Alive Blog
Evidence based chiropractic in Poundbury:
Our brief review of the available data.
Is chiropractic evidence based?
The term ‘evidence based practice’ (EBP) is a concept developed in traditional medicine in the early 90’s. It requires that decisions about health care are based on the best available, current, valid and relevant evidence. These decisions “should be made by those receiving care, informed by the tacit and explicit knowledge of those providing care, within the context of available resources”.
Chiropractic care is a form of alternative medicine that focuses on the diagnosis and treatment of musculoskeletal disorders, primarily those affecting the spine. Chiropractors utilize manual adjustments and various techniques to promote the body’s natural healing process and improve overall health. Over the years, chiropractic care has garnered both support and skepticism, prompting numerous studies to explore its effectiveness and safety. Is chiropractic evidence based? Let’s take a look to the latest research.
Chiropractic care and low back pain
Low back pain is one of the most common reasons people seek chiropractic care. Research has demonstrated that chiropractic spinal manipulative therapy (SMT) can be an effective treatment for acute and chronic low back pain. Several studies have shown that SMT, when performed by trained and licensed chiropractors, can lead to significant improvements in pain and function compared to placebo or no treatment.
References:
- Leininger B, Bronfort G, Evans R, Reiter T. Spinal Manipulation or Mobilization for Chronic Low Back Pain: A Cochrane Review. Spine (Phila Pa 1976). 2019;44(15):E914-E923.
- Paige NM, Miake-Lye IM, Booth MS, et al. Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain: Systematic Review and Meta-analysis. JAMA. 2017;317(14):1451-1460.
Chiropractic care for neck pain
Neck pain is another common condition for which individuals seek chiropractic care. Studies have shown that spinal manipulative therapy provided by chiropractors can offer significant relief for patients with acute and chronic neck pain. Additionally, research has indicated that chiropractic care may be equally or more effective than other treatments, such as medication or exercise, in managing neck pain.
References:
- Bronfort G, Evans R, Anderson AV, et al. Spinal Manipulation, Medication, or Home Exercise With Advice for Acute and Subacute Neck Pain: A Randomized Trial. Ann Intern Med. 2012;156(1 Pt 1):1-10.
- Dunning JR, Cleland JA, Waldrop MA, et al. Upper Cervical and Upper Thoracic Thrust Manipulation Versus Nonthrust Mobilization in Patients With Mechanical Neck Pain: A Multicenter Randomized Clinical Trial. J Orthop Sports Phys Ther. 2012;42(1):5-18.
Chiropractic care and headaches
Chronic tension headaches and migraines are debilitating conditions that affect millions of people worldwide. Some studies suggest that chiropractic care, particularly spinal manipulative therapy, may help reduce the frequency and intensity of headaches.
References:
- Biondi DM. Physical Treatments for Headache: A Structured Review. Headache. 2005;45(6):738-746.
- Chaibi A, Tuchin PJ, Russell MB. Manual Therapies for Migraine: A Systematic Review. J Headache Pain. 2011;12(2):127-133.
Chiropractic care and sciatica
Sciatica is a painful condition caused by the compression of the sciatic nerve. Chiropractic care has been studied as a potential treatment option for sciatica, and some research suggests that it may provide relief for some patients. However, more high-quality studies are needed to establish its efficacy definitively.
References:
- McMorland G, Suter E, Casha S, du Plessis SJ, Hurlbert RJ. Manipulation or Microdiskectomy for Sciatica? A Prospective Randomized Clinical Study. J Manipulative Physiol Ther. 2010;33(8):576-584.
- Lewis RA, Williams NH, Sutton AJ, Burton K, Din NU, Matar HE, et al. Comparative Clinical Effectiveness of Management Strategies for Sciatica: Systematic Review and Network Meta-analyses. Spine J. 2015;15(6):1461-1477.
Chiropracticcare for pregnancy-related pain:
Pregnancy can be associated with various musculoskeletal issues, such as low back pain and pelvic pain. Chiropractic care during pregnancy has been studied, and some evidence suggests that it may help alleviate pregnancy-related pain and improve overall well-being.
References:
- George JW, Skaggs CD, Thompson PA, Nelson DM, Gavard JA, Gross GA. A Randomized Controlled Trial Comparing a Multimodal Intervention and Standard Obstetrics Care for Low Back and Pelvic Pain in Pregnancy. Am J Obstet Gynecol. 2013;208(4):295.e1-7.
- Peterson CK, Mรผhlemann D, Humphreys BK. Outcomes of Pregnant Patients with Low Back Pain Undergoing Chiropractic Treatment: A Prospective Cohort Study with Short Term, Medium Term and 1 Year Follow-up. Chiropr Man Therap. 2014;22(1):15.
Safety and risks of chiropractic care:
Like any medical intervention, chiropractic care is not without potential risks. Adverse events associated with chiropractic adjustments are generally rare but can include mild soreness, stiffness, and more severe complications in isolated cases. However, serious complications are extremely rare, and chiropractic care is considered safe when performed by qualified professionals.
References:
- Rubinstein SM, Terwee CB, Assendelft WJ, de Boer MR, van Tulder MW. Spinal Manipulative Therapy for Acute Low Back Pain: An Update of the Cochrane Review. Spine (Phila Pa 1976). 2013;38(3):E158-E177.
- Branson R, DeBerard MS. Chiropractic and Stroke: A Public Health Problem Ignored. J Clin Chiropr Pediatr. 2016;15(2):1248-1256.
Chiropractic care is a widely used form of alternative medicine, and there is scientific evidence supporting its effectiveness in treating certain musculoskeletal conditions, particularly low back pain and neck pain. While additional research is still needed to establish its efficacy for other conditions, chiropractic care appears to be generally safe when performed by licensed professionals.
It’s important for patients to work with qualified chiropractors and other healthcare providers to determine the most appropriate treatment plan for their specific conditions. Always consult with a healthcare professional before beginning any new treatment. Book your appointment HERE!
Other links you might find interesting:
https://rcc-uk.org/evidence-for-chiropractic
https://www.health.harvard.edu/pain/chiropractic-care-for-pain-relief
Dr. Edoardo Elisei DC
Alive Chiropractic LTD
alivechiropractic.co.uk
1C Crown Gate Square
POUNDBURY
01305602314
19/7/2023









