment plans that address the physical, emotional, and lifestyle factors contributing to pain.​

Moreover, chiropractic interventions often emphasize patient education and self-management strategies, empowering individuals to take an active role in their recovery. This aligns with the patient-centered care model advocated in the JAMA article.​

Conclusion

The insights from the JAMA article reinforce the importance of re-evaluating our approach to chronic back pain. By moving away from interventions with limited efficacy and potential risks, and embracing holistic, patient-centered care, we can better support individuals in achieving lasting relief and improved quality of life.​

At Performance and Recovery Clinic, we're committed to providing evidence-informed chiropractic care that aligns with these principles. If you're experiencing chronic back pain, consider exploring chiropractic care as part of your journey toward recovery.​

References:

1. Anderer, T. (2025). Expert Panel Advises Against Common Spine Treatments for Chronic Back Pain. JAMA. ​Jama Network

2. Paige, N. M., Miake-Lye, I. M., Booth, M. S., Beroes, J. M., Mardian, A. S., Dougherty, P., ... & Shekelle, P. G. (2017). Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain: Systematic Review and Meta-analysis. JAMA, 317(14), 1451–1460.​

3. Goertz, C. M., Long, C. R., Vining, R. D., Pohlman, K. A., Walter, J., & Coulter, I. D. (2018). Effect of Usual Medical Care Plus Chiropractic Care vs Usual Medical Care Alone on Pain and Disability Among US Service Members With Low Back Pain: A Comparative Effectiveness Clinical Trial. JAMA Network Open, 1(1), e180105.​