I have 38 years of patchy recovery from a nursing back injury.
This intensive approach has markedly reduced my painful episodes and spinal posture problems.
My family has noticed a big difference in me with many obvious and subtle improvements.
I look forward to continuing this progress with both Edo and Phil to achieve further improvements.






Saved me from different injuries and helped me a lot of chronic issues I was dealing with.
He is a saviour.
Highly recommended









You are always polite, very knowledgeable with great approach to patients.
To all interested - do not hesitate, I highly recommend! See you soon!

Will definitely be visiting again!

I would fully recommend Alive Chiropractic,
Edo is a very warm, welcoming caring and does not judge.





He explained what and how he was going to help me , had an extensive treatment period to begin with and then became a monthly visitor .
He has been so much help to me over this time and I would recommend his gifts to everyone.
A truly lovely man and gifted communicator and practitioner.
If in pain go and give him a try , living in a body that feels like a prison is no fun but this guy has the keys to set you free!

Offers practical advice for individuals of any age
Explains proposed programs well
Very confident that treatment will be successful
Highly recommend
I am sleeping more comfortably again, my walking has improved too, my confidence has improved, I was treated with great respect. I have learnt new exercises which also has helped thanks to Ed owner of Alive chiropractor and Phil too for his excellent deep tissue massage therapy. I cannot thank them both enough, I feel like a new person!
Iโve now signed up for a regular maintenance programme. Thank you both very much, itโs very much appreciated.

He certainly has 'healing hands'.
Clearly passionate about his profession, not only does his treatment keep you supple. He also gives plenty of advise & exercises to keep yourself active.
The waiting room area is that of peace & tranquility with soothing background music.
There is ample free parking.
You've nothing to lose but everything to gain if you want to stay fit, healthy and active.
I highly recommend his expertise & personalised approach.
I highly recommend Edo and Alive Chiropractic. Great service from initial assessment, to treatment, and ongoing progress checks. As well as a range of exercises to continue at home.
As well as the work he done with me in the clinic, he has taught me many different exercises to help me with the problems in which i suffer with, as well as explaining to me how my diet can also help me going forward.
He has been a great help, and i shall continue to see him in the future so that he can help me maintain ( and improve) my well being.
Regards
Peter



Dr Edo provides a whole body approach to resolving chiropractic issues. His care plan to help solve your unique issues is fantastic, short and simple adjustments rather than long sessions of big adjustments has worked brilliantly for me. Communications are easy and booking ahead is brilliant for me and my schedule.
I canโt recommend Alive highly enough!

The reception is also very welcoming. I very much recommend this place!




Dr Edo is professional, knowledge, and believes firmly in his work which he is clearly passionate about. I feel he has an empowering vision, cares deeply, and has a refreshing balance of western and eastern understanding. Because of this, Dr Edo has a deeper, holistic approach by taking into account all aspects of one's lifestyle (diet, exercise, mental/emotional state) in sessions. For someone like myself who values a holistic perspective on health, Dr Edo's approach is invaluable and helped me relax and feel at great ease. Sam in reception is lovely and you instantly feel welcomed when coming in for a session also. Thank you to you both. Highly recommend!



Thank you!






I will happily recommend Alive Chiropractic to my friends.


Ed takes a very holistic approach, encouraging me to lose weight and work on different rehab exercises to reinforce the manipulations and adjustments he made.
Here I am some three months on, I weigh a lot less, I have incredible flexibility in my lower back and can now touch my toes and, best of all. I have full flexibility of my neck.
Eds holistic approach really works, he is very approachable and easy to chat about things with.
One caveat, Ed knows when you haven't done your exercises so don't cheat. ๐
I cannot thank him enough for the massive improvements in my health and his encouraging me to make little changes for a healthier long term lifestyle.
